New Zealand tax residence questionnaire IR 886 July 2007 If you are leaving, or have left New Zealand, and would like to know if you have any ongoing liability for income tax in New Zealand, please fill out this form and send it back to us at one of the addresses on page 3. We can then advise you about your tax residence status and if you have any future New Zealand tax obligation. Your details First name(s) Surname IRD number (8 digit numbers start in the second box. ) Please answer the following questions so we can work out your tax residence status of departure from New Zealand Intention Are you leaving New Zealand permanently? If no, when are you planning to return? What is the purpose of your trip? Accommodation Do you own, lease or have access to accommodation in New Zealand? (tick one) Own Lease Rent Address Street address Town or city If you own your accommodation, what was the date you bought it? What private assets do you have in New Zealand (eg car, furniture, other property or possessions)? Please list them. 1
Economic ties What financial ties do you have in New Zealand? List sources and names of banks or financial institutions. Bank accounts Credit cards Investments Interest Dividends Life insurance policies Superannuation schemes Employment or business, or source of income Are you still employed by a New Zealand employer, or have employment in New Zealand to return to?. Name of employer or business Will you have employment contracts or business in New Zealand while you are overseas?. Name of employer or business Will you have any other sources of income (eg rental income) in New Zealand while you are overseas?. Please give details Are you going to receive any welfare benefits, pensions or other payments from New Zealand agencies or organisations while you are overseas? Please give details.. Please give details 2
Social ties Do you have a spouse or partner and/or dependent children? Name of your spouse or partner First name(s) Surname Will your spouse or partner accompany you overseas? How many dependent children do you have? What are their ages? Will any of these children remain in New Zealand? If please name them If you are a member of social or professional sporting clubs or organisations please list them here. If you have accommodation, personal, social or economic ties in a country other than New Zealand, please name that country here. factors Please include any other factors you think may affect your tax residence status. To the best of my knowledge the information I have given is true and correct. Signature w that you have completed this form, please send it to one of the following addresses. If you live in: rthland Auckland other rth Island areas the South Island PO Box 3753 Christchurch Mail Centre Christchurch 8140 PO Box 761 Waikato Mail Centre Hamilton 3240 PO Box 39010 Wellington Mail Centre Lower Hutt 5045 PO Box 3753 Christchurch Mail Centre Christchurch 8140 3 DLN
Elect someone to act on your behalf IR 597 July 2007 Complete this form to nominate someone (for example, a family member or company s staff member) to act on your behalf with. This includes making enquiries, receiving your statements, refunds and other correspondence. Having a nominated person does not change your responsibilities. You are still responsible for your own tax affairs, so you need to make sure that any returns are filed and tax paid by the due date. Use the space available on the back of this form if you need to nominate more than one person For individuals, a nominated person can only be set by the person on whose account the nominated person will have authority. For a non-individual entity, a nominated person (for example, payroll clerk or office administrator) can only be set up by a company director or shareholder, a trustee or estate administrator, or an executive officer. To protect your privacy and security we can only discuss your tax affairs and/or child support with you or the person you nominate to act on your behalf (your nominee). Child support customers will need to complete an Elect someone to make child support enquiries on your behalf (IR 146) form. To order a copy, phone Child Support on 0800 221 221. Your first name(s) Your IRD number Your surname (8 digit numbers start in the second box. ) Your phone number ( ) Your postal address (We need this information to validate the nomination) n-individuals only Organisation s name Organisation s IRD number minator s position (eg director, shareholder) Please provide details of the person who will act on your behalf Working for Families Tax Credits* 4 *Previously known as family assistance
Please provide details of the person who will act on your behalf Working for Families Tax Credits Please provide details of the person who will act on your behalf Working for Families Tax Credits