New Zealand Tax Refunds & Tax Returns - We refund your tax with Inland Revenue at My Refund New Zealand

Print a paper version of this form

IRD Number

Date of Birth

Promo Code

First Name

Middle Names

Last Name

Home Phone

Mobile Phone

Alternative Phone

Email

A confirmation of this application will be emailed here

Street Address

Suburb

City

Post Code

Received additional income other than salary, wages or benefit?

No

Yes

Earned Dividends, Interest, or Maori Authority Distributions?

No

Yes

You or your partner received Working for Families payments?

No

Yes

Working for Families details may be requested.

I receive payments and have a partner

I receive payments and DO NOT have a partner

My partner receives payments

Arrived from overseas or been overseas more than 183 days?

No

Yes

I arrived in New Zealand

I left New Zealand

I temporarily left New Zealand

Made donation(s) to any charitable organisations?

No

Yes

Donations made to school or kindergarten's general fund, religious organisations and charitable organisations are entitled to a tax credit claim, only if you can provide receipts.

Attach a copy now

Alternatively, send copies of your receipts to info@myrefund.co.nz or post a copy into My Refund.

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PO Box 6490
Christchurch, 8442

Confirm name on application is same as on licence.

Licence Number (5a)

Licence Version (5b)

Bank Account Name

Bank Account Number

I understand that MyRefund Ltd will act on my behalf until I choose to terminate this arrangement.
I can terminate this agreement by contacting either MyRefund Ltd or Inland Revenue at any time.

I agree MyRefund Ltd will act on my behalf for all tax types at Inland Revenue

I give permission for MyRefund Ltd to obtain my information from Inland Revenue

I agree that MyRefund Ltd will be able to access/modify my details at Inland Revenue

I give permission for my tax correspondence to be sent to MyRefund Ltd

I understand my refund will be paid into My Refund Ltd trust account and then paid directly to me less any agreed fees

I authorise My Refund Ltd to prepare, submit, and sign tax returns, auto-assessments, and PTS’s on my behalf regardless of whether the result is a tax refund or tax bill

I agree this constitutes an electronic signature

I agree to the MyRefund Ltd Terms and Conditions

Please fix errors on form

Tax Refund Application

In any of the last 5 years have you

Identity verification

Confirm name on application is same as on licence.

Bank Account

Legal Requirements