Applicant Details Name: Postal Address: Suburb: State: Postcode: Telephone: Email: Reference: Signature: Type It Draw It Clear Print your name Please type your signature Please sign here Date: Property Identification Property Name: Flat/Street/Rural Address No: Street/ Road Name: Suburb: Owner's Name: Legal Description Assessment No: PID: Lot No / Section No / DP/SP No Lot No: Section No: DP/SP No: Special Instructions Charge Urgency Fee: Yes No Other Instructions: Payment Details Payment Contact Method: I will contact Council directly to provide my payment details I would prefer Council to contact me by telephone so I can provide my payment details
ACKNOWLEDGEMENT OF COUNTRY Bogan Shire Council acknowledges the Traditional Custodians of the land on which we gather, the Wongaibon people. We acknowledge that Bogan Shire covers the Wongaibon, Ngiyampaa, and Weilwan Nations. We pay our respects to their Elders past, present, and emerging. We extend this respect to all Aboriginal and Torres Strait Islander peoples present today.