Application for Section 603 Certificate

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					                                                                                              Application for 603
                                                                                                 Certificate



Introduction                    Use this form to obtain a Section 603 Certificate of Rates and Charges, Local Government
                                Act 1993. Certificates usually take 2 to 3 working days to process. An expedition fee is
                                available for those requiring a Certificate by the end of the next working day.


Fees                            The fees are listed below. Please tick:

                                Section 603                             $60.00

                                Expedition Fee                          $60.00 (GST included)

                                *** This fee is valid until 30 June 2010 unless changed prior by Resolution of Council. ***


Applicant Details               Date: ……………………………………………………………...…………………………………………...

                                Name: ...……………………………………………………………………………………………………….

                                Postal Address: ………………………………………………………………………………………………

                                Telephone (daytime): ………………………………… Mobile: ……………………………………...……



Property Details                Property Address: ……………………………………………………………………………………………

                                Suburb: ………………………………………………………………………………………………………..

                                Lot/DP Number: …..…………………………………………..……………………………………………...

                                Owner Name: …...………………………………………..…………………………………………………..



Collection                           Call for Collection                               Please Post

OFFICE USE                      Amount Paid                      Date                               Receipt Number                     CSO
Cashier Code
300 – Sect 603
202 – Expedition                $


 Privacy Notification: The personal information you have supplied on this form assists Council Officers in determining your application. The supply of information is
                       voluntary. If you do not provide all details requested, Council may be unable to process your application. The details you provide are stored at
                        Council Offices and are not made publicly available. For more information about your privacy please contact Ashfield Council on 9716 1800.




260 Liverpool Road Ashfield NSW 2131                   DX 21221 Ashfield                         Tel (02) 9716 1800                info@ashfield.nsw.gov.au
PO Box 1145 Ashfield NSW 1800                          ABN 11211068961                           Fax (02) 9716 1911                 www.ashfield.nsw.gov.au