National Non-Domestic Rates

NATIONAL NON-DOMESTIC RATES

OCCUPATION FORM

FORM TO BE COMPLETED BY NEW OCCUPIER

Please complete and return this form without delay to:

PO Box 5202, Kidderminster. DY10 2TE

………………………………………………………………………………………………………………………………………..

PART A This section must be completed by all Occupiers

Address of Premises ______

Full Name of Occupier ______(Public/Limited Company)

Name(s) ______

Trading as______(Name of Partnership)

Lease or Tenancy Commencement Date ______/20______

I CERTIFY THAT I COMMENCED OCCUPATION OF THE ABOVE PREMISES ON ______/20______

(This date should normally be that on which furniture or stock is first moved into the property)

Signed______(Occupier/Owner/Agent)Date ______/20______

Away Address for Correspondence ______

Contact Telephone Number ______

Previous Address of New Occupier ______

______

……………………………………………………………………………………………………………………………………………………………..

PART B This section to be completed only if you RENT the property

Name and Address of Owner ______

………………………………………………………………………………………………………………………………………………

PART C This section to be completed only if you are BUYING or have BOUGHT the property

Name and Address of Solicitors who acted for you in the purchase of the property ______

______

Name of Solicitor or Partner ______

Name and Address of Solicitors who acted for the seller of the property:- (or new address of seller) ______

______

This Authority is under a duty to protect the Public Funds it administers and to this end may use the information you have provided on this form within this authority for the prevention and detection of fraud. It may also share this information with other bodies administering Public Funds solely for these purposes.

PAYMENT DETAILS

CHEQUE PAYMENTS : / Cheques etc should be made payable to Wyre Forest
District Council and crossed “A/C payee”
POSTAL PAYMENTS : / Should be sent to :
WYRE FOREST DISTRICT COUNCIL
P O BOX 5202,
KIDDERMINSTER,
Worcs., DY10 2JX.
PAYMENTS IN
PERSON : / You can pay by cash or debit card at any Post Office
Or, by cash at any PayPoint outlet (debit cards may be accepted at the retailer’s discretion)
Please ensure you have your barcoded bill when paying at the Post Office or at a PayPoint outlet
PAYMENTS BY TELEPHONE: / You may also pay by credit/debit card by telephone. Please ring 0300 456 2724 and have the credit/debit card that you wish the payment to be taken from to hand, together with your account number and pen and paper to record your receipt number.
This is an automated 24 hour payment line.
PAYMENT VIA OUR WEBSITE / Follow the link: https://www.wyreforest.gov.uk/secure/OnlinePayments.asp
COUNCIL’S BANK
DETAILS / (a)
(b)
(c) / Lloyds Bank Plc
1 Vicar Street
Kidderminster
DY10 1DE
Sort code: 30-94-70
Bank A/C No : 02032849 (NNDR only)

THE COUNCIL OPERATES A DIRECT DEBIT SCHEME

Direct Debit Mandates are available from:

WYRE FOREST DISTRICT COUNCIL,

P O BOX 5202,

KIDDERMINSTER,

WORCS., DY10 2TE.

PLEASE ASK FOR NATIONAL NON-DOMESTIC RATES

Mandates can also be downloaded and printed from the Council’s website on :-