* Denotes a required field

* Property Number: (as it appears on your rates notice)

* Property Address:

Owner's Details

* Owner's Name: (as it appears on your rates notice)

Please tick box if preferred contact.

* Email Address:

* Phone Number (BH):

* Postal Address:

Second Owner's Details (if applicable)

Owner's Name: (as it appears on your rates notice)

Please tick box if preferred contact.

Email Address:

Phone Number (BH):

Postal Address:

* I confirm that I am the owner of the above property.

In order to authenticate your personal details on the form, please type in all the information that you see in the top section of the box below.

Towong Shire Council is committed to protecting your privacy. Our Privacy Policy outlines that we will not rent or sell your information for any purpose.