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Name and Address Alteration

Please complete the form below to update your details:


    Name and Address Alteration Form

    Owner/s Name (Please provide full names)
    Person 1
    Open the calendar popup.
    Person 2
    Open the calendar popup.
    Person 3
    Open the calendar popup.
    Person 4
    Open the calendar popup.
    Contact Details
    Owner/s Residential Address

    Is this New Address for all account/correspondence? * (required)
    If No which assessment numbers does this change apply to:
    Do you own a Dog/Cat?
    Privacy Notification: The personal information requested on this form is being collected by Council to maintain an accurate name and address register. The personal information will be used solely by Council for that primary purpose or directly related purposes. The applicant understands that the personal information provided is for council records and that they may apply to Council for access and or amendment of the information.
    I acknowledge Wellington Shire Council's Privacy Statement. * (required)

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