Instruction To Your Bank Or Building Society To Pay By Direct Debit

Click here to complete Direct Debit Instructions online
Or
Please print out and fill in the whole form and post to:

Exchequer Services
PO Box 304, Ashton-Under-Lyne,
Tameside, OL6 0GA

Originator's Identification Number
9 | 7 | 3 | 7 | 9 | 0

Name(s) of account holder(s)

Bank or Building Society Account Number

Branch Sort Code

Name and full postal address of your Bank or Building Society

To: The Manager
Bank/Building Society:

Address:

Postcode:

Your Council Tax Reference Number

For TMBC Official Use Only

This is not part of the instruction to your Bank or Building Society

Please tick which payment date you prefer:

1st 15th 23rd

Instructions to your Bank or Building Society
Please pay Tameside MBC Direct Debits from the account detailed in this instruction subject to the safeguards assured by the Direct Debit Guarantee. I understand that this instruction may remain with Tameside MBC and if so, details will be passed electronically to my Bank/Building Society.

Signature(s)

Property Address:

Date:

Banks and Building Societies may not accept Direct Debit Instructions from some type of account.

This guarantee should be detached and retained by the Payer.

The Direct Debit Guarantee

This Guarantee is offered by all banks and building societies that accept instructions to pay Direct Debits.
If there are any changes to the amount, date or frequency of your Direct Debit Tameside MBC will notify you 10 working days in advance of your account being debited or as otherwise agreed. If you request Tameside MBC to collect a payment, confirmation of the amount and date will be given to you at the time of the request
If an error is made in the payment of your Direct Debit by Tameside MBC or your bank or building society you are entitled to a full and immediate refund of the amount paid from your bank or building society.
- If you receive a refund you are not entitled to, you must pay it back when Tameside MBC asks you to
You can cancel a Direct Debit at any time by simply contacting your bank or building society. Written confirmation may be required. Please also notify us.