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  • 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

    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

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


    The statement will be returned if it is not signed.

    End of attention
    Last modified: 05 Jul 2014QC 37248