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Principal Place of Residence Declaration
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Principal Place of Residence Declaration Form 1. Property details Property Number Address of Property Suburb State QLD Postcode 2. Applicant details Name/s of owner/s who reside at the property Given Name/s Surname Given Name/s Surname Given Name/s Surname If applicable - Name/s and address details of owner/s who do not reside at the property Given Name/s Surname Residential address Suburb State Postcode Given Name/s Surname Residential address Suburb State Postcode Current postal address Write “As Above” if the same as your residential address Suburb State Postcode Is the above postal address the same for each owner? Yes No Provide details at 3. below Tick the relevant box Do you own any other properties in the NSC area? No Yes Provide details at 3. below Tick the relevant box Home phone Work phone Mobile Email address Fax Name Council will update your record with the contact details you provide on this form 3. Additional information 4. Please read the definition of Principal Place of Residence and sign the declaration on page 2 Privacy - Noosa Shire Council will only use the personal information collected for the intended purpose, to remain in contact with you regarding your request and the legitimate functions and services of Council affecting your property. Council is authorised to collect this information in accordance with the Local Government Act 2009 and associated laws. Access to your personal information will only be provided to appropriate Council employees and authorised officers. Your personal information will only be disclosed to third parties with your consent, or if required to do so by law. Your personal information is handled in accordance with Council’s Privacy Policy. NOOSA COUNCIL PO Box 141 P. (07) 5329 6500 [email protected] ABN 97 969 214 121 TEWANTIN QLD 4565 F. (07) 5329 6501 www.noosa.qld.gov.au
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Section 2
Principal Place of Residence Declaration Form
Definition of Principal Place of Residence
“Principal place of residence” is defined as a residential dwelling or unit where at least one owner permanently
resides on the property and the owner can verify this status. The full definition can be found on council’s
website at www.noosa.qld.gov.au.
If your property meets the definition of “Principal place of residence” please sign the declaration below and
return it to council with copies of any two of the following documents indicating your residency at the property
from the period of occupancy:
A telephone or electricity account in owner/s name, addressed to the property
Confirmation of electoral enrolment with a current date of lodgement
Other legal documentation to confirm your current residency at the dwelling or unit
Current Drivers Licence showing dwelling or unit address
* If your postal address is a PO Box the document must include the property address.
Upon receipt of the signed declaration and accompanying documentation council will review the Differential
General Rate Category.
5. Information
Adjustments will only be made within the current rate period. It is the owners’ responsibility to check that all rates
and charges are correct at the time of issue of the rate notice. Adjustments will not be made for prior financial
years where a property has been categorised as not a principal place of residence and the owner/s have not
provided a declaration that the property is their principal place of residence.
Please pay the net amount shown on your rate notice by the due date unless you receive written notification
from council of a category adjustment.
Ongoing checks are made by authorised Council Officers to maintain the accuracy of council’s records.
6. Declaration of owner/s who reside at the property
Date of occupancy at the property
Print name/s of the owners who reside at the property
Given Name/s Surname
Given Name/s Surname
Given Name/s Surname
I/we have read and understand the definitions of Principal Place of Residence as set out
in council’s Revenue Statement and declare that this property meets the definition and
is my/our principal place of residence. I/we also declare that the above information is OFFICE USE ONLY
correct in all respects at the time of lodgement of this declaration. Should any of the Date stamp
details given in relation to this declaration change the applicant shall advise the Noosa
Shire Council immediately.
Signature Date
Signature Date
Signature Date
NOOSA COUNCIL PO Box 141 P. (07) 5329 6500 [email protected]
ABN 97 969 214 121 TEWANTIN QLD 4565 F. (07) 5329 6501 www.noosa.qld.gov.au