Tax File form

TAX FILE NUMBER (TFN) DECLARATION

Information you provide in the declaration below will allow AABDS to work out how much tax to withhold from payments made to you. This is not a TFN application form. For more information on completing your TFN declaration, including Q&As, please click on the link below.

Find out more about your TFN declaration

Please complete the following Tax File Number Declaration

What is your Tax File Number (TFN)

Title

Surname

If you have changed your name since you last dealt with the ATO, provide your previous family name.

Home address

I have a TFN exemption

First Name

Other given names

Date of Birth

On what basis are you paid?

Are you:

Do you want to claim the tax-free threshold from AABDS?

Only claim the tax-free threshold from oner payer at a time, unless your total income from all sources for the financial year will be less than the tax-free threshold.

Do you want to claim the tax-free threshold?

Do you have a Higher Education Loan Program (HELP), Student Start-up Loan (SSL) or Trade Support Loan (TSL) debt?

If you answer 'yes' below, AABDS will withhold additional amounts to cover any compulsory repayment that may be raised on your notice of assessment.

Do you have a HELP, SSL or TSL debt?

Do you have a Financial Supplement debt?

If you answer 'yes' below, AABDS will withhold additional amounts to cover any compulsory repayment that may be raised on your notice of assessment.

Do you have a Financial Supplement debt?

DECLARATION by payee

I declare that the information I have given is true and correct.

Your Signature

Select a date

*The Australian Government and ATO have penalties for deliberately making a false or misleading statement.

Thanks for submitting!