Easy Lodge Registration Form
ACT Revenue Office
ABN: 45 096 207 205

						
Client Name						
						
Company Name						

Trading Name
(if different)						

Business Address						
				Postcode		
						
Postal Address						
				Postcode		
						
Contact Officer						
Signature						
						
Telephone	(      )		Facsimile	(      )		
						
ABN						
						
Email						
						
TERMS OF USE
•	Use of the Easy Lodge process is conditional upon acceptance and compliance with the terms contained in Revenue Circular GEN002 (Easy Lodge Scheme).
-	Registration for use of Easy Lodge constitutes acceptance of these terms.
•	The Commissioner for ACT Revenue (the Commissioner) reserves the right to amend the terms at any time, subject to the provisions of the Taxation Administration Act 1999.
•	Easy Lodge can only be utilised by:
-	a person approved by the Commissioner (the Approved Person); and
-	those natural persons nominated/authorised by the Approved Person to utilise Easy Lodge pursuant to the Approval.
•	The Commissioner may terminate access of an Approved Person to use Easy Lodge at any time.
GIVING FALSE OR MISLEADING INFORMATION IS A SERIOUS OFFENCE.
	PRIVACY STATEMENT	
All information collected by the ACT Revenue Office is protected by secrecy provisions in Acts administered by the Office and only used for the purposes of those Acts. In addition, personal information provided to the ACT Revenue Office is protected by the Privacy Act 1988 (Cth).  Information (including personal information) is not disclosed to any third party unless authorised by law or with the consent of the person involved.

This form is Approved Form AF2014-31 under Section 139C of the Taxations Administration Act 1999