Application for Change in Category of Land for Rating Purposes

Section 1: Applicant Details

Title

Given Names

Family Name

Is the rate account owned by a business or company?

Business / Company Name *

ABN / ACN Number *

Relationship to Owner of Land (eg. Company Director, Authorised Representative etc) *

Postal Address

Mobile Telephone Number

E-mail Address *

Section 2: Details of the Land

Address of the property of which you are seeking review

Lot and Strata / Deposited Plan Number

Rate Assessment Number *

Section 3: Request to Review Rating Category

Any application for change of category for rating purposes is subject to Section 525 and 523 of the Local Government Act 1993.

Current rating category of the land *

Proposed rating category of the land *

If you are requesting categorisation as Farmland for rating purposes, please stop completing this form and complete the Application for Classification of Land as Farm Land for Rating Purposes form.

Details of the present use of the land

Is the land vacant?

Please describe any buildings or structures situated on the land *

Reasons why the proposed category is more appropriate

Are you requesting Mixed Development (residential and business properties only)?

Area of Residential Use *

Area of Business Use *

Hours of Residential Use *

Hours of Business Use *

Details of Lease Arrangements (If Any)

Effective Date

Section 4: Application Declaration

I declare that I am the ratepayer or an authorised representative, and the information I have provided is true and correct in every detail.

Full Name of Applicant