EXPANDED RETAIL DISCOUNT 
CASH CAP DECLARATION

FORM A: CAP NOT EXCEEDED
RATEPAYER NAME: 										___
GROUP NAME (IF APPLICABLE):								___
PROPERTY ADDRESS:										___
BUSINESS RATES ACCOUNT NUMBER: 			__________________	___
PROPERTY REFERENCE NUMBER: 					___________________
The value of expanded retail discount to be provided by Solihull MBC in respect of the above account/property is £__________ (as shown on your bill). 
Please list below all other properties for which you are receiving this discount (continue on a separate sheet if necessary):
Property ref. no.	    Local authority giving discount		Value of discount____________
												__________
												__________
												__________
												__________
I CONFIRM that I am the ratepayer named above (or authorised to act on their behalf) and that (together with any other companies in the same group) I/we shall not receive, for the remainder of the current financial year from 1 July 2021 onwards, extended retail discount exceeding the cash cap of more than £2 million in 2021/22 (for properties which based on the coronavirus rules at 5 January 2021 would have been required to close) and £105,000 for other eligible properties (up to a cap of £2 million for all properties) within 2021/22.
I understand that knowingly making a false declaration may constitute fraud as defined within the Fraud Act 2006.
Name:	 												 
Capacity in which signing:										
Business address: 											
Telephone:						Email address:				
Signature:							Date:					
Please email this form back to retaildiscount@solihull.gov.uk