Change of Details

1. Property Details

2. Assessment Number (if known)
3. Property Address*

   Example: 41 Wallcliffe Rd, Margaret River WA 6285

4. Primary Owner

   Upon receipt of this information these details will be noted as the primary contact address where Shire correspondence will be sent

5. Full Name*
6. Email Address
7. eRates Registration- Email Notices* Please select... Yes No

   eRates as an efficient, convenient and environmentally sustainable way to receive your Annual Rate Notice, Final Notice or 3x Instalment Reminders by email.

8. Contact Number*
9. Residential Address*

   Example: 41 Wallcliffe Rd, Margaret River WA 6285

10. Postal Address*

    Example: PO Box 61, Margaret River WA 6285

11. Secondary Owner

12. Full Name

    If there are more than two owners, please complete an additional form

13. Email Address
14. Contact Number
15. Residential Address

    Example: 41 Wallcliffe Rd, Margaret River WA 6285

16. Postal Address

    Example: PO Box 61, Margaret River WA 6285

17. Company details

    If you are an owner of a company, please advise of all Directors by emailing [email protected]

18. Declaration

19. I hereby declare that I am authorised to make the above changes to the name and address details of the persons named above. I understand that it is illegal to provide false or misleading information. I agree

* denotes a required field.