Small Business Rate Relief Application

Small Business Rate Relief Application
Non-domestic rate account number*
Valuation period or partial valuation period for which relief is sought*
(A valuation period is the period of five years for which a local Non-Domestic Rating list is in force (i.e. the period between revaluations of non-domestic properties) and if the ratepayer does not take up occupation of any additional properties they will not need to apply for relief more than once in each valuation period.)
Name of rate payer*

First NameLast Name
Phone Number*
Please enter a valid phone number.
Email
example@example.com
Type of business*

Sole traderJoint ratepayersPartnershipLimited companyOther
Address for property on which relief is being sought*

Street Address

Street Address Line 2

CityState / Province

Postcode
Rateable Value*
Is your correspondence address the same as the adress for which relief is being sought?*

YesNo
Correspondence address*

Street Address

Street Address Line 2

CityState / Province

Postcode
Please select one of the options below*

Option 1: This is the first application in respect of a property in the valuation period given above (shown in the box under the account number)Option 2: This application is being made solely on the grounds of notifying the Council that the ratepayer has taken up occupation of additional property. The ratepayer is already claiming Small Business Rate Relief in respect of the valuation period shown on the front of this form and this application is being made to notify the Council of a change in circumstances but the property for which the ratepayer is seeking continued relief remains unchanged
Please give the full address(es), Rateable Value(s) and date of occupation of any other non-domestic property/properties in England that the ratepayer occupies*
This application must be submitted by the ratepayer or a person authorised to submit on behalf of the ratepayer. This means, where the ratepayer is:
- a partnership, a partner of that partnership;
- a trust, a trustee of that trust;
- a body corporate, a director of that body, and
in any other case, a person duly authorised to submit on behalf of the ratepayer.
Name of person completing this form*

First NameLast Name
Capacity of person completing this form*
Privacy Statement

Details of Surrey Heath Borough Council’s Privacy Notice can be found here
I confirm that the changes listed under Option 2 of this application are the only changes relating to the properties in England occupied by (the ratepayer named below) and the date of those changes has been accurately recorded.

I confirm
Should be Empty: