Change of Postal Address - Change of Postal Address

Applicant Details

Registered Owner/s or Authorised Recipient: (Required)

Postal Address: (Required)

Locality/Town: (Required)

State: (Required)

Postcode: (Required)

Phone Number: (Required)

Email Address: (Required)

Other Council Records

Tick those for which you would like your postal address updated:

Rates

Animals

Creditors

Property Details

Please list all properties for which you would like Council to update your mailing address. Include Assessment Number (as shown on rate notice) if possible. At a minimum, physical property addresses are required. (Required)

Applicants acknowledgement

Privacy Notice

Banana Shire Council is collecting your personal information to process your application. The information will not be disclosed to any other person or agency external to council without your consent, unless required by or authorised by law. Personal information will be handled in accordance with the Information Privacy Act 2009.

If signing for company, print full name and sign and list capacity for signing, eg: Director.

Name: (Required)

Position:

Date: (Required)