COMMUNITY RIGHT TO BID NOMINATION FORM 1. Summary and contact details Please identify the land or asset that you would like to consider as an asset of community value. Please ensure you provide the post code. Land/property we wish to be nominated is …………………………………….. The location of this land/property is …………………………………………….. The postcode for this land/property is ………………………………………….. The owners name (if known) is …………………………………………………. The owners address (if known) is ………………………………………………. The owners address postcode is ……………………………………………….. Name of your organisation: Main point of contact (name): Position in organisation: Telephone: Email: Address: Contact details must be the same as the person signing the declaration overleaf. Preferably this will be a member of the management team of the organisation. Alternative contact (name): Position in organisation: Telephone: Email: Address (if different from above): 2. about your organisation It is important to state which type of organisation you are as only those described below will be eligible a) Are you a voluntary or community body? Yes No – do you carry out activities for profit? – please go to part b. Yes / No (please circle) If you generate a surplus please describe below how that surplus is used. If you are an incorporated organisation please describe the legal form of your organisation (e.g. community benefit society, co-operative society, community interest company, charitable incorporated organisation, other incorporated forms such as company limited by guarantee or shares – note this not an exhaustive list). If you are an unincorporated association please describe below what provisions are made for community benefit in your constitution. b) Are you a body of persons or a trust which is established for charitable purposes only? If you are registered with the Charity Commission please provide your registration number: 3. Description of the asset you wish to nominate a) Please provide the name, address and postcode of the nominated land together with a location plan showing all buildings with site boundaries outlined in red. We need to know the extent of the property that you are nominating; for example this may include areas of the property such as car parks. Only areas that are in the ownership of the property owner can be listed and therefore not areas belonging to other parties such as utilities serving the property, or roads. b) Please provide detail of the current occupants of the land or building being nominated, including the names and current or last known addresses of all those holding a freehold or leasehold estate in the land. The current occupier may not be the same as the property owner so it is important that we advise all affected parties should the property be listed. c) What are your reasons for nominating this land/building for consideration as an asset of community value? Please insert here your reasons why the property currently supports social interest, or social wellbeing of the local community, or if it had previously, why it is realistic to think it could in the future? 4. Declaration I can confirm that to the best of my knowledge the information contained in this nomination form is complete and accurate. Signed………………………………………… Dated ……………………………………………. Completed forms should be sent via e-mail to the e-mail address shown below or by post to: Martin Green Estates and Valuation Manager Property Services North Norfolk District Council Councils Offices Holt Road Cromer Norfolk NR27 9EN martin.green@north-norfolk.gov.uk Please note the following: 1. In order for North Norfolk District Council to make a decision on whether or not to accept your nomination it needs to have sufficient information. It is your duty to ensure that you provide adequate and accurate information to enable North Norfolk District Council to make a decision. Inadequate or inaccurate information may lead to a rejection. 2. For more information about how North Norfolk District Council considers nominations for assets of community value, please see this page of the council website, following the links through “Community and Wellbeing”. 3. If you need to provide additional information, please attach any supplementary documents to your form. Please refer to the attached documents in the relevant answer(s) on the form, to make it clear which part of the form your document(s) apply to. If you have a question about any part of this form, please contact Email: martin.green@north-norfolk.gov.uk Phone: 01263 516049