<p>Change of Address Form</p><p>Please complete this form (both sides) if you wish to advise Council of a change of mailing address. Complete all those sections with an * </p><p>Owner(s) Details</p><p>Owner 1 Salutation * Mr, Mrs, Miss Ms,Dr (Other) </p><p>Family Name * </p><p>First Name *</p><p>Business/Company Name: ( if changing details for a Business) ______</p><p>Position held within Business ______</p><p>Date of Birth (optional)</p><p>Contact Numbers*:</p><p>Home:______Mobile______</p><p>Business______Fax______</p><p>Email Address ______</p><p>Owner 3 Salutation * Mr, Mrs, Miss Ms,Dr (Other) </p><p>Family Name * </p><p>First Name *</p><p>Business/Company Name: ( if changing details for a Business) ______</p><p>Position held within Business ______</p><p>Date of Birth (optional)</p><p>Contact Numbers*:</p><p>Home:______Mobile______</p><p>Business______Fax______</p><p>Email Address ______Owner 2 * Salutation * Mr, Mrs, Miss Ms,Dr (Other) </p><p>Family Name * </p><p>First Name *</p><p>Business/Company Name: ( if changing details for a Business) ______</p><p>Position held within Business ______</p><p>Date of Birth (optional)</p><p>Contact Numbers*:</p><p>Home:______Mobile______</p><p>Business______Fax______</p><p>Email Address ______</p><p>Owner 4 Salutation * Mr, Mrs, Miss Ms,Dr (Other) </p><p>Family Name * </p><p>First Name *</p><p>Business/Company Name: ( if changing details for a Business) ______</p><p>Position held within Business ______</p><p>Date of Birth (optional)</p><p>Contact Numbers*:</p><p>Home:______Mobile______</p><p>Business______Fax______</p><p>Email Address ______ADDRESS INFORMATION * *Previous Postal Address</p><p>______</p><p>______</p><p>*NEW POSTAL ADDRESS - </p><p>______</p><p>______</p><p>*Please change my new contact details for: Tick the relevant box/boxes</p><p>All Notices and Council Information </p><p>Rates If Rates box is ticked please list all Properties within the City of Swan owned by you.</p><p>Property Location( Address) Assessment Number </p><p>License Information (Building/Planning /Health Applications </p><p>Dog Registration </p><p>If dog registration is ticked - please confirm - location where dog is kept if different to mailing address.</p><p>*Name of person completing form *Signature Date (Please Print)</p><p>______</p><p>Office Use Only Officer Name ______Date ______</p>