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Rent refund application

To apply please complete the form below

Name *

Address *

Telephone Number *

Email address *

Rent Account Number *

Balance *

Bank / Building Society details for us to pay directly into

Bank / Building Society name *

Account Name *

Sort Code *

Account number *

Transfer credit to another financial year/account

Any credits may be transferred to cover council arrears. For example, Council Tax

If you wish for this credit to be transferred to cover another balance, then please provide the details below:

Declaration

I declare that the information given above is to the best of my knowledge, true and accurate and the Council may verify this from the appropriate sources. I undertake to notify the council as soon as these circumstances change, and I acknowledge that failure to do so could result in a penalty being imposed. I understand that the information given on this form may be matched against data held by other departments and local authorities.

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I have read and agreed to the declaration above. *

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