Certicate of Residency
1 Tax File Number (TFN) or
Australian Business Number (ABN)
11 Tax File Number (TFN) or
Australian Business Number (ABN)
2 Tax File Number (TFN) or
Australian Business Number (ABN)
12 Tax File Number (TFN) or
Australian Business Number (ABN)
3 Tax File Number (TFN) or
Australian Business Number (ABN)
13 Tax File Number (TFN) or
Australian Business Number (ABN)
4 Tax File Number (TFN) or
Australian Business Number (ABN)
14 Tax File Number (TFN) or
Australian Business Number (ABN)
5 Tax File Number (TFN) or
Australian Business Number (ABN)
15 Tax File Number (TFN) or
Australian Business Number (ABN)
6 Tax File Number (TFN) or
Australian Business Number (ABN)
16 Tax File Number (TFN) or
Australian Business Number (ABN)
7 Tax File Number (TFN) or
Australian Business Number (ABN)
17 Tax File Number (TFN) or
Australian Business Number (ABN)
8 Tax File Number (TFN) or
Australian Business Number (ABN)
18 Tax File Number (TFN) or
Australian Business Number (ABN)
9 Tax File Number (TFN) or
Australian Business Number (ABN)
19 Tax File Number (TFN) or
Australian Business Number (ABN)
10 Tax File Number (TFN) or
Australian Business Number (ABN)
20 Tax File Number (TFN) or
Australian Business Number (ABN)
Please complete first and print. This coversheet must be placed as front cover
DE-10668-09.2019