Change Of Address Form - Town Of Port Hedland
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1Town of Port Hedland
Civic Centre, McGregor Street, Port Hedland
Telephone: (08) 9158 9300 Fax: (08) 9158 9399
PO Box 41, PORT HEDLAND WA 6721
Email: council@porthedland.wa.gov.au
Change of Postal Address
PROPERTY DETAILS FOR WHICH DETAILS HAVE CHANGED
Assessment No:
_____________
Lot No:
___________
House No:
________
Street Address:
_____________________________________________________________
Owner/s Name:
_____________________________________________________________
Name of Business:
_____________________________________________________________
OLD POSTAL ADDRESS
Lot No:
________________
House No:
__________________
Street Address:
_____________________________________________________________
NEW POSTAL ADDRESS
Lot No:
________________
House No:
__________________
Street Address:
_____________________________________________________________
Phone No:
__________________
Mobile:
__________________
Email:
_____________________________________________________________
Full Name:
_____________________________________________________________
Signature:
________________________________ Date: _______________________
DOG REGISTRATION
Do you have a current dog registration with the Town of Port Hedland that you would like
transferred to the new address?
YES
NO
PENSIONER/SENIOR REBATE
If you are an eligible pensioner/senior you may re apply for a rebate for your new property.
*Conditions apply. Please feel free to contact the Rates Section on (08) 9158 9300.
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