Community Infrastructure Levy (CIL)
Form 3: Withdrawal of Assumption of Liability
Please complete using block capitals and black ink.
Planning Permission / Notice of Chargeable Development Reference:
Description of development:
Details of Development
Name and Address of Party Withdrawing Assumption of Liability
Company registration no:
Email address (optional):
I/we confirm that I/we have copied this form to the following interested parties:
Landowner/s Leaseholders Any other parties who has/ve jointly assumed liability
I/we hereby withdraw my/our assumption of liability for the Community Infrastructure Levy charge for the above development. I/we
confirm that this withdrawal has been made prior to commencement of the development. This statement has been made in good faith.
I/we understand that withdrawing this assumption of liability will annul any social housing relief which has been granted on this
Signed - Party withdrawing assumption of liability:
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.