APPLICATION FORM FOR RURAL RATE RELIEF
Only for Village Shops, Food Stores,
Post Offices, Pubs and Filling Stations
Notes to help you:
a) First of all, please read our letter about Rate Relief for Rural Businesses that came with this form.
b) Fill the form in by answering ALL the questions and give any information that you think is relevant.
c) We will consider all the information you supply and then write to let you know how much relief, if any,
we can give.
d) Sometimes, we might have to ask you for more information before we can decide how much relief to
give.
e) We will send you one of these forms before the end of every year if you can have this relief – this is
so that you can reapply for the new year.
1 Name of the Ratepayer.
2 Rate Account No: *
3 Property address
*
*
*
4 Describe the type of business being
run from the address in section 3.
(Examples - shop, food store, post office, pub, filling station)
5 If the business is a shop or food
store, please list the full range of
goods or types of food that you sell.
Otherwise, please mark this section
“Not Applicable”.
(continued on the back)
6 Which settlement is the business in?
(Please pick from the list at the
bottom of this page.)
7 As far as you know, is yours the
ONLY business of this type in the
same settlement?
(* If NO or NOT SURE,
please give further details in this box.)
8
DECLARATION
I confirm that to the best of my knowledge the information I have given on this form is true
and complete. I give the Council permission to check the information if they wish to do so. I
will tell the Council, in writing and straight away, if anything changes that could affect my
business getting the relief I am applying for. In particular, I will tell the Council if another
business of the same type starts to trade in the same settlement as mine.
Signature: ……………………………. Full Name: …………………………………….
Date: ………………………………. Contact telephone No……………………….
E-mail address : ……………………………………………………………..
9 Please return this form to South Holland District Council, Revenues Section, PO Box 8, Priory
Road, Spalding, PE11 2XQ.
OUR RURAL SETTLEMENT LIST
01 Cowbit Village 17 Holbeach Drove 31 Shepeau Stow
02 Deeping St Nicholas Village 18 Holbeach Hurn 32 Surfleet Village
03 Donington Village 19 Holbeach St Johns 33 Surfleet Seas End
04 Fleet Church End 20 Holbeach St Marks 34 Sutton St Edmund
05 Fleet Hargate B Hop Pole 35 Sutton St James
06 Gedney Black Lion End 21 Little Sutton Village 36 Throckenholt
07 Gedney Church End 22 Lutton Village 37 Tongue End
08 Gedney Dawsmere 23 Lutton Gowts 38 Tydd Gote
09 Gedney Drove End 24 Moulton Village 39 Tydd St Mary Village
10 Gedney Dyke 25 Moulton Chapel 40 West Pinchbeck (sub-divided)
11 Gedney Hill Village 26 Moulton Seas End 41 Weston Village
12 Gosberton Village 27 Nene Terrace, Crowland 42 Weston Hills – Austendyke
13 Gosberton Clough (sub-divided) 28 Northgate (sub-divided) 43 Weston Hills – St Johns
14 Gosberton Risegate (sub-divided) A Pode Hole 44 Whaplode Village
15 Holbeach Bank (sub-divided) 29 Quadring Village 45 Whaplode Drove
16 Holbeach Clough (sub-divided) 30 Saracens Head (sub-divided) 46 Whaplode St Catherine
C Penny Hill
For official use only RV: £ ACC:
Settlement Code From List:
Type:
PRN:
Mand /Disc: / %
Authorised By:
Date:
Certified By:
Date:
Entered By:
Date:
(2015VSRRappl)
YES / NO / NOT SURE *
VS / FS / PO / PH / PFS