Principal Place of Residence Declaration for Companies

                                                                  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