Housing Direct Debit form

Instruction to your bank or building society to pay your tenancy charges by Direct Debit.

Your details

Your housing account number (required)
Your name (required)
Your address (required)
Your telephone number
I would like to pay an additional amount each month to clear arrears on my account

You only need to complete this box if you are paying an extra amount to clear arrears on your account.

Extra amount paid each month to clear arrears

Your bank/building society account details These are the details of the bank/building society account that payments will be taken from.

Name of your bank/building society (required)
Address of your bank/building society branch (required)
Name(s) of account holder(s) (required)
Bank/building society account number (required)
Branch sort code (required)
Payment date 7th
18th
28th
Weekly on a Friday

Your instruction to the bank/building society

I/we instruct you to pay Direct Debits from my/our account at the request of Mansfield District Council

The amounts are variable and may be debited on various dates.

I/we understand that Mansfield District Council may change the amounts and dates only after giving me/us prior notice.

I/we will inform the bank/building society in writing if I/we wish to cancel this instruction.

I/we understand that if any Direct Debit is paid which breaks the terms of this instruction, the bank/building society will make a refund.

The Direct Debit guarantee

All banks and building societies that take part in the Direct Debit scheme offer this guarantee. The efficiency and security of the scheme is monitored and protected by your own bank or building society.

If the amount to be paid or the payment days change, we will notify you 10 working days in advance of your account being debited, or as otherwise agreed.

If we or your bank or building society make an error, you are guaranteed a full and immediate refund from your branch of the amount paid.

You can cancel a Direct Debit at any time by writing to your bank or building society. Please also send a copy of the letter to us.

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