CH227120 | How to do a compliance check: information powers: third party notice: bank mandates: specimen mandate form

(Customer’s Name) …………………………………………………………………………………………

(Customer’s Address) ………………………………………………………………………………………

……………………………………………………………………………………………………………………………

To ……………………………………………………………… (Name of Bank)

I hereby authorise you to give [your name] …………………………………………

or any other authorised officer of HM Revenue and Customs such information and documents as he/she may request concerning my bank accounts and financial affairs and any transactions or business whatsoever I have had with your Bank at any time.

Signed …………………………………………

Date ………………………………………………