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Change of Address / Contact Details Form

Your Details

DETAIL OF THE PERSON COMPLETING THIS FORM

My Name: *

My Phone Number: * This number will be contacted if we have questions about this form

My Email Address: * Acknowledgement will be sent to this email address

I am a managing agent/real estate agent: *

MANAGING AGENCY/REAL ESTATE

Name of Agency: *

Agency’s postal address: *

Agency’s email address: *

Agency’s telephone number: *

YOUR PRIVACY

Port Stephens Council is committed to protecting your privacy. We take reasonable steps to comply with relevant legislation and Council policy.

Purpose: The information you provide will enable Council to communicate with you about Council related matters.

Intended recipients: The information will only be used by Council, its contractors performing functions for Council, and other agencies such as government departments that have legislation allowing them to access Council records.

Supply: Legally required.

Consequence of Non Provision: If Council does not know your current address, correspondence might not reach you. If Council has no telephone or email address for you it might not be able to contact you about important matters relating to your property, accounts or applications.

Storage and security: This document will be placed on the relevant file and/or saved in Council’s records management system in accordance with Council policy and relevant legislation.

Access: Please contact Council on (02) 4988 0255 to enquire how you can access information.

Details to Update

DETAILS TO UPDATE

Please select the details you want updated with Council: *

Address Details (physical/postal address)
Phone Number (home/mobile/business)
Email address
Change of name

📧 RATE NOTICES VIA EMAIL

To receive your rates notice by email or update your email address for rates notices visit eNotices.

Updating your email via this form will only update Council's records. We can not update the Notice Portal on your behalf.

Customer Details

CUSTOMER DETAILS

Details to be updated: *

Individual Owner / Owners
Company

Number of Owner's Details to be updated: *

One (1)
Two (2)
Three (3)
Four (4)
Five (5) or more

OWNER 1

Given name: *

Middle name(s): *

Surname: *

Mobile phone number: *

Home phone number: *

Work phone number: *

Email Address: *

OWNER 2

Given Name: *

Middle name(s): *

Surname: *

Mobile phone number: *

Home phone number: *

Work phone number: *

Email address: *

OWNER 3

Given Name: *

Surname: *

Mobile phone number: *

Home phone number: *

Work phone number: *

Email Address: *

OWNER 4

Given Name: *

Middle name(s): *

Surname: *

Mobile phone number: *

Home phone number: *

Work phone number: *

Email Address: *

5 or more owners: *

Please outline the details of each owner including Full name, contact phone number(s) and email address

Company Name: *

ABN: *

Mobile phone number: *

Home phone number: *

Office phone number: *

Email address: *

Change of name

CHANGE OF NAME

I am formerly known as: *

I now wish to be known as: *

I have changed my name due to: *

PROOF OF NAME CHANGE

To change your name appearing on a rate notice Councils require one of the following verification documents:

A copy of your marriage certificate
A statutory declaration witnessed by a Justice of the Peace

- Statutory Declaration Change of Name Marriage

- Statutory Declaration Change of Name Other

Upload Proof of Name Change Document: * (maximum 10 MB per file; limit 3 files)

Use the "Choose files" button (above) or drop files here to upload.

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COMPANY CHANGE OF NAME

To change the name of a company appearing on a rate notice requires a Change of name form to be lodged with NSW Land Registry Services.

NSW Land Registry Services will notify Council when a change of name form has been processed. Council records will not be changed until advised by NSW Land Registry Services.

Address Details

CURRENT ADDRESS DETAILS HELD BY COUNCIL

Old postal address: *

NEW ADDRESS DETAILS

New postal address: *

Home address: *

Company address: *

Account / Record Details

ACCOUNT / RECORD DETAILS

Select the appropriate record/s you wish Council to update the Address / Contact Details for and enter the appropriate reference numbers / information. Note: the NSW Companion Animals Register has a separate change of address form.

Please indicate which of the following accounts/records apply to you: *

Rate Account/s
Business Inspection Account/s (eg: Food inspections)
Debtor or Creditor Account/s

RATES ACCOUNT

Number of Rate Assessments: *

No. of properties with different rate assessment numbers for updating

Property 1 - Address: *

Property 1 - Assessment Number: *

Property 1 - Parcel ID: *

Property 1 - Rate Assessment Number (Verified): *

Property 2 - Address: *

Property 2 - Assessment Number: *

Property 2 - Parcel ID: *

Property 2 - Rate Assessment Number (Verified): *

Property 3 - Address: *

Property 3 - Assessment Number: *

Property 3 - Parcel ID: *

Property 3 - Rate Assessment Number (Verified): *

Property 4 - Address: *

Property 4 - Assessment Number: *

Property 4 - Parcel ID: *

Property 4 - Rate Assessment Number (Verified): *

Property 5 - Address: *

Property 5 - Assessment Number: *

Property 5 - Parcel ID: *

Property 5 - Rate Assessment Number (Verified): *

Over 5 properties - Please enter the details of each property including full property address and rate assessment number: *

DEBTOR OR CREDITOR ACCOUNTS

Account Number: *

Description/Type of Account: *

BUSINESS INSPECTION ACCOUNTS

Reference number/s: *

Description/Type of Account: *

Cancel

Change of Address / Contact Details Form

Your Details

DETAIL OF THE PERSON COMPLETING THIS FORM

MANAGING AGENCY/REAL ESTATE

YOUR PRIVACY

Details to Update

DETAILS TO UPDATE

📧 RATE NOTICES VIA EMAIL

Customer Details

CUSTOMER DETAILS

OWNER 1

OWNER 2

OWNER 3

OWNER 4

Change of name

CHANGE OF NAME

PROOF OF NAME CHANGE

COMPANY CHANGE OF NAME

Address Details

CURRENT ADDRESS DETAILS HELD BY COUNCIL

NEW ADDRESS DETAILS

Account / Record Details

ACCOUNT / RECORD DETAILS

RATES ACCOUNT

DEBTOR OR CREDITOR ACCOUNTS

BUSINESS INSPECTION ACCOUNTS

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