Lodging this form
Keep a copy of this form for your records. Send the form and your supporting documents (if applicable) to us at:
Australian Taxation Office
PO Box 3373
PENRITH NSW 2740
We will aim to process this form within 28 days of receiving all the necessary information. If your form is incomplete,
incorrect or needs checking, it may take longer. Do not lodge another form during this time.
Helpful information
(DO NOT SEND THIS PAGE TO THE ATO)
ATO FORMS LODGED BY YOUR REPRESENTATIVE
Your representative can only lodge certain ATO forms on your behalf, such as your income tax return, if you have given them a
declaration for this purpose. If you make a declaration, your representative should hold the original and you should keep a copy.
Below is a sample declaration that you may use.
You do not need to send this page or this declaration to the ATO.
Declaration under Section 388-65 of Schedule 1 to the Taxation Administration Act 1953
I
hereby authorise
to give to the Commissioner of Taxation my
Day
Month
Year
for the period ended
.
I declare that the information I have provided to
for this purpose is true and correct.
Signature
Date
Day
Month
Year
Remember you are still responsible for the accuracy of information you give us, even if someone else, including
a registered agent, helps you to prepare a tax return or other tax document.
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