Moving in to Surrey Heath - register for council tax

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Please provide the address of the property you are moving into


Please list below all occupants aged 18 or over. Select Yes in the box against those who will be liable / responsible for paying the Council Tax. If appropriate, select the applicable disregard code from the list above.

Title*Forenames (in full)*Surname*Date of Birth*Liable?Disregard Code

Please list below details of any occupant aged 16 - 18 within the next 12 months

TitleForenames (in full)SurnameDate of BirthDisregard Code


To give false information in this form could lead to civil penalties being imposed and to prosecution.

I accept responsibility for making this return and declare that the information given is completely true and accurate to the best of my knowledge and belief.


This authority is under a duty to protect the public funds it administers, and to this end may use the information you have provided on this form for the prevention and detection of fraud. It may also share this information with other bodies responsible for auditing or administering public funds for these purposes. For further information, see or contact