* Denotes that the field is mandatory.
Title
Given Names
Surname/Company Name *
E-Mail Address *
Home Telephone
Mobile Telephone
Previous Postal Address *
New Postal Address: eg PO Box or the street number and street name *
Town / Suburb *
State *
Post Code *
Is this new postal address for all Council correspondence? *
Is this postal address only for your RATES NOTICE
Is this postal address only for your WATER NOTICE
Is this postal address only for your DEBTOR INVOICE/STATEMENT
List any applicable Assessment/Account Numbers and/or property addresses you own? *
Council's Policy requires that you to supply your current address of where you live.
Your Home Address *
Home Town / Suburb *
Home State *
Please attach any related images or documents. Attachments must be no larger than 5MB. Accepted file formats include .doc, .docx, .jpg and .pdf, ie Power of Attorney
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Attachment File 2
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