Southend-on-Sea Borough Council
Finance and Resources Service
Joe Chesterton
Strategic Director (Finance and Resources)
NON-DOMESTIC RATE
Application for Charity Relief
Section 43(6) of the Local Government Finance Act 1988
Account No : ……………………………………….........
Property No : ……………………………………………...
On Behalf of : ……………………………………………………………………………………………………………………….
Particulars of which are given below, I, the undersigned, give notice that the hereditament names and described below
being in occupation of the aforementioned Charity (of Trustees), is a hereditament within Section 43(6) of the Local
Government Finance Act 1988.
Particulars
(Any questions which cannot be answered in the space provided may be submitted on a separate sheet.)
1.
Name of Charity or Ecclesiastical Corporation …………………………………………………………………………
2.
Details of the premises for which relief is claimed :-
(a) Address ………………………………………………………………………………………………………..
(b) Description ……………………………………………………………………………………………………
(c) Purpose(s) for which they are used …………………………………………………………………………..
(d) Full details of any part(s) not occupied by the Charity ……………………………………………………..
………………………………………………………………………………………………………………………....
3.
Details of the Charity:-
(a)
Is the Charity registered? If so please give details of registration …………………………………………
………………………………………………………………………………………………………………………….
(b)
If not, has the application been made for registration under the provisions of the Charities Act, 1060?
…………………………………………………………………………………………………………………………
(c)
If registration is not necessary, please state why the Charity is exempted from registration.
…………………………………………………………………………………………………………………............
(d)
Is it recognised as a Charity for income tax purposes? ……………………………………………………..
I certify that the foregoing statements are correct to the best of my knowledge and belief
Signed …………………………………………………………………………………………………………………………..
Capacity in which signed ………………………………………………………………………………………………………
Address ……………………………………………………………………………………………………………………………
Date ……………………………………………………………… ..
The completed form should be returned to Revenues Manager, Finance and Resources, Civic Centre, Victoria Avenue,
Southend-on-Sea,SS2 6ER, together with a copy of the constitution of the Charity or Memorandum of Articles of
Association.
Civic Centre Victoria Avenue Southend-on-Sea Essex SS2 6ER
Customer Service Centre 01702 215000 : www.southend.gov.uk
NON-DOMESTIC RATE
Rate Relief For Registered Charities
Supplementary Information
1.) If the premises are used for the purpose of a Charity Shop, please answer the following :-
a) Is it used wholly or mainly for the sale of
goods donated to the Charity? YES / NO
b) Are the proceeds of the sale (after deduction of
Expenses) applied for the purpose of the Charity YES / NO
c) Are the proceeds applied locally YES / NO
2.) If the premises are not used as a shop, please state what benefits your organisation offers the
local community:-
…………………………………………………………………………
…………………………………………………………………………
…………………………………………………………………………
……………………………………………………………………………
Please give further details if necessary:-
…………………………………………………………………………
…………………………………………………………………………
…………………………………………………………………………
…………………………………………………………………………
…………………………………………………………………………
…………………………………………………………………………
…………………………………………………………………………
…………………………………………………………………………
……………………………………………………………………………
Please provide copies of your last two years annual reports, and any other information you
consider relevant, to support your application.
Civic Centre Victoria Avenue Southend-on-Sea Essex SS2 6ER
Customer Service Centre 01702 215000 : www.southend.gov.uk
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