NATIONAL NON-DOMESTIC RATE
APPLICATION FOR MANDATORY AND/OR DISCRETIONARY RELIEF
Name of Organisation:
Address of Property:
Account Number(s):
Property Number(s):
Signed………………………………………………………..
Capacity………………………………………………
Address……………………………………………………………………………………………… Date…………………
……………………………………………………………………………………………………….
PLEASE RETURN THIS FORM, TOGETHER WITH A COPY OF YOUR ANNUAL REPORT AND THE AUDITED
ACCOUNTS AND BALANCE SHEETS FOR THE LAST TWO YEARS, AND ANY OTHER INFORMATION YOU FEEL
IS RELEVANT IN SUPPORT OF YOUR APPLICATION ,FOR RETENTION, TO THE REVENUES MANAGER,
FINANCE AND RESOURCES SERVICE, CIVIC CENTRE, VICTORIA AVENUE,
SOUTHEND ON SEA, ESSEX, SS2 6ER.
What steps are the organisation
IF THE ORGANISATION IS A CHARITY:
1.
2.
3.
4.
5.
Registered Charity Number (if exempt
from registration please give details)……………………………………………………………………………………………
Is the property used for charitable purposes
or purposes connected with the charity?……………………………………………………………………………………….
If the property is used for a charity shop,
Are the goods donated and are the proceeds
used for the purposes of the charity?……………………………………………………………………………………………
Is the charity national or local?…………………………………………………………………………………………………..
What proportion of funds raised are applied
within the Borough of Southend?………………………………………………………………………………………………..
IF THE ORGANISATION IS NON-PROFIT MAKING:
1.
2.
3.
Purpose/aim of the organisation………………………………………………………………………………………………
………………………………………………………………………………………………………………………………………
Level of subscriptions and number
of members (if applicable)……………………………………………………………………………………………………….
Are there any restrictions on membership?…………………………………………………………………………………….
4. Are the facilities made available to
persons other than members?…………………………………………………………………………………………………..
5.
6.
taking to raise funds?…………………………………………………………………………………………………………….
Please give details of any grants received
by the organisation in the last 3 years………………………………………………………………………………………….
CHARITIES AND NON-PROFIT MAKING ORGANISATIONS:
1.
What facilities are provided that
benefit the local community?…………………………………………………………………………………………………….