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)
                     2009        31st July
                                       st
                     2010           31
                                  March
                                       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 
                                              FOR OFFICE USE ONLY
           Cert No.                                      2009
                                                         2010
                                                         2011
                                                         2012
                                                         2013
                                                         Folio
        Exe      Descripti     Evidence                  Other
        mpti     on            Required
        on 
        Type
                                    Utility   bills   in
        PPR      Property            the   owner(s)’
                 was                 name, for the
                 owner’s             correct   dates
                 Principal           addressed   to
                 Private             him/her at the
                 Residence           property   for
                 for one or          the   charge
                 more of             years         in
                 the charge          question.
                 years              FULL property 
                 2009                folio and map.
                 through            Grant of 
                 2013                probate where
                                     applicable for 
                                     deceased 
                                     owners.
                                    Certification of
        Vaca The owner               date of move 
        ted      vacated             out of 
        PPR      their               property on 
        due      Principal           medical 
        to       Private             grounds.
        long  Residence             FULL property 
        term to receive              folio and map 
        phys full time               for the 
        ical     care in a           property 
        or       property            vacated.
        men that is not             Proof of 
        tal      owned by            occupancy of 
        infir    them.               residential 
        mity.                        care facility or
                                     property folio 
                                     for the newly 
                                     occupied 
                                     residence 
                                     whichever is 
                                     applicable.
                                    Map showing 
        Gran The                     both 
        ny       property is         properties and
        Flat     occupied            indicating 
                 rent-free           distance 
                 by a                between.
                 relative of        Utility bills in 
                 the owner,          the name of 
                             as their principal private           the occupant of the property at the 
                             residence and is within a            property address for the charge years in 
                             2KM radius of the owner’s            question.
                             principal private residence.        FULL property folio and map for both 
                                                                  properties.
                                                                 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                 Utility bills for the property in question.
                             separation granted before 
                             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