Rebate Claim Form Page 2
Download a blank fillable Rebate Claim Form in PDF format just by clicking the "DOWNLOAD PDF" button.
Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.
Complete Rebate Claim Form with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.
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1
2STAPLE RECEIPTS HERE
Note: If you are sharing receipts with your partner check the
notes on the worksheet (IR 527)
ARE YOUR PERSONAL DETAILS CORRECT?
We need your correct information so next year we can send you your rebate claim form without delay. If any of your contact details shown on the front are
missing or incorrect, please enter your correct details here:
9
DAYTIME TELEPHONE NUMBER
10
POSTAL ADDRESS
If your new address is a PO Box number, please show your box lobby if you have one. If you are unsure of your box lobby please contact New Zealand Post.
11
STREET ADDRESS
CORRESP.
OPERATOR
12
OFFICE USE ONLY
INDICATOR
CODE
RESET form
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Parent category: Legal