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Business Rates - Change of Address Form

This form should be completed by the person named on the bill. As a minimum, fields marked with a • must be completed.

Payment Reference (if known)

• Trading Name

• Business Address

Postcode

Are you the owner of the above property?

If not when did your tenancy start?

/ /

• Have you moved in or out of this property?

In
Out

• Please provide date

/ /

Details of your Previous or New Address

• New or previous address

Postcode

Other Information

Is there anything else you think we should know?

How can we contact you?

• Your name

Your Email address

Telephone number (including STD, please leave out brackets)

Data protection Act 1998—relevant information given in this form may be disclosed to the Council's Benefits Service or to other council departments.