Online Tax Forms:

Given Name(s):*
Family Name: *
Date of Birth: (dd/mm/yyyy) *
Sex:	Male Female
Email:	* *
Contact Number: *
Street Address:
Suburb:
State:	Please Select New South Wales Victoria Queensland South Australia Western Australia Australian Capital Teriotory Northern Teritory Tasmania
Post Code:*
Tax File No: *
Marital Status:	Please Select Single Married Divorced De-Facto
Partner has Taxable Income:	Yes No
Number of Dependents:
Name change after last return:	Yes No
Previous Name (if 'Yes'):

Eligible Termination Payments:
Interest Received:
Other Earning:	Please Select Sole Trader Professional Services Family Trust Other
Dividends:	Yes No
Managed Funds:	Yes No
Capital Gains/Losses:	Yes No
Rental property:	Yes No
Newstart/Abstudy/Youth Allowance:
Other Aust Pensions:
Overseas Income, including Pensions:
Work related deductions:	Yes No
Donation to approved Charities:	Yes No
Motor Vehicle for Work related purposes:	Yes No
Private Health Insurance:	Yes No
Medicare Benefits:	Yes No
Applied for a Medicare Levy Exemption:	Yes No
HECS debt or Student Loans:	Yes No
Child Support or Maintenance Arrears:	Yes No
Receiving Family Assistance:	Yes No
Children in Day Care:	Yes No
Medical Bills Over $1,500:	Yes No
Sold any Investment Property:	Yes No
Sold any Shares:	Yes No
Superannuation Contributions (if Self-Employed or Unsupported):	Yes No
Primary Producer:	Yes No
Work in a Remote Area During the Financial Year:	Yes No
Last Tax Return on what Year
Tax agent to prepare last return:	Yes No

You want the Refund as:*	Please Select Electronic Transfer Cheque Overseas Fund Transfer
Account Name:
BSB No:
Account No:
Payment for Tax Return* :	Please Select Deduct from Return Credit Card Money Order Cheque Paypal Bank Transfer

In submitting this form I confirm that the information I will provide is / will be a true representation of my tax situation and I appoint Easy Tax my Tax Agents to confirm the validity of the information provided.

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