Discretionary Business Grant Application Form

In order to complete your application you will need to upload a current signed tenancy lease or mortgage deed / statement and bank statements for Feb, Mar & Apr 2020. Please ensure you have these in an electronic format before completing the form.

All fields with * are mandatory, and should be completed in full.

Applicant / Business Details

0 of 500 characters

Bank Details

About Your Business

0 of 500 characters

We need to see evidence of your turnover, assets, liabilities and running costs to make an assessment on your application. If you do not have figures for the last full year, please provide what you do have and state the period the figures cover in the boxes below

Your Annual Turnover

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Your Assets

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Your Liabilities

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Your Running Costs 1st Apr 2019 to 31 March 2020

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Priority Applicants

Declaration

I declare that the information on this form is correct and complete to the best of my knowledge and belief. I understand that it is a criminal offence to make a statement or representation that I know to be incorrect or to provide documentation that is false or I fail to disclose information to the authority where the law requires it, after this form is complete. If I do so I may be prosecuted. I understand Wigan Borough Council is under a duty to protect the public funds it administers and to this end may verify the information I have provided on this form with other internal departments, government agencies, local authorities and private sector organisations for the purpose of billing, collection and recovery of business rates and for the prevention and detective of fraud. Wigan Borough Council may also share this information with these agencies and other bodies' responsibilities for auditing or administrating public funds for these purposes.

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