Deputy Responsible Person Details

HM Land Registry AFS5 Deputy responsible person details

Version 1 Fields marked ‘*’ are mandatory. This form must only be used as an attachment to form AFS1 or AFS2 Deputy responsible person details to request deputy responsible persons for the organisation. 1. *Title (Please place an ‘X’ in the appropriate box) Deputy responsible person details Mr Mrs Miss Ms A person within the organisation nominated to supervise the Other (please specify) administrators. The deputy responsible person will have access to reports documenting the activities of the *First name administrators and Variable Direct Debit (VDD) account data. There is Middle name(s) no limit on the number of deputy *Family name [block letters] responsible persons an organisation can have. *Address

Postcode DX address *Email *Telephone number (Please complete at least one option) Landline Mobile *Delivery method of security credentials (Please place an ‘X’ in the appropriate box) Postal Electronic

VDD details Include VDD key numbers where Variable Direct Debit (VDD) details known. If you are applying for a new VDD key number, enter the account If you leave this section blank, all portal enabled VDD key numbers name. This should correspond to for your organisation will be allocated to this deputy responsible the ‘Name(s) of account holder(s)’ person. that appears on the VDD mandate. A default key number will be If you only wish to allocate specific VDD key numbers or account allocated to the deputy responsible names to this deputy responsible person, please enter them all here. person. The lowest key number will be set as the default, unless you Enter the default VDD key number/account name indicate otherwise in the space provided. Other VDD key number/account names Deputy responsible person details A person within the organisation Deputy responsible person details nominated to supervise the administrators. The deputy responsible 2. *Title (Please place an ‘X’ in the appropriate box) person will have access to reports Mr Mrs Miss Ms documenting the activities of the administrators and Variable Direct Other (please specify) Debit (VDD) account data. There is no limit on the number of deputy responsible persons an organisation *First name can have. Middle name(s) *Family name [block letters] *Address

Postcode DX address *Email *Telephone number (Please complete at least one option) Landline Mobile *Delivery method of security credentials (Please place an ‘X’ in the appropriate box) Postal Electronic

VDD details Include VDD key numbers where Variable Direct Debit (VDD) details known. If you are applying for a new VDD key number, enter the account If you leave this section blank, all portal enabled VDD key numbers name. This should correspond to for your organisation will be allocated to this deputy responsible the ‘Name(s) of account holder(s)’ person. that appears on the VDD mandate. A default key number will be If you only wish to allocate specific VDD key numbers or account allocated to the deputy responsible names to this deputy responsible person, please enter them all here. person. The lowest key number will be set as the default, unless you Enter the default VDD key number/account name indicate otherwise in the space provided. Other VDD key number/account names