Change of Address Notification

The information you provide on this form is subject to the provisions of the Data Protection Act 1998. It may also be used for Council Tax and Housing Benefits, Rent Accounting purposes, the administration and collection of other Local Taxes and charges and for the purposes of performing other statutory enforcement duties.

We are currently investigating making this form available on a secure server, in the meantime please be aware that while Wirral Council will treat the contents of this form as confidential the information provided is being sent over a public network.

This form is currently being used to notify the Council Tax Section of changes of address. This service will be extended to other Council Services in the future until then please notify any other relevant council Departments of a change in your address in the usual manner.

If you have any problems completing this form you can contact the Council Tax Office on 0151 606 2002 between 8.00am and 18.30pm Monday to Thursday, 8.00am and 17.00pm Friday and 9.00am to 12.30pm on Saturday.

Please provide the following
details for your old address

Title (Mr, Mrs, Ms etc.):

Forename:

Surname:

Address:

Did you pay Council Tax at this address?

No Yes

Council Tax Account Reference:

Enter the Council Tax reference for your property, this is an eight digit number that starts with the number 8.

Property Reference (optional):

Enter the Property reference number for your property, this is a 14 digit number that starts with three zeros.

Daytime Telephone No:

Email Address:

Were you the only adult living here?

No Yes

---

Has the property been sold?

No Yes

Completion Date:

Your Solicitors Name:

Your Solicitors Address;:

---

Was the property rented?

No Yes

Tenancy Cease Date:

Name of Landlord/Agent:

Address of Landlord/Agent:

Telephone Number of Landlord/Agent:

---

Has the property been left furnished?

No Yes

Was the property a bed-sit or did it have shared facilities?

No Yes

Date you moved out:

Name of New Occupiers:

Previous Address of New Occupiers:

Date New Occupier Moved In:

Please provide the following
details for your new address

New Address:

Are you the only adult living here?

No Yes

Will you be responsible for payment of the council tax at this address?

No Yes

If not who is the Council Tax Payer?

---

Is your new property rented?

No Yes

Tenancy Start Date:

Name of Landlord/Agent:

Address of Landlord/Agent:

Telephone Number of Landlord/Agent:

Is the new property furnished?

No Yes

Is the new property a bed-sit or does it have shared facilities?

No Yes

---

Has the property been purchased?

No Yes

Your Solicitors Name:

Your Solicitors Address:

Completion Date of Sale:

---

Date you moved:

Name of Previous Occupier:

Forwarding Address of Previous Occupier:

Date of Vacation of Previous Occupier:

Do you wish to pay by (or continue paying by) Direct Debit?

Yes No

Any Additional Information:

I declare that the information that I have given on this form is complete and accurate to the best of my knowledge. I understand that the information may be checked.

Providing false information is an offence which may lead to a fine.

In assessing this information the Council may send a representative to visit your property.