Change of Details Form | Albury City Council

How to Complete this Form

Ensure that all fields have been filled out correctly. Failure to do so may result in no change to your record.
Only the owner can complete this form.
Any questions please ring our Customer Experience Team on 02 6023 8111

Service and Owner Details

Change of Name

Update Personal Details

Number of owners

Owner One

Please indicate the ownership type

Individual

Company

First Name

Middle name

Last Name

ABN

Business Name

Please verify that the business name is correct.

Owner Two

Please indicate the ownership type

Individual

Company

First Name

Middle name

Last Name

ABN

Business Name

Please verify that the business name is correct.

Owner Three

Please indicate the ownership type

Individual

Company

First Name

Middle name

Last Name

ABN

Business Name

Please verify that the business name is correct.

Contact Details

Home Phone

Work Phone

Mobile Phone

Email Address

Change of Address Details

Residential Address

My Postal Address is different to my Residential

Yes

Postal Address

Change applies to

Rates and Water accounts

Sundry Debtor account

Library

Do all other owners agree to this change of address?

Yes, all owner/s agree to change

Property/Sundry Debtor Details

Please list only those which are affected by the changes indicated above.

Rates and Water Account

Please add your account details below

Re-order	Assessment Number	Property Address	Weight	Operations
	Assessment Number	Property Address	Item weight

more items

Sundry Debtor Account

Account Number

Name of Account

Library Account

Membership Number

Change of Surname

Existing Given Name

New Given Name

Existing Middle Name

New Middle Name

Existing Surname

New Surname

Official Marriage Certificate needs to be sighted and copy attached (not church copy), also current Drivers Licence and Birth Certificate.

Marriage Certificate

One file only.
100 MB limit.
Allowed types: jpg jpeg png pdf doc docx.

Drivers Licence

One file only.
20 MB limit.
Allowed types: jpg jpeg png pdf doc docx.

Birth Certificate

One file only.
20 MB limit.
Allowed types: jpg jpeg png pdf doc docx.

Declaration

First name

Middle name

Last name

I declare that the information on this form is true and complete

Signature

Sign above

Any personal information held by Albury City Council will be handled in accordance with Albury City Council's Privacy Policy and the Privacy and Personal Information Protection Act 1998 and will only be used for Council purposes in administering the Local Government Act 1993 and associated legislation. You have the right to access and, in certain circumstances, correct your personal information by contacting Albury City Council in writing.