New Individual Form

"*" indicates required fields

Nomination of a legal representative to act on behalf of an individual

Title*

First name:*

Middle name:

Family name:*

Date of Birth:*

Tax file number (TFN):*

Australian business number (ABN):

Address:*

Suburb / State / Postcode:*

Email:*

Phone:*

Bank BSB number:*

Bank Account number:*

Do you authorise All Square Accountants to receive ATO correspondence related to your Income Tax Account on your behalf?*

Yes

What type of service do you require?*

Tax Return / Business Activity Statement

Tax / Business Consultation

Other

Please describe*

Have you already booked an appointment with us?*

YES - Please specify the date & time of your appointment

NO - Please contact us to schedule an appointment on 07 5661 5641

Date

Time

Legal representative's details

Name of legal practice: All Square Accountants

Names of authorised legal representatives: Bruno Silva and staff members

Phone number: 07 5661 5641

Email: [email protected]

I nominate All Square Accountants, Mr Bruno Silva and the practice's staff members as my legal representative to deal with the ATO on my behalf and receive information concerning all of my taxation affairs.

Declaration:

I declare that all the information I have given on this form is true and correct.

Phone

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