Australian Capital Territory Numbered Acts

DEBITS TAX ACT 1997 (NO. 20 OF 1997) - SCHEDULE

    SCHEDULE     Section 24

DECLARATION AS TO STATUS OF ORGANISATION

This form should be submitted only if you satisfy one of the exemption criteria. (see paras 3 and 4 overleaf)

NOTE:-[Debits tax will only be payable on accounts with a cheque book facility]

APPLICANT NAME (1) Account Holder
ADDRESS
CONTACT NAME	Phone Number ( )

NAME OF THE FINANCIAL INSTITUTION AT WHICH THE ACCOUNT IS HELD

ADDRESS OF THE BRANCH AT WHICH THE ACCOUNT IS HELD

Postcode

(2) Account number     (3) Account name     Nature of account

(1)     Account holder's name (name of organisation requesting the exemption)

(2)     Including BSB number (which can be obtained from the branch at which the account is kept)

(3)     Account name (for example, Trading Account No. 1)

SPECIFY GROUNDS FOR EXEMPTION

If the organisation has an exemption under the Financial Institutions Duty Act 1987 , specify the number of the certificate:

DECLARATION I     the account holder or a person authorised to operate the account, declare that to the best of my knowledge and belief the information set out above is true and correct in every detail. Signature     Date / /

[ Back of form ]

INFORMATION FOR PERSONS COMPLETING THIS DECLARATION

1.     A financial institution will not be liable to pay tax in respect of debits to an account for which a certificate of exemption is in force.

2.     The Commissioner for ACT Revenue will grant a certificate of exemption if satisfied that all debits to the account will be exempt or excluded.

3.     “Exempt debit” includes reversal entries, debits tax debits, debits to accounts to correct errors on accounts with an exemption certificate and debits made to accounts in the name of:

        (a)     the Governor-General;

        (b)     a government of a foreign country;

        (c)     foreign diplomatic and consular personnel and other persons entitled to exemption from debits tax by virtue of any law of the Commonwealth;

        (d)     an international organisation entitled to exemption from debits tax by virtue of any law of the Commonwealth;

        (e)     a department or authority of the Commonwealth, provided it is not the sole or principal function of the department or authority to carry on activities in the nature of a business and is not liable to pay debits tax.

4.     “Excluded debit” includes accounts in the name of:

        (a)     a charitable organisation;

        (b)     a hospital that is a recognised hospital under the Health Insurance Act 1973 of the Commonwealth;

        (c)     a university;

        (d)     a government college;

        (e)     a government school;

        (f)     a college that is carried on by an association or other body of persons otherwise than for purposes of profit or gain to the individual members of that association or other body;

        (g)     a school that is carried on by an association or other body of persons otherwise than for purposes of profit or gain to the individual members of that association or other body;

        (h)     a department or authority of the Territory or of a State or another Territory, provided it is not the sole or principal function of the department or authority to carry on activities in the nature of a business;

        (j)     a financial institution which carries on a banking business in the Territory.

5.     “Eligible debit” means a debit other than an “excluded debit” or an “exempt debit”. Where an “eligible debit” is made to an exempt account, the account holder is liable to pay the tax imposed unless the account holder is one of the persons or organisations indicated above in para 3.

    Where an “eligible debit” has been made to an exempt account, or the holder of an exempt account expects that an “eligible debit” will be made within 30 days, the account holder is required to notify the Commissioner in writing within 7 days.

6.     If a certificate of exemption is not granted, the account holder will be advised in writing.

    NOTE:

A     All applications for exemption by incorporated institutions should be accompanied by a copy of their Memorandum & Articles of Association. Unincorporated institutions should lodge a copy of their objectives/constitution.

B     If a Certificate of Exemption is granted it must be produced to the Financial Institution at which the account is kept.

C     Please advise for what purpose the account is to be used.

This completed declaration may be lodged or posted as follows:

	Lodge in person—		Postal address—
	ACT Revenue Office Customer Service Centre Ground Floor 193-197 London Circuit CANBERRA CITY		Commissioner for ACT Revenue ACT Revenue Office PO Box 293 CIVIC SQUARE ACT 2608