Fillable Deputy Chief Executives Department, Council Offices, Foster Avenue, (Broxtowe Borough Council)

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Deputy Chief Executives Department, Council Offices, Foster Avenue, (Broxtowe Borough Council)

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Deputy Chief Executive’s Department, Council Offices, Foster Avenue, Beeston,
Nottingham, NG9 1AB
Telephone: 0115 9177777 Fax: 0115 9173683
E-Mail: billing@broxtowe.gov.uk Website: www.broxtowe.gov.uk
APPLICATION FOR DISCRETIONARY RATE RELIEF IN RESPECT OF PREMISES OCCUPIED
AS SPORTS CLUBS, FOR SOCIAL WELFARE, OR SIMILAR ORGANISATIONS
(NDPOST)
NNDR ACCOUNT NUMBER: ____________________________________________
1) Full name of organisation: _____________________________________________
__________________________________________________________________
__________________________________________________________________
2) Address of premises in respect of which discretionary relief is being claimed:
_________________________________________________________________
_________________________________________________________________
3) Date from which relief is being claimed:
_________________________________________________________________
_________________________________________________________________
4) Activities conducted at the premises to which the application relates:
_________________________________________________________________
_________________________________________________________________
_________________________________________________________________
5) State the approximate number of members who live in the area administered by this
Council: _________________________________________________________
________________________________________________________________
________________________________________________________________
6) Does the organisation possess a written constitution or set of rules? If yes, please submit
a copy, if no, how is the organisation constituted?
________________________________________________________________
________________________________________________________________
7) What are the qualifications for membership?
________________________________________________________________
________________________________________________________________
8) Please confirm details of membership fees:
________________________________________________________________
________________________________________________________________
9) Please detail other sources from which income is received:
________________________________________________________________
________________________________________________________________
COPIES OF YOUR ORGANISATION’S ACCOUNTS FOR THE LAST TWO YEARS SHOULD
BE SUBMITTED IN SUPPORT OF YOUR APPLICATION.
Please provide any other information you consider relevant to your application:
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
Declaration
I the undersigned make application for relief from National Non Domestic Rates under Section 47
of the Local Government Finance Act 1988, in respect of the premises and of the organisation
detailed overleaf.
Signature: ___________________________________________________________
Office of the person submitting the application: _______________________________
Address for any correspondence: __________________________________________
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
Date: ____________________ Telephone Number: _____________________
(For any queries)
Please return the completed application form to the Head of Regulatory Services at the address
stated above.
Privacy Notice
For information on how we process and store your personal data, please view the Council’s
Privacy notice statement for further information:
https://www.broxtowe.gov.uk/about-the-council/communications-web-social-media/legal-privacy/
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Deputy Chief Executives Department, Council Offices, Foster Avenue, (Broxtowe Borough Council)

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Completed 8 January 2021

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