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Retail Discount State Aid declaration form

Entries marked with * are mandatory.

Details of the business

Business rates account number (found at the top of demand notice) *

Liable party name (name as shown on demand notice) *

Address of the property subject to retail discount *

Address for correspondence

Email address *

Telephone number *

Name of person completing this form *

Capacity of person completing this form (relationship to business e.g. Director, secretary, owner etc) *

Have you previously received de-miniumus state aid? *

Yes
No

De minimis aid

Please upload a Microsoft compatible Excel spreadsheet or Word document listing all previously received de minimis aid. Please use the following headings:

Amount de minimis aid
Date of aid
Organisation providing aid
Nature of aid

Your upload *

Discount confirmations

Please confirm: *

I can confirm that I accept retail discount and that the de minimis threshold shall not be exceeded.
I confirm that I wish to refuse the retail discount as the de minimum threshold will be exceeded.

Data Protection

We will use the information provided by you for the collection of Council tax and/or Business rates. The basis under which the Council uses personal data for this purpose is that it is necessary for the compliance with a legal obligation to which the Council is subject to and that this is necessary for the performance of a task carried out in the public interest by the Council or in the exercise of official authority vested in the Council.

The Data Controller is Gedling Borough Council, Civic Centre, Arnot Hill Park, Arnold, Nottingham, NG5 6LU. You can contact the data protection officer at the above address or by email at dataprotectionofficer@gedling.gov.uk

The information provided by you may also be used for the purpose of any other function carried out by the Council. Information about these functions and further information including how long we retain your data, who we share with and your rights can be found in our privacy notice.