Application for Small Business Rates Relief
Correpondence Details
 Company Name (or full name where you are a sole trader)
 Correspondence address
 Correspondence postcode
 Contact Telephone Number
 Email Address
Property Details
 Address of property to which the application refers
 Account reference (found on your business rates bill)
 Date from which you wish to claim small business rates relief
 Do you occupy more than one business property in England?
Your Details
 Name of person completing the form
 Position within the business of the person completing the form
Declaration
 As an authorised representative of the organisation shown above, I declare that the statements and information provided in support of this application are, to the best of my knowledge, true and accurate.
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