1. Admin
  2. NDR SFE Applications
  3. Application 12

Application 12

Non-Domestic Rates Statement of Financial Entitlements Application

Provider Information

Provider Name
Nelson Dentist Practice1
Contract Number
120002932
Provider Address
43 Sycamore Avenue
Email Address
plumber@something.net
Other Addresses
Not provided

Payment Responsibility

Solely Responsible
Yes
No Reimbursement Confirmed
Yes
Fraud Disclosure Consent
Yes

Financial Details

NHS Percentage
Not provided
Council Demand
Not provided
Bill Payment Method
2nd Half year
Total Reimbursement Requested
Not provided
Reimbursement Period
Not provided

SBRR Information

SBRR Claimed
No

Supporting Information

NHS % (with evidence)
Not provided
Signature
3232
Date Signed
Not provided

Submission Details

Submitted Date
13 July 2025 at 12:42
Client IP
86.9.8.227
Application ID
12
Edit Application Print Application Back to Applications

Actions

Manage this application:

Contact Provider

Send email

Warning This application contains personal data. Handle in accordance with GDPR and data protection policies.