Postal address change for rates

Rates Account Number *

Street Address *

Are you *

Property OwnerManaging AgentAuthorised Third Party

Full Name/Company Name *

If multiple owners of the property, is this change of address for all owners

YesNo

Email Address *

Mobile Number *

Street Number and Street Name *

Suburb *

State *

Postcode *

As the Property Owner, I declare that I have the authority to pay rates and to collect property-related information.

*

Ratepayer Full Name/Company Name *

Property Owners Email Address (if known)

Property Owners Mobile Number (if known)

Managing Agent Company Name

Managing Agent Email Address *

PO Box/Street Number and Street Name *

Suburb *

State *

Postcode *

As the Managing Agent, I declare that I represent the above Property Owner and have the authority to pay rates and collect property-related information on behalf of the Property Owner(s)

*

Ratepayer Full Name/Company Name *

Property Owners Email Address (if known)

Property Owners Mobile Number (if known)

Authorised Third Party Name

Authorised Third Party Email Address *

PO Box/Street Number and Street Name *

Suburb *

State *

Postcode *

Please upload third party authority documentation

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As the Authorised Third Party, I declare that I represent the above Property Owner and have the authority to pay rates and to collect property-related information on behalf of the Property Owner(s)

*