TFN Declaration Form

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    TFN Declaration Form

    What is your tax file number(TFN)

    I have made a separate application/inquiry 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

    What is Your Name?
    Title

    Surname or family Name

    First given name

    Other given name

    What is Your home address in Australia?
    Address

    Suburb/town/locality

    State/territory

    Postcode

    If you have changed Your Name since you last dealt With the ATO, provide your previous family name.
    Name

    What is your primary e-mail address?
    Email

    What is your date of birth?

    On what basis are you paid?(select only one)

    Full-time employmentPart-time employmentLabour hiresuperannuation or annuity income streamCasual employment

    Are you:(select only one)

    An Australian resident for tax purposesA foreign resident for tax purposesA working holiday maker

    Do you want to claim the tax-free 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 tax-free threshold.

    YesNo

    Answer no here if you are a foreign resident or working holiday maker, except if you are a foreign resident in receipt of an Australian government pension or allowance

    Do you have a Higher Education Loan Program(HELP), VAT Student Loan(VSL), Financial Supplement(FS), Student Start-up Loan(SSL) or Trade Support Loan(TSL) debt?

    Your payer will withhold additional amounts to cover any compulsory repayment that may be raised on your notice of assessment.

    YesNo

    DECLARATION by payee:

    I declare that the information i have given is true and correct

    Signature

    Date