Request to Set-up Payment Plan with ATO
Details required to assist in setting up a Payment Plan on you behalf
Your Name
*
Mr
Mrs
Ms
Miss
Master
Title
First Name
Last Name
Email Address
*
Please enter a valid email eg. example@example.com
Mobile Number
*
Please enter a valid mobile phone number.
Name of the Entity requiring the Payment Arrangement?
*
The name of the entity that has the tax debt.
Are you currently in a Payment Arrangement with the ATO and require the outstanding debt in that Arrangement to be consolidated with the new debt?
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Yes
No
Which Account does this Payment Arrangement relate to?
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Income Tax Account (ITX)
Integrated Client Acct (ICA)
Fringe Benefits Tax (FBT)
How much is still owed on that Plan?
*
What is the outstanding debt on the Plan?
What date is that Plan due to finish?
*
-
Day
-
Month
Year
What date is this Plan due to finish?
Which Account do you wish to make the NEW Payment Arrangement for?
*
Income Tax Account (ITX)
Integrated Client Acct (ICA)
Fringe Benefits Tax (FBT)
How much is the TOTAL debt owed?
*
Current amount of TOTAL debt owed to the ATO if known (estimate if not known). This question is in relation to the Tax Account that this payment arrangement relates to; i.e. ICA or ITX but not both in the same form.
How much will your upfront payment be?
*
The minimum amount is 10% of the Debt The upfront payment must be made within 7 days as a condition of setting up the payment plan The instalments will then be due thereafter according to the frequency selected
How frequently do you wish to make payments?
*
Weekly
Fortnightly
Monthly
Lump Sum
How much will each payment be?
*
Please specify the amount of each Instalment?
What date will the payments start?
*
-
Day
-
Month
Year
Date
Do you want Email or SMS reminders from ATO when payment is due?
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Yes (Email only)
Yes (SMS only)
Yes (SMS & Email)
NO
What is the reason for applying for this payment plan?
*
In most cases the ATO will require a reason for setting up the Payment Plan. Please specify the reason/s, so it can be explained to the ATO, e.g. cash flow issues due to debtors inability to pay on time, etc.
Have you read and do you agree to the ATO's Conditions for setting up a payment plan as outlined on their website (https://www.ato.gov.au/calculators-and-tools/payment-plan-estimator/#Paymentplanconditions)?
*
Yes
No
Do you wish Oracle Accounting & Wealth to go ahead and set-up a Payment Plan with the ATO on your behalf based on your answers to the questions above ?. If your answer is yes, the fee for this service is $220.00 including GST?
*
Yes
No
Please verify that you are human
*
Signature
*
Submit
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