Electronic Lodgment Declaration (Company) Please enable JavaScript in your browser to complete this form.This declaration is to be completed where the tax return is to be lodged via an approved ATO electronic channel. It is the responsibility of the taxpayer to retain this declaration for a period of five years after the declaration is made, penalties may apply for failure to do so. Privacy Taxation law authorises the ATO to collect information including personal information about the person authorised to sign the declaration. For information about your privacy go to ato.gov.au/privacy Electronic Funds Transfer- Direct Debit Where you have requested an EFT direct debit some of your details will be provided to your financial institution and the Tax Office’s sponsor bank to facilitate the payment of your taxation liability from your nominated account. LayoutTax File Number *Tax Year *Name of Company *I authorise my tax agent to electronically transmit this tax return via the electronic lodgment service. Important Before making this declaration please check to ensure that all income has been disclosed and the tax return is true and correct in every detail. If you are in doubt about any aspect of the tax return, place all the facts before the Tax Office. The tax law provides heavy penalties for false or misleading statements on tax returns. Declaration: I declare that: The information provided to the agent for the preparation of this tax return, including any applicable schedules is true and correct, and The agent is authorised the lodge this tax return. LayoutSignature of Public OfficerDate signed by Public Officer *Tax Agent's Declaration *Declare that this tax return has been prepared in accordance with information provided by the taxpayer, that the taxpayer has given me a declaration stating that the information provided to me is true and correct and that the taxpayer has authorised me to lodge this tax return. LayoutAgents SignatureDate signed by AgentContact NameLayoutAgents Phone numberAgents Reference NumberPublic Officer’s Declaration Important Before making this declaration check to endure that all income has been disclosed and the tax return, all attached schedules and any additional documents are true and correct in every detail. If you leave labels blank, you will have specified a zero amount or the label was not applicable to you. If you are in doubt about any aspect of the tax return, place all the facts before the ATO. The income tax law imposes heavy penalties for false or misleading statements in tax returns. This Declaration must be signed by the public officer. Privacy Taxation law authorises the ATO to collect information including personal information about the person authorised to sign the declaration. For information about your privacy go to ato.gov.au./privacy Declaration I declare that the information on this tax return, all attached schedules and any additional documents is true and correct. LayoutPublic Officer's Name *Public Officer's Signature *Date signed by Public Officer *Submit