"*" indicates required fields We are collecting your personal information in accordance with the Information Privacy Act 2009 for the purpose of processing this application/request. The information will be only accessed by authorised employees. Your information will not be given to any other person or agency unless you have given us permission, or we are required by law.Applicant DetailsName* First Last Email* Phone*Property address Street Address Address Line 2 Town Post code Is your postal address the same as the property address? Yes No Postal address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Refund type* Rates Caravan park booking Standpipe bond Planning/development application Other Which caravan park* Lakeside Motor Inn Malanda Falls Caravan Park Booking numberFive digit number from confirmation. Development application number* Lot and plan number*Lot 4 on RP732163 Property number*From your rate notice. Reason for refund*Amount to be refunded* Upload proof of payment*Max. file size: 100 MB.Bank account details for electronic funds transferName of bank* Account name* BSB number* Account number* Declaration The details I have provided are true and correct. I understand TRC is under no obligation to verify the accuracy of the bank details provided and will take no responsibility for any delays in payment or errors due to factors outside reasonable pay controls, including but not limited to delays or errors in the banking system or errors in the account details. I agree to return to TRC any payments credited in error, and TRC reserves the right to off-set the amount of any overpayment made in error against any existing or future debt or liability owing to or by TRC. I understand that this refund request will be processed on the next payment run.