Income Declaration - Australia

CS1668.1506
2 of 4
1 Your Child Support Reference Number
(as shown on your Child Support Letters)
2 What are your personal details?
Mr Mrs Miss Ms Other
Family name
First given name
Other given names
3 Date of birth
4 Postal address
5 Home phone
( )
6 Work phone
( )
7 Mobile phone
8 Email
@
9 Which tax years are you supplying income details for?
Financial year (July – June) ie: 2009 – 2010
20 – 20 20 – 20
Please attach a separate sheet if you need to provide
details for more than two financial years.
10 Have you lodged tax returns for the above years?
No Are you required to
lodge tax returns for the
above years?
No Go to question 11
Yes Please state the years
that you need to lodge and
the date you will lodge
these returns.
Yes What date did you
lodge the returns?
What name and address were on your returns?
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Income Declaration - Australia PDF

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