Harlow Enterprise Zone Business Rates Relief – Application Form
Harlow Enterprise Zone Business Rates Relief
Application Form
Please complete this form if you wish to apply for Harlow Enterprise Zone Business
Rates Relief. Please ensure that you have read the Harlow Enterprise Zone Business
Rates Relief Policy rst to check that you qualify for this Business Rates relief.
If you have any questions about completing this form please contact the Regeneration
Team at Harlow Council on 01279 446450 or email ez@harlow.gov.uk.
Business Rates Reference Number
(if known)
Business Rates Property Address
that you are applying for Harlow
Enterprise Zone Business Rates
Relief for (including postcode)
Company Name
Contact Name
Address for Correspondence
(if different to the property address
above)
Contact Telephone Number
Contact Email Address
1. About the Property
Do you own the above property?
Yes
No
Have you moved in to the property?
Yes
No
If yes, when did you move in?
If no, when will you take responsibility
for the property?
When will you move in?
If you are a tenant please give your
Landlord’s name and address
Harlow Enterprise Zone Business Rates Relief – Application Form
2. About your Business / Company
Name and address of your company
Head Ofce
Is the company a limited company?
Yes
No
If yes, please provide your Company
Registration number
If your organisation is part of a group
or a holding company, please
provide details of the group’s structure
(if necessary, use a separate sheet of
paper)
What is your company’s SIC code
(as stated on your Companies House
return?
Is your company a Registered
Charity?
Yes
No
If yes, please provide your Charity
Registration number
Date registered as a Charity
If your business is not a registered
company / charity what is your
trading status (e.g. sole trader,
self-employed)?
Total number of employees
Please provide names and home addresses of the traders or the directors of the
company.
Full Name Address (including postcode)
Harlow Enterprise Zone Business Rates Relief – Application Form
3. Sector Test
In order to qualify for the Business Rates Relief the primary focus of the part of the
business located within the Harlow Enterprise Zone should be within the target sectors
or fall within the “other acceptable uses” as outlined within the Harlow Enterprise Zone
Business Rates Relief policy.
Please indicate which target sector(s) and in addition which other acceptable uses your
business falls within, tick all that apply. (Please refer to the Harlow Enterprise Zone
Business Rates Relief policy for further details regarding the denitions of the target
sectors.)
Target Sectors
Advanced Manufacturing
Information and Communication Technologies (ICT)
Life Sciences, including Medical Technologies
Other acceptable uses
Modern logistics and transportation companies that are directly supplying
companies within the Enterprise Zone target sectors
Companies providing products or services in the direct Supply Chain of
companies within the Enterprise Zone target sectors
Companies whose primary focus is to provide service sector support activities
to businesses within the Enterprise Zone target sectors. This can include
nancial, insurance, legal, accountancy and management and consultancy
activities
Education, training, research and development facilities where the primary
purpose is to support learning, innovation, knowledge transfer and growth
across the Enterprise Zone target sectors
In order to qualify for the Business Rates Relief the primary focus (at least 50% of turnover)
of the part of the business located within the Harlow Enterprise Zone should be within the
target sectors or delivering “other acceptable uses”.
Please describe the nature of your business located at the premises and how the
business ts into the target sectors indicated above.
If you have indicated that your business falls within the “other acceptable uses”, please
describe your business and explain how your business supports or plans to support the
target sectors.
Harlow Enterprise Zone Business Rates Relief – Application Form
Continued:
Please provide any relevant supporting
evidence that demonstrates how the
business meets the above criteria.
List any evidence attached here.
4. Relocating from within West Essex?
Is your business relocating from an existing
business premises within the West Essex area
i.e. within the geographical area covered by the
Councils of Harlow, Uttlesford and Epping Forest.
Yes
No
If yes, please provide the address
that you are relocating from
(including post code)
5. Businesses already located in Harlow Enterprise Zone prior to 01/04/2013
Was your business located in the Harlow Enterprise
Zone prior to 1st April 2013?
Yes
No
If yes, and the property address
is different to the above in Section
1, please provide the address
that your business previously
occupied (including post code)
If you have answered yes to either Section 4 or 5 you will need to satisfy the
Growth Test in order to qualify for the Business Rates relief. Please complete
the following information.
Harlow Enterprise Zone Business Rates Relief – Application Form
Growth Test
Businesses that are relocating from within West Essex need to demonstrate how they
intend to grow over the next ve years. Please indicate how your company intends to grow
over the next 5 years (complete all as applicable)
20% increase in employment over the next 5 years
20% increase in turnover over the next 5 years
20% increase in prot over the next 5 years
Combined 20% increase from all / mixture of the above
How many people are, or will be employed in the property (full time equivalent):
Current number of people employed
Expected number of employees in 1 year time
Expected number of employees in 2 years time
Expected number of employees in 3 years time
Expected number of employees in 4 years time
Please provide evidence of your Business Plan(s) to achieve the above. If any separate
documents / evidence are provided, please list these below
State Aid Minimis Declaration (Financial assistance from a public body)
Enterprise Zone Business Rate Relief is a form of state aid. Please see the Harlow
Enterprise Zone Business Rates Relief policy for further details.
Have you or any company within your business
group, received or expect to receive any
State Aid in the current nancial year or in the
previous 2 nancial years?
Yes
No
If yes, please provide details below of the previous aid received under De Minimis Aid:
Organisation providing
the assistance / aid
Value of assistance Date of assistance
Nature of
assistance
De Minimis Aid is not permitted to a “business
in difculty”. Is the business applying for Harlow
Enterprise Zone Business Rate Relief in
nancial difculty?
Yes
No
Harlow Enterprise Zone Business Rates Relief – Application Form
Declaration:
The ratepayer must complete the declaration below. Where, for example, the
ratepayer is a company or partnership, it must be signed by a director of that
company or one of the partners, and the person should state his or her position.
Managers’ signature is unacceptable.
I/we declare that the information given in this form is complete and accurate to the best
of my / our knowledge and belief.
I / we authorise Harlow Council to make any necessary enquiries to verify the
information on this form, within the terms of the Data Protection Act 1988.
I / we will declare any change that may affect entitlement is this relief will be notied to
the Council.
I / we conrm the hereditament to which the application relates is the only one occupied
by me / us in England and Wales.
I / we realise it is a criminal offence for a ratepayer to give false information when
making an application for Business Rate Relief and may result in criminal prosecution.
Signature(s)
Name(s)
Position(s)
Date
How we use your information / Data Protection Disclaimer:
The Council uses your personal information in order to administer and enforce Business
Rates under the Local Government Finance Act 1988. The authority has a duty to protect
public funds it administers, and may use information you have provided on this form for
the prevention and detection of fraud. It may also share this information with other bodies
responsible for auditing or administering public funds for these purposes.
For further information, see www.harlow.gov.uk/data-matching on Harlow Council’s website. The
Council will also use the information for the purposes of performing any of its statutory
enforcement duties and any disclosures required by law.
Please return this completed form to:
Regeneration Team
Harlow Council
Harlow Civic Centre
The Water Gardens
Harlow
Essex CM20 1WG
Or email to: ez@harlow.gov.uk
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