Current Start Preview Complete Business details Business Rates account number Business Name Full name of Sole Trader, Partners or Ltd Company Business Address Number of properties you wish to opt-out relief for - None -12345 Business address First line of Address Second line of Address City/Town Postcode Second Business address First line of Address Second line of Address City/Town Postcode Third Business address First line of Address Second line of Address City/Town Postcode Fourth Business address First line of Address Second line of Address City/Town Postcode Fifth Business address First line of Address Second line of Address City/Town Postcode Contact details Email Phone number Request details I confirm I/we wish to opt out of the: Expanded Retail Relief 2021/2022 Expanded Nursey Relief 2021/2022 Opt-out 2021/2022 Date you wish to opt-out from 1 April 2021 Other Select opt-out date Opt-out 2022/2023 Date you wish to opt-out from 1 April 2022 Other Select opt-out date I am no longer the liable party for these premises Date effective Correspondence address First line of Address Second line of Address City/Town Postcode I am the new liable party for these premises Date effective Your details Name of person authorised to sign Position in company Phone number 16722
