Rates, Fees and Charges Exemption from Rates and Charges Application Form You must have JavaScript enabled to use this form. Details of the Property Assessment Number Applicant Name Address of Property Address Address 2 City/Town ZIP/Postal Code Identification/Description of the Land eg: Lot & DP (deposited plan) Information to Assess your Application This Application is made under Section 555 OR Section 556 of the Local Government Act, 1993 555* *legislation.nsw.gov.au/#/view/act/1993/30/chap15/part6/sec555 556* *legislation.nsw.gov.au/#/view/act/1993/30/chap15/part6/sec556 Reasons for your request to be exempt from Rates & Charges Please attach copies of the following documents: Copy of Memorandum/Constitution or Articles of Association OR Documentation stating the organisation is a Government Body & Audited copy of the last two years financial statements Upload Upload requirementsMaximum 3 files.10 MB limit.Allowed types: gif, jpg, png, bmp, eps, tif, pict, psd, txt, rtf, html, odf, pdf, doc, docx, ppt, pptx, xls, xlsx, xml, avi, mov, mp3, ogg, wav, bz2, dmg, gz, jar, rar, sit, svg, tar, zip. Details of Applicant or Responsible Officer Name Position in Organisation Contact Number Submit Was this page helpful to you? Yes No Submit