New Client Registration Form

New Client Registration Form
Full Name

First NameLast Name
Date of Birth

DayMonthYear
2 digit day, 2 digit month, 4 digit yearDate
Phone Number

Area CodePhone Number
IRD Number
Email
example@example.com
Identification - please upload a copy of your Passport or NZ Drivers License

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Address

Street Address

Street Address Line 2

SuburbPostal / Zip Code

City
If living overseas:
Are you in New Zealand?
If no, what date did you leave NZ?

DayMonthYear
2 digit day, 2 digit month, 4 digit yearDate
If returning, what date?

DayMonthYear
2 digit day, 2 digit month, 4 digit yearDate
Have you previously used another accountant?
Have you previously used another accountant? If so, please provide name and email address of your previous accountant. This is required for us to complete ethical clearance before linking you with our agency.
If another accountant has been used, please provide a copy of your previous years financial accounts provided by previous accountant.

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How did you find out about My Tax Rentals?
- Joint Owner Name
  
  First NameLast Name
- Date of Birth
  
  DayMonthYear
  2 digit day, 2 digit month, 4 digit yearDate
- Phone Number
  Format: (000) 000-0000.
- IRD Number
- E-mail
  example@example.com
- Identification - please upload a copy of your NZ Drivers License or Passport
  
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- Address (if different from above client address)
  
  Street Address
  
  Street Address Line 2
  
  CityState / Province
  
  Postal / Zip Code
- If living overseas:
- IRD Number
- Company Name
- Company IRD Number
- Company IRD Number
- Directors Name
  
  First NameLast Name
- Directors Signature
- Date Signed
  
  DayMonthYear
  2 digit day, 2 digit month, 4 digit yearDate
- Partnership Name
- Partnership IRD Number
- Partnership IRD Number
- Which of the following applies to you
- Rental Properties
- Rental Properties
- Do any of these options apply to your rental property?
- If you have selected one of the above and have multiple rental properties, please write below which property relates to which selection:
- Is there any further information you would like us to know?
- Do you receive any other untaxed or overseas income? If so, please provide further details.
- I/We First Name Last Name / First Name Last Name
  hereby authorise My Tax Rentals Limited to act on our behalf for all tax and revenue types in accordance with section 81 (4) (1) of the Tax Administration Act 1994, including signing of returns.
  
  This authority is to remain in force until revoked in writing and also applies to all taxpayer entities.
- Signature Person 1
- Signature Person 2
- Date Signed
  
  DayMonthYear
  2 digit day, 2 digit month, 4 digit yearDate
- Date Signed
  
  DayMonthYear
  2 digit day, 2 digit month, 4 digit yearDate
- Should be Empty: