Direct Debit Form

All fields marked with an * are mandatory

Thank you for taking the time to fill out this form. Please answer all questions honestly, and as accurately as possible. If you have any questions, please do not hesitate to get in touch with us.

INSTRUCTION TO YOUR BANK OR BUILDING SOCIETY TO PAY BY DIRECT DEBIT

If you have any questions, please do not hesitate to get in touch with us.

Section 1: About you

Title*

First name*

Middle name

Last name*

Date of Birth*

Email address*

Contact number*

First line of the property address*

Town*

County*

Postcode*

Will you be you the main account holder?*

Section 2: Account holder contact details

Title*

First name*

Middle name

Last name*

Date of Birth*

Email address*

Contact number*

First line of the property address*

Town*

County*

Postcode*

Section 2: Account holder bank details

Name of Bank/Building society*

First line of your Bank/Building society address*

Bank/Building society account number*

Branch sort code*

Preferred payment date*

1st of every month

15th of every month

25th of every month

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 Love Living Homes will notify you 3 working days in advance of your account being debited or as otherwise agreed. If you request Love Living Homes 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 Love Living Homes 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 Love Living Homes 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

Declaration*

I/we have read and understood the above

Instruction to your bank or building society

Please pay Love Living Homes 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 Love Living Homes and, if so, details will be passed electronically to my bank/building society

Declaration*

I/we have read and understood the above

Please note: Banks and building societies may not accept Direct Debit Instructions for some types of account.

Important privacy information please read

Love Living Homes or the sales agent appointed on our behalf will collect, store and process your personal data in order to carry out our obligations to you arising under this agreement and any subsequent agreement entered into in connection with the purchase of a property sold by Love Living Homes (trading name of Town and Country Housing) and to provide you with the information, products and services that you request from us. We will process your personal data in accordance with our Privacy Policy Privacy Statement | Love Living Homes Love Living Homes and / or the sales agent appointed may contact credit reference agencies to authenticate and verify your identity.

Declaration*

I/we have read and understood the above

Print full name*

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Direct Debit Form

INSTRUCTION TO YOUR BANK OR BUILDING SOCIETY TO PAY BY DIRECT DEBIT

Section 1: About you

Section 2: Account holder contact details

Section 2: Account holder bank details

Direct Debit Guarantee

Instruction to your bank or building society

Important privacy information please read

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Buy, Rent and Invest Happy

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