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 through any of your Branch Managers 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 ………………………………………………
*Mandates to the Ulster Bank should specify the branch.