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01246 231111

Online Vacation Form

Please complete the form below if you have sold, transferred or moved out of a business property in the North East Derbyshire area.

If you have purchased, moved into or taken over a property within North East Derbyshire, please also complete the Online Vacation Form for that property. Thank you.

» Required Fields

About the Property:

Full Property Address:

» Date Vacated:

About You:

» Your Full Name:

» Name of the Business:

» Your Position in the Business:

Your Business Rates Account Number (from your bill):

Your Contact Telephone Number:

Your Email Address:

» The Address to which your Final Account Should be Sent:

If You OWNED the Property:

Date Sale Completed:

Your Solicitor's Name, Address and Telephone Number:

If you RENTED the Property (including pub tenancies):

The Date Your Tenancy Ended:

Your Landlord, Brewery or Letting Agent's Name, Address and Telephone Number:

Additional Information:

The Name of the New Owner/Occupant:

Their Previous Address if you know it:

Further Information - please use this space to provide any extra information, if required:

Contact Details
Connect NE Customer Services Saltergate, Chesterfield, Derbyshire. S40 1LF Location: Council House		Telephone: 01246 231111 Text Us: 07800 002425 Contact Us: Enquiry Form

Online Vacation Form

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