Differential General Rate Objection

NOOSA COUNCIL
Differential General Rate Objection Form

Differential General Rate category shown on your rate notice
Differential General Rate category requested
Basis of Objection




6. Declaration of applicant/s
Print owners name/s
Given Name/s                                                                                           Surname
Given Name/s                                                                                           Surname
Given Name/s                                                                                           Surname
Given Name/s                                                                                           Surname
I/we request council to review the Differential General Rate category applied to the property detailed at
section 1 of this form for the reasons stated above.
I/we also declare that the above information is correct in all respects at the time of lodgement of this
declaration. Should any of the details given in relation to this declaration change the applicant shall advise
the Noosa Shire Council immediately.

                                                                                                                      OFFICE USE ONLY
Signature                                                                       Date
                                                                                                                      Date stamp
Signature                                                                       Date

Signature                                                                       Date

Signature                                                                       Date




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