Schedule of additional information – item 19 – Joint Petroleum Development Area
I declare that I worked in the joint petroleum development area.
Name:_________________________
Tax file number:____ ____ ____
Choose from the following:
a. I was a resident of Australia for the whole year.
b. I was a resident of Timor-Leste for the whole year.
c. I was a resident of a country other than Australia or Timor-Leste for the whole year.
d. I changed my residence during the income year (please provide details of the dates that cover each period).
Dates (day, month, year) Country
01/07/2005 to __/__/20__ ___________________
__/__/20__ to __/__/20__ ___________________
__/__/20__ to __/__/20__ ___________________
__/__/20__ to __/__/20__ ___________________
__/__/20__ to __/__/20__ ___________________
Signed:___________________________
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