Form A - Cash Cap declaration | SURREY HEATH BOROUGH COUNCIL

Non Domestic Rates Account Number *

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

By completing this form you are confirming that the registered business named below shall comply with the cash cap on claiming the Expanded Retail Discount on the basis that, including this award, (together with any other companies in the same Group) shall not receive (from 1 July 2021 onwards) more than £2 million of Expanded Retail Discount in 2021/22 for properties which based on the coronavirus rules at 5 January would have been required to closed and £105,000 for other eligible properties (up to a cap of £2 million for all properties)within 2021/22. See guidance on the cash cap in the guidance for the Expanded Retail Discount.

Value of Expanded Retail Discount *

See value in email sent

Property Reference Number *

See property number on email sent

Local Authority providing aid

Name *

Please provide your full name

Position *

E.g. Director, Sole Trader

Business *

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

Address

Registered business address which may not be your trading address

Address 1 *

Address 2

Town/City *

Postcode *

Registered business address which may not be your trading address

Date *

Day

Month

Year

Declaration *

Please tick both options

I confirm that I am authorised to sign on behalf of the business;and

The business shall not exceed Expanded Retail Discount Cash Cap by accepting this Discount