Village shop relief form

Your account number (if known)

Forename *

Surname *

Address of property giving rise to the rate:

Postcode *

Property number / name *

Street *

District

Town *

County

Correspondence address (if different)

Telephone number

Type of business

Distance to nearest business of same type

Number of Full Time employees

Number of Part Time employees

How long as the business existed in the area?

Please state hours of business

Would a reduction / remission of rates guarantee the continuation of business?

Please write a short statement in support of your claim. Please include details such as the type of business, what type of goods or services are provided or produced, a brief history of the organisation, reasons why your business is of benefit to the local community:

Support statement

Please note that fields marked * are required.

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Gateshead Revenues & Benefits

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Village shop relief form