PAYG withholding from interest, dividend and royalty payments paid to non-residents - annual report

Section D: Declaration

Once you have completed this report, you must read and sign the declaration. Sign and date the declaration when you are satisfied that:

• you are properly authorised by the payer to complete and sign the report
• the information in the report is true and correct.

Penalties may be imposed for making a false declaration.

Additional forms

If you have withheld from more than six payees, you will need to complete additional reports. Do not photocopy the report or attach additional sheets of paper.

You can order more copies of this report by phoning Business tax self-help on 13 72 26 (24 hours, seven days a week). You will need your ABN to use this service.

MORE INFORMATION If you need more information, you can: refer to PAYG withholding from interest, dividends and royalties paid to non-residents phone us on 13 28 66 between 8.00am and 6.00pm, Monday to Friday.

Sections within Instructions

• Section A: Payer details
• Section B: Payment details
• Section C: Payee details
• Section D: Declaration