Application for payment by instalments (art. 16 para. 2 CR FDF)

Name/Company

Location

Contact person

e-mail address

Telephone

Customer no./CSP account no.

Invoice number(s)

Total amount receivable in chf

Monthly instalment in chf

Date of request

In consideration of the instalment payment agreement, punctual payment of the outstanding invoices and the agreed instalments is demanded.

In the event of non-compliance, we reserve the right to annul all agreements with immediate effect. The corresponding outstanding amounts become due immediately.

Interest on default (art. 186 para. 2 CR) will be charged on all overdue receivables from the net due date.

Please email this form to info-finanzen@bazg.admin.ch.

Approved: