Form Tx210 - Income Tax Individuals-Change Of Details - Australian Taxation Office
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1TX210
Income Tax –
individuals – change of details
Appointment of tax agent
Mail the completed form to:
Tax file number
Change of address
Australian Taxation Office
PO Box 327
Change of name
Albury NSW 2640
(See privacy information below)
Change of name and address
Full name
Title:
Mr
Mrs
Miss
Ms
Other
Tax agent
Family name or surname
reference number
Given name(s)
Postal address for service of notices
Suburb/town
State
Postcode
Previous name
Previous address for service of notices (if changed)
Suburb/town
State
Postcode
Last return lodged
Year of return
Office of lodgment
Taxpayer’s name:
Tax agent’s name:
Taxpayer’s signature:
Tax agent’s signature:
Day
Month
Year
Day
Month
Year
Date:
Date:
Privacy:
You do not have to quote your tax file number but not quoting it may increase the risk of administrative
error and/or delay the process of this form.
Time taken to
The Tax Office is authorised by the Income Tax Assessment Act 1936 and the Income Tax Assessment Act 1997
complete this form
to ask for information in this form. We need this information to help us to administer the taxation laws.
We may give this information to other government agencies authorised by law to receive it – for example,
Hours
Minutes
benefit payment agencies such as Centrelink, the Department of Education, Science, Training and Youth Affairs
and the Department of Family and Community Services; law enforcement agencies such as the National Crime
Authority; and other agencies such as the Child Support Agency, the Australian Bureau of Statistics and the
Reserve Bank of Australia.
IN-CONFIDENCE – when completed
NAT 4039-10.2004
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Parent category: Financial