Form Ir880 - Paid Parental Leave (Ppl) Application Page 6
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8Employer's declaration - employer to complete this section
Employers name
IRD number
(8 digit numbers start in the second box.
)
Postal address
Street address or PO Box number and suburb, box lobby or RD
Town or city
Postcode
Contact person
Job title
Phone number
Work
Other
I declare that ________________________________________________ (applicant's name) has met the work requirements declared
in question 11 of this application and the income declared in question 12 is correct.
There are penalties of up to $15,000 for giving false or misleading information, or failing to provide information with the intention to mislead.
My declaration as above is true and correct to the best of my knowledge.
Signature
Day
Month
Year
Chartered accountant's and tax advisor's declaration
Chartered accountant's or
tax advisor's business name
Chartered accountant's or tax
(8 digit numbers start in the second box.
)
advisor's business IRD number
Postal address
Street address or PO Box number and suburb, box lobby or RD
Town or city
Postcode
Chartered accountant's or
tax advisor's contact person
Name
Phone number
Work
Other
Please complete the statement below by deleting whichever is inapplicable (*) and continue to sign the chartered accountant's or tax advisor's
declaration below.
There are penalties for giving false or misleading information or failing to provide information with the intention to mislead.
___________________________ (name of self-employed person) of__________________________ (address of self-employed person)
(a) is self-employed because he or she is working, other than as an employee, doing 1 or more of the following:
(i) providing goods or services for hire or reward under a contract for services:
(ii) carrying on business (including a profession, a trade, manufacturing, or an undertaking carried on for pecuniary profit),
including in partnership with another person:
(iii) working for a trust in a business (as defined in paragraph (ii)) carried on by the trust; and
(b)
has worked an average of 10 hours in any of the 26 weeks preceding the *expected date of delivery of their child (or
children)/*date on which they will assume the care of a child (or children) and
*delete whichever does not apply
(c)
the average weekly income showing in question 12 is correct.
I________________________________________________________, am a chartered accountant or tax advisor for the person named
above and I declare that I have nothing in my knowledge or possession to suggest that the information provided above is incorrect
Name
Signature
Day
Month
Year
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