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Balanced Objects
Birthday
Month
Day
Year

For vital ATO communications only. Leave blank if same as above.

Gender
Relationship Status
Dependents (Children under 21 or Unemployed Students under 25)
Residency Status
Medicare (Yes if an Australian Citizen)
Add up to 30 files

Use the Client Uploads link for supporting information if the above option doesn't work or email the documents to eriksmithta@proton.me

By signing and submitting this form you are authorizing Erik Smith (tax agent number 26 293 089) to register you under his practice. All further acts on your behalf after registration for tax related affairs and communications with the ATO will be done with prior consent from yourself by the Tax Agent mentioned above. Terms and Conditions apply.

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Date signed
Month
Day
Year
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