"DIRECT DEBIT MANDATE Council Tax"
DIRECT DEBIT MANDATE Council Tax Please complete all sections of the form and return to: The Council Tax Section, Gravesham Borough Council, Civic Centre, Windmill Street, Gravesend, Kent DA12 1AU. Originator's Reference 9 9 0 8 5 2 Your Name & Address Please enter your Council Tax account reference Post Code Please complete the full postal address of your branch: Your Bank/Building Society Account Number To the Manager, Bank/Building Society Your Sort Code (this is on the top right hand corner of your cheque book) Please select prefered payment date in the month: Name(s) of account holder(s): 3rd 21st Your Instruction to your bank/building society; I instruct you to pay direct debits from my account at the request of Gravesham Borough Council. The amounts are variable and will be debited on the date I have specified above. I understand that Gravesham Borough Council may change the amounts and dates only after giving me prior notice. I will inform the bank/building society in writing if I wish to cancel this instruction. I understand that if a payment is made that breaks the terms of this instruction, the bank/building society will make a refund. Signed: Date: 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 take part in the Direct Debit Scheme. The efficiency and security of the Scheme is monitored and protected by your own Bank or Building Society. If the amounts to be paid or the payment dates change, Gravesham Borough Council will notify you 10 working days in advanced of your account being debited or as otherwise agreed. If an error is made by Gravesham Borough Council or your Bank or Building Society, 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 your letter to us. Print Form