Community Infrastructure Levy (CIL)
Form 5: Notice of Chargeable Development
Please complete using block capitals and black ink.
Title: First name:
Last name:
Company registration no:
(where applicable)
Address 1:
Address 2:
Town:
Address 3:
County:
Country:
Postcode:
Company
(optional):
House
number:
House
name:
House
suffix:
Unit:
Email address (optional):
Extension
number:
National number:
Country code:
Telephone number
Position:
Details of Responsible Person for this Notice Site Address Details
Please provide the full postal address of the application site.
House
name:
House
suffix:
House
number:
Unit:
Address 1:
Address 2:
Town:
Address 3:
County:
Postcode
(optional):
Easting: Northing:
Description of location or a grid reference.
(must be completed if postcode is not known):
Description:
Description of Development:
Supporting Information
Has a building, or a part of a building, on the site been in use for a
continuous period of at least six months within the past twelve months?
If Yes, please state how much gross internal floorspace you propose to
demolish (square metres):
Yes No
Or change of use (square metres):
Supporting Information (continued)
Intended Use (please detail each use proposed) Gross internal new build floorspace of each intended use (sq m)
Please set out the intended use of the chargeable development and the intended floorspace of each use
Checklist
This completed form should be accompanied by:
a) A plan which identifies the relevant land, buildings in
use on that land and any of those buildings which are to
be demolished;
b) Photographic evidence of buildings in use on the
relevant land;
c) A plan which identifies the chargeable development;
Your local authority may request any other plans, drawings and information necessary to describe any buildings in use on the relevant land
and the chargeable development. Any plans or drawings required must be drawn to an identified scale and, in the case of plans, shall show
the direction of North.
Declaration - Notice of Chargeable Development - Landowner
I/we confirm that the information above is correct to the best of my/our knowledge, and I/we am/are aware of the consequences of
providing incorrect information, including regarding the demolition or change of use of buildings. I/we confirm I/we have assumed liability
through the relevant section of this form and that, if not, I/we will submit an assumption of liability notice. I/we understand that I/we must
submit a commencement notice in order to secure the 60 day payment window or such time as the charging authority has allowed in its
current payment instalments policy, as per the requirements of the Community Infrastructure Levy Regulations (2010) as amended. I/we
undertake to notify the collecting authority in writing of any changes to the information on this notice, prior to this development
commencing. I/we understand any communication and actions by the collecting authority to pursue me/us for the assumed liability will be
copied to the site land owners (as defined in CIL regulations)
Signed - Landowner:
Date (DD/MM/YYYY):
It is an offence for a person to knowingly or recklessly supply information which is false or misleading in a material respect to a charging or
collecting authority in response to a requirement under the Community Infrastructure Levy Regulations (2010) as amended (regulation 110,
SI 2010/ 948). A person guilty of an offence under this regulation may face unlimited fines, two years imprisonment, or both.
Notices of Chargeable Development served by the Collecting Authority
The collecting authority have deemed that chargeable development has commenced under regulation 64A(1) of the Community
Infrastructure Regulations (2010) as amended. The collecting authority confirms that it has completed this form correctly, in accordance
with regulation 64A(2) and that this notice has been served on all known owners of the land under regulation 64A(3). This declaration is
signed on behalf of the collecting authority.
Signed - Collecting Authority:
Date (DD/MM/YYYY):
Declaration - Assumption of Liability
I/we am/are the landowner detailed at section 1 and I/we would like to assume liability for payment of the Community Infrastructure Levy
under regulation 31 of the Community Infrastructure Levy Regulations (2010) as amended. I/we hereby assume liability for the Community
Infrastructure Levy charge for the above development. I/we understand that I/we must submit a commencement notice in order to secure
the 60 day payment window or such time as the charging authority has allowed in its current payment instalments policy, as per the
requirements of the Community Infrastructure Levy Regulations (2010) as amended. I/we am/are aware of the surcharges I/we will incur if I/
we do not follow the correct procedures for paying the CIL charge. I/we understand any communication and actions by the collecting
authority to pursue me/us for the assumed liability will be copied to the site land owners (as defined in CIL regulations).
It is an offence for a person to knowingly or recklessly supply information which is false or misleading in a material respect to a charging or
collecting authority in response to a requirement under the Community Infrastructure Regulations (2010) as amended (regulation 110, SI
2010/948). A person guilty of an offence under this regulation may face unlimited fines, two years imprisonment, or both.
Signed - Landowner:
Date (DD/MM/YYYY):
If you wish to assume liability at a later date, please complete Form 1 – Assumption of Liability prior to commencement of development. If
you are a charitable institution or social housing provider and believe you could benefit from exemption or relief, please complete Form 2 –
Claiming Exemption and/or Relief
Chrome Web Store
It looks like you haven't installed the Fill Chrome Extension Add to Chrome