Register for business rates

Declaration

I will fill in this form correctly to the best of my knowledge. I understand that knowingly providing false or misleading information is fraud, and a criminal offence for which I may be prosecuted.

I also understand that my information may be shared between different Council departments, with central government, and with other partner organisations to coordinate services, verify my identity, prevent fraud and protect public funds in accordance with the law.

First name(s)

Surname

Home address (sole traders and partnerships only)

The address where you live, not your business address.

Date

Business details

Full name of the occupier(s)

Trading name (if different)

Business type

Sole trader
Partnership
Limited company
Other (please give details below)

Business type (if 'other')

Company registration number (limited companies only)

Full names of partners (partnerships only)

Business contact details

Email address

Daytime telephone number

Correspondence address (if different to the property address)

The property

Property address

Postcode

Your use of the property

What is the relationship of the business to the property?

Owner
Leaseholder
Other (please give details below)

Description if 'other'

Please give a brief description of the type of business activities the property will be used for

Date that the lease began or the business took ownership of the property

Date that you started (or will start) moving in goods and furniture

Date that you expect the lease to end

Other parties

If the business does not own the property, please give the full name, address, and contact details of the owner/landlord

Name and contact details of rating agents (if applicable)

Other premises

How many other properties does this business pay business rates for? (Across the UK)

If this business has any other properties for which it pays business rates in Dacorum, please provide addresses below

You only need to fill in the following questions if you are also vacating a property in Dacorum for which you pay business rates.

Address of previous property

Date that the business vacated (or will vacate) the address above

Business rates account number at the address above

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