Western Australian Consolidated Regulations

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CREDIT (ADMINISTRATION) REGULATIONS 1985 - SCHEDULE 2

[r. 10]

        [Heading inserted in Gazette 22 Sep 2006 p. 4096.]

Form 1 — Infringement notice

Credit (Administration) Act 1984

Infringement notice

Infringement
notice no.

Alleged offender

Name:         Family name

        Given names

or         Company name ____________________________________

                ACN

Address ________________________________________________

        Postcode

Alleged offence

Description of offence _____________________________________

Credit (Administration) Act 1984 s. 

Date         /         /20         Time         a.m./p.m.

Modified penalty $

Officer issuing notice

Name

Signature

Office

Date

Date of notice         /         /20

Notice to alleged offender

It is alleged that you have committed the above offence.

If you do not want to be prosecuted in court for the offence, pay the modified penalty within 28 days after the date of this notice.

How to pay

By post: Send a cheque or money order (payable to ‘Approved Officer — Credit (Administration) Act 1984 ’) to:

Approved Officer — Credit (Administration) Act 1984

Department of Consumer and Employment Protection

Locked Bag 14 Cloisters Square

Perth WA 6850

In person: Pay the cashier at:

Department of Consumer and Employment Protection

219 St George’s Terrace, Perth WA


If you do not pay the modified penalty within 28 days, you may be prosecuted or enforcement action may be taken under the Fines, Penalties and Infringement Notices Enforcement Act 1994 . Under that Act your driver’s licence and/or vehicle licence may be suspended.

If you need more time to pay the modified penalty, you can apply for an extension of time by writing to the Approved Officer at the above postal address.

If you want this matter to be dealt with by prosecution in court , sign here ______________________________________
and post this notice to the Approved Officer at the above postal address within 28 days after the date of this notice.

        [Form 1 inserted in Gazette 22 Sep 2006 p. 4096.]

Form 2 — Withdrawal of infringement notice

Credit (Administration) Act 1984

Withdrawal of infringement notice

Withdrawal no.

Alleged offender

Name:         Family name

        Given names

or         Company name ___________________________________

                ACN

Address _______________________________________________

        Postcode

Infringement notice

Infringement notice no.

Date of issue         /         /20

Alleged offence

Description of offence __________________________________

Credit (Administration) Act 1984 s. 

Date         /         /20         Time         a.m./p.m.

Officer withdrawing notice

Name

Signature

Office

Date

Date of withdrawal         /         /20

Withdrawal of infringement notice


[*delete
whichever
is not applicable]

The above infringement notice issued against you has been withdrawn.

If you have already paid the modified penalty for the alleged offence you are entitled to a refund.

*         Your refund is enclosed.

or

*         If you have paid the modified penalty but a refund is not enclosed, to claim your refund sign this notice and post it to:

        Approved Officer — Credit (Administration) Act 1984

Department of Consumer and Employment Protection

Locked Bag 14 Cloisters Square

Perth WA 6850

Signature         /         /20

        [Form 2 inserted in Gazette 22 Sep 2006 p. 4097.]



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