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To the CEO, Officers & Councillors

Murrindindi Shire Council 138 Perkins Street Alexandra Vic 3714


Email: msc@murrindindi.vic.gov.au Fax: (03) 5772 2291
Resident Objection & Feedback Form - Proposed 8% Rates Increase 2011
Please state your objection(s) to the 2011 MSC 8% Rates Increase Proposal:-

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Please provide any feedback re the Proposal (ideas, suggestions, comments):-

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In your opinion are you/your household experiencing any of the following?
(Please tick applicable item/s below)

Financial Hardship ...


Difficulty with paying utility bills ...
Difficulty with paying for food ...
Difficulty with for fuel (vehicle) ...
Difficulty with paying for firewood/LPG (household heating) ...

‘Objection Scale’
(Please mark your level of objection on the scale below)

------1------2------3------4------5------6------7------8------9-----10------
(slight objection) (extreme objection)
Would you appreciate a response from the Murrindindi Shire? Yes .... No ....

Name ...................................................................................................................
Address ...............................................................................................................
Telephone Number ..........................................................Date ............................
(**Please save/print off/copy your form for future reference**)

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