Complete our Budget Calculator

ACI Customer Reference *

ACI Customer Name *

Step 1 Your monthly income and outgoings

Your monthly income

Earnings *

Benefits and Tax Credits

Pensions

Other

Your monthly outgoings

Mortgage Payments or Rent

Utilities Your gas and or electricity.

Water

Food and Housekeeping Your monthly big shop including all your food, groceries, toiletries, cleaning products etc.

Transport and Travel

Communications and Leisure Please include here any mobile phone and TV subscriptions as well as any socialising.

School Costs

Savings

Debt / Loan Repayments (Priority) Please include here payments you are making to arrears you have on your mortgage or rent, gas, electricity or water or any payments being made to any CCJs.

Debt / Loan Repayments (Non Priority) Please include here payments being made to any other loans, credit cards, store cards, catalogues etc.

Other

Summary

Total Income

Total Outgoings

Disposable Income

Monthly Offer Enter the amount you would like to pay back every month.

Step 2 Instruction to your bank or building society to pay by Direct Debit

ACI Customer Reference * ACI Customer Name * Bank/Building Society Account Number * Branch Sort Code * Name of Bank or Building Society * Is the Bank Account in your Name? * Are you the Only Signatory Required to Authorise the Direct Debit? * Are you making a One-Off or Recurring Payment? * Instruction to your bank or building society Please pay ACI-UK Limited Direct Debits from the account detailed in this Instruction subject to the safeguards assured by the Direct Debit Guarantee. I understand that this Instruction may remain with ACI-UK Limited and, if so, details will be passed electronically to my bank/building society. Signature (Please enter your initials) * Email Address * A copy of our Direct Debit Terms and Conditions and the Direct Debit Guarantee will be emailed to you. Please tick here to provide your consent to being emailed by ACI. *

I confirm that all my priority bills such as mortgage or rent, Council Tax and utilities are up to date, or if not, they are in a repayment plan and the payment amount on this form is both affordable and sustainable. *

Please check all your details are correct before submitting

ACI Customer Reference
ACI Customer Name
Bank/Building Society Account Number
Branch Sort Code
Name of Bank or Building Society
Bank Account In Your Name
Only Signatory Required
Direct Debit Payment Type
One-Off Payment Date
One-Off Payment Amount
Recurring Payment Frequency
Monthly Recurring Payment Day
First Recurring Payment Date
Recurring Payment Amount
Signature (initials)
Email Address
Consent to being Emailed
Priority Bills up to date

If there are any changes to the amount, date or frequency of your Direct Debit ACI-UK Limited will notify you 3 working days in advance of your account being debited or as otherwise agreed. If you request ACI-UK Limited to collect a payment, confirmation of the amount and date will be given to you at the time of the request.

Your Direct Debit will be collected using the following details: Service User Number (SUN): 185882, Service User Name: ACI-UK Limited

Confirmation of the Direct Debit set up will be sent via email within 3 working days or if the first collection is within 1 month from sign up no later than 10 working days before the first collection.

Contact us:
Telephone: 01253 531528
Email: Your ACI Customer Reference followed by "@aciuk.uk"
Post: ACI, PO Box 123, Blyth, NE24 9ES

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Perch Group

Perch Capital

TM Legal

Verify

Complete our Budget Calculator
and set up a Direct Debit

Step 1 Your monthly income and outgoings

Step 2 Instruction to your bank or building society to pay by Direct Debit

Please check all your details are correct before submitting

Perch Group

Perch Capital

TM Legal

Verify

Complete our Budget Calculator and set up a Direct Debit

Step 1 Your monthly income and outgoings

Step 2 Instruction to your bank or building society to pay by Direct Debit

Please check all your details are correct before submitting

Complete our Budget Calculator
and set up a Direct Debit