Council Tax Direct Debit form

Instruction to your bank or building society to pay your Council Tax by Direct Debit.

Please note

If you are completing this form in response to receiving a Council Tax Reminder, Final Notice, Summons, Liability Order or Pre Bailiff Notice we will not be able to process your Direct Debit request using this online form.
Please telephone the Debt Recovery Department on 01623 463463 (option 3) to discuss your payment options.

Otherwise, please continue.

About you
  • Yes
  • No
Your bank/building society account details
  • 1st
  • 5th
  • 14th
  • 20th
  • 26th
  • Every 12 months
  • Every 10 Months
  • Fortnightly
  • Weekly

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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Data protection

The information you supply will be used to enable this request or notification to be carried out and will be handled in accordance with the Data Protection Act 1998. For more information please see our privacy notice.