STATUS - INCOMPLETE Date: 23/07/2022 15:03:23

Council Tax Energy Rebate Payment Your unique reference code ELC20314

Council Tax account

check
Please provide the following information and clik the "Check if I need to
complete this form" button.  You will then be told whether you need to provide
any further information.

Council Tax account reference

51139488

Postcode of the property linked to this account reference

PE25 2qj

Surname of the main council tax payer linked to this account reference

Whittaker
 
Your details
Title

Mrs

First name

Pansy

Last name

Whittaker

Email address

lynnlinsell06@aol.com
 
Property details

This is the address linked to the Council Tax account you have entered.

Address line 1

126 church Rd north

Address line 2

Skegness

Post code

PE25 2qj

Do you want your Council Tax correspondence sent to a different address?

Yes
No
 
Payment method
How would you like your £150 energy rebate paid to be paid you?
(Please note we cannot pay by any alternative methods, such as by cheque)

Directly into your bank account

Credited to my council tax account
 
Your bank details

Please provide details of your bank account.

Sort code

770801

Account number

14893268

Account name

Mrs pansy Whittaker

Bank or Building Society name

Lloyds bank
 
Additional information
about your bank account

We need additional information to ensure that the bank account belongs to the
Council Taxpayer.  This is so that we are certain the payment is going to the right
person.  The infomation you provde will not be used for any other purpose.
 

Is the bank account a single or joint bank account?

Single
Joint

Is the bank account a personal or a business account?

Personal
Business

What is the date of birth of the bank account holder?

Day Month Year

24 December 1933 Clear

What address does the bank hold for the account holder?

House/Building number

126

Street name

Church Rd north

Post code

PE25 2qj
 
Declaration
I declare that the information that I have given is complete and true to the best
of my knowledge.  I understand that deliberately giving incorrect or misleading
information in order to obtain money to which I am not entitled could be a
criminal offence and render me liable for prosecution.

I agree that if the Council decide that I am not entitled to a rebate that has been
paid to me, I will repay it on demand.

I confirm that I am the Council Taxpayer at the property for which I have claimed
a rebate, that I live in the property as my home and I have not received a rebate
for any other property in England.

I confirm that I have read and agree to the above declaration*