top of page
CareUpFINAL-_PNG.png

Tax File number declaration

Section A

  1. What is your tax file number (TFN)?

OR
I have made a separate application/enquiry to the ATO for a new or existing TFN
I am claiming an exemption because I am under 18 years of age and do not earn enough to pay tax
I am claiming an exemption because I am in receipt of a pension, benefit or allowance

  1. What is your name?

Title
Mr
Mrs
Miss
Ms

  1. What is your home address in Australia?

  1. If you have changed your name since you last dealt with the ATO, provide your previous family name.

  1. What is your primary e-mail address?

  1. What is your date of birth?

Birthday
Month
Day
Year

7. On what basis are you paid? (Select only one)

on what basis are you paid
Full-time employment
Part-time employment
Labour hire
Superannuation or annuity income stream
Casual employment

  1. Are you: (select only one))

are you
An Australian resident for tax purposes
A foreign resident for tax purposes
A working holiday maker

  1. Do you want to claim the tax-free threshold from this payer?

Only claim the tax-free threshold from one payer at a time, unless your total income from all sources for the financial year will be less than the tax-free threshold.

tax free threshold
Yes
No

Answer no here if you are a foreign resident or working holiday maker, except if you are a foreign resident in receipt of an Australian Government pension or allowance.

  1. Do you have a Higher Education Loan Program (HELP), VET Student Loan (VSL), Financial Supplement (FS), Student Start‑up Loan (SSL) or Trade Support Loan (TSL) debt?

Do you have loan
Yes (Your payer will withhold additional amounts to cover any compulsory repayment that may be raised on your notice of assessment.)
No

DECLARATION by payee: I declare that the information I have given is true and correct

Drawing mode selected. Drawing requires a mouse or touchpad. For keyboard accessibility, select Type or Upload.
Date
Month
Day
Year
bottom of page