Direct Debit Form - Lombard Interest Free finance 2026

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The document is a Direct Debit Request Form from Lombard Finance Pty Ltd, allowing customers to authorize automatic debits from their bank accounts for payments related to their Lombard accounts. It includes sections for customer details, payment frequency, and account information, along with a service agreement outlining the terms of the direct debit process, including notification requirements and procedures for stopping or altering payments.

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Click ‘Get Form’ to open the Direct Debit Form in the editor.
Begin by filling in your personal details in the CUSTOMER DETAILS section. Enter your surname, given name(s), house number, street, customer number, state, suburb, and contact numbers.
Specify the amount to be debited and select the frequency of payments: weekly, fortnightly, or monthly. If you want the debit to align with your pay cycle, indicate your pay day.
In the DIRECT DEBIT FROM BANK ACCOUNT section, provide your financial institution's name, suburb, account name, BSB number, and account number. Ensure these details match a recent bank statement.
Sign and date the form as an account holder. If applicable, have a joint account holder sign as well.
Review all entered information for accuracy before submitting the form through our platform.

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Versions	Form popularity	Fillable & printable
2009	4.8 Satisfied (48 Votes)

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