Personal Information
Name*
First Middle Last
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Date Of Birth*
DD slash MM slash YYYY
Place Of Birth*
Email Address*
Tax File Number*

Tax Withholding Information
You must register for pay as you go (PAYG) withholding if you need to withhold tax from payments to workers and other businesses. Common examples include payments to: • employees • directors • other workers, such as contractors • Businesses that don't quote their ABN to you. You must register for PAYG withholding before you're first required to withhold an amount from a payment. If you need to withhold tax but don't need an ABN, you must register for a PAYG withholding account.
What date will withholding commence?*
DD slash MM slash YYYY
How many employees do you estimate you will pay?*
How will you provide your IT withholding payment summary annual report to the Tax Office?*
Will you pay royalties, dividends or interest to non-residents or report investment income paid to Australian residents?*
If yes, what type of investment report will you lodge?
What is the main industry that you operate in?
Comments
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Personal Information

Business Registration Information