Effective Period :
Exempt from providing TFN :
Tax File Number (TFN) :
TFN Application Date :
Domicile Status :
Tax Free Threshold Claimed :
Additional Surcharge Applicable :
Exemption from Medicare Levy :
Combined Family Income :
Eligibility :
Accumulated HELP Debt :
Accumulated SFSS Debt :
HELP - Higher Education Loan Program
SFSS - Student Financial Supplement Scheme
Variation Type :
Variation Amount / Rate :
Modification Option :
New Effective From :
Remarks :
Rejection reason :
Effective Period :
Dependent Spouse Tax Offset Applicable :
Eligible for Family Tax Benefit Part B :
Shared Care Rate :
Shared Care Rate Percentage :
Zone, Overseas Tax Offset Applicable :
Zone Offset Component :
State of Residence :
Area of Residence:
You belong to:
Special Tax Offset Applicable:
Special Offset Component:
Senior Australian Tax Offset Applicable :
Adjust Taxable Income in Previous Tax Year :
Tax Offset Category :
Spouse eligible for Senior Australian Tax Offset:
Modification Option :
New Effective From :
Remarks :