Application For Housing Benefit, Local Housing Allowance And Council Tax Reduction - Carmarthenshire County Council Page 26
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32About the account you would like to use
You MUST tick one of the boxes
Tick this box if you agree to be paid direct into your account
Please give your account details below. You must fill in all the boxes, including the building
society roll or reference number if you have one. You can find the account details on the cheque
book, passbook or statements. If you are not sure about the details, ask the bank, building
society or other account provider
Tick this box if you would like to be paid by cheque
In some cases we may pay directly to your landlord. Tick here if you would like us to pay
this way.
N.B.You must also fill in a request form in order for this to be considered
I will send you a completed request for
‘Paying benefit direct to your landlord form’ later
I am enclosing a completed
‘Paying benefit direct to your landlord form’
What name or names is the account in?
Full name of bank or building society
Sort code of the bank, building society or other account provider.
Please tell us all 6 numbers for example 32-10-62
Account number - This is 7 to 10 numbers long
Some building society accounts use a roll number, the number is on the pass book.
The roll number can contain numbers and letters if you are not sure of the number, ask the
building society.
If it is a building society account - Building Society
roll number. (does not apply to all Building Societies)
Part 12
Anything else you need to tell us
Use the box below to tell us anything else you think we should know about. Use a separate sheet
of paper and attach it to this form if you need to.
If you are sending separate sheets of paper with this form, tell us how many.
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Parent category: Financial