Fillable Change of Account Signatories and Authorised Users (London Institute of Management and Technology)

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Change of Account Signatories and Authorised Users (London Institute of Management and Technology)

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Important Information
Section 1: Your details
Section 2: Part A: Personal details of all new signatories/authorised users
Part B: Removal of signatories/authorised users
Part C: All new account signatories
Section 3: Declaration
Complete all relevant sections in the form and write clearly in CAPITAL LETTERS.
Ensure all signatories/authorised users have read the ‘Important information’ section in the
form and sign as appropriate. All required signatures will be highlighted with the image to
the right.
Ensure Companies House/Charities Commission and your organisation’s governing document has
been updated to reflect any changes before submitting the form.
Post this form back to us using the address below. It may be useful if you keep a scanned copy or
photocopy of your form before you send it to us.
Change of Signatories
The Co-operative Bank
P.O. Box 250
Skelmersdale
Lancashire
WN8 6WT
Need help? Contact a Customer Service Adviser on 03457 55 8000* (Option 2).
Our opening hours are 8am to 4pm, Monday to Friday.
Please note that we may require more information from you once we have received and reviewed
this form.
Change of Account Signatories
and Authorised Users
This change of signatories form is split out into the following sections:
1
2
3
4
This form can be used to add or remove signatories and authorised users to your Co-operative Bank
business account. You can use this form to change the signatures on more than one account as
long as they are for the same business, share the same signing authority and you are making the
same changes to each account. If your accounts are for different businesses and/or require different
signing authorities then a form must be completed for each account.
!
Next Steps
Important information
Credit decisions and also the prevention of fraud and money laundering.
We may use credit reference and fraud prevention agencies to help us make decisions. A short guide to what we do and how both
we and credit reference and fraud prevention agencies will use your information is detailed in the section called: A condensed guide to the
use of your personal and business information by ourselves and at credit reference and fraud prevention agencies. For details of
how your data may be used, also read carefully the ‘Using Your Personal Information’ notice provided with the terms and conditions of your
account and the ‘Your marketing preferences and consent declaration’ section in this application form.
By confirming your agreement to proceed you are accepting that we may each use your information in this way.
A condensed guide to the use of your personal and business information by ourselves and at credit reference
and fraud prevention agencies
1) When you apply to us to open an account, this organisation will check the following records about you and, where applicable, your business Partners
and anyone to whom you are linked financially:
a) Our own.
b) Personal and, where applicable, business records at credit reference agencies (CRAs). When CRAs receive a search from us they will place a search
footprint on your personal credit file and where applicable your business credit file that may be seen by other lenders. They supply both public
(including the electoral register) and shared credit and fraud prevention information.
c) Those at fraud prevention agencies (FPAs).
d) If you're a Director, we will seek confirmation, from credit reference agencies, that the residential address that you provide is the same as that
shown on the restricted register of Directors’ usual addresses at Companies House.
We will make checks such as assessing this application for credit and verifying identities to prevent and detect crime and money laundering. We may
also make periodic searches at CRAs and FPAs to manage your account with us.
2) If you are making a joint application or tell us that you have a spouse or financial associate, we will link your records together so you must be sure
that you have their agreement to disclose information about them. CRAs also link your records together and these links will remain on your and their
files until such time as you or your Partner successfully files for a disassociation with the CRAs to break that link.
3) Information on applications will be sent to CRAs and will be recorded by them, including, where applicable, information on your business and its
proprietors. The CRAs may create a record of the name and address of your business and its proprietors if there is not one already.
4) Where you borrow from us, we will give details of your account(s) and how you manage it/them to CRAs.
5) If you borrow and do not repay in full and on time, CRAs will record the outstanding debt. This information may be supplied to other organisations
by CRAs and FPAs to perform similar checks and to trace your whereabouts and recover debts that you owe. Records remain on file for six years after
they are closed, whether settled by you or defaulted.
6) If false or inaccurate information is provided and fraud is identified, details including the names of the company Directors at the time of the fraud
will be passed to fraud prevention agencies. You undertake to inform all Directors of this notice.
7) Law enforcement agencies may access and use this information.
8) We and other organisations may also access and use this information to prevent fraud and money laundering, for example, when:
a) Checking details on applications for credit and credit-related or other facilities.
b) Managing credit and credit-related accounts or facilities.
c) Recovering debt.
d) Checking details on proposals and claims for all types of insurance.
e) Checking details of job applicants and employees.
9) If you have borrowed from us and do not make payments that you owe us, we will trace your whereabouts and recover debts.
10) We and other organisations may access and use from other countries, the information recorded by fraud prevention agencies.
11) Your data may also be used for other purposes for which you give your specific permission or, in very limited circumstances, when required by law or
where permitted under the terms of the General Data Protection Regulation.
How to find out more
You can contact the credit reference agencies currently operating in the UK; the information they hold may not be the same so it is worth contacting
them all.
• CallCredit, Consumer Services Team, PO Box 491, Leeds LS3 1WZ or call 0330 024 7579 or log on to www.callcredit.co.uk
• Equifax PLC, Credit File Advice Centre, PO Box 3001, Bradford BD1 5US or call 0844 335 0550 or log on to www.equifax.co.uk
• Experian, Consumer Help Service, PO Box 8000, Nottingham NG80 7WF or call 0344 481 8000 or log on to www.experian.co.uk
• If you want to receive details of the relevant fraud prevention agencies please contact us at The Co-operative Bank,
Fraud Management, Delf House, Skelmersdale WN8 6YL.
2
3
Section 1 Your details
Bank Account Details
Please list all accounts held by the business with The Co-operative Bank to which you wish to make the changes as set out in this form.
If you need more space please attach a separate sheet of paper or photocopy the page. As a reminder, you can use this form to change
the signatures on more than one account as long as they are for the same business, share the same signing authority and you are
making the same changes to each account. If your accounts are for different businesses and/or require different signing authorities
then a form must be completed for each account.
Account numberSort code
Account numberSort code
Account numberSort code
Account numberSort code
Account numberSort code
Account numberSort code
Account numberSort code
Account numberSort code
Account numberSort code
Account numberSort code
Account numberSort code
Account Name
Account Name
Account Name
Account Name
Account Name
Account Name
Account Name
Account Name
Account Name
Account Name
Account Name
4
Section 1 Your details
This section MUST be fully completed to make sure that no key details have changed on your account. Even if you aren’t changing your
key contact, please complete this section so that we can verify that all our relevant contact information for your account/s remains up to date.
Key contact
This is the name of the person in your business to which all communication and statements for this account or accounts will be sent.
Surname
Middle name(s)
First name
Position
Telephone number
Email address
Mobile number
Correspondence address – Carefully consider where statements are sent to as you may be at an increased risk of fraud if they
are sent to an official’s personal address rather than a business address.
Name/Number
Street
Town/City
County
Postcode
Title
5
Section 1 Your details
Tax status
UK tax regulations require the collection of information regarding an account holder’s tax residency and citizenship. Therefore,
please complete the relevant questions below and provide the information requested. Please note that we may be required to
share this information about you with the relevant tax authorities.
If at any time in the future you need to change the information that you have provided, you are required to advise us within 30 days
of such a change in circumstances. If you have any questions about how to complete this form, please contact your tax adviser.
Does your business generate 50% or more of its income from the sale of goods and/or the provision of services?
Yes No
Was your business established or is it resident for tax, outside the UK? Yes No
If yes, please provide details of your tax residences below. If you have more than two countries’ information to provide,
please photocopy this page.
Country where business established/tax residency Tax Identification Number (TIN)
Your marketing preferences and consent declaration
At The Co-operative Bank p.l.c. (trading names - smile, Platform and Britannia) we would like to keep you up to date with details of
our banking products and services such as: current accounts, savings, secured and unsecured lending products.
If you consent to us contacting you for this purpose, please tick the relevant box(es):
You have the right to withdraw, object to, or change your marketing preferences at any time either by calling us or visiting one of
our branches.
by post by telephone by email by text message
The Co-operative Bank p.l.c. would also like to keep you up to date with relevant products and services available to you by our
carefully selected third parties. (Go to co-operativebank.co.uk/global/thirdparties for a list of third parties.)
Please tick if you consent to this:
6
Section 2
Part A – Personal details
IF YOU ARE ADDING MORE THAN ONE NEW SIGNATORY/AUTHORISED USER PLEASE PHOTOCOPY THIS SECTION
BEFORE COMPLETING.
Title First name (in full) Middle name(s)
Nationality/Nationalities
Position within business
Any other names(s) you have been known as during the last six years:
Surname
Date of birth
day month year
Current home address
Home/Flat name/number
Town/City
Street
Postcode
How long have you lived at this address?
Years Months
Years Months
We must capture all addresses within the past 3 years.
If you have lived at any other addresses in the past 3 years, please provide details below. Please attach supplementary address
information separately if required.
Home/Flat name/number Street
Town/City
Postcode
How long have you lived at this address?
Telephone Number
Mobile Number
IMPORTANT: this section must be completed by all new signatories or authorised users. Please provide three full years’
address history for each person. If you are a new account signatory you will also need to sign Section 2 Part C. If you are
not an EU national you may also need to provide additional proof to show that you have the right to reside in the UK.
BEFORE COMPLETING THIS SECTION PLEASE ENSURE YOU HAVE READ AND UNDERSTOOD THE ‘IMPORTANT
INFORMATION’ SECTION OF THIS FORM.
!
Account numberSort code
If you are completing a photocopied page, please insert the first sort code and account number listed on page 3 here:
7
Account numberSort code
If you are completing a photocopied page, please insert the first sort code and account number listed on page 3 here:
What level of access do you require, please tick one:
Signatory and Authorised User Authorised User Only No access to the account required
If you have ticked to be both a Signatory and an Authorised User, please ensure that you have completed and signed
section 2 part C.
An Authorised User is anybody who is allowed to access the account via telephone and/or business online banking, regardless of
their position or stake in the company. Authorised Users will not be able to sign any requests on your behalf to request changes to the
Business Account nor can they make any Lending requests. Please note that this will grant the Authorised User access to any other
accounts held in the same business name.
Signatories will also be able to access the account via telephone and/or business online banking, sign cheques and issue instructions
to make changes to the account.
Do you require any of the following? If your account isn’t currently set up for online banking, you will need to also complete a
business online banking application form.
Online Banking Debit Card (current accounts only)
If requested above, Signatories or Authorised Users will be permitted to use Online Banking and make transactions on your
behalf regardless of any different signing instructions or authority on your account held by the Bank.
Your consent
I authorise the Bank to search the files of one or more credit reference agencies, who will keep a record of that search, and make
other enquiries the Bank believes necessary to confirm the details on this application form and for credit assessment. If false or
inaccurate information is provided and fraud is identified, details including the names of the company Directors at the time of the
fraud will be passed to fraud prevention agencies to prevent fraud and money laundering. You undertake to inform all Directors
ofthis notice.
It is important that you read and understand the ‘Important Information’ section in the application form and the ‘Using Your
Personal Information' notice provided with your terms and conditions.
By signing below you agree that we can use your information in this way.
(Additional information may be requested by the Bank if no/insufficient records are found by searches.)
Please also complete the Account Signatories Section 2 Part C if you wish to be a Signatory on the account.
Date
Signature
Do you already hold a Co-operative Bank account
(personal and/or business)? If so, please complete
your sort code and account number in order for us
to keep our records up to date:
Sort code Account number
Are you a UK Resident for Tax purposes? Yes can include retired people, children and anyone who would be
liable to pay tax in the UK if they had enough income. If you are unsure of your UK tax residence status,
please refer to the government website: www.gov.uk/tax-foreign-income/residence
Are you a United States (US) Citizen?
If ‘Yes’, add your Tax Identification Number here
The term US Citizen means: An individual born in the United States, an individual whose parent is a United States citizen, a former
alien who has been naturalized as a United States citizen, or an individual born in Puerto Rico, Guam or United States Virgin Islands.
Are you resident outside the UK for Tax purposes? If ‘Yes’ complete the details of your
Tax residencies and associated references below:
Yes No
Yes No
Yes No
Enter the tax reference number that your country of residence for tax purposes has issued you (this includes TIN, a National Insurance Number (Jersey, Guernsey
or IoM), a social security number or a resident registration number).
Countries or jurisdictions where Tax Resident Tax Identification Number (TIN)
8
Section 2
PART B – Removal of signatories or
authorised users
PLEASE PHOTOCOPY THIS PAGE BEFORE COMPLETING IF YOU ARE REMOVING MORE THAN 4 PEOPLE.
Important Information
- Any debit cards or online access will be automatically revoked for outgoing signatories/authorised users.
- If you are a joint partnership, ALL outgoing partners MUST sign this section.
- If any outgoing signatures are unobtainable, please provide a letter signed in accordance with the existing account mandate.
- If a signatory or authorised user is deceased, please provide a letter signed in accordance with the existing account mandate.
There may be instances where we will require a certified copy of the death certificate, for example a joint partnership account.
We will tell you if we need this.
- Any outgoing signatories who remain associated to the business (e.g. remaining as a director on a Limited Company)
will continue to be recorded as an official on the account/s listed in section 1.
Title First name
Surname
Position
Title First name
Surname
Position
Title First name
Surname
Position
Signature
Signature
Title First name
Surname
Position
Signature
Signature
IMPORTANT: this section MUST be completed by ALL signatories/authorised users being REMOVED from the account.
By signing below you agree to be removed as a signatory/authorised user from all accounts listed in Section 1.
!
!
9
Section 2
PART C – All new account signatories
Title First name
Surname
Position
Signature
Title First name
Surname
Position
Signature
Title First name
Surname
Position
Signature
Title First name
Surname
Position
Signature
Signing authority for all accounts listed in section 1 (page 3)
PLEASE CONFIRM THE LEVEL OF SIGNING AUTHORITY REQUIRED ONCE THE SIGNATORY CHANGES HAVE BEEN APPLIED.
INSERT THE FIRST SORT CODE AND ACCOUNT NUMBER FROM THOSE LISTED ON PAGE 3 INTO THE BOXES BELOW.
Title Forenames
Surname
Position
Signature
Please tick the level of signing authority required when making a request or giving an instruction to the Bank, etc.:
Any one of the signatories to sign Any two of the signatories to sign
All of the signatories to sign Other combination (please give details below)
Account number
Sort code
IMPORTANT - ALL NEW SIGNATORIES MUST SIGN THIS SECTION. PLEASE PHOTOCOPY THIS PAGE BEFORE COMPLETING IF
YOU REQUIRE MORE SIGNATURES OR IF YOU NEED THIS CHANGE MAKING TO MORE THAN ONE ACCOUNT.
10
Section 3 Declaration
If your organisation requires a resolution (for example a Limited Company) to make such changes, by signing this declaration,
you are confirming that the changes being made are in accordance with your constitution..
- I am an existing authorised signatory on the account(s) which are listed in Section 1
- I agree to the addition and removal of signatories and/or authorised users in accordance with Section 2 Parts A and B
- I authorise the Bank to continue to operate the account(s) listed in Section 1 in accordance with the signing instructions as set out in
Section 2 Part C
THIS SECTION SHOULD BE SIGNED IN ACCORDANCE WITH YOUR EXISTING ACCOUNT MANDATE.
FAILURE TO PROVIDE ALL RELEVANT SIGNATURES WILL RESULT IN THE FORM BEING RETURNED AND A DELAY
IN PROCESSING. IF YOU REQUIRE MORE SPACE, PLEASE CONTINUE TO THE NEXT PAGE.
!
Date
Name
Position in Company
Signature
Date
Name
Position in Company
Signature
Date
Name
Position in Company
Signature
Date
Name
Position in Company
Signature
11
Date
Name
Position in Company
Signature
Date
Name
Position in Company
Signature
Date
Name
Position in Company
Signature
Date
Name
Position in Company
Signature
Date
Name
Position in Company
Signature
Date
Name
Position in Company
Signature
Please call 03457 213 213* (8am - 8pm Monday to Friday, 9am - 12 noon Saturday)
if you would like to receive this information in an alternative format such as large print,
audio or Braille.
The Co-operative Bank p.l.c. is authorised by the Prudential Regulation Authority and regulated by the Financial Conduct Authority and the
Prudential Regulation Authority (No.121885). The Co-operative Bank, Platform, smile and Britannia are trading names of The Co-operative Bank p.l.c.,
P.O. Box 101, 1 Balloon Street, Manchester M60 4EP. Registered in England and Wales No.990937. Credit facilities are provided by
The Co-operative Bank p.l.c. and are subject to status and our lending policy. The Bank reserves the right to decline any application for an account or
credit facility. The Co-operative Bank p.l.c. subscribes to the Standards of Lending Practice which are monitored by the Lending Standards Board.
*Calls to 03 numbers cost the same as calls to numbers starting with 01 and 02. Calls may be monitored or recorded for security and training purposes.
Information correct as at 09/2018.
COSMAN_EDIT 09/2018
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Change of Account Signatories and Authorised Users (London Institute of Management and Technology)

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Completed 22 February 2021

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