Make an arrangement to pay your business rates

Declaration

Please check the box below to indicate your acceptance of the following statements before completing this form:

I confirm the information that I will give on this form will be correct and true.
I will notify you of any relevant changes within 21 days of the change.
I understand that if I give information that is false this could lead to a penalty or legal proceedings being taken against me.
I understand my data may be shared with other departments as permitted by law.
I confirm I am the ratepayer or someone authorised to accept this declaration on the ratepayer's behalf.

Declaration * *

I understand and accept the above declaration

Your name * *

Position in the company/organisation or relationship to the ratepayer * *

Help: For example secretary, treasurer