PAYMENT METHOD AUTHORITY

Request form for the 2022 Financial Year

Priority processing will be applied to clients wishing to pay by credit card, deduct from refund or Smart AR fee funding. Pay on invoice does not apply however you will still need to provide your bank details for Neovia to deposit any refunds due to you.

Save & Return

Save your progress and complete this form later

Name of Entity:

Individual Name:

Please complete and tick the option which suits you. *

Bank Account Details

By agreeing for Neovia to have your tax refund credited to our Trust Account and we will deduct our fee and direct credit the balance to you. i\We request that you arrange with IRD to have my\our tax refund credited to your trust account and for you to deduct your accounting fee and pay the balance to our bank account by direct credit. *

Authorise and Accept

Account Name:

Account Number:

Bank:

Branch:

Credit Card Details

We will notify you when processing is completed and when your Credit Card account is to be debited.
Please complete:

Type of Card

Visa	MasterCard

Card Number:

Name on Card:

Expiry Date:

Signature:

Smart AR Fee Funding

Smart AR is an external company that assists clients in paying off their Accounting Fees over a 6 month period. A letter and application form will be sent to you upon completion of your accounts. Please note that Smart AR will only fund invoices over $1000.

Other

Please specify