ELECTRONIC LODGMENT DECLARATION


Please enter all years of tax returns being authorised for completion.

Electronic Lodgment Declaration (Form I) PART A
This declaration is to be completed where a taxpayer elects to use an approved ATO electronic channel. It is the responsibility of the taxpayer to retain this declaration for a period of five years after the declaration is made, penalties may apply for failure to do so.

Privacy
The ATO is authorised by the Taxation Administration Act 1953 to request your tax file number (TFN). We will use your TFN to identify you in our records. It is not an offence not to provide your TFN. However, you cannot lodge your income tax form electronically if you do not quote your TFN.

Taxation law authorises the ATO to collect information and to disclose it to other government agencies. For information about your privacy go to ato.gov.au/privacy

Electronic funds transfer – direct debit
Where you have requested an EFT direct debit some of your details will be provided to your financial institution and the Tax Office’s sponsor bank to facilitate the payment of your taxation liability from your nominated account.

Declaration
I declare that:

the information provided to my registered tax agent for the preparation of this tax return, including any applicable schedules is true and correct, and the agent is authorised to lodge this tax return.
Important: The tax law imposes heavy penalties for giving false or misleading information.

 

PART B Electronic funds transfer consent
This declaration is to be completed when an electronic funds transfer (EFT) of a refund is requested and the tax return is being lodged through an approved ATO electronic lodgment channel.

The declaration must be signed by the taxpayer prior to the EFT details being transmitted to the Tax Office. If you elect for an EFT, all details below must be completed.
Important: Care should be taken when completing EFT details as the payment of any refund will be made to the account specified.

Bank Account Name

I authorise the refund to be deposited directly in to my specified account.

Todays Date

 

PLEASE SIGN THIS DOCUMENT USING YOUR COMPUTER MOUSE OR TOUCH SCREEN, PLEASE DO NOT TYPE YOUR SIGNATURE.

Leave this empty:

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Signature Certificate
Document name: ELECTRONIC LODGMENT DECLARATION
lock iconUnique Document ID: df3b7c58ffbf719861cfeda9e38ed77bd2154a92
Timestamp Audit
June 16, 2020 12:44 pm AESTELECTRONIC LODGMENT DECLARATION Uploaded by Steve Ellis PRACTICE MANAGER - sjetax33@gmail.com IP 210.1.211.252