Application Capture Form | Levy Collection

DETAILS OF APPLICATION/ALLEGED BREACH:
Please legibly set of all the facts which you consider to have bearing on this application, including, dates, places and persons involved.

[Anything in [these brackets] is a suggestion or instruction, or indicates where you would need to adjust details in a sentence.] [Note: You (as a community scheme representative) are the Applicant, and the Respondent is the owner who has outstanding amounts owing to the scheme. You can change the wording to include relevant names if you'd like.] The Respondent: 1. Is the registered owner of unit(s) [insert numbers] in the [insert scheme name] scheme and as such is liable to pay contributions to the applicant and interest thereon 2. Has failed or refused to pay contributions validly levied in the total amount of [insert total contributions due] 3. Has failed or refused to pay interest in the amount of [insert total interest due] accrued on the above contributions The Applicant has notified the Respondent of the levying of the contributions and interest, and demanded payment after due date but respondent has failed to make payment.

EXHAUSTION OF INTERNAL REMEDIES:
What has been done to try to resolve this application? Please describe what you have done, who you have talked to and what they offered to do.
[Adjust to suit your situation.] All appropriate internal remedies have been exhausted in that the Body Corporate has demanded the outstanding amounts, and the Respondent, without good reason, has failed to pay them. [If the Respondent disputes the matter, adapt and include: Respondent has denied liability for [and/or disputed] the amount due despite attempts to engage with the respondent to explain and resolve the matter.] [If appropriate, make mention of due process being followed for all relevant fines and penalties that may be included in the amount owing.]

RELIEF SOUGHT:
What remedy are you requesting? How do you want the problem to be solved?
[Adjust to your situation as required:] An order, under section 39(1)(e) of the Community Schemes Ombud Services Act, that the Respondent must pay the Applicant the capital amount of contributions, interest, and other amounts owing as well as interest thereon from date of order to date of payment.

ADDITIONAL INFORMATION
[If there is anything else that the CSOS will need to know to support your claim, then include it here.] [For example: If it is not clear from supporting documentation that the trustees have taken the resolution required to levy the contribution, to set an interest rate or to do any other thing required, then state that these things have been done and give the dates and details.]

CAPTURE OF INFORMATION - APPLICATION FOR DISPUTE RESOLUTION