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Your name Your address Address Address Postcode Date Creditors name Creditors address Address Address Postcode Your ref: Creditors reference goes here (Usually an account number and can be found on
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Start by writing your full name in the designated field. Make sure to include your first name, middle name (if applicable), and last name. Avoid using nicknames or abbreviations.
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After writing your street address, enter the name of your city or town. Make sure to include the correct spelling and use proper capitalization.
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My name is [name] and my address is [address].
Who is required to file your name and address?
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You can fill out your name and address by writing it clearly in the designated fields on the form.
What is the purpose of your name and address?
The purpose of providing your name and address is to accurately identify and locate you.
What information must be reported on your name and address?
You must report your full name and complete address, including street name, city, state, and zip code.
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