Retail hospitality leisure fund 2022/2023 application form

Name of Business *

Rates account number *

Business Address *

What is your business property used for *

Retail

Leisure

Hospitality

Other

Was your property in use on 17 March 2020 *

Yes

What is the property *

e.g Shop, Cafe, Bar, Resturant

Please indicate why you meet the criteria for this relief fund *

Any other information

If yes

Named ratepayer and business name *

Assessor property reference number for the property? *

Can be checked on https://www.saa.gov.uk/

Council billing account reference number?

Check your non-domestic rates bill

Legal structure of the ratepayer

Companies house registration number (if applicable)

Charity registration number (if applicable)

In receipt of Retail, Hospitality and Leisure relief in 2021-22? *

Yes

Amount of relief already awarded in relation to this property in 2022-23?

If None, leave blank

Second property

Named ratepayer and business name *

Assessor property reference number for the property? *

Can be checked on https://www.saa.gov.uk/

Council billing account reference number? *

Legal structure of the ratepayer *

Companies house registration number (if applicable)

Charity registration number (if applicable)

In receipt of Retail, Hospitality and Leisure relief in 2021-22? *

Yes

Amount of relief already awarded in relation to this property in 2022-23?

If None, leave blank

Third property

Named ratepayer and business name *

Assessor property reference number for the property? *

Can be checked on https://www.saa.gov.uk/

Council billing account reference number? *

Legal structure of the ratepayer *

Companies house registration number (if applicable)

Charity registration number (if applicable)

In receipt of Retail, Hospitality and Leisure relief in 2021-22? *

Yes

Amount of relief already awarded in relation to this property in 2022-23?

If None, leave blank

Declaration

I am, or am duly authorised by, the Ratepayer to make the application. *

I declare that the information given on this form is correct and complete to the best of my knowledge *

I authorise the Council to make any necessary enquiries to check the information *

I authorise the Council to cross-check the information with other Councils in Scotland. *

I undertake to advise the Council of any change of circumstances in relation to a property I may occupy in Scotland *

I understand that if I give information that is fraudulent, incorrect or incomplete or fail to report changes in circumstances, I (or the Ratepayer I represent) may be liable for a civil penalty and/or prosecuted *

I understand that the council will reclaim any relief incorrectly awarded on incomplete, incorrect or fraudulent information. awarded Non-Domestic Rates Relief *

I have read and understand the privacy notice accompanying this relief application *

I claim the above relief from non-domestic rates liability. *

Terms and Conditions

I am authorised to make the application on behalf of the business *

I confirm the information provided is accurate *

I understand that if relief is awarded as a result of incorrect information it will be removed and rates will be payable back to 1st April 2020 *

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