Notification of Change of Details Form Change of Address Change of Name: Name and Personal Details Name:* - required Previous Name:* - required Contact telephone number:* - required Email: Property number/Account number as per notice:* - required Property Details Property address:* - required Do you own more than one property in Forbes LGA ?* - required Yes No If YES, please choose from the following: Make the new address my default address for all my council owned properties Make this change for this property only New Mailing Address Real Estate/Agents name (if applicable): New mailing address:* - required Advice provided by (name):* - required Signature Type It Draw It Clear Print your name Please type your signature Please sign here Date OFFICE USE ONLY Type of address added: ServAddr/PropServ/PropAgent/WatAgent/Other (specify): RTS Memo Yes No Memo removed: Yes No Pensioner: Yes No Records updated by: Date updated: Mandatory field(s) marked with *