Objection form for taxpayers

Use this form if you want to object to a decision we have made about your tax affairs, or those of another taxpayer. If you are a tax professional, use the Objection form for tax professionals (NAT13044). If you want to correct a mistake on a tax return you have lodged, you should request an amendment. For more information on lodging an objection, refer to Dispute (object to) an ATO decision. We are authorised by the Taxation Administration Act 1953 to ask for the information on this form. We need this information tohelp us administer the tax laws, primarily to decide your objection. Where authorised by law to do so, we may give this information to other government agencies. These agencies could include assistance agencies such as Centrelink, the Child Support Agency, law enforcement agencies and the Australian Bureau of Statistics.

Section A: Authorisation
1 Is this objection for you or another taxpayer?
Self Other Do you have a signed declaration and authorisation from the individual or entity? No Yes If you do not have written authorisation, we cannot consider this objection.

Section B: Your details (or details of other person/entity the objection is for)
2 Provide the full name of taxpayer

Tax file number (TFN)

OR

Australian business number (ABN)

We are authorised by the Taxation Administration Act 1953 to collect your tax file number (TFN). You do not have to provide your tax file number or Australian business number but failure to provide either may result in a delay in processing your objection.

If you have engaged with the ATO on this matter previously, provide your reference number

NAT 13471-09.2012

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Section C: Contact details

5 Who is the contact person for this objection?
Contact name
Title: Mr Mrs Miss Ms Other Family name First given name Other given names

Business hours phone number

Fax number

Mobile number

Email address

Address for the objection decision and related correspondence

This can be a street address or PO Box. We will use this address for correspondence relating to the objection; it will not affect the addresses you have provided for other correspondence from us.

Suburb/town

State/territory

Postcode

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Section D: Objection details

7 What topic does your objection relate to?

What is the decision you are objecting to?

Provide details of the decision you are objecting to, including: n type of decision, for example, an income tax assessment or amended assessment, private ruling, fringe benefits tax assessment or goods and services tax assessment n date, sequence number, or audit reference number on the decision you are objecting to n income years or other accounting periods the objection relates to. There are some decisions you cannot object to, for example, general interest charge or a shortfall interest charge.

Is this objection within the time limit?

The time limit for lodging an objection depends on the type of decision you are objecting to. If you are lodging this objection because you received a letter from us advising you that your amendment request was out of time, your objection is also outside the time limit. No Yes Go to question 11

10 Do you want us to treat this objection as if it had been lodged in time?

No Yes We can not consider this objection. For us to consider the objection as if it was lodged on time, explain the circumstances and reasons why you did not lodge the objection within the time limit.

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11 What are your reasons for the objection?

Clearly explain why you believe the decision is incorrect. Provide all facts and arguments to support your reasons. We encourage you to provide a summary of your research and analysis of the issues as this will help us understand what you are disputing, assist us in our decision making and explaining our decision to you.

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12 Supporting evidence and documents

Providing supporting evidence and documentation with your application will reduce delays in considering your objection. Provide relevant evidence or documents to support your objection, such as copies of receipts, tax invoices, paymentsummaries, contracts, agreements and other relevant correspondence.

Section E: Declaration
Sign and date this form if you are lodging the objection by fax or post, or delivering it by hand. If this objection relates to your own tax affairs: n I declare that the information contained in this request, and in any attached documents, is true and correct. If you are lodging this objection on behalf of another taxpayer: n I certify this document and any attached documents, have been prepared in accordance with the information supplied by theindividual or entity identified in this request and in the attached documents. n I have received a declaration from the individual or entity identified in this request and in the attached documents, stating thatthe information provided in each document is true and correct. n I am authorised by the individual or entity identified in this request and in the attached documents, to submit this objection request to the Commissioner. Name Signature Date
Day Month Year

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How to lodge your form

You can lodge this form: n by fax or post see below n by hand-delivering it to a shopfront n through the Business Portal if you are a Business Portal user. Lodging through the Business Portal means: n you will receive an instant receipt n your request will be allocated to the correct area where you have selected the appropriate selection.

Fax or post details Income tax related objections

For Investment schemes Fax 1800 033 211 Post Australian Taxation Office PO Box 3546 ALBURYNSW2640 Australian Taxation Office PO Box 1130 PENRITHNSW2740 Australian Taxation Office PO Box 3000 PENRITHNSW2740 Australian Taxation Office PO Box 377 ALBURYNSW2640

Individuals and micro businesses (lessthan $2 million turnover) Small-to-medium businesses ($2million to $250 million turnover)

1300 139 011

(02) 6225 0906

Large businesses (group turnover of 1300 661 106 $250million or more) and internationals

Other objections
For Australian business number Fax 1300 139 035 Post The Registrar of the Australian Business Register PO Box 3003 PENRITHNSW2740 Australian Taxation Office PO Box 3001 PENRITHNSW2740 Australian Taxation Office PO Box 3000 PENRITHNSW2740 Australian Taxation Office PO Box 327 ALBURYNSW2640 Australian Taxation Office PO Box 3524 ALBURYNSW2640 Australian Taxation Office PO Box 3100 PENRITHNSW2740 Australian Taxation Office PO Box 3000 PENRITHNSW2740

Excise, wine equalisation tax and fuelschemes (including fuel tax credits) Fringe benefits tax

1300 650 128

(02) 6225 0906

Failure to lodge penalties

1300 139 045

Goods and services tax

1300 139 031

Superannuation

1300 669 846

Resource rent taxes (petroleum or minerals)

1300 139 011

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