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Shire of Wyndham|East Kimberley

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Online Forms

Online Form - Change of Address or Name Form

Assessment Number*

* Required Field.* Please enter your Assessment Number

Property Address

Street Address:*

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City:*

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State:*

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Post Code:*

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Country:*

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Contact Email*

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Existing Information

Business Name

* Please enter your business name

Title

Surname/ Family Name*

* Required Field.

Given Names*

* Required Field.

Contact number*

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Other Contact Number

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Existing Property Address

Street Address:*

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City:*

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State:*

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Post Code:*

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Country:*

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Existing Postal Address

Postal Address:*

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City:*

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State:*

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Post Code:*

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Country:*

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New Information

Title

Business Name

Surname/ Family Name*

* Required Field.

Given Names*

* Required Field.

Contact Number*

* Required Field.* Please enter your contact number

Other Contact Number

* Please enter your contact number

New Property Address

Street Address:

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City:

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State:

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Post Code:

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Country:

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New Postal Address

Street Address:

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City:

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State:

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Post Code:

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Country:

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Is this new address the preferred mailing address for ALL correspondence with the Shire of Wyndham East Kimberley

YesNo

If NO, please indicated which department will be affected by the above details

Rates NoticeDebtorsCreditorsDog RegistrationCat RegistrationBuilding ServicesPlanning ServicesEnvironmental Health Services

Other

Please upload any documentation supporting this application ie, Certificate of Title, Death Certificate, Power of Attorney, or Probated Will Listing the Executor as required

Max File Size: 10.00 MB
Allowed File Types: .avi, .doc, .docx, .gif, .jpeg, .jpg, .mov, .mp3, .mp4, .mpeg, .mpg, .pdf, .png, .ppt, .pptx, .xls, .xlsx

I agree that the information provided is true and correct and that I am authorised to request these changes*

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Kununurra Office

20 Coolibah Drive, Kununurra
(08) 9168 4100
(08) 9168 1798
mail@swek.wa.gov.au

Postal Address

Po Box 614, Kununurra WA 6743

Wyndham Office

65 Koolama Street , Wyndham
(08) 9161 1200
(08) 9161 1295
mail@swek.wa.gov.au

Postal Address

Po Box 614, Kununurra WA 6743

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