Fill - Free fillable declaration Tax file number Instructions and form for (USDA Food and Nutrition Service) PDF form

NAT 3092-06.2019

Instructions and form for taxpayers

Tax file number

declaration

Information you provide in this declaration will allow your payer to

workouthowmuch tax to withhold from payments made to you.

This is not a TFN application form.

To apply for a TFN, goto ato.gov.au/tfn

Terms we use

When we say:

 payer, we mean the business or individual

makingpayments under the pay as you go

(PAYG)withholding system

 payee, we mean the individual being paid.

Who should complete this form?

You should complete this form before you start to receive

payments from a new payer – for example:

 payments for work and services as an employee,

companydirector or office holder

 payments under return-to-work schemes, labour hire

arrangements or other specified payments

 benefit and compensation payments

 superannuation benefits.

You need to provide all information requested on this form.

Providing the wrong information may lead to incorrect

amounts of tax being withheld from payments made toyou.

You don’t need to complete this form if you:

 are a beneficiary wanting to provide your tax file number

(TFN) to the trustee of a closely held trust. For more

information, visit ato.gov.au/trustsandtfnwithholding

 are receiving superannuation benefits from a super fund

and have been taken to have quoted your TFN to the

trustee of the super fund

 want to claim the seniors and pensioners tax offset by

reducing the amount withheld from payments made

to you. You should complete a withholding declaration

form (NAT 3093)

 want to claim a zone, overseas forces or invalid and

invalid carer tax offset by reducing the amount withheld

from payments made to you. You should complete a

withholding declaration form (NAT3093).

For more information about your entitlement,

visit ato.gov.au/taxoffsets

Section A: To be completed by

thepayee

Question 1

What is your tax file number (TFN)?

You should give your TFN to your employer only after you start

work for them. Never give your TFN in a job application or over

the internet.

We and your payer are authorised by the Taxation

Administration Act 1953 to request your TFN. It’s not an

offence not to quote your TFN. However, quoting your

TFN reduces the risk of administrative errors and having

extra tax withheld. Your payer is required to withhold the

top rate of tax from all payments made to you if you do

not provide your TFN or claim an exemption from quoting

your TFN.

How do you find your TFN?

You can find your TFN on any of the following:

 your income tax notice of assessment

 correspondence we send you

 a payment summary your payer issues to you.

If you have a tax agent, they may also be able to tell you.

If you still can’t find your TFN, you can:

 phone us on 132861 between 8.00am and 6.00pm,

Monday to Friday.

If you phone or visit us, we need to know we are talking to

the correct person before discussing your tax affairs. We will

ask you for details only you, or your authorised representative,

would know.

You don’t have a TFN

If you don’t have a TFN and want to provide a TFN to your

payer, you will need to apply for one.

For more information about applying for a TFN, visit

ato.gov.au/tfn

You may be able to claim an exemption from quoting

yourTFN.

Print X in the appropriate box if you:

 have lodged a TFN application form or made an enquiry to

obtain your TFN. You now have 28days to provide your TFN

to your payer, who must withhold at the standard rate during

this time. After 28days, if you haven’t given your TFN to

your payer, they will withhold the top rate of tax from future

payments

 are claiming an exemption from quoting a TFN because you

are under 18 years of age and do not earn enough to pay

tax, or you are an applicant or recipient of certain pensions,

benefits or allowances from the:

– Department of Human Services – however, you will need

to quote your TFN if you receive a Newstart, Youth or

sickness allowance, or an Austudy or parenting payment

– Department of Veterans’ Affairs – a service pension under

the Veterans’ Entitlement Act 1986

– Military Rehabilitation and Compensation Commission.

Providing your TFN to your super fund

Your payer must give your TFN to the super fund they pay your

contributions to. If your super fund doesn’t have your TFN, you

can provide it to them separately. This ensures:

 your super fund can accept all types of contributions to your

accounts

 additional tax will not be imposed on contributions as a result

of failing to provide your TFN

 you can trace different super accounts in your name.

For more information about providing your TFN to your

superfund, visit ato.gov.au/supereligibility

Question 2–6

Complete with your personal information.

Question 7

On what basis are you paid?

Check with your payer if you’re not sure.

Question 8

Are you an Australian resident for tax

purposes or a working holiday maker?

Generally, we consider you to be an Australian resident for tax

purposes if you:

 have always lived in Australia or you have come to Australia

and now live here permanently

 are an overseas student doing a course that takes more than

six months to complete

 migrate to Australia and intend to reside here permanently.

If you go overseas temporarily and don’t set up a permanent

home in another country, you may continue to be treated as an

Australian resident for tax purposes.

If you are in Australia on a working holiday visa (subclass 417)

or a work and holiday visa (subclass 462) you must place an X

in the working holiday maker box. Special rates of tax apply for

working holiday makers.

For more information about working holiday makers, visit

ato.gov.au/whm

If you’re not an Australian resident for tax purposes or a

working holiday maker, place an X in the foreign resident box,

unless you are in receipt of an Australian Government pension

or allowance.

Temporary residents can claim super when leaving Australia,

if all requirements are met. For more information, visit

ato.gov.au/departaustralia

Foreign resident tax rates are different

A higher rate of tax applies to a foreign resident’s taxable

income and foreign residents are not entitled to a tax-free

threshold nor can they claim tax offsets to reduce

withholding, unless you are in receipt of an Australian

Government pension or allowance.

To check your Australian residency status for tax purposes

or for more information, visit ato.gov.au/residency

2 Tax file number declaration

Question 9

Do you want to claim the tax‑free threshold

from this payer?

The tax-free threshold is the amount of income you can earn

each financial year that is not taxed. By claiming the threshold,

you reduce the amount of tax that is withheld from your pay

during the year.

Answer yes

if you want to claim the tax-free threshold, you are

an Australian resident for tax purposes, and one of the following

applies:

 you are not currently claiming the tax-free threshold from

another payer

 you are currently claiming the tax-free threshold from another

payer and your total income from all sources will be less than

the tax-free threshold.

Answer yes if you are a foreign resident in receipt of an

Australian Government pension or allowance.

Answer no if none of the above applies or you are a working

holiday maker.

If you receive any taxable government payments or

allowances, such as Newstart, Youth Allowance or

Austudy payment, you are likely to be already claiming

thetax‑free threshold from that payment.

For more information about the current tax-free threshold,

which payer you should claim it from, or how to vary your

withholding rate, visit ato.gov.au/taxfreethreshold

Question 10

Do you have a Higher Education Loan

Program (HELP), VET Student Loan

(VSL), Financial Supplement (FS), Student

Start‑up Loan (SSL) or Trade Support Loan

(TSL)debt?

Answer yes if you have a HELP, VSL, FS, SSL or TSL debt.

Answer no if you do not have a HELP, VSL, FS, SSL or

TSLdebt, or you have repaid your debt in full.

You have a HELP debt if either:

 the Australian Government lent you money under

HECS-HELP, FEE-HELP, OS-HELP, VET FEE-HELP,

VET Student loans prior to 1 July 2019 or SA-HELP.

 you have a debt from the previous Higher Education

Contribution Scheme (HECS).

You have a SSL debt if you have an ABSTUDY SSL debt.

You have a separate VSL debt that is not part of your

HELP debt if you incurred it from 1 July 2019.

For information about repaying your HELP, VSL, FS, SSL

or TSL debt, visit ato.gov.au/getloaninfo

Have you repaid your HELP, VSL, FS, SSL or

TSLdebt?

When you have repaid your HELP, VSL, FS, SSL or TSL debt,

you need to complete a Withholding declaration (NAT 3093)

notifying your payer of the change inyour circumstances.

Sign and date the declaration

Make sure you have answered all the questions in

section A, then sign and date the declaration. Give

your completed declaration to your payer to complete

sectionB.

Section B: To be completed by

thepayer

Important information for payers – see the reverse side of

the form.

Lodge online

Payers can lodge TFN declaration reports online if you

have software that complies with our specifications.

For more information about lodging the TFN declaration

report online, visit ato.gov.au/lodgetfndeclaration

Tax file number declaration 3

CommonwealthofAustralia, 2019

You are free to copy, adapt, modify, transmit and distribute this material as

youwish (but not in any way that suggests the ATO or the Commonwealth

endorses you or any of your services or products).

Published by

Australian Taxation Office

Canberra

June 2019

DE-6078

Our commitment to you

We are committed to providing you with accurate, consistent and clear

information to help you understand your rights and entitlements and meet

yourobligations.

If you follow our information in this publication and it turns out to be incorrect,

oritis misleading and you make a mistake as aresult, we must still apply the law

correctly. If that means you owe us money, we must ask you to pay it but we will

not charge you a penalty. Also, if you acted reasonably and in good faith we will

not charge you interest.

If you make an honest mistake in trying to follow our information in this publication

and you owe us money as a result, we will not charge you a penalty. However, we

will ask you to pay the money, and we may also charge you interest. If correcting

the mistake means we owe you money, we will pay it to you. We will also pay you

any interest you are entitled to.

If you feel that this publication does not fully cover your circumstances, or you

areunsure how it applies to you, you can seek further assistance from us.

We regularly revise our publications to take account of any changes to the law,

somake sure that you have the latest information. If you are unsure, you can

checkfor more recent information on our website at ato.gov.au or contact us.

This publication was current at June 2019.

More information

Internet

 For general information about TFNs, tax and super in

Australia, including how to deal with us online, visit our

website at ato.gov.au

 For information about applying for a TFN on the web,

visitour website at ato.gov.au/tfn

 For information about your super, visit our website at

ato.gov.au/checkyoursuper

Useful products

In addition to this TFN declaration, you may also need to

complete and give your payer the following forms which you

can download from our website at ato.gov.au:

 Medicare levy variation declaration (NAT 0929), if you qualify

for a reduced rate of Medicare levy or are liable for the

Medicare levy surcharge. You can vary the amount your

payer withholds from your payments.

 Standard choice form (NAT 13080) to choose a super fund

for your employer to pay super contributions to. You can find

information about your current super accounts and transfer

any unnecessary super accounts through myGov after you

have linked to the ATO. Temporary residents should visit

ato.gov.au/departaustralia for more information about super.

Other forms and publications are also available from our website

at ato.gov.au/onlineordering or by phoning 1300 720 092.

Phone

 Payee – for more information, phone 13 28 61 between

8.00am and 6.00pm, Monday to Friday. If you want to vary

your rate of withholding, phone 1300 360221 between

8.00am and 6.00pm, Monday to Friday.

 Payer – for more information, phone 132866 between

8.00am and 6.00pm, Monday to Friday.

If you phone, we need to know we’re talking to the right person

before we can discuss your tax affairs. We’ll ask for details only

you, or someone you’ve authorised, would know. An authorised

contact is someone you’ve previously told us can act on

yourbehalf.

If you do not speak English well and need help from the ATO,

phone the Translating and Interpreting Service on 131450.

If you are deaf, or have a hearing or speech impairment, phone

the ATO through the National Relay Service (NRS) on the

numbers listed below:

 TTY users – phone 133677 and ask for the ATO

number you need (if you are calling from overseas,

phone+61738157799)

 Speak and Listen (speech-to-speech relay) users – phone

1300555727 and ask for the ATO number you need (if you

are calling from overseas, phone +61738158000)

 Internet relay users – connect to the NRS on

relayservice.gov.au and ask for the ATO number you need.

If you would like further information about the

National Relay Service, phone 1800555660

or email helpdesk@relayservice.com.au

Privacy of information

Taxation law authorises the ATO to collect information and to

disclose it to other government agencies. For information about

your privacy, go to ato.gov.au/privacy

4 Tax file number declaration

5 What is your primary e-mail address?

4 What is your business address?

Suburb/town/locality

State/territory Postcode

There are penalties for deliberately making a false or misleading statement.

Signature of payer

DECLARATION by payer: I declare that the information I have given is true and correct.

Month

Year

Day

Date

2 If you don’t have an ABN or withholding

payer number, have you applied for one?

Yes

Section B: To be completed by the PAYER (if you are not lodging online)

Branch number

(if applicable)

1 What is your Australian business number (ABN) or

withholding payer number?

6 Who is your contact person?

Business phone number

7 If you no longer make payments to this payee, print X in this box.

Return the completed original ATO copy to:

Australian Taxation Office

PO Box 9004

PENRITH NSW 2740

IMPORTANT

See next page for:

 payer obligations

 lodging online.

ato.gov.au

This declaration is NOT an application for a tax file number.

 Use a black or blue pen and print clearly in BLOCK LETTERS.

 Print X in the appropriate boxes.

 Read all the instructions including the privacy statement before youcomplete this declaration.

Tax le number declaration

Once section A is completed and signed, give it to your payer to complete sectionB.

NAT 3092-06.2019 [DE-6078]

Section A: To be completed by the PAYEE

7 On what basis are you paid? (select only one)

Full‑time

employment

Part‑time

employment

Casual

employment

Superannuation

or annuity

income stream

Labour

hire

9 Do you want to claim the tax-free threshold from this payer?

Answer no here if you are a foreign resident or working holiday

maker, except if you are a foreign resident in receipt of an

Australian Government pension or allowance.

Yes

Only claim the tax‑free threshold from one payer at a time, unless your total income from

all sources for the financial year will be less than the tax‑free threshold.

There are penalties for deliberately making a false or misleading statement.

You MUST SIGN here

Signature

Month YearDay

Date

DECLARATION by payee: I declare that the information I have given is true and correct.

10 Do you have a Higher Education Loan Program (HELP), VET Student

Loan (VSL), Financial Supplement (FS), Student Start-up Loan (SSL) or

TradeSupportLoan (TSL) debt?

Your payer will withhold additional amounts to cover any compulsory

repayment that may be raised on your notice of assessment.

Yes

OR I have made a separate application/enquiry to

the ATO for a new or existing TFN.

For more

information, see

question 1 on page 2

of the instructions.

OR I am claiming an exemption because I am under

18 years of age and do not earn enough to pay tax.

OR I am claiming an exemption because I am in

receipt of a pension, benefit or allowance.

1 What is your tax

le number (TFN)?

2 What is your name?

Title: Mr Mrs Miss Ms

Surname or family name

First given name

Other given names

4 If you have changed your name since you last dealt with the ATO,

provideyour previous family name.

6 What is your date of birth?

Month YearDay

3 What is your home address in Australia?

Suburb/town/locality

State/territory Postcode

Sensitive (when completed)

3 What is your legal name or registered business name

(or your individual name if not in business)?

An Australian resident

for tax purposes

A foreign resident

for tax purposes

A working

holiday maker

8 Are you: (select only one)

30920619

5 What is your primary e-mail address?

Print form

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Payer information

The following information will help you comply with your pay as

yougo (PAYG) withholding obligations.

Is your employee entitled to work in Australia?

It is a criminal offence to knowingly or recklessly allow

someone to work, or to refer someone for work, where

that person is from overseas andis either in Australia

illegally or is working in breach of their visa conditions.

People or companies convicted of these offences may

face fines and/or imprisonment. To avoid penalties,

ensure your prospective employee has a valid visa

to work in Australia before you employ them. For

more information and to check a visa holder’s status

online, visit the Department of Home Affairs website at

homeaffairs.gov.au

Is your payee working under a working holiday

visa (subclass 417) or a work and holiday visa

(subclass 462)?

Employers of workers under these two types of visa need

to register with the ATO, see ato.gov.au/whmreg

For the tax table “working holiday maker” visit our website

at ato.gov.au/taxtables

Payer obligations

If you withhold amounts from payments, or are likely to withhold

amounts, the payee may give you this form with section A

completed. A TFN declaration applies to payments made after the

declaration is provided to you. The information provided on this form

is used to determine the amount of tax to be withheld from payments

based on the PAYG withholding tax tables we publish. If the payee

gives you another declaration, itoverrides any previous declarations.

Has your payee advised you that they have applied

for a TFN, or enquired about their existing TFN?

Where the payee indicates at question 1 on this form that they have

applied for an individual TFN, or enquired about their existing TFN,

theyhave 28 days to give you their TFN. You must withhold tax for

28 days at the standard rate according to the PAYG withholding

tax tables. After 28days, if the payee has not given you their TFN,

you must then withhold the top rate of tax from future payments,

unlesswe tell you not to.

If your payee has not given you a completed form

you must:

 notify us within 14 days of the start of the withholding obligation

by completing as much of the payee section of the form as you

can. Print‘PAYER’ in the payee declaration and lodge the form –

see‘Lodging the form’.

 withhold the top rate of tax from any payment to that payee.

For a full list of tax tables, visit our website at

ato.gov.au/taxtables

Lodging the form

You need to lodge TFN declarations with us within 14 days after

the form is either signed by the payee or completed by you (if not

provided by thepayee). You need to retain a copy of the form

for your records. For information about storage and disposal,

seebelow.

You may lodge the information:

 online – lodge your TFN declaration reports using software that

complies with our specifications. There is no need to complete

sectionB of eachform as the payer information is supplied by

your software.

 by paper – complete section B and send the original to us

within14 days.

For more information about lodging your

TFNdeclaration report online, visit our website

at ato.gov.au/lodgetfndeclaration

Provision of payee’s TFN to the payee’s super fund

If you make a super contribution for your payee, you need to give

your payee’s TFN to their super fund on the day of contribution, or if

the payee has not yet quoted their TFN, within 14 days of receiving

this form from your payee.

Storing and disposing of TFN declarations

The TFN Rule issued under the Privacy Act 1988 requires a TFN

recipient to usesecure methods when storing and disposing of

TFN information. You maystore a paper copy of the signed form or

electronic files of scanned forms. Scanned forms must be clear and

not altered inanyway.

If a payee:

 submits a new TFN declaration (NAT 3092), you must retain a

copy of the earlier form for the current and following financial year.

 has not received payments from you for 12 months, you must

retain a copy of the last completed form for the current and

following financial year.

Penalties

You may incur a penalty if you do not:

 lodge TFN declarations with us

 keep a copy of completed TFN declarations for your records

 provide the payee’s TFN to their super fund where the payee

quoted their TFN to you.

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