Retail, Leisure & Hospitality Rates Relief Scheme

1Your Details 2Enquiry Details

Your Details

Address

Enquiry Details

A. Business Property Details

Property Reference Number:

Account Reference Number:

Address of the Property :

B. Applicant Details

Name of Business:

Contact (Ratepayer) Name:

Correspondence Address (if different from above):

Telephone Number:

Mobile Number:

Email Address:

C. Current Use

Is your property wholly or mainly used for retail, leisure or hospitality purposes?

Yes No

Please confirm how the property is used – i.e. what is the nature of your business?

Should your circumstances change and you no longer meet the qualifying criteria, you must notify us so that the Reatil Rates Relief can be reviewed from the date the change occurred.

E. Declaration

By signing the form you agree that, to the best of your knowledge, the information contained on the form is complete and is not false. Wilfully making a false statement on the application form is an offence and may result in us taking legal action against you.

I declare that, I am authorised to sign on behalf of the ratepayer named overleaf. The form is completed correctly, to the best of my knowledge.

Applicants Full Name:

Date:

Position Held:

Would you like to receive your business rates bill by e-mail?

Yes No

Email Address:

Please note - You should continue to make your business rates payments whilst your application is being considered. This will enable you to reduce the amount owing if your application is unsuccessful.