ease detail areas covered by the service.
the organisation provide facilities already supplied by the Council? Yes No
(If ‘yes’ please specify below)
19. Is there a licensed bar and/or gaming machine? Yes No
Please note that, whilst your application for relief is pending, you must
pay the instalments shown on the most
recent bill sent to you. The Council will pursue recovery action if payments are not made on, or before, the correct
lare that the information given on this form is, to the best of my knowledge, accurate and complete.
Signature: Capacity in which signed:
ease indicate which type of relief you are applying for (the explanatory sheet enclosed with this form provides information
on the different types of relief).
ory relief Yes No
Discretionary relief Yes No
h Mandatory and Discretionary relief Yes No
ASE SEND US THE FOLLOWING INFORMATION ABOUT YOUR ORGANISATION WHEN YOU RETURN THIS
FORM. YOUR APPLICATION CANNOT BE CONSIDERED WITHOUT THESE DOCUMENTS:
andum or Articles of Association
ii. The l
atest Annual Report
iii. The last two years professionally prepared accounts specifying the following information on what pages this data can be
al incoming resources page no.
al outgoing resources page no.
al surplus of funds page no.
copy of your tenancy/leasehold agreement.
Please return your completed form to: Revenues & Benefits Service, PO Box 410, Stockton on Tees
If you have any queries relating to completion of the form please contact us on (01642) 397108, or email: