Tel No: 0861 135-791 Fax No:0861 135-792
Reg. No.1983/01494/07
RENTAL COLLECTION AND OWNER PAYMENT INSTRUCTION
PERSONAL DETAILS OF TENANT
Full Names and Surname Telephone Code Number Cell Phone
Agent Ref. for this tenant
BANK DETAILS OF TENANT AND COLLECTION INSTRUCTION
Name of Account Holder Account Type Account No. Bank Name
Current Savings Transmission
Branch Code Branch
COLLECTION INSTRUCTION (Tick the appropriate blocks)
Category: Once-off
(If once-off, complete only date of 1st deduction below) Monthly
Weekly
Other
To be advised later
First three deductions: Date of 1st deduction Date of 2nd deduction Date of 3rd deduction How many successive months after the 3rd deduction above: Deduction day in the month: or last day of the month Amount to be deducted Amount to be deducted Amount to be deducted
R R R
•
•
•
or continue until cancelled
Recurring amount to be deducted per month after the 3rd deduction above:
R
•
I/We, the tenant or the duly authorised representative thereof (”the TENANT”), hereby authorise the entity mentioned below (”the LETTING AGENT”), STRATCOL (PTY) LTD and/or its agents, to collect by means of electronic debit from the above account or from any other account in the name of the TENANT at the same or any other bank, all or any monies due by the TENANT to the LETTING AGENT, and or THE PROPERTY OWNER as principal debtor or surety or for any other reason, and to pay same to the LETTING AGENT. The amount may be deducted on the mentioned deduction day or within 7 working days thereafter. 1. 2. 3. 4. I and/or the TENANT, individually and collectively, indemnify and hold harmless the LETTING AGENT, STRATCOL (PTY) LTD and/or its agents against any claim of any nature arising from the electronic debit or transfer or from any other cause following this authorisation and irrespective whether such authorisation had been withdrawn or not; In the event of the relevant account not having sufficient cleared funds to meet any debit, I am aware that a fee will be debited against the TENANT’s account by the bank and the LETTING AGENT relating to the return of the debit. Any reference to the entities above includes a reference to any successor in title or in appointment; This authorisation is not an amendment to any specific arrangement regarding payment of accounts and serves merely as an arrangement as to the method of payment.
SIGNATURES OF TENANT
RENTAL DISTRIBUTION (for office use only)
Collected rental must be paid as follows: R paid to Letting Agent and/or
• •
R R
PROPERTY OWNER BANK DETAILS (for office use only)
Name of Account Holder E-mail Address Account Type Account No. Bank Name
Current Savings
paid to Property Owner and/or paid to Body Corporate
•
Transmission
Cell Phone
Branch Code Branch
BODY CORPORATE BANK DETAILS - FOR LEVY PURPOSES (for office use only)
Name of Account Holder E-mail Address Account Type Account No. Bank Name
Current Savings
Transmission
Cell Phone
Branch Code Branch
DETAILS OF LETTING AGENT ON WHOSE BEHALF PAYMENT IS BEING COLLECTED AND PAID (for office use only)
Name Code