Customer and Support Services Witchburn Road, Campbeltown,Argyll, PA28 6JU Tel: 01546 605511 Fax: 01586 553050 e.mail – [email protected] www.argyll-bute.gov.uk Ask for: Our Ref: Council Tax Council Tax Name___________________________________________ Subject Address___________________________________ ________________________________________________ ________________________________________________ Council Tax Reference Number_______________________ Dear Sir/Madam COUNCIL TAX 10% DISCOUNT APPLICATION FORM – DISABLED PERSONS If you are disabled and are liable for a second property which you are finding is difficult to sell or let, we offer a period of 6 months where the second property will be excluded from double council tax (and continue to receive a 10% discount) provided the property is being actively marketed for sale or let at the appropriate conditions. This discount is a fixed discount applied from 1 April 2014 for a maximum of 6 months or earlier if the situation changes ie. property is sold or let. Section 1: Disabled Persons Details Name of Disabled Person _________________________________ Place of residency during period of claim ________________________________________ _________________________________________________________________________ Are you in receipt of a Disabled Banding Relief at your main place of residence? Yes Council Tax Account number ___________________________ No Please Provide evidence of one of the following: 1. Middle or high band Disability Living Allowance 2. Personal Independence Payment Reference Number:___________________________ Section 2: Property being marketed for sale or let I confirm that my property is being actively marketed for sale or let at appropriate conditions: (please tick relevant box) Marketed for sale (please complete section 2a and section 3) Marketed for let (please complete section 2b and section 3) Section 2a: Property for Sale Asking price £_____________________ Date from which this property has been actively marketed for sale at this price: __________ Name and address of estate agent who is marketing the property: ____________________ _________________________________________________________________________ Alternative marketing channels used: ________________________________________________ I enclose a copy of the Home Report for this property. This document is a mandatory requirement. Reference Number: [CT:AccountReference] Section 2b: Property for Let Rent being sought: £_____________________ per month Date from which this property has been actively marketed for let at this price: ___________ Size of property: Number of apartments: _______ Number of bedrooms: ________ Name and address of estate agent who is marketing the property: ____________________ _________________________________________________________________________ Alternative marketing channels used: ___________________________________________ _________________________________________________________________________ Reference Number:___________________________ Section 3: Declaration I declare that the information on this form is true and complete and I authorise Argyll & Bute Council to verify the details. If discount status no longer applies to this property, I undertake to notify Argyll & Bute Council within 21 days of this occurring. I understand that failure to provide this information is an offence which may make me liable for an initial fine of £50 and £200 for each subsequent offence. Signature of council tax payer:________________________________ Date:___________ Tel Number:________________ Email Address:__________________________________ Data Protection Fair Processing Notice: Argyll and Bute Council, or their agents, will hold information supplied in accordance with the provisions of the Data Protection Act 1998, we will use the information you have supplied primarily for the collection and administration of tax. The information may also be used for other legitimate purposes e.g. housing and council tax benefit administration or private landlord registration. This information may also be shared with other Councils, governmental and quasigovernmental bodies. By completing and submitting this form you consent to the use of your personal data including, where appropriate, sensitive personal data. You have a right to apply for a copy of the information we hold about you, and to have any inaccuracies corrected. The set fee (where applicable) will be charged. Should you wish to exercise this right, your request must be made in writing to the Data Protection Officer, Argyll & Bute Council, Kilmory, Lochgilphead, PA31 8RT. Return to Argyll and Bute Council, Head of Customer and Support Services, Witchburn Road, Campbeltown, Argyll PA28 6JU
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