Complete this form if you’re moving from another area to Rochdale borough or if you werent
responsible for paying Council Tax at your previous address.
One person can complete this form on behalf of all household members jointly responsible for
paying Council Tax.
Section 1: your details
Your full name
Your email address
Your telephone number
Your new address
Your correspondence address, if
different from your new address
Section 2: your new home - the home youve recently moved to or are about to move to
Have you bought your new home?
Yes No
If yes, what’s the exact date the sale completed or is due to complete
on your new property?
Are you renting your new home?
Yes No
If yes, what’s the exact date your tenancy began or is due to begin?
If yes, what’s the name, address and phone number for your landlord
or lettings agent?
Are you lodging with relatives or friends
and wont be paying Council Tax?
Yes No
If yes, what’s the full name of the person or people paying Council Tax?
Tell us youre moving to Rochdale borough for Council Tax purposes
2
Section 2: occupancy of your new home
What exact date did you move or do
you plan to move into your new home?
What exact date did you begin moving
or do you plan to move furniture into
your new home?
Please list the full names of all people
over the age of 18 wholl be living with
you in your new home and their
relationship to you
Full names of over 18s living
with you in your new home
Relationship to you. For example,
joint owner, joint tenant, partner,
son, daughter, parent
Whats the full name and address of the
previous occupier, if known?
How would you like to pay your Council
Tax?
Direct Debit Alternative way
Please visit rochdale.gov.uk/paycounciltax for other ways to pay your
Council Tax
Section 3: your previous home the home youve recently moved from or are about to move from
Address of the property youve moved
from or are about to move from
Whats the exact date you moved or
expect to move from this property?
Have you ever lived in Rochdale
borough before?
Yes No
If yes, what’s your most recent Rochdale borough address?
3
Section 4: declaration
I agree the information provided in this form is true to the best of my knowledge.
I agree to notify Rochdale Borough Council of any changes in my circumstances.
Name:
Signed: Date:
Once you’ve completed this form, please email it to us at council.tax@rochdale.gov.uk
Find out how we use your personal information at rochdale.gov.uk/privacy
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