• How to complete the statement

    Section A: Supplier information

    Complete this section if you are the supplier of the AVA statement information. For example, if you are any of the following:

    • a tax agent
    • an accountant
    • a super administrator
    • the provider.

    Question 1
    Tax file number (TFN)

    Provide your TFN.

    Question 2
    Australian business number (ABN)

    Provide your ABN.

    Question 3
    Tax agent number (TAN)

    Provide your TAN if you are a tax agent reporting the contributions information on behalf of the provider.

    Question 4
    Organisation name

    Provide the full name of your organisation.

    Question 5
    Street address

    Provide your street address, not a post office box.

    Question 6
    Postal address

    Provide your postal address for service of notices.

    Question 7
    Contact person

    Provide details of a person who may be contacted if we have any questions about the information in the statement.

    Question 8
    Reference

    Provide a reference that you will find useful in identifying the statement if we need to contact you about the information given in the statement.

    Question 9
    Signature

    The statement must be signed and dated by the person supplying the statement to us.

    Attention

    The statement will be returned if it is not signed.

    End of attention
    Last modified: 05 Jul 2014QC 37248