Statement by Supplier

Sunshine Coast Hockey: Statement by a Supplier

Please fill out this form to provide your bank details & to declare that you do not need to supply an ABN. This MUST be completed at least once a year for you to be paid.
Your name
Your address
Suburb/town
State/territory
Postcode
Reason/s for not quoting an ABN
Place X in the appropriate box/es.
[HOCKEY IS CLASSIFIED AS A PRIVATE RECREATIONAL PURSUIT/HOBBY] The supplier is an individual and has given the payer a written statement to the effect that the supply is either:
For information about your privacy, visit our website at ato.gov.au/privacy

Under pay as you go (PAYG) legislation and guidelines administered by us, the named supplier is not quoting an ABN for the current and future supply of goods or services for the reason or reasons indicated. Name of supplier (or authorised person).
Signature of supplier (or authorised person)
Daytime phone number
Format: (000) 000-0000.
Date
Date

DayMonthYear
Date
Penalties apply for deliberately making a false or misleading statement. Do not send this statement to us.

Give the completed statement to any payer that you are supplying goods or services to. The payer must keep this document with other records relating to the supply for five years.

Sunshine Coast Hockey: Statement by a Supplier