Cheshire Neighbours Credit Union

3rd Floor, Delamere House,

Delamere St, Crewe CW1 2JZ

www.cncu.org.uk

General Enquiries: 01270 685625

Loan Enquiries: 01270 685624

Arrears: 01270 685623

Budgeting Account Application Form

A Budget Account is an account that is design to take the worry and strain out of paying priority bills and making sure all accounts are up-to-date. NO WITHDRAWALS CAN BE MADE FROM THIS TYPE OF ACCOUNT.

If you wish to open a Budgeting Account with Cheshire Neighbours Credit Union, please complete this form in BLOCK CAPITALS and return to a Credit Union branch. Please note Cheshire Neighbours will need proof of all priority bills, account numbers and payment amounts you require the CNCU to pay on your behalf. The bills will be paid on your behalf on the designated dates.

Member Number: Surname:

Mr/Mrs/Ms/Miss/Dr/Other: Forename:

Home address:

Postcode: National Insurance Number:

Date of Birth: Email: Home/Work

Home Tel No Mobile Tel No

Priority Bills

Please state what priority bills you require Cheshire Neighbours to pay on your behalf:

Bill / Amount / Weekly/Monthly / Supplier / Supplier Reference / Due Date
Rent/Mortgage
Council Tax
Gas
Electricity
Water

My preferred method of funding my Budgeting Account is:

Payroll Deduction YES/NO Employer……………………………… Payroll Number………………..

(Please complete Payroll Deduction Form)

Standing order YES/NO (please complete standing order mandate)

Benefit Payments YES/NO

Transfer from regular saving account YES/NO

Any remaining balance will either be transferred back to your savings or will be automatically uploaded to your Prepaid Card. For payroll deductions, the correct amount can be deducted from your salary.

In accordance with the principles of the Data Protection Act 1998 we will use your personal details for the purpose of managing your accounts with the credit union. Your personal details will be treated confidentially and will only be shared with other agencies for the purpose of credit referencing and debt recovery.

The budget account payments start from as little as £1.00 per month* and will be deducted from your balance before any bills are paid. If there is a shortfall in your account you will be notified and your priority bills will not be paid.

Have you ever been made bankrupt? If so when is your discharge date………………………….

Are you subject to an IVA? When was this started?......

Please tick this box if you agree with the terms and conditions

Declaration:

Signed…………………………………………………………………………………………………

Print Name……………………………………………………………………………………………

Date……………………………………………………………………………………………………

Return your completed application form and documents to the address below.

Cheshire Neighbours Credit Union

3rd Floor, Delamere House

Delamere Street

Crewe

CW1 2JZ

Tel: 01270 685625

Email:

*Some landlords may agree to contributing to the monthly charge, if they do not contribute the fee will be payable by the applicant, if a landlord partly contributes this will be deducted from the applicant’s monthly fee. The monthly fee will only be reduced according to a landlord contribution and not utility providers.

Cheshire Neighbours Credit Union is authorised by the Prudential Regulation Authority and regulated by the Financial Conduct Authority and the Prudential Regulation Authority under registration number 215692