Change of address details

• Before you complete this form, please see how Nationwide uses your information by visiting nationwide.co.uk/privacy
• This form will be scanned electronically; please write inside the boxes in BLOCK CAPITALS using black ink as this will help
us to process your request faster.
• Please remember that any Direct Debit/Standing Orders/Bill Payments relating to your old address will require amendment/cancellation.
• If your change of address is non-UK, we will assume you are liable for tax in that country if you do not state otherwise by answering the questions below.
• Sorry, but you can’t use this form for a child if they are under 13 or if an adult manages any accounts for them. Please visit your nearest Branch
instead.
• We will update the address on all your accounts unless you tell us otherwise. If accounts are jointly held, the other account holder will need to complete
their own form.
• Please note your address may appear on statements that are available to the joint holder or other party, such as a trustee, associated with your accounts.
Please tell us if you’re not happy about this before submitting the request.
• If you’d like to find out more, please see our leaflet, ‘How Nationwide uses your information’. You can ask for this information in branch or by visiting
nationwide.co.uk/privacy
• If moving outside of the UK, you will no longer be eligible for the insurances on FlexAccount or FlexPlus. You will still be charged a fee on FlexPlus.

Your details
Title (please mark X in the box that
applies to you or state your title) Mr Mrs Miss Ms Other

Please enter ALL forenames

Surname
Sort Code (if there is one) Account number

Your new contact details
• We are unable to accept a non-residential address e.g. an employer’s address.
• A PO Box address can only be accepted if it is for refuge accommodation.
Effective date of new address
D D M M Y Y Y Y
(if applicable)

First line of address

Town Postcode

Country

E-mail address
Telephone numbers
Home Mobile
We’ll sometimes use this email address and phone numbers to get in touch with you about your application, or tell you something important about your account.
Please only complete the following section if your new address is outside of the UK
Can you confirm that you are NOT a US citizen AND that you are ONLY resident in the UK for tax purposes? Yes No
If NO, are you a US citizen? Yes No If yes, please provide your Tax Identification Number (TIN): TIN

Other than the UK, please list all the countries and TIN where you are resident for tax Country 1 TIN 1 Country 2 TIN 2

Account(s) affected by change of address

Would you like to change your address for ALL accounts held by you, including any accounts held in JOINT names if applicable?

Yes No If No, please list ONLY the accounts you would like the change of address to apply to:

Sort code (if there is one) Account number

Sort code (if there is one) Account number

If you have more accounts to list, please mark this box with an X, and list the account(s) on the reverse of this form

Power of Attorney or Court of Protection

If you hold Power of Attorney or are a Deputy under a Court of Protection on any account(s) with Nationwide please provide an account number including sort code if there is one.
We may use this information to link to any account information we already hold about you. You don’t need to give this information if you would prefer not to.
Sort code (if there is one) Account number

Please change the address to the new details

Please change the address to the new details

If you have more accounts to list, please mark this box X, and list the account(s) on the reverse of this form

Nationwide Building Society

IF2FEB2019 Page 1 of 2
 Signature

1 Signature of first account holder Date (please write INSIDE the boxes)
PLEASE SIGN WITHIN THIS BOX D D M M Y Y Y Y

Office use only

Customer validated? Employee number Keyed by Employee number Date No trace to remove?

D D M M Y Y Y Y

Nationwide Building Society

IF2FEB2019 Page 2 of 2