Name - Change of Details » Shire of Murray

Your details

Former Name and surname*

Updated Name and Surname*

Mobile number*

Email*

Shire of Murray Property Address

Street Address:*

City:*

State:*

Post Code:*

Country:*

Postal Address

Street Address:

City:

State:

Post Code:

Country:

Does this affect more than one property?*

YesNo

If yes, please add the additional property address

Street Address:*

City:*

State:

Post Code:

Country:

Please upload a copy of your Certificate of Title showing your updated name details*

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Additional Owner (if applicable)

Name

Phone number

Email Address

I am authorised to update these details on behalf of this owner

YesNo

Signature

Required changes

These changes apply to

Rates and property information
Cat and/or dog registrations
Murray Library membership
Murray Aquatic and Leisure membership
Other notices and information

I confirm I am an owner of the property/ies for which I am requesting the change*

Signature*

Date of effect for address change

Pet registration (If applicable)

Type of pet

Cat
Dog

Name

Address currently registered to

Tag Number

Add an additional pet

YesNo

Additional requests/changes

Please add any additional requests below.

Please add any additional requests below

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Name - Change of Details

Your details

Additional Owner (if applicable)

Required changes

Pet registration (If applicable)

Additional requests/changes

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