TX220 INCOME TAX – OTHER THAN INDIVIDUALS

APPOINTMENT OF TAX AGENT / REGISTERED AGENT NUMBER: 58653005

Entity Name
Business Structure (please circle)	Company / Estate / Partnership /SMSF/ Trust / Trustee Company Only
Tax File Number (TFN)
ABN & ACN	ABN:	ACN:
Registered Office Address	Street: Suburb: Post Code:
Business Address	Street: Suburb: Post Code:
Postal Address if different to Business	Street: Suburb: Post Code:
Full name of Partner or Trustee for Service of Notice	Title: Family name or surname: Given name(s)
Address for Service of Notice	Street: Suburb: Post Code:
Entity Details	Phone Number: Email:
Contact Details:	Name: Mobile: Email: Other:
Director Details	Name: Director ID Number:
Appoint Charltons as ASIC Registered Office and Registered Agent *Companies only / please refer to page 3 for information	Yes/No
Previous Tax Agent
Referral Source
Taxpayer’s name: Taxpayer’s signature: Date:	Tax agent’s name: Tax agent’s signature: Date:

Note: This form, duly completed and signed by the taxpayer should be returned to Charltons Pty Ltd, GPO BOX 188, SYDNEY NSW 2001 or to info@charltons.com.au for lodgement with the Australian Tax Office, Tax Agent Liaison Centre

CHARLTONS TEAM MEMBER TO COMPLETE

Please complete ALL of the fields in the table below

Partner
Manager
Billing Entity if Different
Retainer Client	Yes/No
Prepare Activity Statement	Yes/No
Company Register – if Charltons is acting as Registered Office	To be kept on site/with client
Registered for GST	Yes/No
If Partnership, please note all partners’ names and contact details if different to main contact
Relationship with Existing Client	Yes/No If Yes, please type nature of relationship and with which client
Client Verification	Yes/No
Date Verified
Verified by
Verification Method Pls tick as appropriate	Document Check	❏
Verified in-person	❏
Verified online	❏
Other	❏
Verification Notes Pls provide details on method verified / what documents sighted

Registered Office / Registered Agent Information

Using the Charltons address as your Registered Office address and having Charltons act as your Registered Agent are entirely voluntary.

It is Charltons policy, however, that we should either be both the Registered Agent and the Registered Office or neither to facilitate clear guidelines on who is responsible for dealing with communications from ASIC, lodging ASIC forms and dealing with the annual Company Statements.

If you chose to have Charltons as both the Registered Agent and the Registered Office, you will receive 2 annual invoices from us as per the below.

Registered Office Fees

Invoiced on 31 October each year @ $250 + GST for the following

Receiving all critical correspondence despite any change of address for you or your entities

Directing all legal and statutory mail to Charlton’s office for immediate and timely attention

Using the Charltons address on your letterheads and other stationery. This George Street CBD address may be useful for your company’s marketing and advertising material

Acting as an intermediary between yourself and the Australian Taxation Office and/or the Australian Securities & Investments Commission for correspondence matters

The provision of the storage and safekeeping for your company register as requested

Attendance of updates relating to the Registered Office throughout the year

Company Statement Fees

Invoiced on the anniversary of the date of incorporation of your company @ $220 + GST for the following

Preparation and reviewing of Company Statement

Forwarding the ASIC Invoice (please note this is payable directly to ASIC)

Attendance to all requirements of the Australian Securities & Investments Commission

Preparation of Solvency Resolution and lodgement of changes on the Company Statement on your behalf to ensure compliance with the regulations of the Corporations Act 2001

If you chose not to have Charltons as both the Registered Agent and Registered Office, please carefully consider the fact that when nominating an alternative Registered Office address, this will be publicly listed on the ASIC Registry and you must provide reasonable access during normal business hours for statutory mail and legal notices to be delivered as well as having a safe place to store the company's statutory registers for inspection.

You will also be responsible for lodging all forms with ASIC as required, reviewing the ASIC annual Company Statement and will need to update ASIC every time there is a change to your company including the personal address of any Shareholder or Director. Please note that ASIC fines apply for late notification.