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Notication of members joining and/or
leavingan income tax consolidated group
NAT 6782-03.2014
Use this form to notify us of members who have joined and/or
left the group since the last membership notice was given to us.
Do not use this form:
n to notify us of changes to a multiple entry consolidated
(MEC) group. Instead use Notification of members joining
and/orleaving a multiple entry consolidated (MEC)
group(NAT7025)
n if the head company has become ineligible. Instead use
Notification of head company no longer eligible: income tax
consolidated group ceases to exist(NAT6783).
If a member of the consolidated group has minerals
resource rent tax (MRRT) obligations and/or petroleum
resource rent tax (PRRT) obligations (for onshore petroleum
project interests), you can choose to consolidate for MRRT
and/or PRRT purposes, if the group has not already
consolidated for those purposes.
For more information on consolidated groups and resource
rent tax obligations, you can visit our website at:
n ato.gov.au/mrrt for minerals resource rent tax
n ato.gov.au/prrt for petroleum resource rent tax.
WHO SHOULD COMPLETE THIS FORM
This form should be completed by the public officer, agent,
trustee or registered tax agent ofthe head company.
HOW TO COMPLETE THIS FORM
This form can be completed on screen. When complete,
print,sign and date the declaration at the end of the form.
If completing by hand:
n print clearly in BLOCK LETTERS using a black or dark bluepen
n place
X
in all applicable boxes.
For further information on completing this form,
youcan:
n visit ato.gov.au/consolidation
n phone 13 28 66 between 8.00am and 6.00pm,
Mondayto Friday.
Section A: Head company details
Legal name of head company
The entity’s legal name is the name registered with the Australian Securities & Investments Commission.
Australian business number (ABN)
Tax file number (TFN)
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Section B page No.
Section B: Subsidiary members joining
List only those new entities that are subsidiary members at the date of this notification.
List at section C entities that have already left the group, including any who joined and left since you last notified us.
n Give the legal name and at least one of the identification numbers requested for each member.
n The member can apply for an ABN and/or TFN online at abr.gov.au
The ATO may issue aTFN wheneverit is necessary to do so under Commonwealth taxation law.
If there are more than five members to be listed, copy this page before you complete it. If you are including extra copied pages,
number the pages.
1 Legal name
ABN
Australian Registered Body
Number (ARBN) or Australian
Company Number (ACN)
Day Month Year
Date joined the groupTFN
2 Legal name
ABN
ARBN
or
ACN
Day Month Year
Date joined the groupTFN
3 Legal name
ABN
ARBN
or
ACN
Day Month Year
Date joined the groupTFN
4 Legal name
ABN
ARBN
or
ACN
Day Month Year
Date joined the groupTFN
5 Legal name
ABN
ARBN
or
ACN
Day Month Year
Date joined the groupTFN
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Section C page No.
Section C: Subsidiary members leaving
List any subsidiary members who have already left the group including any who joined and left since you last notified us.
n Give the legal name and at least one of the identification numbers requested for each member.
n The member can apply for an ABN and/or TFN online at abr.gov.au
The ATO may issue aTFN wheneverit is necessary to do so under Commonwealth taxation law.
If there are more than two leaving members to be listed, copy this page before you complete it. If you are including extra
copiedpages, number the pages.
Day Month Year
Date left group
Why did the member leave the group?
Member has been deregistered
Part interest was soldMember has become a non-resident
ABN of purchasing entity
If another entity now holds 100% beneficial ownership of the leaving member, provide the legal name of one of the purchasing entities.
All the group’s membership interest in the entity has been sold
Provide details below
Other Specify
1 Legal name
ABN
ARBN
or
ACN
Day Month Year
If not previously notified,
give date joined the group
TFN
Day Month Year
Date left group
Why did the member leave the group?
Member has been deregistered Part interest was soldMember has become a non-resident
ABN of purchasing entity
If another entity now holds 100% beneficial ownership of the leaving member, provide the legal name of one of the purchasing entities.
All the group’s membership interest in the entity has been sold Provide details below
Other Specify
2 Legal name
ABN
ARBN
or
ACN
Day Month Year
If not previously notified,
give date joined the group
TFN
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Lodging this form
Make a copy of this form (and any attachments) for your own records before you:
n send it as an attachment using the Business or Tax Agent Portals (you need to be registered to deal online – find out more
atato.gov.au/onlineservices)
n fax it, with any attachments, to 1300 130 905 (do not include a header or cover sheet as this will delay processing)
n mail it to
Australian Taxation Office
PO Box 3373
PENRITH NSW 2740
Section D: Declaration
I am the registered tax agent authorised by the head company to give this document to the Commissioner of Taxation.
This document has been prepared in accordance with the information supplied by the head company and I have received
a declaration from the head company stating that the information provided to me is true and correct.
I certify that I am the public officer, agent or trustee of the head company of this group or the person who was its public
officer, agent or trustee before the group ceased to exist; all membership requirements have been met; the information
given on this notification is true and correct; and that I consent to the collection of this information.
Place
X
at the appropriate statement:
Before you sign this form
Make sure you have answered all the relevant questions correctly and read the privacy statement below before you sign and
date this page. An incomplete form may delay processing.
Penalties may be imposed for giving false or misleading information.
Privacy
Taxation law authorises the ATO to collect information and disclose it to other government agencies. This includes personal
information of the person authorised to sign the declaration. For information about your privacy go to ato.gov.au/privacy
You MUST SIGN here
Signature
Date
Day Month Year
Name of signatory
Position held or registered tax agent’s number
Business hours phone number
Mobile phone number
We may need to contact you about this notification. Provide details of a person who is recorded with us as an authorised
contact. For more information, refer to Primary contacts and authorised contacts.
Contact person’s name
Email address
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