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Declaration

Congestion Levy Form: Change of Details (Owner or Operator)
Fields marked with * are required

Collection statement

Section 30 of the Congestion Levy Act 2005 requires that you notify the SRO within 1 month of certain changes. The information on this form is collected by the SRO to enable you to comply with this requirement and to ensure that congestion levy is correctly assessed to the correct entity. If you do not provide this information, you may be in breach of section 30 and penalty tax may be imposed. The information collected may be used for the purposes of other SRO legislation. Where authorised by law to do so, we may also disclose this information to other government agencies including the ATO, State and Territory revenue offices, and law enforcement agencies. You can find out more about how we use and protect your information in our Privacy Policy on www.sro.vic.gov.au.

Declaration

Customer details

Congestion Levy Form: Change of Details (Owner or Operator)
Fields marked with * are required

Customer details

Please provide the details (for operator, owner or both)
Operator
Are you an:

Owner

Are you an:

Change details

Congestion Levy Form: Change of Details (Owner or Operator)
Fields marked with * are required

Change details

Please mention the changes you are notifying us of:

New owner

Are you an:
Postal address

Australian address

What is the type of address?

International address

New authorised representative for owner
Postal address

Australian address

What is the type of address?

International address

New authorised representative for operator
Is the new authorised representative for the operator the same as the new representative defined for the owner above?
Postal address

Australian address

What is the type of address?

International address

New operator
Are you an:
Postal address

Australian address

What is the type of address?

International address

Address of premises containing the car park
What is the type of address?

International address

New car park

Address of premises containing the car park
What is the type of address?

International address

Do you wish to nominate the operator to lodge your annual returns and receive all further correspondence and assessments relating to this car park?
You are required to advise the operator of this. You also acknowledge that the information the operator provides will be used to determine the Levy payable for this car park.

Premises sold

Address of premises containing the car park
What is the type of address?

International address

Car park ceases operating

Address of premises containing the car park
What is the type of address?

International address

Summary

Congestion Levy Form: Change of Details (Owner or Operator)
Fields marked with * are required

Customer details

Please provide the details (for operator, owner or both)
Operator
Are you an:

Owner

Are you an:

Change details

Please mention the changes you are notifying us of:

New owner

Are you an:
Postal address

Australian address

What is the type of address?

International address

New authorised representative for owner
Postal address

Australian address

What is the type of address?

International address

New authorised representative for operator
Is the new authorised representative for the operator the same as the new representative defined for the owner above?
Postal address

Australian address

What is the type of address?

International address

New operator
Are you an:
Postal address

Australian address

What is the type of address?

International address

Address of premises containing the car park
What is the type of address?

International address

New car park

Address of premises containing the car park
What is the type of address?

International address

Do you wish to nominate the operator to lodge your annual returns and receive all further correspondence and assessments relating to this car park?
You are required to advise the operator of this. You also acknowledge that the information the operator provides will be used to determine the Levy payable for this car park.

Premises sold

Address of premises containing the car park
What is the type of address?

International address

Car park ceases operating

Address of premises containing the car park
What is the type of address?

International address