New Client Form

Name*
First Last
Date of birth*
Date Format: DD slash MM slash YYYY
TFN*
ABN
Occupation*
Address*
Street Address
Telephone*
Email*
Bank details for refund
Account name
BSB
Account number
How did you hear about us?
- Internet
- Passed by
- Referral
- Other
Other Refernce
What are you hoping to achieve from your appointment?
- Fast Returns
- Business Advice
- Investment Advice
Please note out payment terms: Individuals are required to pay on the day, all other invoices are to be paid within 7 days.
Consent declaration*
I hereby consent to the appointment of Siragusa Accounting Group Pty Ltd (TAN 2522 4465) to act as my Registered Tax Agent and accountants.

I authorise Siragusa Accounting Group Pty Ltd to;

-Obtain information from our previous accountant and the Australian Taxation Office.

-Pass on taxation and financial information to banking/ financial institutions at our request.

-I provide Siragusa Accounting Group with express written authority to designate my preferred address(es) for service for ATO communications. Siragusa Accounting Group has explained to me that some ATO communication may be sent or retrieved digitally and others will be sent via post. My preferred address is the same as the above stated address.

-Add our email address to the Siragusa Accounting Group Pty Ltd database for us to receive monthly accounting newsletters and tax return based correspondence.
Yes
Signature*
Please provide a proof of identity*
Medicare card, Passport and Drivers Licence are acceptable forms of identification
Drop files here or
Name
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New Client Form

Bank details for refund