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Online Change of Address Form

* Mandatory Field

Change of Address Form
This change applies to:*
Property Assessment Number:
Or Animal Number:
Property Address:*
Existing Information
Surname or Business Name:*
First and Middle Name:*
Home Phone Number:
Mobile Phone Number:
Email Address:
Previous Mailing Address:
New or Amended Information - If same as above please leave fields blank - When changing name or business name please attach supporting documentation
Surname or Business Name:
First and Middle Name:
Home Phone Number:
Mobile Phone Number:
Email Address:
New Mailing Address:
By checking this box, I declare that the information I have provided is true and correct.*
I have provided this under the authority of:*
Please specify if you have selected "Other":
Full Name:*
Daytime Phone:
If you see this, leave this form field blank.
Light Regional Council
PO Box 72
Kapunda SA 5373
Tel: (08) 8525 3200