Bank details for Housing Benefit payments direct into a bank account
Please complete this form to have your Housing Benefit paid direct into your bank
account.
Your name
Your address
If you are a landlord receiving payments for
your tenant, please provide your tenant’s
name and address
Name of bank you wish payments to be
made to
Address of bank
Sort code
Account number
Building society roll number if applicable
Account name
If this is not your account, please state the
account holder’s relationship to yourself
Please ensure that the account you have named above will accept payments through the
BACS system. Please check with your bank if you do not know.
Signature_______________________________ Date ________________________
Return this form to : The Entitlements Unit, South Northamptonshire Council, The
Forum, Moat Lane, Towcester, Northants, NN12 6AD.
click to sign
signature
click to edit
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