Change of Details Form

Change of details

This change applies to: *

If you selected 'Rates' above, please enter in the Property address

If you selected 'Other' above, please select one of the following:

If you selected 'Debtor' or 'Creditor' above, please enter in your code if known. ie: Debtor Code can be found on the tax invoice

Owners Information

Owner 1 * Please enter name or business name

Date of Birth

Owner 2 Please enter name or business name

Date of Birth

Email address * A copy of this form will be sent to this email address

New or Altered Information

NEW Mailing address

NEW Residential address

Owner name or Business name

Phone numbers

Email address

Request rate notice to be emailed (if you request to have your Rate Notice emailed - it will no longer be sent via Australia Post Mail)

Applicant's Declaration

As the person requesting the change of details: *

I am aware that it is the Ratepayer's responsibility to update both postal, residential and email address, in writing, should it change; and
I request City of Port Lincoln to amend my details as provided above.

Date of application *

Connect with Us