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Anti-Money Laundering Check

In order to issue a repayment to you, we require information as set out by HM Revenue & Customs AML (Anti-Money Laundering) guidelines. The information inputted within our forms is used solely for the purpose of identifying our clients, as well as issuing your repayment.

We are unable to issue repayment until we have been in receipt of the information below. Should you need assistance with this, please contact us using the live chat feature.

Unique Reference Number (URN) or National Insurance Number (NINO)(Required)

Client Name(Required)
First Last

Photographic Identification(Required)
Max. file size: 128 MB.
The photographic ID you provide must be a Driving Licence or a Passport. The documentation must also be valid.

Proof of Address(Required)
Max. file size: 128 MB.
The proof of address you provide must be a Utility Bill, Bank Statement or Council Tax Bill. The documentation must be dated within the last 3 months.

Receiving Repayment(Required)
Bank Transfer

Account Name(Required)

Account Number(Required)

Account Sortcode(Required)

Repayment Confirmation

By signing the acceptance below, you confirm that you are the taxpayer the repayment held on account is due to and that the account details you have provided are correct. You also confirm that you are aware that any repayment received will be the balance following withholding the success fee charged by Rebate Gateway Limited for the processing of your case.

Signature(Required)

Anti-Money Laundering Check

Repayment Confirmation

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