Request for Levy Notice by Email This form is used for owners to request levy notices by email. NOTE: If you are completing this form on behalf of a lot owner you confirm that you have the express written authority of the lot owner to submit this request on their behalf. Body Corporate (building) name:* C.T.S: Lot Number* Lot Owner/s DetailsLot Owner/s Full Name/s:* Registered Lot Address:* Street Address City State / Province / Region ZIP / Postal Code Lot address is same as mailing address?* Yes No Lot Owner/s Mailing Address: Street Address City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Lot Owner Phone No:*I have a tenant* No Yes HiddenTenantsTenants Name/s: Tenants Phone No:Nature of Business: E.g. Retail - Café, takeaway, storage, Manufacturing – furniture, OfficesI use a real estate agent* No Yes HiddenReal Estate AgentAgent Name: Agency Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Agent Phone No:Fax:I/We being the registered owners of the above Lot hereby;* I/We being the registered owners of the above Lot hereby CONSENT to receive LEVY NOTICES on behalf of the Body Corporate being given to me/us by electronic transmission to the email address nominated by me below until I/We otherwise advise in writing. My/Our NOMINATED EMAIL ADDRESS IS:* ConditionsConditions I/We acknowledge by giving consent to receive our LEVY NOTICES by electronic communication that I/We are obliged to notify Hartley’s Body Corporate Management promptly of any change to My/Our nominated email address or this instruction. I/We acknowledge that Hartley’s Body Corporate Management shall not be held in any way liable for the non delivery or errors in the electronic handling of LEVY NOTICES that have been distributed by email or for any change in My/Our details including our email address not notified in writing to Hartley’s Body Corporate Management and further that Hartley’s Body Corporate Management are released from any liability, action, claim or demand due to any damage, loss suffered by Me/Us arising from My/Our failure to receive information electronically sent to us.* I/We have read the above conditions and fully understand these conditions and by checking this box agree to these conditions Any issues? Get in touch. Contact us