Request for Primary Production Rate Rebate

In order to qualify for the Primary Production Rebate you must satisfy two conditions: 1. The Property must not be rated using a Notional Capital Value provided by the Valuer General 2. The Property must be used primarily for a primary production business (not a “hobby farm” or similar) If you satisfy these conditions and wish to apply for the Primary Production Rebate, please provide the following details:

Property Owners Detail

Name: ______

Council Assessment Number(s): ______

Primary Production Business Detail

Registered Business Name: ______

ABN: ______

Nature of main primary production use: ______

Please note: Registered Business Name should relate to the business of primary production being carried out on this land. Where the Primary Production Business is not the Property Owner, then the ABN of the Primary Production Business is required)

Owner Declaration:  I declare that the land to which this application relates is used in the business of primary production in that the activity:  has a significant commercial purpose or character;  has a purpose of profit as well as a prospect of profit from the activity,  is planned, organised and carried on in a businesslike manner such that it is directed at making a profit; and  is not better described as a hobby, a form of recreation or a sporting activity.

Signed: ______Date: ______

Email address: ______Contact Phone No: ______

Important Note - Under section 159 (2) of the Local Government Act (1999): A person or body must not— (a) make a false or misleading statement or representation in an application made (or purporting to be made) under this Division; or (b) provide false or misleading information or evidence in support of an application made (or purporting to be made) under this Division. Maximum penalty: $5,000.

This agreement will remain in force from 1 July 2015 until 30 June 2016. Applications received after 30 June 2016, will not be processed. The agreement will be automatically cancelled for any parcel of land, when sold. Rebate will be remitted by 30 June 2016.