Local Electoral Regulations 2001

Schedule 1 Enrolment form for ratepayer electors

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Schedule 1: substituted, on 7 July 2004, by section 14(9) of the Local Government (Rating) Amendment Act 2004 (2004 No 66).

This form must be used for every application for enrolment as a ratepayer elector and for every nomination for enrolment as a ratepayer elector. People who may be eligible to enrol as ratepayer electors or to nominate certain people for enrolment as ratepayer electors are—

  • parliamentary electors who are owners of rateable property within the region, district, or community but whose addresses as parliamentary electors are outside that region, district, or community:

  • legal persons such as companies, banks, or bodies corporate who are owners of rateable property in the region, district, or community:

  • people such as joint tenants and tenants in common who are owners of rateable property in the region, district, or community.

You are entitled to be a ratepayer elector only in respect of a property that is a rating unit under the Local Government (Rating) Act 2002. If a property is a rating unit, the local authority will generally have issued a rates assessment for it.

Please note that sole ratepayers must complete section A (E1, E2, and E3) on the form, and that ratepayers appointing a nominee (for example, joint ratepayers or companies) must complete section B (E4, E5, and E6) on the form. You may be required to complete section C if you are applying in respect of more than 1 property. The ratepayer elector and property information will be published in the electoral roll and other information provided may be included on that roll. (You may apply to the local authority at any time for the correction of that information.)

To:

The Electoral Officer

[insert name and address of local authority]

Section A If you are the sole ratepayer (sole person) for the property, complete the following:
E1This application relates to the property at [street address of the property]:

Assessment/billing No [if known]:

E2I,
[full name]

apply for enrolment as a ratepayer elector.

My residential address [as it appears on the parliamentary electoral roll] is:

My postal address is:

E3I declare that—
I am a parliamentary elector.
I am the sole person named as owner in the district valuation roll for the property described in E1.
either
*I have not applied or been nominated to be enrolled as a ratepayer elector for any other property.
or
*details of all other properties for which I have applied to be enrolled, or been nominated to be enrolled, as a ratepayer elector are shown in section C of this form.
*Delete if inapplicable.

The statements made by me and the information provided on this form are correct:

Signature:
Date:
Contact phone number:
Section BIf you are the joint ratepayer, or a firm, company, corporation, society (etc) ratepayer for the property, complete the following:
E4This application relates to the property at [street address of the property]:

Assessment/billing No [if known]:

E5The name of the person nominated for enrolment as a ratepayer elector is:

[full name]

The nominee’s residential address [as it appears on the parliamentary electoral roll] is:

The nominee’s postal address is:

E6I declare that—
I am eligible to make this nomination on behalf of:
[full name that appears on rates notice]
whose name(s) appear(s) as owner in the district valuation roll for the property described in E4.
either
*the nominee has not applied to be enrolled, or been nominated to be enrolled, as a ratepayer elector for any other property.
or
*details of all other properties for which the nominee has applied to be enrolled, or been nominated to be enrolled, as a ratepayer elector are in section C of this form.
either
*no other person has been nominated to be enrolled as a ratepayer elector by, or on behalf of, the ratepayer(s) listed above for any property.
or
*details of all other properties in respect of which other nominations have been made by, or on behalf of, the ratepayer(s) listed above are shown in section C of this form.
*Delete if inapplicable.

The statements made by me and the information provided on this form are correct:

Name:

Date:

Signature:

Residential address [as it appears on the parliamentary electoral roll]:

Contact phone number:

The nominee consents to their nomination and has signed the form immediately below.

Signature of nominee:

Date:

Section CDetails to be supplied in relation to application or nomination
Details of other properties in respect of which the person to be enrolled has applied to be enrolled, or been nominated to be enrolled, as a ratepayer elector.
Address of property [in full]:City or district council to which the application or nomination has been made:
 
 
 
 
 
[Continue on a separate sheet if necessary.]

I declare the properties listed above are the only properties in respect of which I have applied to be enrolled, or been nominated to be enrolled, as a ratepayer elector.

Signature of applicant or nominee [as the case may require]:
Date:
Additional details to be supplied in relation to nomination
Details of other properties in respect of which the ratepayer or ratepayers making this nomination have made a nomination for enrolment as a ratepayer elector.
Address of property [in full]:City or district council to which the application or nomination has been made:
 
 
 
 
 
[Continue on a separate sheet if necessary.]

Marie Shroff,
Clerk of the Executive Council.