Non Domestic Rates Registration Form : January 2022

The purpose of the grant scheme is to support businesses with their immediate cash flow and to help them survive the economic consequences of additional restrictions introduced on the 26th December 2021 necessary to control the spread of Covid-19
The funding is intended to cover the business impact from the 13th December 2021 to the 14th February 2022
i) Grant A:
A £2,000 cash grant payment for hospitality, retail, tourism and leisure businesses or supply chain businesses supplying this sector with a greater than 40% drop in turnover over the funding period, with Small Business Rate Relief (SBRR) qualifying hereditaments with a rateable value under £12,000
The same ratepayer may only receive this grant for a maximum of two properties in each local authority
ii) Grant B:
A £4,000 cash grant payment for hospitality, retail, tourism and leisure businesses chain businesses supplying this sector with a greater than 40% drop in turnover over the funding period, with qualifying hereditaments with a rateable value between £12,001 and £51,000
iii) Grant C:
A £6,000 cash grant payment for hospitality, retail, tourism and leisure businesses chain businesses supplying this sector with a greater than 40% drop in turnover over the funding period, occupying hereditaments with a rateable value between £51,001 and £500,000
For all businesses, their hereditament must have been on the NDR rating list as of the 1st September 2021 and the ratepayer needs to have been in occupation of the property as of the 30th November 2021
Please see the full criteria

Information about your business

Business name *

Street*

Town / City*

Postcode*

Number of employees on December 13th 2021 (including you) *

Business Rate Reference (if you do not know your reference please e-mail non-domesticrates@gwynedd.llyw.cymru)*

VAT Registration No (if applicable)

Company Registration No (if applicable)

Your Personal Details

Full name *

Correspondence address (if different to business address)

E-mail address *

Confirm email address *

Phone number *

Please tick the following statements if they apply to your business:

My business was actively trading and generating sales revenue up to the 13th December 2021

I am applying for a grant, the grant payable will relate to the Rateable Value of the business:
Grant A - £2,000 – Rateable Value under 12,001
Grant B - £4,000 – Rateable Value 12,001 to 51,001
Grant C - £6,000 – Rateable Value 51,001 to 500,000
The local authority may request bank statements and further information to evidence trading activity prior to restrictions being introduced in December 2021.

Is your Business self-catering holiday accommodation? *

Yes

Your business bank details

Bank name *

Account name *

Account number *

Sort code (xx-xx-xx) *

The local authority may request your latest bank statements and further information to evidence trading activity.

Subsidy Control

The value of the Non Domestic Rates Grant is made to you in accordance with Article 3.2(4) of the UK-EU Trade and Cooperation Agreement. You will need to declare this subsidy to any other aid awarding body who requests information from you on how much aid you have received.

Have you received any subsidy (as defined in the UK-EU Trade and Cooperation Agreement including De Minimis) such as de minims and or UK ‘Small amounts of financial assistance’ during the previous 3 fiscal years (i.e. current fiscal year and the previous two fiscal years)?
(Please do not contact the Rates Department (The Council) to request these details.) *

Yes

Body providing assistance	Amount (£)	Date





(Please include above all Covid-19 related financial support you have received since March 2020. Examples could include Economic Resilience Fund, Start-up Grant, Freelancer Fund)

Declarations

I declare that my business has been impacted by the restrictions brought into place on the 26th December 2021, with supply chain businesses impacted by a reduction in turnover of at least 40%

I declare that my business was trading up to the 13th December 2021 and would be expected to trade to the 14th February 2022

I understand that I can be awarded a Non-Domestic Rates Grant(s) OR a Discretionary Grant for this business but I cannot be awarded both types of grant for this business

I Declare that the grant received will be used to support the business

I declare that all the information provided above is true and accurate

I declare that I will not make any staff redundant for the period of this funding (to the 14th February)

I declare that my business is complying with all Welsh Government regulations and guidance to protect our staff and the public and recognise failure to do so can lead to claw back of grants provided.

I declare that the total amount of funding received in grant aid does not exceed my normal annual turnover

I understand that if a grant payment is made and evidence subsequently emerges to show that I am not eligible for that grant payment, the Local Authority, acting on behalf of Welsh Government, may require repayment of the grant in full or part from me. Also, should it be determined that the payment was made as a result of an act of fraud by me or on my behalf, legal action may be taken against me

I acknowledge that my Local Authority will undertake any appropriate business checks considered necessary to assess the application

I confirm that I have read and understood the privacy notice

The final decision is at the discretion of the Local Authority, and there is no formal appeals process, however Local Authorities will review any reasonable representations.

I agree to ALL the above declarations *