Once you have completed sections A and B, you must read the declaration.
When you are sure that all the information you provided in the application is accurate and complete, you should sign and date the declaration.

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You must ensure that all the information you provide in the application is accurate and complete as there are penalties for providing false and misleading information.
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The declaration must be signed by one of the following people or a person authorised by them:
- the trustee of the trust
- an office holder of the association
- a director of the company
- the company secretary
- a public officer of the company.

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Make sure the application is signed and dated before it is lodged. Unsigned applications will be returned to you.
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Your privacy
The ATO is authorised by the Income Tax Assessment Act 1997, the Taxation Administration Act 1953 and the A New Tax System (Australian Business Number) Act 1999 to ask for the information on this application.
We need this information to help us endorse your organisation as a deductible gift recipient and to help us maintain the details relating to your organisation that are recorded on ATO systems.
Some of the information collected on this application will also be used to update the Australian Business Register (ABR). Selected information on the ABR may be made publicly available and some may be passed to a wide range of other government agencies, including Commonwealth, State, Territory and local government agencies who are authorised by law to receive it.
The following information will be publicly available through the register:
- your organisation's entity type - charity, public benevolent institution, health promotion charity or income tax exempt fund
- the tax concessions it has been endorsed to access
- the date of effect for each endorsement.

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For more information about the agencies regularly receiving information from the ABR:
- visit www.abr.gov.au
- phone us on 13 28 66 between 8.00am and 6.00pm, Monday to Friday.
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Time taken to complete this application
Estimate the time taken to complete this application. Include the time taken to collect any information you needed to complete the form.
Lodging your application
Send your completed application to:
Last Modified: Monday, 3 December 2012