Home
About us
Our Services
Forms
Tax File Number Declaration Form
Standard Choice Form
Customer Information Form – Fact Find
Contact
Home
Tax File Number Declaration Form
Please enable JavaScript in your browser to complete this form.
Section A: To be completed by the PAYEE
1. What is your tax file number (TFN)?
If you do not have a tax file number, Please select one of the following:
I have provided my TFN.
I have made a separate application/enquiry to the ATO for a new or existing TFN.
I am claiming an exemption because I am under 18 years of age and do not earn enough to pay tax.
I am claiming an exemption because I am in receipt of a pension, benefit or allowance.
2. Please Enter Your Full Name.
Dropdown
*
Mr.
Ms.
Mrs.
Dr.
Surname (Last Name/Family Name)
*
First Name
*
3. If you have changed your name since you last dealt with the ATO, provide your previous family name.
4. What is your date of birth?
*
5. What is your home address in Australia?
Street Address 1
*
Street Address 2
*
Post Code
*
Suburb/Town/City
*
State
*
Australian Capital Teritory (ACT)
New South Wales (NSW)
Queensland (QLD)
South Australia (SA)
Tasmania
Victoria (VIC)
Western Australia
Email
*
6. On what basis are you paid? (Select only one)
*
Full time employment
Part time employment
Labour hire
Superannuation or annuity income stream
Casual employment
7. Are you an Australian resident for tax purposes? (Visit ato.gov.au/residency to check)
*
Yes
No
8. Do you want to claim the taxfree threshold from this payer? (Only claim the tax‑free threshold from one payer at a time unless your total income from all sources for the financial year will be less than the taxfree threshold.)
*
Yes
No
9. Do you want to claim the seniors and pensioners tax offset by reducing the amount withheld from payments made to you?
*
Yes
No
10. Do you want to claim a zone, overseas forces or invalid and invalid carer tax offset by reducing the amount withheld from payments made to you?
*
Yes
No
11(a) .Do you have a Higher Education Loan Program (HELP), Student Startup Loan (SSL) or Trade Support Loan (TSL) debt?
*
Yes
No
(b) Do you have a Financial Supplement debt? Your payer will withhold additional amounts to cover any compulsory repayment that may be raised on your notice of
*
Yes
No
DECLARATION by payee:
I declare that the information I have given is true and correct
Signature
*
Date / Time
*
Date
Time
There are penalties for deliberately making a false or misleading statement
Section B: To be completed by the PAYER (if you are not loading online)
1. What is your Australian business number (ABN) or withholding payer number?
*
2. If you don't have an ABN or Withholing payer number,have you applied for one ?
*
Yes
No
3. What is your legal name or registered business name (or your individual name if not in business)?
*
4. What is your business address ?
*
5. Who is your contact person ?
*
6. If you no longer make payments to this payee, please check the box ?
I no longer make payments to this payee.
Signature
*
Date / Time
*
Date
Time
Submit
