Version 2018
Community Infrastructure Levy (CIL)
Form 3: Withdrawal of Assumption of Liability
Please complete the form using block capitals and black ink and send to the Charging Authority (or Collecting Authority if this differs from
the Charging Authority).
Planning Permission / Notice of Chargeable Development Reference:
Site address:
Description of development:
Details of Development
Name and Address of Party Withdrawing Assumption of Liability
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:
Position:
Email address (optional):
Extension
number:
National number:
Country code:
Telephone number
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
for guidance on CIL generally, including assuming liability.See
This form must be submitted to, and received by, the Charging/Collecting Authority prior to Commencement of Development.
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This form should be saved to your device and then completed using the free Adobe Acrobat
Reader application or full version of Adobe Acrobat. Many internet browsers and other
applications can display PDF files, but we cannot guarantee their compatibility in regard to
these forms. We specifically advise users of Apple devices not to use 'Preview' because of
known issues.
Upon receipt of this form and any subsequent information, it is the responsibility of the Local Authority to inform you of its obligations in
regards to the processing of this information. Please refer to its website for further information on any legal, regulatory and commercial
requirements relating to information security and data protection of the information you have provided.
Please be aware that once you have downloaded this form, Planning Portal will have no access to the form or the data you enter into it
(unless you choose to upload it to any Planning Portal online service in agreement with the relevant terms and conditions). Any subsequent
user of this form is solely at your discretion, including the choice to complete and submit it to a Local Authority in agreement with the
declaration section.
Privacy Notice
This form is provided by Planning Portal and based on the requirements provided by Government for the sole purpose of submitting
information to a Local Authority in accordance with the 'The Community Infrastructure Levy Regulations 2010 (as amended).
Planning Practice Guidance for CIL
