Rates Remission Application Form

Due to an amendment to the Rates Remission Policy, Council now requires your organisation to confirm your current status in order to continue to receive this remission. In future, this will be reviewed annually.

Please tick the appropriate box below and complete the form. Any questions please contact Sheryl Bright via email sheryl.bright@rangitikei.govt.nz.

Organisation*
Valuation Roll Number*
Status of Organisation*

I can confirm that the status of our organisation is:

Status
Declaration*

I have the authority on behalf of my organisation to provide the information supplied on this form and have been given permission for it to be used for the above purpose.

Declaration
Your Name*
Your Email
Phone Number