* Denotes that the field is mandatory.
Are you the Owner or the Agent of the Owner? *
If you are the Agent, please attach the authorisation document here
Delete File
Assessment Number
Property Address *
Do you own other property other than the one listed above, in the City of Belmont?
If Yes, Please list here...
Mailing Address *
PO Box Address (if applicable)
Does the new address apply to all owners?
If no, which owners are changing?
**Please note that any other contact details held by the City will automatically be deleted and replaced with those mentioned below
Name of person completing this form? *
Preferred contact number *
Additional contact number
Email address *
Are you registered for eRates? *
If Yes, do you want to update your eRates Information?
Subscribe to Belmont BeNews for the latest City News?
If you would like to register to receive your next Rates notice via email Click Here...
Date (eg DD/MM/YYYY) *
Do you wish to be notified of any outstanding balances on the above listed accounts?