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Closed Businesses Lockdown Payment
Your Contact Details
Primary contact telephone number
Contact mobile phone number
Business rates account reference
(Will be on your recent 2020/21 Demand, if you do not know it, you need to find your recent bill before we are able to apply grant)
Please confirm if open or closed
Size of business the grant relates to
£4,000 for businesses with a rateable value of £15,000 or under
£6,000 for businesses with a rateable value between £15,000 and £51,000
£9,000 for businesses with a rateable value of over £51,000
Are you a Limited Company?
VAT registration number
(As registered with HMRC)
(As registered with Companies House * If not a Ltd Company straight to Title of Applicant)
(As registered with Companies House)
Address not found
Address not found on address search
Please enter your address
What sector does your business operate in
Do you offer a take away or click & collect service?
Please tell us what the property is used for and the nature of the business
Number of employees
Bank sort code
Bank account number
Name of bank account holder
Name of bank
(if bank account name differs from the business rate payer’s name, please explain why name is different below)
Reason for difference between bank account name and rate payers name
State Aid Declaration
I confirm that I have read and understood the relevant information and State Aid de minimis regulations available at:
I confirm that I represent the business and that the information provided is accurate for the purpose of the exemption.
I understand that if I claim incorrectly, any relief awarded will be recovered by the Council.
I can confirm that the business is not covered by the exclusions as covered below:
Enterprises in road haulage operations for the acquisition of road freight transport vehicles.
Enterprises in the agriculture sector (with the exception of those active in processing and
marketing of agricultural products).
Enterprises active in the coal sector, undertakings in difficulty, or for directly export-related activities.
The same costs that are being supported under another block exemption or notified scheme. It is unlawful to provide de minimis for costs being funded under the State Aid cover of an exemption or notified scheme if it means the specific allowable aid intensity will be exceeded.
For the setting up of distribution networks or export and the business is not in difficulty as defined by ‘This is defined’ in section 2.1 of the Community Guidelines and State Aid for Rescuing and Restructuring Firms in Difficulty (2004/C22/02).
Role in company
State aid de minimis exemption
Has the business, or any holding or subsidiary companies, received state aid during the previous three fiscal years not exceeding 200,000 euros (this being the current fiscal year and the previous two fiscal years)?
I declare that to the best of my knowledge, the particulars given on this form are true, accurate and complete.
I understand that this information will be checked.
I declare that the business provides non-essential goods or services.
I undertake to notify Tandridge District Council of any changes in circumstances, which will affect my Business Rates liability.
I understand that this grant is for the business rates payer, if the recipient of the grant is not the ratepayer on 4th November 2020, Tandridge District Council may take action to recover the amount of the grant.