SEPA-Direct debit authorization
SEPA direct debit mandate for recurring payments
By signing this mandate form, I (we) authorise the city of Titisee-Neustadt to send instructions to my (our) bank to debit my (our) account and my (our) bank to debit my (our) account in accordance with the instructions from the creditor.
I am (We are) aware that I am (we are) entitled to a refund of the amount charged within eight weeks, starting with the date of the debit request. The terms and conditions agreed upon with my (our) bank apply. If there are insufficient funds, the bank is not obliged to redeem the debit. In case of a returned direct debit, additional charges may apply.
payee:
Stadtverwaltung Titisee-Neustadt, Pfauenstr. 2-4, 79822 Titisee-Neustadt
SEPA creditor identifier (CI):
DE1422200000101082
The mandate reference is assigned by the city of Titisee-Neustadt.
Your details
Person liable for tax or invoice according to notification or invoice: *
title*
Ms
Mr
without title
Company / Club
your title
surname*
first name*
Company / Club*
street*
house number*
postcode*
city*
plzsuche
phone
email*
country*
Germany
Netherlands
Switzerland
account details
account holder:
differend account holder
IBAN*
bank name*
BIC*
surname*
first name*
street*
house number*
postcode*
city*
plzsuche
country*
Germany
Netherlands
The mandate should be valid from:
Mehrfachauswahl möglich
Grundsteuer (property tax)
booking reference (Buchungszeichen) *
Gewerbesteuer (trade tax)
booking reference (Buchungszeichen) *
Verspätungszuschlag (late fee)
booking reference (Buchungszeichen) *
Wasser-/Abwassergebühren
(water / wastewater tax)
booking reference (Buchungszeichen) *
Hundesteuer (dog tax)
booking reference (Buchungszeichen) *
Miete (rent)
booking reference (Buchungszeichen) *
Pacht (lease)
booking reference (Buchungszeichen) *
Pauschalkurtaxe
(flat rate tourist tax)
booking reference (Buchungszeichen) *
Fremdenverkehrsabgabe
(tourist tax)
booking reference (Buchungszeichen) *
Vergnügungssteuer
(entertainment tax)
booking reference (Buchungszeichen) *
Zweitwohnungssteuer
(second home tax)
booking reference (Buchungszeichen) *
Kurtaxe
(visitors tax)
booking reference (Buchungszeichen) *
Sondernutzung
(special use tax)
booking reference (Buchungszeichen) *
Jahresparkausweis
(annual parking permit)
booking reference (Buchungszeichen) *
Kindergartengebühren
(kindergarten fees)
booking reference (Buchungszeichen) *
Grundschulbetreuung
(primary school care fees)
booking reference (Buchungszeichen) *
Mensa (canteen)
booking reference (Buchungszeichen) *
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informations:
Do you have questions?
Stadtverwaltung Titisee-Neustadt
Stadtkasse
Pfauenstr. 2-4
79822 Titisee-Neustadt
Tel.: 07651/206-624
E-Mail: stadtkasse@titisee-neustadt.de
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Please verify your informations:
address data
,
account details
alternative account holder
The mandate should be valid from:
Person liable for tax or invoice according to notification or invoice: *:
I agree to the collection of outstanding claims for the booking reference given below..
Mandate
Grundsteuer (property tax)
Gewerbesteuer (trade tax)
Verspätungszuschlag (late fee)
Wasser-/Abwassergebühren(water / wastewater tax)
Hundesteuer (dog tax)
Miete (rent)
Pacht (lease)
Pauschalkurtaxe(flat rate tourist tax)
Fremdenverkehrsabgabe(tourist tax)
Vergnügungssteuer(entertainment tax)
Zweitwohnungssteuer(second home tax)
Kurtaxe(visitors tax)
Sondernutzung(special use tax)
Jahresparkausweis(annual parking permit)
Kindergartengebühren(kindergarten fees)
Grundschulbetreuung(primary school care fees)
Mensa (canteen)
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