Tax Form

First Name*
Middle Name
Last Name*
Date of Birth*
Gender*
Email*
Tax File Number*
Your Tax Advisor Name*
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone*
Any other relevant information
I/We hereby declare and authorize that: **
- I nominate RS West Pty Ltd Trading as Focus Tax, Registered Tax Agent Number 252 64 481 as my registered tax agent.
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- I authorize RS West Pty Ltd Trading as Focus Tax, Registered Tax Agent Number 252 64 481 and or its representatives by submission of this form to communicate with any government department including the Australian Taxation Office, financial institutions and any other entities as required in order to assist with the preparation of my tax returns.
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- The information provided to Focus Tax is true and correct.
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- I have read and agree with Focus Tax Privacy Policy
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- I have read and agree with Focus Tax Terms and Conditions