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    Senior Citizens and Disabled Persons Rate Rebate Application Form English

    Uploaded by

    Giovanni Rossi
    This document provides information and instructions for applying for a rates rebate from the City of Cape Town Revenue Department if an applicant is dependent on a pension or social grant. [SECTION A] requests personal information of the applicant and spouse/partner. [SECTION B] asks for the property address. [SECTION C] requires financial information including monthly income amounts and sources which must not exceed R17,500 total. [SECTION D] lists supporting documents needed and a declaration acknowledging the City's right to verify information and recover rebates obtained fraudulently.

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    © All Rights Reserved
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    Senior Citizens and Disabled Persons Rate Rebate Application Form English

    Uploaded by

    Giovanni Rossi
    89 views2 pages
    This document provides information and instructions for applying for a rates rebate from the City of Cape Town Revenue Department if an applicant is dependent on a pension or social grant. [SECTION A] requests personal information of the applicant and spouse/partner. [SECTION B] asks for the property address. [SECTION C] requires financial information including monthly income amounts and sources which must not exceed R17,500 total. [SECTION D] lists supporting documents needed and a declaration acknowledging the City's right to verify information and recover rebates obtained fraudulently.

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    This document provides information and instructions for applying for a rates rebate from the City of Cape Town Revenue Department if an applicant is dependent on a pension or social grant. [SECTION A] requests personal information of the applicant and spouse/partner. [SECTION B] asks for the property address. [SECTION C] requires financial information including monthly income amounts and sources which must not exceed R17,500 total. [SECTION D] lists supporting documents needed and a declaration acknowledging the City's right to verify information and recover rebates obtained fraudulently.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    89 views2 pages

    Senior Citizens and Disabled Persons Rate Rebate Application Form English

    Uploaded by

    Giovanni Rossi
    This document provides information and instructions for applying for a rates rebate from the City of Cape Town Revenue Department if an applicant is dependent on a pension or social grant. [SECTION A] requests personal information of the applicant and spouse/partner. [SECTION B] asks for the property address. [SECTION C] requires financial information including monthly income amounts and sources which must not exceed R17,500 total. [SECTION D] lists supporting documents needed and a declaration acknowledging the City's right to verify information and recover rebates obtained fraudulently.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 2

    FINANCE: REVENUE DEPARTMENT

    RATES REBATE APPLICATION FOR OWNERS DEPENDENT ON PENSION OR SOCIAL


    GRANTS FOR THE NEW GENERAL VALUATION (GV2018) PERIOD: JULY 2019 – JUNE 2022
    SECTION A: PERSONAL INFORMATION OF APPLICANT

    Title Name

    Surname Maiden name


    Identity number Please attach a copy of ID book/card

    Cell number Alternative cell number

    Email address

    Spouse/partner’s personal information

    Title Name

    Surname Maiden name

    Identity number Please attach a copy of ID book/card

    Cell number What is your relationship to the applicant?

    SECTION B: ADDRESS

    Erf number Municipal account number

    Home address

    Postal address

    Are you or your spouse/partner a registered property owner in South Africa or abroad? Y N

    SECTION C: FINANCIAL INFORMATION (COMPULSORY)

    Note: In order to qualify for a rebate the gross monthly household income must not exceed R17 500.

    Monthly income (indicate if proof is attached ✔) Applicant Spouse/partner

    Full or part-time salary R R


    Monthly pension State pension R R
    Private pension R R
    Disability grant R R
    Maintenance R R
    Rental / lease agreement R R
    Interest on investments (bank statement to be attached)

    Name and type of investment R R


    Name and type of investment R R
    Board and lodging (proof/affidavit) R R
    Other R R
    Total income R R
    Last amended date: 2019.09.04 L Ref. no. K3539
    SECTION D: SUPPORTING DOCUMENTS AND DECLARATION
    Please indicate which documents have been submitted with this application form:
    Proof of income for the owner and spouse/partner and 3-months' bank statement for all banking accounts from all financial
    institutions.

    Copies of ID (applicant and spouse/partner).

    Salary slips (if applicable).

    Proof of pension (i.e. private or state pension).

    Proof of disability (i.e. medical certificate or letter from your employer).

    Proof of investments/dividends.

    Copies of lease agreement (if you own additional property).

    Proof of usufruct/habitation/executor/administrator or curator.

    Proof of trust document and income of all beneficiaries.

    If property is registered in multiple owners; copy of ID of applicant (person residing) and proof of income for all owners are
    required.

    If the property is registered in the name of a Close Corporation (CC); copy of ID of applicant (person residing) and proof of
    income for all other members are required.

    Copy of death certificate or copy of will (if applicable).

    Declaration
    I hereby acknowledge that the City has the right to conduct a full credit check on any person applying for any rebate in order to assess
    the application and that the City may request any other documents it deems necessary to substantiate the application.

    I further acknowledge that should it transpire that any information was knowingly/unlawfully/incorrectly recorded/supplied by me, the
    City of Cape Town has the right to withdraw any rebate granted and recover any such rebate. The City will raise interest on such accounts
    where such rebates were fraudulently obtained, and reserve the right to take further action against any person/s that provided the false
    information.

    I declare that all the required information have been provided and that all relevant documentation have been attached.

    Applicant’s name and surname

    Date D D M M Y Y Y Y Signature

    Last amended date: 2019.09.04 L Ref. no. K3539

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