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01246 231111

Online Occupation Form

Please complete the form below if you have purchased, moved into or taken over a business property in the North East Derbyshire area.

If you were previously paying Business Rates for a property in the North East Derbyshire area but have moved out, please also complete the Online Vacation Form for that property. Thank you.

» Required Fields

About the Property:

» Full Property Address:

» Date Property Occupied:

About You:

» Your Full Name:

» Name of the Business:

» Your Position in the Company:

» Your Contact Telephone Number:

Your Email Address:

» Your Home Address or Registered Office Address:

If you OWN the property:

Date Purchase Completed:

Your Solicitor's Name, Address and Telephone Number:

If you RENT the property (including pub tenancies):

The Date your Tenancy Started:

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

Additional Information:

The Name of the Previous Owner/Occupant:

Their New Address & Telephone Number:

The Date They Moved Out:

The Address Your Business Has Moved From (if applicable):

Your Business Rates Account Number (from your bill, if you previously paid to North East Derbyshire):

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 Occupation Form

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