ef240635 - formulario de reclamo
DESCRIPTION
formularioTRANSCRIPT
Council tax - General correspondence
page 1 of 2
23/08/2013 Council tax - General correspondence Ref No. EF240635
Your details
Please provide your name and address:
Title Mrs
First name Margarita eugenia
Last name Perez Rodriguez
Address 1 FLAT 65
Address 2 VANILLA AND SESAME COURT CURLEW STREET
Address 3
Postcode SE1 2NN
Please confirm the following:
Your council taxaccount number
49007072
Please provide contact details:
Telephone (44) 2073118529
Email [email protected]
IaWUserId EFORMS
FileSystemDocClass RE
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Your reasons for contact
Please tell us why you are contacting us:
Reason for contact I received a payment warning. I control my payments and I detected an error in mydirect debit. I paid 176 pounds the day August 19 (basket reference number 000 934551). the subsequent days I'm controlling my payments online and I noticed that theyhave not yet processed my online payment. Please let me know the status of it.
Do you want to attach documents with your correspondence?
Please choose Yes
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Council tax - General correspondence
page 2 of 2
Attach documents
Attach scanned or saved documents: - First Entry
London Borough of Southwark Payment Receipt.pdf
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Declaration
I confirm that the information provided in this form is true and correct to the best of my knowledge and belief.
I understand that a minimum £70 penalty can be imposed, or I may be prosecuted, if any information given inthis form is found to be untrue.
Under the provisions of Regulation 3 of the Council Tax (Administration and Enforcement) Regulations 1992, ifyou fail to supply information requested of you within 21 days you may be subject to a penalty of £70.
I have read and agree to the above declaration:
Agree declaration Agree
DocType CCOR
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The information you provide will be used fairly and lawfully and Southwark Council will not knowingly doanything which may lead to a breach of the Data Protection Act 1998.