Inland Revenue	Authorisation of tax representative
Tax Reference Number
ROC Number (where applicable)
PE Number (where applicable)
Data Provider No(where applicable)

This authorisation applies to a person appointing a tax practitioner as his/its tax representative with respect to the electronic services or facilities provided by the Commissioner of Inland Revenue. This authorisation supersedes any earlier authorisation, delivered to the Commissioner of Inland Revenue.

I,
(enter name)

as legal representative of
(enter firm name)

authorise
(tax representative name)

identified by the Commissioner of Inland Revenue as practitioner number
(tax representative PRN)

to act on my behalf in connection with the electronic services or facilities provided by the Commissioner of Inland Revenue as indicated below. I acknowledge full responsibility for the information submitted.

Tick (√) where applicable	Service
Filing of income tax return and financial statements
Filing of PT Reduction Form
Filing of FSS Forms
Filing of Registration of Shareholders for the Purposes of a Claim for Refund Form
Filing of Claim for Refund made in terms of article 48(4) or 48(4A) of the Act
Filing of Data relating to the income or deduction entitlement of any person or class of persons

Tick (√) where applicable	Facility
Access (view only) to person’s payments and tax statements
Access (view only) to person’s tax return submission status
Access (view only) to firm’s payments of FSS tax and Social Security Contributions

Tick (√) where applicable	Export Key
A copy of the export key/s may be sent to my tax practitioner (companies only)

Count of services and/or facilities authorised in this form

(To receive electronic confirmation of the authority and similar correspondence, indicate e-mail address: _________________________________________)

Signature	Date

Name in full _____________________________	ID No. __________________

Inland Revenue Department collects and processes information to carry out its functions under the Income Tax Acts. All data is collected and processed in accordance with the Data Protection Act 2001, the Income Tax Acts, the relative subsidiary legislation and the privacy policy of the Department, a copy of which is available on demand.

irweb 02

Shawn Agius

2009-01-14

MITTS