Tax file number declaration

Tax file number declaration
What is your tax file number (TFN)?*
For more information, see question 1 on page 2 of the instructions.
Title*

MrMrsMissMs
What is your name?
Name*

First NameMiddle NameLast Name
What is your home address in Australia*

Street Address

Street Address Line 2

Suburb/town/localityState / Province

Postal / Zip Code
If you have changed your name since you last dealt with the ATO, provide your previous family name.
Optional
What is your primary email address?*
example@example.com
What is your date of birth?*

DayMonthYear
On what basis are you paid? (select only one)*

Full-Time EmploymentPart‑time employmentLabour hireSuperannuation or annuity income streamCasual Employment
Are you: (select only one)*

An Australian resident for tax purposesA foreign resident for tax purposesA working holiday maker
Do you want to claim the tax-free threshold from this payer?*

YesNo (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.)
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?*

Yes (Your payer will withhold additional amounts to cover any compulsory repayment that may be raised on your notice of assessment.)No
I declare that the information I have given is true and correct.*
Date of Signing*

DayMonthYear
Date
Should be Empty:

What is your name?