credit card payment authorisation
CREDIT CARD PAYMENT AUTHORISATION Tribeca Real Estate Pty Ltd
ABN 78 600 694 933 Qld Licence 3828550 | NSW Licence 10027808 | VIC Licence 076728L
Purchaser Name: Postal Address: Phone Number: Mobile Number: Property purchase address:
I/WE authorise Tribeca Real Estate Pty Ltd to debit my/our credit card (the details of which are listed below) the amount of $______________ being payment due for the initial deposit for my/our purchase of the abovementioned property. I/WE note that the money will be deposited into Tribeca Real Estate Trust Account . Cardholders Name Card Type:
VISA
/
MASTERCARD
(please circle one)
Card Number CCV Number Expiry Date Cardholders Signature
All details including signature have been checked by Consultant: _________________________________________________
I/WE authorise for our deposit held in Trust by Tribeca Real Estate to be paid to the deposit holder under the Land and Build Contracts and note that the amount is refundable until such time as the land contract is unconditional.
Purchaser Signature:
_______________________________________________________________________________
Date:
_________________________________
ABN 78 600 694 933 Qld Licence 3828550 | NSW Licence 10027808 | VIC Licence 076728L
Purchaser Name: Postal Address: Phone Number: Mobile Number: Property purchase address:
I/WE authorise Tribeca Real Estate Pty Ltd to debit my/our credit card (the details of which are listed below) the amount of $______________ being payment due for the initial deposit for my/our purchase of the abovementioned property. I/WE note that the money will be deposited into Tribeca Real Estate Trust Account . Cardholders Name Card Type:
VISA
/
MASTERCARD
(please circle one)
Card Number CCV Number Expiry Date Cardholders Signature
All details including signature have been checked by Consultant: _________________________________________________
I/WE authorise for our deposit held in Trust by Tribeca Real Estate to be paid to the deposit holder under the Land and Build Contracts and note that the amount is refundable until such time as the land contract is unconditional.
Purchaser Signature:
_______________________________________________________________________________
Date:
_________________________________
