Page 1
Sensitive (when completed)
Application to register a
PAYG withholding account
WHO SHOULD COMPLETE THIS FORM
Complete this form if you do not have an ABN and you:
n employ people (for example, nannies, housekeepers or
gardeners providing domestic-type services, or carers who
provide caring services) to work directly for you – that is, not
through an agency which supplies and pays these people
n withhold an amount from a payment to a supplier who has
notquoted their ABN
n pay royalties, dividends or interest to non-residents
n report investment income paid to Australian residents.
Do not use this form if you have an ABN.
If you have an ABN, you can register for PAYG withholding:
n through the Business Portal using an AUSkey. For more
information about AUSkey, refer to Online Services.
n by phoning 13 28 66 between 8.00am and 6.00pm,
Mondayto Friday
n through a registered tax or BAS agent.
WHEN COMPLETING THIS FORM
If you are filling in this form on screen:
n download a copy of this form to your computer
n when complete, print two copies
n sign and date the declaration
n mail or fax your completed form to the address shown on
page 5
n keep the second copy for your records.
If you are filling in this form by hand:
n print clearly in BLOCK LETTERS using a black or dark
bluepen
n place X in all applicable boxes
n do not use correction fluid or covering stickers
n check you have signed and dated the declaration
n make a copy for your records
n mail or fax your completed form to the address shown on
page 5.
MORE INFORMATION
Phone us on 13 28 66 between 8.00am and 6.00pm,
Monday to Friday, if you need help completing this form.
If you phone, we need to know we are talking to the right
person before we can discuss your tax affairs. We will ask
you for details only you or someone you’ve authorised
would know. An authorised person is someone recorded
onour systems who can act on your behalf.
Refer to PAYG withholding to access further information
about:
n No ABN withholding – questions and answers
n Step-by-step guide for household employees
n PAYG withholding from interest, dividends and royalties
tonon-residents
n Reporting withholding from investment income payments.
NAT 3377-07.2014