Date of Issue:

Property Reference:

Billing Number:

COUNCIL TAX EXEMPTION

APPLICATION FOR SELF-CONTAINED ANNEXES

With effect from 1st April 1997, occupied "self-contained" annexes may be exempt from paying Council Tax provided certain criteria are met. Please read the guidance notes overleaf and if you feel you may qualify then complete this form and return to Freepost RTJY-BGGZ-EKZK, Rushcliffe Borough Council, Rushcliffe Arena, Rugby Road, West Bridgford, Nottingham, NG2 7YG.

Please answer all the following questions and provide the information requested:-

1.	Is the Annexe banded separately for Council Tax purposes? Yes/No

NAMES	DATE OF BIRTH
2. Name(s) and dates of birth of the occupier(s) of the Annexe

3.	Is the Annexe your sole or main place of residence? Yes/No

4.	If the occupier(s) are under 65 years of age, please state the grounds for the application:

───────────────────────────────────────

5.	Please state the relationship between the occupier(s) of the Annexe and the resident(s) of the main dwelling:

───────────────────────────────────────

Declaration

I declare that the information I have given on this form is correct to the best of my knowledge and belief.

Name of Applicant	___

Signed:	Date:	__

Telephone number:	Email address:	__

COUNCIL TAX EXEMPTION FOR "SELF-CONTAINED ANNEXE"

GUIDANCE NOTES

1.	In order to be considered for exemption from the Council Tax, the occupier must have their main residence in a self-contained unit. A self-contained unit is defined as a building or a part of a building which has been constructed or adapted for use as separate living accommodation.

2.	The occupier of the annexe must be a dependent relative of the residents of the main part of the property.

3.	The relative is regarded as dependent if -

(i)	they are aged 65 years or more, or

(ii)	they are severely mentally impaired, or

(iii)	they are substantially and permanently disabled (whether by illness, injury, congenital deformity or

otherwise).

4.	To qualify for this exemption, a person is defined as a relative of another if -

(i)	they are the spouse of that person, or

(ii)	they are that person's parent, grandparent, child, grandchild, brother, sister, uncle, aunt, nephew,

niece, great-grandparent, great-grandchild, great-uncle, great-aunt, great-nephew or great-niece, or

(iii)	they are that person's great-great-grandparent, great-great-grandchild, great-great-uncle, great

-great-aunt, great-great-nephew or great-great-niece.

In Addition

(a)	A relationship by marriage shall be treated as a relationship by blood.

(b)	A relationship between a man and a woman living together as husband and wife shall be treated as a relationship by marriage.

(c)	The stepchild of a person shall be treated as their child.

IF YOU HAVE ANY ENQUIRIES CONCERNING THIS FORM, PLEASE CONTACT OUR CUSTOMER SERVICE CENTRE ON 0115 981 9911.