Isle of Wight Council

Application for Hardship Relief

Application for Hardship Relief Reduction or Remission of Non-domestic Rates under Section 49 of the Local Government Finance Act 1988.

Name of Applicant

*	Forename
	Middle name/Initials
*	Surname

Address of Business

*	Building name/number
*	Street address
*	Town name
	County
*	Postcode
	Telephone number (include area code)

Property for which Relief is Claimed

*

Rate Reference Number

*

Address

*

Description

*	The nature of the business
*	Is the property used for any other purpose than those of the Claimant's Business?	Yes No
	If 'yes', please give details:
*	Do you own or lease the premises?	Own Lease
	If leased how much annual rent do you pay?	� /pa

*

Do you own any other business premises?

Yes No

*	Are there any other businesses of a similar nature in the same town or village?	Yes No
	If 'yes', please give details:

*	Is the applicant the sole trader?	Yes No
	If 'no', please give details:

*	Does the applicant live within the council area?	Yes No
*	Does the applicant have a current entitlement to Council tax benefit?	Yes No
*	Please give the grounds on which hardship is claimed?

	Certificate by Claimant
	Please print off this form and fill this section in by hand before returning it to the address below.

*

I hereby certify that the particulars given above are correct to the best of my knowledge and belief.

Signed ............................................................................... Name................................................................................. Capacity............................................................................. Date...................................................................................

If you would like more information or advice on how to complete this form please telephone us on: 01983 823920 Completed applications forms should be returned to: Isle of Wight Council, Business Rates, Council Offices, Sandown, Isle of Wight, PO36 9EA Or in person at any of our local offices. We will endeavor to process your application within 10 working days

	Business Rates Privacy Notice
	The Isle of Wight Council as data controller, will process your personal information contained in this application in accordance with the Data Protection Act 1998. Information may be shared with other departments within the Council for the recovery of any debts owed to the Council and to identify persons responsible for Business Rates and/or Council Tax & bringing empty properties back into use. Please note that the Council may share your information in the absence of consent, for the purpose of crime prevention or detection, in accordance with the law. Please click here to read the full Privacy Notice.

	Data Protection Act 1998
	This application may be monitored by the Isle of Wight Council for regulatory, quality control or crime detection purposes. Information from this application will be processed in accordance with the Data Protection Act 1998 for the purpose of processing your particular enquiry/request. The Isle of Wight Council ("the Council") is the data controller. By completing this form you consent to the Council contacting you by email or nominated contact method in relation to your enquiry/request. The information contained in this application may, in exceptional circumstances, be subject to disclosure to third parties under either the Data Protection Act 1998 or the Freedom of Information Act 2000 to the extent the law allows and in accordance with the Isle of Wight Council's Access to Information Policy . Disclosure will only be made where in all the circumstances it would be fair to do so and in the public interest. Please note that the Council may process your information in the absence of consent for the purpose of crime prevention or detection so far as is in accordance with the law. Sometimes we may use your information to keep you informed about services, goods or relevant issues that we believe may be of interest to you. If you wish to receive this information for these purposes please tick this box To improve the quality of other services that we provide to you the Council wishes to hold your non-sensitive personal information on a secure central database. This will enable all Council services to use this information when they are providing a service to/for you. If you wish your non-sensitive personal information to be held by the Council please tick this box

Date printed: 07/03/2013