{"id":420,"date":"2026-02-04T14:15:57","date_gmt":"2026-02-04T14:15:57","guid":{"rendered":"https:\/\/partnershipone.com\/DDC\/?page_id=420"},"modified":"2026-06-19T15:19:52","modified_gmt":"2026-06-19T14:19:52","slug":"br-optout-rate-relief","status":"publish","type":"page","link":"https:\/\/partnershipone.com\/DDC\/br-optout-rate-relief\/","title":{"rendered":"Opt out of business rates relief"},"content":{"rendered":"<script>\nvar gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),document.addEventListener(\"gform\/theme\/scripts_loaded\",function(){gform.themeScriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,themeScriptsLoaded:!1,isFormEditor:()=>\"function\"==typeof InitializeEditor,callIfLoaded:function(o){return!(!gform.domLoaded||!gform.scriptsLoaded||!gform.themeScriptsLoaded&&!gform.isFormEditor()||(gform.isFormEditor()&&console.warn(\"The 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#112337;--gf-ctrl-choice-size: var(--gf-ctrl-choice-size-md);--gf-ctrl-checkbox-check-size: var(--gf-ctrl-checkbox-check-size-md);--gf-ctrl-radio-check-size: var(--gf-ctrl-radio-check-size-md);--gf-ctrl-btn-font-size: var(--gf-ctrl-btn-font-size-md);--gf-ctrl-btn-padding-x: var(--gf-ctrl-btn-padding-x-md);--gf-ctrl-btn-size: var(--gf-ctrl-btn-size-md);--gf-ctrl-btn-border-color-secondary: #686e77;--gf-ctrl-btn-bg-color-hover-tertiary: #EBEBEB;--gf-field-img-choice-size: var(--gf-field-img-choice-size-md);--gf-field-img-choice-card-space: var(--gf-field-img-choice-card-space-md);--gf-field-img-choice-check-ind-size: var(--gf-field-img-choice-check-ind-size-md);--gf-field-img-choice-check-ind-icon-size: var(--gf-field-img-choice-check-ind-icon-size-md);--gf-field-pg-steps-number-color: rgba(17, 35, 55, 0.8);}<\/style><div id='gf_58' class='gform_anchor' tabindex='-1'><\/div><form method='post' enctype='multipart\/form-data'  id='gform_58'  action='\/DDC\/wp-json\/wp\/v2\/pages\/420#gf_58' data-formid='58' novalidate><div id='gf_page_steps_58' class='gf_page_steps'><div id='gf_step_58_1' class='gf_step gf_step_active gf_step_first'><span class='gf_step_number'>1<\/span><span class='gf_step_label'>Using the form<\/span><\/div><div id='gf_step_58_2' class='gf_step gf_step_next gf_step_pending'><span class='gf_step_number'>2<\/span><span class='gf_step_label'>Declaration<\/span><\/div><div id='gf_step_58_3' class='gf_step gf_step_pending'><span class='gf_step_number'>3<\/span><span class='gf_step_label'>About the business<\/span><\/div><div id='gf_step_58_4' class='gf_step gf_step_pending'><span class='gf_step_number'>4<\/span><span class='gf_step_label'>Correspondence address<\/span><\/div><div id='gf_step_58_5' class='gf_step gf_step_pending'><span class='gf_step_number'>5<\/span><span class='gf_step_label'>About the reason for opting out<\/span><\/div><div id='gf_step_58_6' class='gf_step gf_step_last gf_step_pending'><span class='gf_step_number'>6<\/span><span class='gf_step_label'>Other information<\/span><\/div><\/div>\n                        <div class='gform-body gform_body'><div id='gform_page_58_1' class='gform_page ' data-js='page-field-id-0' >\n\t\t\t\t\t<div class='gform_page_fields'><div id='gform_fields_58' class='gform_fields top_label form_sublabel_above description_above validation_below'><div id=\"field_58_24\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><p>\nIf you would like to opt out of receiving a retail discount, please use this form. Once we have received your form we will remove your discount and send you a revised bill. <\/p>\n\n<p>If receiving 50% discount on your property from 1 April 2022 will mean that you exceed the \u00a3110,000 cash cap, please use this form to tell us.<\/p>\n\n<h2>This form will ask you to provide<\/h2>\n\n<ul>\n\t<li>your name and position within the organisation<\/li>\n\t<li>your business rates account reference<\/li>\n\t<li>the full name of the ratepayer<\/li>\n\t<li>your business address and contact details<\/li>\n\t<li>correspondence address (if different from your current business address).<\/li>\n<\/ul>\n\n<p>\nThis form must be completed by the ratepayer or someone authorised to do so on their behalf.<\/p>\n\n<p>Please have this information ready as pages time-out after one hour.<\/p>\n\n<p>Do not use your browser back button &#8211; if you need to go to a previous page click on the previous button at the bottom of each page.<\/p>\n\n<h2>Privacy Statement<\/h2>\nDover District Council is a Data Controller under GDPR.  In submitting this form we will collect and process your personal data.  For information about your rights and how the Council uses your data,  please view our Corporate and relevant service privacy notice which can be found on our <a href=\"https:\/\/www.dover.gov.uk\/Website\/Privacy-and-Cookies.aspx\"target=\"_blank\">Privacy page<\/a>.<\/div><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                         <button type='button' id='gform_next_button_58_26' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' >Begin form<\/button> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_58_2' class='gform_page' data-js='page-field-id-26' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_58_2' class='gform_fields top_label form_sublabel_above description_above validation_below'><div id=\"field_58_93\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_above gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Declaration<\/h3><div class='gsection_description' id='gfield_description_58_93'><p>Please check the box below to indicate your acceptance of the following statements before completing this form:<\/p>\n\n<ul>\n\t<li>I confirm the information that I will give on this form will be correct and true..<\/li>\n\t<li>I will notify you of any relevant changes within 21 days of the change.<\/li>\n\t<li>I understand that if I give information that is false this could lead to a penalty or legal proceedings being taken against me.<\/li>\n\t<li>I understand my data may be shared with other departments as permitted by law.<\/li>\n\t<li>I confirm I am the ratepayer or someone authorised to accept this declaration on the ratepayer&#8217;s behalf.<\/li>\n<\/ul><\/div><\/div><fieldset id=\"field_58_6\" class=\"gfield gfield--type-consent gfield--type-choice gfield--input-type-consent gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Declaration<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_consent'><input name='input_6.1' id='input_58_6_1' type='checkbox' value='1'   aria-required=\"true\" aria-invalid=\"false\"   \/> <label class=\"gform-field-label gform-field-label--type-inline gfield_consent_label\" for='input_58_6_1' ><span class='gform-field-label__text'>I understand and accept the above declaration<\/span><\/label><input type='hidden' name='input_6.2' value='I understand and accept the above declaration' class='gform_hidden' \/><input type='hidden' name='input_6.3' value='36' class='gform_hidden' \/><\/div><\/fieldset><div id=\"field_58_55\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_58_55'><span class='gform-field-label__text'>Your name<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_55' id='input_58_55' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_58_56\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_above gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_58_56'><span class='gform-field-label__text'>Position in the company or organisation<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_58_56'>For example secretary, treasurer<\/div><div class='ginput_container ginput_container_text'><input name='input_56' id='input_58_56' type='text' value='' class='large'  aria-describedby=\"gfield_description_58_56\"   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <button type='button' id='gform_previous_button_58_8' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' >Previous<\/button> <button type='button' id='gform_next_button_58_8' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' >Next<\/button> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_58_3' class='gform_page' data-js='page-field-id-8' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_58_3' class='gform_fields top_label form_sublabel_above description_above validation_below'><div id=\"field_58_69\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">About the business<\/h3><\/div><div id=\"field_58_28\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_above gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_58_28'><span class='gform-field-label__text'>Business rates account reference<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_58_28'>You can find this on your business rates bill<\/div><div class='ginput_container ginput_container_text'><input name='input_28' id='input_58_28' type='text' value='' class='large'  aria-describedby=\"gfield_description_58_28\"   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_58_57\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_58_57'><span class='gform-field-label__text'>Business name<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_57' id='input_58_57' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_58_45\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_58_45'><span class='gform-field-label__text'>Ratepayer&#039;s full name<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_45' id='input_58_45' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_58_51\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_58_51'><span class='gform-field-label__text'>Contact phone number<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_51' id='input_58_51' type='text' value='' class='large'    placeholder='99999 999999' aria-required=\"true\" aria-invalid=\"false\"   data-mask=\"99999 999999\"\/><\/div><\/div><div id=\"field_58_44\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_58_44'><span class='gform-field-label__text'>Business website address (if applicable)<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_44' id='input_58_44' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_58_11\" class=\"gfield gfield--type-email gfield--input-type-email gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Business email address<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_complex ginput_container ginput_container_email gform-grid-row' id='input_58_11_container'>\n                                <span id='input_58_11_1_container' class='ginput_left gform-grid-col gform-grid-col--size-auto'>\n                                    <label for='input_58_11' class='gform-field-label gform-field-label--type-sub '>Enter email address<\/label>\n                                    <input class='' type='email' name='input_11' id='input_58_11' value=''    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                                <\/span>\n                                <span id='input_58_11_2_container' class='ginput_right gform-grid-col gform-grid-col--size-auto'>\n                                    <label for='input_58_11_2' class='gform-field-label gform-field-label--type-sub '>confirm email address<\/label>\n                                    <input class='' type='email' name='input_11_2' id='input_58_11_2' value=''    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                                <\/span>\n                                <div class='gf_clear gf_clear_complex'><\/div>\n                            <\/div><\/fieldset><fieldset id=\"field_58_13\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--has-description field_description_above field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><legend class='gfield_label gform-field-label' ><span class='gform-field-label__text'>Would you like to receive your business rates bills by email?<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='gfield_description' id='gfield_description_58_13'>You can receive your business rates bills by email rather than post. We will send all future business rates bills to the email address you have given above. If you change your email address you must let us know straight away. You can opt out of this at any time at dover.gov.uk\/paperlessrates<\/div><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_58_13'>\n\t\t\t<div class='gchoice gchoice_58_13_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_13' type='radio' value='Yes'  id='choice_58_13_0' onchange='gformToggleRadioOther( this )' aria-describedby=\"gfield_description_58_13\"   \/>\n\t\t\t\t\t<label for='choice_58_13_0' id='label_58_13_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_58_13_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_13' type='radio' value='No'  id='choice_58_13_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_58_13_1' id='label_58_13_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_58_54\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Address of the property for which you are applying<\/h3><\/div><fieldset id=\"field_58_90\" class=\"gfield gfield--type-address gfield--input-type-address gfield--width-full custom-address-field d-block gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Property address<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend>    \n                    <div class='ginput_complex ginput_container has_street has_street2 has_city has_zip ginput_container_address gform-grid-row' id='input_58_90' >\n                         <span class='ginput_full address_line_1 ginput_address_line_1 gform-grid-col' id='input_58_90_1_container' >\n                                        <label for='input_58_90_1' id='input_58_90_1_label' class='gform-field-label gform-field-label--type-sub '>Address line 1<\/label>\n                                        <input type='text' name='input_90.1' id='input_58_90_1' value=''    aria-required='true'    \/>\n                                   <\/span><span class='ginput_full address_line_2 ginput_address_line_2 gform-grid-col' id='input_58_90_2_container' >\n                                        <label for='input_58_90_2' id='input_58_90_2_label' class='gform-field-label gform-field-label--type-sub '>Address line 2<\/label>\n                                        <input type='text' name='input_90.2' id='input_58_90_2' value=''     aria-required='false'   \/>\n                                    <\/span><span class='ginput_left address_city ginput_address_city gform-grid-col' id='input_58_90_3_container' >\n                                    <label for='input_58_90_3' id='input_58_90_3_label' class='gform-field-label gform-field-label--type-sub '>Town or city<\/label>\n                                    <input type='text' name='input_90.3' id='input_58_90_3' value=''    aria-required='true'    \/>\n                                 <\/span><input type='hidden' class='gform_hidden' name='input_90.4' id='input_58_90_4' value=''\/><span class='ginput_right address_zip ginput_address_zip gform-grid-col' id='input_58_90_5_container' >\n                                    <label for='input_58_90_5' id='input_58_90_5_label' class='gform-field-label gform-field-label--type-sub '>Postcode<\/label>\n                                    <input type='text' name='input_90.5' id='input_58_90_5' value=''    aria-required='true'    \/>\n                                <\/span><input type='hidden' class='gform_hidden' name='input_90.6' id='input_58_90_6' value='' \/>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/fieldset><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <button type='button' id='gform_previous_button_58_58' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' >Previous<\/button> <button type='button' id='gform_next_button_58_58' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' >Next<\/button> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_58_4' class='gform_page' data-js='page-field-id-58' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_58_4' class='gform_fields top_label form_sublabel_above description_above validation_below'><div id=\"field_58_72\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Correspondence address<\/h3><\/div><fieldset id=\"field_58_73\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><legend class='gfield_label gform-field-label' ><span class='gform-field-label__text'>Is the correspondence address the same as the address for which you are applying?<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_58_73'>\n\t\t\t<div class='gchoice gchoice_58_73_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_73' type='radio' value='Yes'  id='choice_58_73_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_58_73_0' id='label_58_73_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_58_73_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_73' type='radio' value='No'  id='choice_58_73_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_58_73_1' id='label_58_73_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_58_74\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\"><\/h3><\/div><fieldset id=\"field_58_92\" class=\"gfield gfield--type-address gfield--input-type-address gfield--width-full custom-address-field d-block gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Correspondence address<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend>    \n                    <div class='ginput_complex ginput_container has_street has_street2 has_city has_zip ginput_container_address gform-grid-row' id='input_58_92' >\n                         <span class='ginput_full address_line_1 ginput_address_line_1 gform-grid-col' id='input_58_92_1_container' >\n                                        <label for='input_58_92_1' id='input_58_92_1_label' class='gform-field-label gform-field-label--type-sub '>Address line 1<\/label>\n                                        <input type='text' name='input_92.1' id='input_58_92_1' value=''    aria-required='true'    \/>\n                                   <\/span><span class='ginput_full address_line_2 ginput_address_line_2 gform-grid-col' id='input_58_92_2_container' >\n                                        <label for='input_58_92_2' id='input_58_92_2_label' class='gform-field-label gform-field-label--type-sub '>Address line 2<\/label>\n                                        <input type='text' name='input_92.2' id='input_58_92_2' value=''     aria-required='false'   \/>\n                                    <\/span><span class='ginput_left address_city ginput_address_city gform-grid-col' id='input_58_92_3_container' >\n                                    <label for='input_58_92_3' id='input_58_92_3_label' class='gform-field-label gform-field-label--type-sub '>Town or city<\/label>\n                                    <input type='text' name='input_92.3' id='input_58_92_3' value=''    aria-required='true'    \/>\n                                 <\/span><input type='hidden' class='gform_hidden' name='input_92.4' id='input_58_92_4' value=''\/><span class='ginput_right address_zip ginput_address_zip gform-grid-col' id='input_58_92_5_container' >\n                                    <label for='input_58_92_5' id='input_58_92_5_label' class='gform-field-label gform-field-label--type-sub '>Postcode<\/label>\n                                    <input type='text' name='input_92.5' id='input_58_92_5' value=''    aria-required='true'    \/>\n                                <\/span><input type='hidden' class='gform_hidden' name='input_92.6' id='input_58_92_6' value='' \/>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/fieldset><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <button type='button' id='gform_previous_button_58_71' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' >Previous<\/button> <button type='button' id='gform_next_button_58_71' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' >Next<\/button> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_58_5' class='gform_page' data-js='page-field-id-71' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_58_5' class='gform_fields top_label form_sublabel_above description_above validation_below'><div id=\"field_58_70\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_above gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">About the reason for opting out<\/h3><div class='gsection_description' id='gfield_description_58_70'>If you would like to opt out of relief, please check the appropriate box below and we will send you a revised bill without this discount.  \n<p><\/p>\nIf receiving 50% discount on your property from 1 April 2022 will mean that you exceed the \u00a3110,000 cash cap, you must tell us by checking the appropriate box below.  We will then remove your discount and send you a revised bill.<\/div><\/div><fieldset id=\"field_58_94\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Tell us why you&#039;re opting out of the retail discount<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_58_94'><div class='gchoice gchoice_58_94_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_94.1' type='checkbox'  value='I would like to refuse a retail discount from 1 April 2022'  id='choice_58_94_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_58_94_1' id='label_58_94_1' class='gform-field-label gform-field-label--type-inline'>I would like to refuse a retail discount from 1 April 2022<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_58_94_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_94.2' type='checkbox'  value='I am not eligible for a retail discount from 1 April 2022'  id='choice_58_94_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_58_94_2' id='label_58_94_2' class='gform-field-label gform-field-label--type-inline'>I am not eligible for a retail discount from 1 April 2022<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <button type='button' id='gform_previous_button_58_95' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' >Previous<\/button> <button type='button' id='gform_next_button_58_95' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' >Next<\/button> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_58_6' class='gform_page' data-js='page-field-id-95' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_58_6' class='gform_fields top_label form_sublabel_above description_above validation_below'><div id=\"field_58_96\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Any other information<\/h3><\/div><div id=\"field_58_97\" class=\"gfield gfield--type-textarea gfield--input-type-textarea field_sublabel_above gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_58_97'><span class='gform-field-label__text'>Please use this box to tell us any other information<\/span><\/label><div class='gfield_description' id='gfield_description_58_97'>If you have no further information to give, leave this box blank\n<\/div><div class='ginput_container ginput_container_textarea'><textarea name='input_97' id='input_58_97' class='textarea medium'  aria-describedby=\"gfield_description_58_97\"    aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><\/div><\/div>\n        <div class='gform-page-footer gform_page_footer top_label'><button type='submit' id='gform_previous_button_58' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' >Previous<\/button> <button type='submit' id='gform_submit_button_58' class='gform_button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='submit' >Submit<\/button> \n            <input type='hidden' class='gform_hidden' name='gform_submission_method' data-js='gform_submission_method_58' value='postback' \/>\n            <input type='hidden' class='gform_hidden' name='gform_theme' data-js='gform_theme_58' id='gform_theme_58' value='orbital' \/>\n            <input type='hidden' class='gform_hidden' name='gform_style_settings' data-js='gform_style_settings_58' id='gform_style_settings_58' value='{&quot;inputPrimaryColor&quot;:&quot;#025B99&quot;,&quot;buttonPrimaryBackgroundColor&quot;:&quot;#025B99&quot;}' \/>\n            <input type='hidden' class='gform_hidden' name='is_submit_58' value='1' \/>\n            <input type='hidden' class='gform_hidden' name='gform_submit' value='58' \/>\n            \n            <input type='hidden' class='gform_hidden' name='gform_currency' data-currency='GBP' value='Sjim2bP5xIqJrQbdTwJDEfl9dRL0QvQHw4MyoUQ+hgfzQXyfrjoLaeOMkGJ5CxsXCx20+ZcWssBUi50VlCBIoGoTrYfC\/qk0vT34XCeDkGvS1Q8=' \/>\n            <input type='hidden' class='gform_hidden' name='gform_unique_id' value='' \/>\n            <input type='hidden' class='gform_hidden' name='state_58' value='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' 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