Please read this declaration carefully before you sign and date it.
I 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, including the occupation / vacation of any other property I may occupy in Scotland which may affect liability for Non-Domestic Rates Relief.
I understand that if I give information that is incorrect or incomplete or fail to report changes in circumstances, I (or the Ratepayer I represent) may be prosecuted.
I understand that the Council will reclaim any incorrectly 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.
Rate Relief for subjects with a rateable value of £18,000 or less is set out below:
Combined Rateable Value of all premises in Scotland
Up to £15,000
£15,001 to £18,000
Upper limit for cumulative (RV)* £25,000 until 31.3.14
Upper limit for cumulative (RV)** £35,000 from 01.4.14
*This will allow a business with 2 or more properties with a cumulative rateable value of under £25,000, **£35,000 from 1.4.14, to qualify for relief at 25% on individual properties with a rateable value of £18,000 or less. No relief is available for properties used for payday lending.
The information you have supplied on this form will be used for the purpose for which you have provided it, and appropriate measures are in place to protect your personal data. A full privacy notice, which provides information about your rights under current data protection legislation and details about what will happen to your personal data can be found here: