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Direct Debit Request Forms this a change to an existing Direct Debit? (Please tick one) Yes No Is this a Cancellation? (Please tick one) Office USE ONLY Authority Number:Please return this form to

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What is is this a change?

Is this a change refers to any modifications made to a given entity.

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The person or entity making the modifications is required to file is this a change.

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To fill out is this a change, one must provide details of the modifications made.

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The purpose of is this a change is to inform relevant parties about the modifications.

What information must be reported on is this a change?

The information reported on is this a change includes the nature of the modifications, the date they were made, and any relevant details.

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