Application for Hardship Relief
From Business Rates

We can consider granting relief to any business that would sustain hardship if relief were not granted and it is in the interests of the local Council Tax payer to do so.

This application should be completed by the person liable to pay the Non-Domestic Rates on the property.

Please complete the form and give full details of the information requested in each question.

Failure to supply the requested information may lead to your application being rejected.

Whilst your application is being considered youshould continue to pay your normal instalments.

Please note that recovery action will continue if payment is not made as requested, but any bailiff action will be suspended pending the result of your application.

Should your application be refused, the Council has no alternative other than to continue recovery action.

Please return your form and supporting evidence to the address below:
Commercial Debt Centre Telephone: 0208 430 3250
London Borough of Newham
2nd Floor West Newham Dockside Fax: 0208 430 1028
1000 Dockside Road
London E16 2QU Email:
For official use only.
  1. Date application form sent…………………………………………………………………………….
  1. Date completed application form received…………………………………………………………
  1. Date approved by……………………………………………………………………………………….
  1. Date or application of relief to computer…………………………………………………………...
  1. Date ratepayer advised in writing of refusal……………………………………………………….

About You

IMPORTANT

Your application for hardship relief will be based on the information given on this form.

All questions must be answered for your application to be considered.

NAME OF APPLICANT(S) / AGE
1.
2.
3.
HOME ADDRESS OF APPLICANT(S) / CONTACT TELEPHONE NO(S).
1.
2.
3.

Part A

OWNER / TENANT INFORMATION

Are the premises Owned by you______or Rented ______

If Owned

Are you the (please circle) Freeholder / Leaseholder
If you are the leaseholder please provide a copy of the lease
What is the period of the lease?………………………………………………………………
When does the lease expire?......
How much was the lease?......
If the premises are empty, do you intend to sell? NO / YES
If yes:
a)How long has the property been on the market? ..…………………………………
b)Who are the selling agents?......
Name:……………………………………………………………………………………………
Address:…………………………………………………………………………………………
……………………………………………………………………………………………………
Tele No………………………………………………………………………………………….
c)What is the selling price? £………………………………………………………….

IF RENTED

Name and Address of Landlord ………………………………………………………………
……………………………………………………………………………………………………
…………………………………………………………………………………………………...
How much is your rent? £……………. per …………….

Part B

ABOUT YOUR BUSINESS

Address of property for which relief is required / Property Reference
Account Number
What service does your business provide and what area does it serve?
What benefits does your business provides to the local community?
How many staff do you employ, excluding yourself and any other joints owners?
Full-Time
/
Part-Time
What factors have led to the business suffering hardship?
What steps or actions have you taken to improve situation?
How long are requesting relief for?
What outcomes do expect to achieve if relief is awarded?
Have you sought or received any other financial assistance? If so please give FULL details

Do you currently own or run any other businesses?

Yes
/
No
If Yes, please give details below:-

Have you in the past ran or owned any other businesses?

Yes
/
No
If Yes, please give details below:-

Part C

FINANCE (THIS SECTION MUST BE COMPLETED BY EACH CLAIMANT)

Which of your business bills are still outstanding?
(please supply copies of any outstanding bills)
Are you a homeowner? YES / NO
If yes, what is the mortgage outstanding? £……………………………………….
What is the current market value of your home? £……………………………………….
Are you in arrears with your mortgage? YES / NO
Have you any savings? YES / NO
If yes, how much? £………………………………………
Are you claiming benefit / income support? YES / NO
Your National Insurance Number……………………………………………………………..
Do you have any dependants? YES / NO
If yes, what are their ages?......

Declaration

I hereby certify that all of the information contained within this application and the supporting documentary evidence is correct.

Signature of the ratepayer / Date
Capacity of person signing
Telephone Number (in case of query)
You must supply the following evidence in support of your application

Checklist:

The last two years of audited accounts of the business. If your business has traded for less than two years, you should supply all available financial information since the commencement of trading
A projected income for the next twelve months
Any other information that may support your application relating to the information you have provided in your application.