Business Rate Vacation Form

Address of the property you are vacating:

Account reference No:

Name of ratepayer:

*Date of vacation

dd/mm/yyyy
(all furniture & effects must be removed)

*Your forwarding address

Will you be responsible for business rates at this property?

Yes
No

Were you the tenant/leaseholder?

Yes
No

End date of tenancy/lease

dd/mm/yyyy

Name of owner/landlord

Address of owner/landlord

Name of Managing Agent

Address of Managing Agent

Are you or were you the owner?

Yes
No

Have you sold the property?

Yes
No

Date of sale (completion date)

dd/mm/yyyy

Name of new owner

Address of new owner

If you have not sold the property

Reason why the property is empty

Is the property up for sale/to let

Yes
No

Name of estate agent

Name of person supplying this information *

Position in company *

Day time telephone number *

Fax number

Email address *

Confirm Email *

Additional Information

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