Small Business Rate Relief application

2017 rating list form

Period for which relief is sought – from 1 April 2017 to 31 March 2022.

How we will use your information
Data protection and fair processing statement

We will use your information to provide the service requested. We may share your personal data between our services and with partner organisations, such as government bodies and the police. We will do so when it is of benefit to you, or required by law, or to prevent or detect fraud.

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Applicant details
Rateable property details
Other rateable property details

Please list below any other business premises in England for which you, your company or your organisation are liable.

Change of circumstance – other rateable property details

Complete section below if there has been a change of circumstances since your previous application but no change to the property for which the you are seeking relief.

Give details of the additional properties you have occupied since making your first application for the valuation period


By submitting this form, you agree to the declarations below:

  • I / we will notify the council of any change that may affect entitlement to this relief
  • I / we confirm the hereditament to which the application relates is the only one occupied by me / us in England

It is a criminal offence for a ratepayer to give false information to obtain Small Business Rate Relief – to do so may result in criminal prosecution.