Request for Change of Address

Request for Change of Address Form

This form may be submitted to update the postal details on Council's records. By submitting this form, the postal address provided will be used for all correspondence based on the option selected on the application.

In order to notify us of a change of address you need to provide the name and address of the properties you wish to change and the new mailing address.

Please select from below *

I am the owner of the propertyI am a Managing AgentOther Applicant

Rates Account Number:

Property Details

Unit no.

Street Number *

Street Name *Only first letter of the word should be in uppercase.

Street Type *

Suburb *

Is the property Owner Company/Business? *

NoYes

If Yes, provide Company/Business Name: *

Full Name of the Owner *

Date of Birth of Owner

Phone (Mobile Preferred) *

Email Address *

Full Name of the Owner *

Date of Birth of Owner

Phone (Mobile preferred)

Email Address

Full Name of the Owner 2 *

Date of Birth of Owner 2

Phone (Mobile Preferred)

Email Address

Full Name of the Owner 3 *

Date of Birth of Owner 3

Phone (Mobile Preferred)

Email Address

Full Name of the Owner 4 *

Date of Birth of Owner 4

Phone (Mobile Preferred)

Email Address

Full Name of the Owner 5 *

Date of Birth of Owner 5

Phone (Mobile Preferred)

Email Address

Full Name of the Owner 6 *

Date of Birth of Owner 6

Phone (Mobile Preferred)

Email Address

Managing Agent or Real Estate Name *

Managing Agent or Real Estate Email Address *

Phone/Mobile No *

Applicant, Company or Solicitor Name *

Applicant, Company or Solicitor Phone *

Applicant, Company or Solicitor Email

Previous Mailing Address:

New Mailing Address *

New Mailing Address of Managing Agent *

Is the postal details valid for all correspondence *

NoYes

If No, indicate application to be changed

RatesDevelopment ApplicationsOther

If Other, please specify

Do you require a copy of the latest Rates/Instalment Notice? *

YesNo

Owner's Declaration

I am the Owner of the property. *

All information given is true and correct. *

Agent's Declaration

I am the Managing Agent of the property. *

All information given is true and correct. *

Other Applicant's Declaration

I have owner consent to request above change. *

All information given is true and correct. *

Signature

Draw signature|Type signatureClear

Date

PRIVACY NOTICE:

In submitting this form, you consent to Council:

1. collecting your personal information as contained in the form; and

2. using the information for the purposes outlined in the form.

Providing your information is voluntary. Should you choose not to provide the information, Council is unable to process your application/request.

You may access any of your personal information that Council holds upon request.

Accept the Privacy Notice. *