Business Rate Occupation Form

Address of Property
Name of person(s) to appear on bill
Company Registration Number if Ltd Company

Date of occupation
Date of completion of sale/assignment of lease

dd/mm/yyyy

This is the start date of the lease/the completion date of the purchase
Interest in the property

If you are a tenant or leaseholder, please give name, address and telephone number of owner/managing agent of the property

Name
Address
Telephone

Please supply the name and address of the previous occupier, or their Estate Agent/Solicitor if known

Name
Address

Payment details and other information

How would you like to pay?

Direct Debit. Download the direct debit form
Cheque instalments.
Lump sum (in advance).
Half yearly (in advance).

Your previous address
If in our area, were you liable for Business Rates at this address?
Are you vacating this address?

Yes
No

If Yes please complete a vacation form for this address
Vacation Form
Daytime telephone number
(in case of queries) *
Fax No
Email address *
Confirm Email*
Contact address (if different to property address)
Name of person supplying information *
Position in company *
Additional Information
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