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Office Use Only > ATO DECLARATIONS_ SIGNING

ACCEPTANCE POLICE TAX -OnLine Service

Please fill in and submit the form below

First Name

Last Name

My Mobile

TFN*

Tax Year Completed

Tax Service Requested*

My Email

Did we have the correct BSB/ bank A/C No for your refund previously*
YES
NO

New BSB

Bank AC No:

ATO Lodgement Declaration

PART A
This declaration is to be completed where a taxpayer elects to use the Electronic Lodgment Service. It is the responsibility of the taxpayer to retain this declaration for a period of five years after the declaration is made, penalties may apply for failure to do so.

PRIVACY:
The ATO is authorised by the Taxation Administration Act 1953 to request your tax file number (TFN). We will use your TFN to identify you in our records.  However, you cannot lodge your income tax form electronically if you do not quote your TFN.

Taxation law authorises the ATO to collect information and to disclose it to other government agencies. For information about your privacy go to ato.gov.au/privacy
Privacy

DECLARATION:
I declare that:
-the information provided to my registered tax agent for the preparation of this tax return, including any applicable schedules is true and correct, and
-the agent is authorised to lodge this tax return.

IMPORTANT:
The tax law imposes heavy penalties for giving false or misleading information.

I agree

Date of Electronic Signature*

Please note that our standard fee $195 must be paid prior to lodgement of your tax return.

Payments can be made to Police Tax: ANZ Bank BSB 013 344 Ac No 4513 26077 Please quote you name as the reference you will be sent a receipt. Alternatively you can wait for an email invoice with a Paypal Link if that is more convenient for you to use a credit card/Debit Card.

Our fee Payment Acceptance*

agree to pay
by Internet banking
or via PayPal or by submitting your credit card details over the phone by calling 0418 327 166

I agree

Preferred Pay Method