ffi Uoyds TSB
Your instrucffon to set up a
New standing order
Piease
wite d€arly
in black irilr in lhe white sPaces iiith caPilal leltss or cross the box€s.
Please rdum Ul€ origlntl fo.m as
photoqiB
are not acceptaue'
All s€dions mu3t b€ @rplc,ted.
lmporbnt - we canno[ set slanding odeI3 or direct d€bits up m savingF accq,nls.
Your full nama or ndno of bu3lnatt
Sort code (behg d€bit€d)
Account nuflEer (b€ing d€bit€d)
Your contact t€lephono nrmbF
E
E
Your plyrmnt r*siencs (if app$cablo)
Do63 Etis inssucffon redac6 8ny existing
6t,ndlng
odtr
or dlrEcl debn lnsfuJctiorE?
tr tr
It y63 pbase givg details in sp6cial inshjctions bsbw aft, anange to cencd lh8n.
lf the funds are boing s€trt to a non-Uoyds TSB account pleaso 6sow up to thre€ wotking days
for funds to resdl the rEdpienf6 account.
Reclplsrt.'nnm
Flnl P.t rrrnl .rrFurr
Reclplont'a bank aGd btanch narE
trtr[trntr
t--t-o*t
D
R€clplenfr Sort cod.
9
6
diftrsnt
to ugual paytnent)
-nfl
Yfl-rr+<o"a-..ilt{
Roclplanf! Accourit mmb3r
(6 digits)
{it
(8 digib)
gsual plyln*nt amsrni ln sordr
How otl6n do yolj want lhe paym€fl| mad€?
,lwaelly
Wea*ly
ilonthly
Ouafierty
Othsr
frequgoclst
Haf yrarly
Yearly
(give detaib)
tr tr tr tr tr n tr
Pleaso give dolallr o, afty 3pcclal l]r3truc{,on!
Flnal paytrEnt .ttount (f ditretEnt to usual Payn€fit) Thl3 rro3t hav6 a
r nntrtriltrn-flfl
Flnal prylnent
drlr
{it €pplicablo)
ntrtrtrntr
Y@r
Fleass nota thal we will not:
.
.
.
.
I
Untll
t
llnrl paymont data
rthsrnoflco
n
rlsn!tuElll
make any r€ferenco to VAT or any olher ind€lemioate dem€nt
advlsB y(xrr addrass to th6 petson/otganisalion lrou arg paying
tdl
th€ geGonlorganlsatoil ycxJ arB nd able to psy
ask Ihe bank ot th6 peBory'organisatiqn y.q., are paying lo tdl this pe'sd|/
organisation whdl tjaymenB are recslved.
6uthGi$ )ar
to dcbil
mylilr
Date
accounl, tn sEotdan6 with lho dsl,ails in Section 2.
Once ysJ hav€ complotsd lhis torm, pl€6se retum it lo. LloydE TSB,
This request is addressed to lho bank which holds mylo.rr accounl.
PERSoNAL GUSTOUERS . To check your acco{tnt or amond e 3trldlDg ordot
Gonhct Centr. on 0841, 3 000 00O
Forbarrt l,!6 ontr
tl
SMo chec*ed
Frorn branci nama and cof,ia€1
Sorl cod€
776608
ctll ihs
For 30{042 accounts and all corptrate (sel 41}
customors, s€nd tha completed fotrn to Ctty
O6ce, Gillingham, Keni, TNT 23.
10'102
Branch
Bor 1' BXi lLT