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Application For Parking Permit Refund

This document is an application form for a refund of a parking permit. It requests information about the permit such as the zone and serial number. It also requests personal details of the applicant like name, address, contact information and bank account information so any refund can be deposited directly into the applicant's account. The applicant must sign and date the form before returning it with the permit to the address provided at the top of the form.

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90 views1 page

Application For Parking Permit Refund

This document is an application form for a refund of a parking permit. It requests information about the permit such as the zone and serial number. It also requests personal details of the applicant like name, address, contact information and bank account information so any refund can be deposited directly into the applicant's account. The applicant must sign and date the form before returning it with the permit to the address provided at the top of the form.

Uploaded by

matt d
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Application for Parking Permit Refund

Environmental Services, Parking and Administration, White Lund Depot,


White Lund Road, Morecambe, LA3 3DT

Please complete all sections of this form and return to the above address with your Parking Permit.

PART 1 Residents Parking Permit(s) Only

Zone Details ------------------------------------------- (Please enter Zone name and letter)

PART 2 General Car Park Permit (s) Only

General Parking Permit Serial Number: ---------------------------------------------

PART 3 Personal Details

Title Mr./Mrs./Ms etc. ------------------------

First Name(s) --------------------------------------------- Surname -------------------------------------------------

Address -------------------------------------------------------------------------------------------------------------------

--------------------------------------------------------------------------------------------------------------------------------------

Tel No. ---------------------------------- Home/Mobile -------------------------------------

Work/Business -------------------------------------------

E-mail Address ---------------------------------------------------------------------------------------------------------------

Part 4 - Refund Details

Refunds are only available on completed calendar months not used. Refunds will be made via BACS Transfer
to your bank account.

Part 5 - Bank Account Details

Refunds will only be made on receipt of your Current Account details. In the case of a Building Society Ac-
count. Please Supply your Roll Number.

Sort Code : ------------------------------------------------------------

Bank Account Number : ------------------------------------------------------------

Name of Account Holder : ------------------------------------------------------------

Roll Number: ------------------------------------------------------------

Signed ---------------------------------------------------------------------------- Date --------------------------------------

FOR OFFICIAL USE ONLY

Date Received --------------------------------------- Permit Serial No. ----------------------------

Bank Details Obtained --------------------------------- Refund Requested ------------------------------------

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