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Principal Place of Residence Declaration for Companies
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Principal Place of Residence Declaration for Companies
1. Property Details
Property Number
Address of Property
Suburb State QLD Postcode
2. Applicant Details
Name of the company that owns the above property
Name/s of the owner/s of the company who reside at the property*
*Please note: You are required to provide evidence of your ownership of the company, plus two supporting documents that indicate the
property is your Principal Place of Residence.
If applicable - Name and address details of owner/s who do not reside at the property
Suburb State Postcode
Current postal address of the company Write “As Above” if the same as your residential address
Suburb State Postcode
Are the above address details 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
Name Name Name
Email address Fax
Name 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.
Definition of Principal Place of Residence for properties owned by a company
“Principal place of residence” is defined as a residential dwelling or unit where at least one owner permanently resides on
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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Full text of the other 1 section
Section 2
Principal Place of Residence Declaration for Companies
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:
Proof of your ownership of the company, including shareholder details
Plus copies of any two of the following documents indicating your residency at the property:
A telephone or electricity account in owner/s or Company name, addressed to the property
Confirmation of electoral enrolment with a date of lodgement
Other legal documentation to confirm your 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 of the company who reside at the property
Given Name/s Surname
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 OFFICE USE ONLY
and is my/our principal place of residence. I/we also declare that the above
information is correct in all respects at the time of lodgement of this declaration. Date stamp
Should any of the details given in relation to this declaration change, the applicant
shall advise the Noosa Shire Council immediately.
Signature Date
Signature Date
Signature Date
Signature Date
ABN 97 969 214 121 PO Box 141 P. (07) 5329 6500 [email protected]
TEWANTIN QLD 4565 F. (07) 5329 6501 www.noosa.qld.gov.au