Section 1
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Moving out of the District
All fields marked with a red asterisk are mandatory
Your details
Title
Please Select ...
Mr
Mrs
Miss
Ms
Dr
Sir
Rev
Your forename(s)
*
Your surname
*
Other person(s) liable for Council Tax
Title
Please Select ...
Mr
Mrs
Miss
Ms
Dr
Sir
Rev
Forename(s)
Surname
Title
Please Select ...
Mr
Mrs
Miss
Ms
Dr
Sir
Rev
Forename(s)
Surname
If there are any other liable Council Tax payers please list them in our additional comments box at the end of the form.
Daytime telephone number
Email Address
Council Tax account number
Council Tax Address
Property name
Number/Flat
Street name
Town
Postcode
Alternative address for correspondence (if applicable)
Address
Postcode
Property Details
Have you sold the property?
*
Yes
No
If YES, provide date of completion
Day
Month
MM
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
DD
1
2
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30
31
Year
Name of new owner
Address of new owner
Postcode
If NO, provide the name and address of the owner/landlord and if applicable, the date your tenancy ended.
Name of owner/landlord
Address of owner/landlord
Postcode
Tenancy end date
Day
Month
MM
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
DD
1
2
3
4
5
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24
25
26
27
28
29
30
31
Year
Was the property rented furnished?
Yes
No
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