Tax Agent Appointment Form

"*" indicates required fields

Step 1 of 2

Entity Type

Individual (including Sole Trader)

Non-indivudal (Company, Partnership, Trust)

First name

Surname

Entity name

Authorised person name

(example: Director, Partner, Trustee)

Date of birth

Date of registration

Tax File Number

ABN/ACN

Phone number*

Email address

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Contact your Manly Taxation Advisors

Suite 12, 188 – 196 Stratton Tce
Manly QLD 4179

PO Box 5115
Manly QLD 4179