New Owners Details Notification

Name

First Last

Details of ALL owners of the Property required

Date of Birth

Name

First Last

Date of Birth

Name

First Last

Date of Birth

Residential Address(Required)

Street Address Address Line 2 City State / Province / Region Post Code

Phone

Is your postal address different to your residential address?(Required)

Yes

Postal Address

Street Address Address Line 2 City State / Province / Region Post Code

Previous Address

Street Address Address Line 2 City State / Province / Region Post Code

Phone(Required)

Please list all properties owned in the SORELL MUNICIPALITY

Would you like any of the following?

Have my rates paid by direct debit

Receive my rates notices via email with SMS reminders

BSB Number

Account Number

Account Name

Payment Frequency

Weekly

Fortnightly

Monthly

By instalment on the instalment date

Commencement Date

Signature(Required)

Date(Required)

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