to support your IRD number application - individual (IR595) for a child under 16 years of age
Oaths and Declarations Act 1957
Tax Administration Act 1994
Crimes Act 1961
Enter your own IRD number here.
(8 digit numbers start in the second box. )
When to complete this declaration
Complete the declaration over the page if you are applying to Inland Revenue for an IRD number for a child under 16 years of age, who is
not yours because you are not the child’s legal parent or guardian.
is declaration formally records the link between you and the child the IRD number is for.
You can also use this declaration if you are the legal parent or guardian and unable to provide other oﬃcial or formal documentation to
conﬁrm the child is in your care.
Read carefully before starting to ﬁll in this declaration
is form is a statutory declaration. It is an oﬀence to give any altered, false, incomplete or misleading information or to make a false
statement or declaration. Any person who does so is liable for imprisonment for up to three years.
Complete and sign this declaration in front of the person taking the declaration - see the list of authorised people below. is may be a
diﬀerent person to an Inland Revenue appointed veriﬁer.
ere is a list of Inland Revenue appointed veriﬁers on the IRD number application - individual (IR595)
is declaration must be completed before taking the IRD number application to the Inland Revenue appointed veriﬁer.
People authorised to take this declaration
a Justice of the Peace
a person enrolled as a barrister and solicitor of the High Court
a registered legal executive (fellow of the NZILE)
a notary public
a registrar or deputy registrar of the High Court or a district court
the registrar or a deputy registrar of the Court of Appeal
the registrar or a deputy registrar of the Supreme Court
a member of parliament
other government oﬃcer authorised to take statutory declarations.
Complete all sections of this declaration. If a question does not apply to your situation, complete the question by writing
Remember, if you are attaching copies of any documents, such as an authorisation from the legal parent(s) or guardian(s) or other
authority to this declaration, you must have the original document(s) with you when you take the IRD number application - individual
(IR595) to be veriﬁed by an Inland Revenue appointed veriﬁer.
Complete a separate declaration and IRD number application for each child you are applying for.
For more information
If you have any questions go to www.ird.govt.nz or call us on 0800 227 774.