Ir744 PDF
Ir744 PDF
Ir744 PDF
July 2016
2.
3.
Street address
Suburb
Town or city
Country
5.
Postcode/Zipcode
Town or city
Country
6.
7.
State or province
( )
Business
State or province
Postcode/Zipcode
( )
After hours
( )
Fax
8.
9.
Fully functional New Zealand bank account or customer due diligence - complete either 9a or 9b
9a.
9b.
Bank
Branch
Account number
Suffix
Tick how the organisation is confirming customer due diligence has been completed by a New Zealand reporting entity
The reporting entity has completed and stamped
the statement below:
STAMP
in accordance with the Anti-Money Laundering and Countering Financing of Terrorism Act 2009.
My declaration as above is true and correct to the best of my knowledge.
Signature
Day Month
Year
10a.
No
Yes
10b.
If you answered yes to Question 10a will this be the organisations only activity in NewZealand?
No
Yes
10c.
If you answered yes to Question 10a is the purchase or sale for property investment, property dealing,
or property speculation?
No
Yes
11.
Enter the name, address, and personal IRD number (if applicable) of all shareholders (close company only), directors, partners
(including general and limited), executive office holders (society), trustees (trust), or trustees/executors (estate). Continue on a
separate sheet if necessary
Name
Designation or title
Address
IRD number
Name
Designation or title
Address
IRD number
For estates, please provide the name and IRD number of the deceased (if they had a NewZealand IRD number)
Name
IRD number
Nominated persons
We cant discuss your organisations tax affairs with anyone except those listed above, excluding shareholders. However, you can nominate
someone else to take care of them or have access to your IRD records. You can also have them receive your statements, refunds and other
correspondence.
Youll still be responsible for the organisations tax affairs, so you will need to make sure any returns are filed and tax is paid by the due date.
For more information or if you wish to nominate someone to act on your behalf, you can:
complete an Elect someone to act on your behalf (IR597) form, which you can get from our website www.ird.govt.nz (search keyword:
IR597), or
phone us on 0800 377 774 if you are in NewZealand or on +64 3 951 2020 if you are overseas.
You dont need to complete the IR597 if youre using a tax agent and not a nominated person.
Answer Questions 12 to 15 only if the organisation will be carrying out a business in NewZealand
12.
Day Month
Year
13.
14.
No
No
No
No
No
15.
C
ompanies only Will you be providing fringe benefits to NewZealand employees or shareholder-employees?
No
Yes
Last/family or surname
First name(s)
Designation or title
Contact phone number(s)
( )
Business
17.
( )
( )
After hours
Fax
Date
Day Month
Year
Trust
Other
certificate of registration or equivalent from the relevant authority in the country of origin, and
passport photo page and proof of residential address for at least one office holder.
Note: Proof of residential address means where that person resides. This may include a utility (eg, electricity or water) statement,
bank statement or national identity card or drivers licence that shows their address.
Send the completed form and all attachments to us
If youre not in New Zealand, and you understand that Inland Revenue
cant guarantee emails wont be intercepted or read by the wrong
person, email to:
[email protected]
or post to the address on the right.
If your request is URGENT then clearly state the reason why on a separate piece of paper.
RESET FORM
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