Application for NPPR Exemption / Compliance
                                              Certificate
      Property Owner Name:              ___________________________________________________________
      Name of Joint Owners (if any):  ___________________________________________________________
      Telephone: ______________________________       Email Address: __________________________________
      PPSN of each owner: 
             ___________________________________________________________
      Correspondence Address: 
             ___________________________________________________________
                                        ______________________________________________________
      Property Address for Certificate: 
             ___________________________________________________________
                                        ______________________________________________________
      NPPR A/C Number (where applicable): __________________________________________________________
      Please indicate NPPR status of property for each charge year in the table below
                     NPPR        Liability     Is NPPR             Exemption applies
                    Charge         Date          Paid            (Exemption number; 
                      Year                     Yes / No           please see overleaf)
                                       st
                     2011           31
                                  March
                                       st
                     2012           31
                                  March
                                       st
                     2013           31
                                  March
      Signature of Applicant: ________________________________________Date: 
      _________________
      EXEMPTION REASONS AND EVIDENCE REQUIRED:
         The list overleaf is not exhaustive and Wicklow County Council reserves the right to request
           follow up documentation to support your application where applicable.
         Incomplete applications and those not supported with the documents requested
           overleaf for the particular exemption, will be returned in full to the applicant
           thereby delaying the issue of the relevant certificate.
         Evidence, or lack thereof, is a matter for the applicant and Wicklow County Council cannot
           and will not certify compliance of a property without obtaining sufficient, satisfactory
           evidence.
                                             Please see reverse 
                                                     2011
                                           FOR OFFICE USE ONLY
                                                     2012
                                                     2013
                                                     Folio
                                                     Other
          Cert No.
         Exemption          Description                   Evidence Required
         Type
                                                             Utility bills in the owner(s)’ name, for the
      1 PPR                 Property was owner’s              correct dates addressed to him/her at the
                            Principal Private Residence       property for the charge years in question.
                            for one or more of the           FULL property folio and map.
                            charge years 2011 through        Grant of probate where applicable for 
                            2013                              deceased owners.
                                                             Certification of date of move out of 
      2 Vacated PPR         The owner vacated their           property on medical grounds.
         due to long        Principal Private Residence      FULL property folio and map for the 
         term physical      to receive full time care in      property vacated.
         or mental          a property that is not           Proof of occupancy of residential care 
         infirmity.         owned by them.                    facility or property folio for the newly 
                                                              occupied residence whichever is 
                                                              applicable.
                                                             Map showing both properties and 
      3 Granny Flat         The property is occupied          indicating distance between.
                            rent-free by a relative of       Utility bills in the name of the occupant of
                            the owner, as their               the property at the property address for 
                            principal private residence       the charge years in question.
                            and is within a 2KM radius       FULL property folio and map for both 
                            of the owner’s principal          properties.
                            private residence.               Proof of relationship to each other.
                                                             Documentation showing details of the 
      4 Comprised in  The property in question                Trust.
         a                  is/was comprised in a            Confirmation from Revenue that the Trust 
         discretionary  discretionary trust for the           is still valid.
         trust              charge years in question.        FULL property folio and map.
                                                             Documentation/certificate showing 
      5 Approved            The property is an                details of the property being an approved
         building           approved building within          building as defined in section 482 of the 
                            the meaning of Section            Act of 1997.
                            482 of the Taxes 
                            Consolidation Act of 1997
                                                             Proof of date of sales of both properties.
      6 Sale of home  First property is occupied             Proof of ownership of both properties.
         - overlap          as PPR. Second property is 
                            purchased within 1 year 
                            prior to liability date. 
                            Second property is sold 
                            within 6 months after the 
                            liability date.
                                                             Proof of judicial separation or divorce.
      7 Divorce of          Joint owners were party to       FULL property folio and map for both 
         owners             a marriage. Decree of             properties.
                            divorce or judicial 
                          separation granted before       Utility bills for the property in question.
                          liability date. Property is 
                          occupied, on the liability 
                          date, by one partner to the
                          marriage as their PPR.
      Post to:    NPPR, 
                  Revenue Section, 
                  Wicklow County Council, 
                  County Buildings, 
                  Wicklow
      Email to:   finrevenue@wicklowcoco.ie
      Application Form available at:
       
                  http://www.wicklow.ie/finance