A declaration may be completed to declare that the unit or part of the unit will remain vacant for any given rating
year. Declarations must be made annually by 31 May each rating year and will be eective for the following rating
year beginning 1 July.
Where there is a single part identied on the rating unit and the single part is vacant, the rating unit will be rated
as one separately used or inhabited part with the exception of water, sewerage, and solid waste collection charges.
In this situation the rating unit will be charged the “serviceable” rate for water and sewerage and will not be rated
for solid waste collection.
Where there are multiple parts identied on the rating unit and a part is deemed to be vacant for any given rating
year this part willl not be rated as a separately used or inhabited part.
Queen Street, P O Box 404, Te Kuiti 3941, NZ. Telephone 07-878 0800, Fax 07-878 7771, Email enquiries@waitomo.govt.nz, Website www.waitomo.govt.nz
Statutory Declaration
For Vacant and Unoccupied Part/s of a Rating Unit.
Name:
Street Address or PO Box:
Suburb or RD:
Town or City:
Postcode:
Contact Number(s):
Home: Work: Mobile:
Email Address:
Valuation Reference:
Location:
This declaration relates to: the whole rating unit part of the rating unit
Residential
I/We hereby declare that the dwelling/unit is vacant/and or not separately used or separately habited.
I/We request that the dwelling/unit is not rated as such in the following rating year beginning 1 July.
Please provide details to support your declaration here:
Business
I/We hereby declare that the rating unit or part/s of the rating unit is vacant and does not constitute a
separately used or inhabited part.
I/We request that this part of the unit is not rated as such in the following rating year beginning 1 July.
Please provide details to support your declaration here:
_________________________________________________________________________________________
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_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
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_________________________________________________________________________________________
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279449 : BS : RR14
Queen Street, P O Box 404, Te Kuiti 3941, NZ. Telephone 07-878 0800, Fax 07-878 7771, Email enquiries@waitomo.govt.nz, Website www.waitomo.govt.nz
Statutory Declaration
For Vacant and Unoccupied Part/s of a Rating Unit.
Please note that Council retains the discretion to determine the number of separately used of occupied parts
of any given rating unit and the rates charged.
I/We do solemnly and sincerely declare that the details above are correct and that the conditions concerning
the rating unit will apply for the entire rating year beginning 1 July.
DECLARED at:
Dated: This
day of 20
Name (please print):
Signature:
Before me,
Justice of the Peace:
I/We hereby undertake to inform Waitomo District Council if the use of the Rating Unit should change
during the year 1 July __________ to 30 June _________ within 30 days of such change occurring.
279449 : BS : RR14
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