Change Of Address/name Form
Download a blank fillable Change Of Address/name Form in PDF format just by clicking the "DOWNLOAD PDF" button.
Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.
Complete Change Of Address/name Form with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.
Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.
ADVERTISEMENT
1Change of Address/Name Form
Date: __________________
___________________________________________________________
Property/Location Address
:
: _______________________
Customer Reference/ID Number
____________________________________________
_________________
Owner/s Name/s:
D.O.B:
__________________________________________________________
_________________
D.O.B:
(Change of Name due to marriage/divorce requires a copy of Marriage Certificate and/or Drivers Licence)
Phone Numbers: H: ___________________ B: ____________________ M: ____________________
______________________________________________________________________
Email:
I would prefer to receive correspondence electronically whenever possible
____________________________________________________________________
Postal address:
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________
Residential address:
(If different from postal)
_________________________________________________________________________________
_________________________________________________________________________________
If you have additional contacts or dealings (other than the above nominated) do you wish to
amend the postal address for these?
YES
(Please amend all properties)
NO
Please amend my pets address too
(The changes ONLY relate to this property)
Occupier/s Full Names: (Only if to be nominated as a ratepayer/s)
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
Reason/s For Requesting Change/Additional Notes: ____________________________________
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
Signature: __________________________ Please Print Name: ____________________________
PRIVACY STATEMENT
Greater Shepparton City Council collects personal information for the purposes of carrying out its functions and facilitating the operations of
various other Acts of Parliament, including the Fences Act 1968. We may disclose this information, where required, to our contractors, registered
valuers, adjoining owners or where there is legislative requirement.
Greater Shepparton City Council
Locked Bag 1000, Shepparton VIC 3632
Council Office: 90 Welsford Street, Shepparton
Ph: (03) 5832 9700 Fax: (03) 5831 1987 Email: council@shepparton.vic.gov.au
ABN 59 835 329 843
ADVERTISEMENT
0 votes
Related Articles
Related forms
Form F-7004 - Corporate Income Tax, Form F-1120 - Change Of Address Or Business Name, Form F-1120es - Declaration/installment Of Florida Estimated Income/franchise And/or Emergency Excise Tax
Financial
Related Categories
Parent category: Legal