Small business and NGO declaration

Small business and NGO declaration

Please complete the below form to lodge a crown lessee, small business or not-for-profit declaration.
Name:*
Email:*
Phone number:
Position:*
Business name:*
Business type:*
Which applies to you:*

Crown lesseeNot-for-profitSmall business
ABN:*
Customer number:*
What is the permitted land use pursuant to your lease:*
Type of lease:*

Western Australian Planning CommissionPastoral Diversification PermitFremantleCrown landWhiteman Park
Lease / Permit number:*
Reason for request:*
Upload any supporting information:

Cancelof
Declaration:

Yes
By submitting this form, I declare that the information contained within is correct and accept that false information supplied will result in a refusal of the rent waiver support. I will advise the Department should my business circumstances change.
Please verify that you are not a robot*
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