New Property Owner Contact Information application Form

NEW PROPERTY OWNER INFORMATION APPLICATION FORM

Welcome to the City of Canada Bay.We would like to ensure that your contact details are correct so that our records are up to date.Please complete the following, and return this form back to us at your earliest convenience.

For further information or questions regarding this form, please contact Council via 9911 6555.

PART A - PROPERTY STATUS INFORMATION

Property Address: *

Is this property a rental property? *

Yes (Please provide details below) No (Please proceed to Part B)

Managing Agent:

Phone:

Mobile:

Contact person:

Email

Agent Postal Address

PART B – PROPERTY OWNER DETAILS

Company/Organisation Name:

Surname *

First Name *

Phone *

Contact Email *

Postal Address for Rates Notice: *

When you have received your next rates notice via post, you can follow the steps on the notice section to register and receive future notices via email.

Applicant Signature *

Draw signature|Type signatureClear

Date signed *