Local discretionary relief application for business rates

Declaration

Please check the box below to indicate your acceptance of the following statement before completing this form:

I have read the State Aid rules and understand the requirements of of De Minimis (EC Regulations 1998/2006).

I confirm the details I will give on this form will be correct and that I will notify you of any relevant changes within 21 days of the change. I understand that if I give information that is false this could lead to a penalty or legal proceedings being taken against me.

I understand that you will keep any information I give on the form on your computer system, and you may check it with other information you have. I understand that you may also give it to other council departments such as Housing Benefit. This is allowed under the Data Protection Act 1998.

As the rate payer I wish to apply for “Discretionary Fund Relief” in respect of the financial year beginning on the 1st April 2017 and ending on 31st March 2018.

Declaration *
Help: WARNING: If you give false information, you may be prosecuted
Help: for example secretary, treasurer, rating agent, accountant