Form B - Refusal of Expanded Retail Discount | SURREY HEATH BOROUGH COUNCIL

Non Domestic Rates Account Number *

Please see your latest Business Rates bill or e-bill sent

I confirm that I wish to refuse Expanded Retail Discount in relation to the business named below with the Business Rates account number as shown above due from 1 July 2021.

Name *

Please provide your full name

Position *

E.g. Director, Sole Trader

Business *

Registered name of business which may not be the name you trade as

Address

Registered business address which may not be your trading address

Country *

Address 1 *

Address 2

Town/City *

Postcode *

Registered business address which may not be your trading address

Date *

Day

Month

Year

Declaration *

I am authorised to sign on behalf of the business