APPLY NOW - My Refund LTD.

IRD Number

Date of Birth

Promo Code

First Name

Middle Names

Last Name

Known by any other name?

Mobile Phone

Alternative Phone

A confirmation of this application will be emailed here

Street Address

Suburb

City

Post Code

Received additional income other than salary, wages or benefit?

Yes

Bought or sold residential property on/after 1st October 2015?

Yes

Date purchased

Date sold

Was this your main home?

Yes

Was this a new build?

Yes

Earned Dividends, Interest, or Maori Authority Distributions?

Yes

Dividends

Interest

Maori Authority Distributions

Was it over $200?

Yes - Supporting documentation may be requested.

Do you pay for income protection or disability insurance?

Yes

Attach a copy now ( PDF / JPG / PNG, Max File Size: 10MB ) Clear

Alternatively, send copies of your receipts to info@myrefund.co.nz or post a copy into My Refund.

FREEPOST
PO Box 6490
Christchurch, 8442

You or your partner received Working for Families payments?

Yes

Working for Families details may be requested.

I receive payments and have a partner

I receive payments and DO NOT have a partner

My partner receives payments

Arrived from overseas or been overseas more than 183 days?

Yes

I arrived in New Zealand

I left New Zealand

I temporarily left New Zealand

( Departure )

( Arrival )

Made donation(s) to any charitable organisations?

Yes

Donations made to school or kindergarten's general fund, religious organisations and charitable organisations are entitled to a tax credit claim, only if you can provide receipts.

Attach a copy now ( PDF / JPG / PNG, Max File Size: 10MB ) Clear

Alternatively, send copies of your receipts to info@myrefund.co.nz or post a copy into My Refund.

FREEPOST
PO Box 6490
Christchurch, 8442

Confirm name on application is same as on licence.

Licence Number (5a)

Licence Version (5b)

Use ONLY a New Zealand Bank Account Number.
DO NOT USE A CREDIT CARD OR EFTPOS CARD.

Bank Account Name

Bank Account Number

I understand that MyRefund Ltd will act on my behalf until I choose to terminate this arrangement.
I can terminate this agreement by contacting either MyRefund Ltd or Inland Revenue at any time.

I agree MyRefund Ltd will act on my behalf for all tax types at Inland Revenue

I give permission for MyRefund Ltd to obtain my information from Inland Revenue

I agree that MyRefund Ltd will be able to access/modify my details at Inland Revenue

I give permission for my tax correspondence to be sent to MyRefund Ltd

I understand my refund will be paid into My Refund Ltd trust account and then paid directly to me less any agreed fees

I authorise My Refund Ltd to prepare, submit, and sign tax returns, auto-assessments, and PTS's on my behalf regardless of whether the result is a tax refund or tax bill

I agree this constitutes an electronic signature

I agree to the MyRefund Ltd Terms and Conditions

Tax Refund Application

In any of the last 5 years have you

Identity verification

Confirm name on application is same as on licence.

Bank Account

Legal Requirements