Application 6
Non-Domestic Rates Statement of Financial Entitlements Application
Provider Information
- Provider Name
- Not provided
- Contract Number
- Not provided
- Provider Address
- Not provided
- Email Address
- Not provided
- Other Addresses
- Not provided
Payment Responsibility
- Solely Responsible
- Yes
- No Reimbursement Confirmed
- Yes
- Fraud Disclosure Consent
- Yes
Financial Details
- NHS Percentage
- 23.00%
- Council Demand
- £325.04
- Bill Payment Method
- Monthly instalments
- Total Reimbursement Requested
- £153.98
- Reimbursement Period
- 16 July 2025
SBRR Information
- SBRR Claimed
- Yes
Supporting Information
- NHS % (with evidence)
- 32.00%
- Signature
- 3232
- Date Signed
- 17 July 2025
Submission Details
- Submitted Date
- 11 July 2025 at 02:38
- Client IP
-
86.9.8.227 - Application ID
-
6
Actions
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No email address provided
Warning
This application contains personal data. Handle in accordance with GDPR and data protection policies.