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Food Business Application
Application for Pensioner Rates Remission 2024/2025
Are you the holder of a Concession Card on 1 July 2024?
(Required)
If your start date on your card is on or after 2 July 2024, please answer 'no'.
Yes
No
Card Details
Card Start Date
(Required)
The Card Start Date appears on the front of your concession card
DD slash MM slash YYYY
What type of Concession Card do you have?
(Required)
Pensioner Concession
Australian Government Health Care
Department of Veterans' Affairs 'Gold Card endorsed with TPI or War Widow
Concession Number
(Required)
Please provide a copy of your concession card
(Required)
Max. file size: 64 MB.
Applicants details
Name
(Required)
First
Last
Address
(Required)
Street Address
Address Line 2
Suburb
Property ID Number
(Required)
Your property identification number can be found on your rates notice, top right hand corner.
Is the applicant the owner of the property?
(Required)
Yes
No
Email address
(Required)
Phone
(Required)
Application details
What was your address on 1 July 2024?
(Required)
Were you liable for rates on the property on 1 July 2024?
(Required)
Yes
No
Was this property your principal place of residence on 1 July 2024?
(Required)
Yes
No
Is your property serviced by Water and/or Sewerage (TasWater)?
(Required)
Yes
No
Authorisation and Consent
Authorisation
(Required)
I authorise:
• Sorell Council (the Council) and the Department of Treasury and Finance (DoTaF) to use Centrelink Confirmation eServices to perform a Centrelink/DVA enquiry of my Centrelink or Department of Veterans’ Affairs Customer details and concession card status to enable the council and DoTaF to determine if I qualify for a concession, rebate or service.
• Services Australia (the agency) to provide the results of that enquiry to the council and the DoTaF.
Consent
(Required)
I understand that:
• The agency will disclose personal information to the Council and DoTaF including my name, address, payment type, payment status and concession card type and status to confirm my eligibility for rates remission.
• This consent, once signed, remains valid while I am a customer of the council unless I withdraw it by contacting the council or DoTaF.
• I can obtain proof of my circumstances/details from the department and provide it to the council and DoTaF so that my eligibility for rates remission can be determined.
• If I withdraw my consent or do no alternatively provide proof of my circumstances/details, I may not be eligible for the rates remission provided by Sorell Council and DoTaF.
In making this application:
(Required)
I declare that the information I have provided is true and correct
I understand that I am required to advise Council if I lose my entitlement to my Centrelink pensioner concession, Health Care or Veteran Affairs Gold endorsed TPI or war widow/widower
I understand that I am required to advise Council if I am no longer living in the property as 1 July of a financial year
I agree that by typing my name below I have signed this application
Select All
Name of Signatory
(Required)
If you fail to advise Council of the changes outlined above or make a false and misleading statement, the Commissioner may commence action to have a fine imposed
Date
(Required)
DD slash MM slash YYYY
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