Address Line One Address Line Two Locality Name Post Code State or Territory Code Email Address Telephone Area Code Declarer Telephone Area Code Telephone Number Declarer Telephone Number The integrated client account number is used to reference the branch of the parent entity (ABN). ICA (Integrated Client Account) Parent Entity ICA (Integrated Client Account) Non-Individual Name Individual Family name Individual First given name Title The position of the person making the declaration, for example the public officer, agent or trustee of the head company. Declarer Contact Name The position of the person who is to be contacted for further information regarding the Private Ruling Application. Contact Position Declarer Position held of person making the declaration Country Code ABN used by the applicant for GST obligations. Australian Business Number for GST Parent Entity ABN Client's Reference If the TAN consists of only seven digits, it is an old registration and a '0' (zero) needs to be added in front of the first four digits of the TAN. Declarer Registered Agent Number Declarer Identifier Declarer Signature Date Declarer Signature Indicator Mobile Phone Number Indicator to be set if the request applies to more than 10 clients, and the additional clients are included in an attachment to the request. There must be at least 1 attachment if this is set. Additional Clients Indicator Indicator if this client is registered for GST. GST Registered Indicator ATO Previous Ruling Reference Numbers Valid values are: Am I a resident? Am I carrying on a business? Capital gains business (for example, land subdivision, active asset test and unit sales) Capital gains individuals (for example, share sales, marriage breakdown and deceased estates) Eligible termination payment Employee vs Contractor Fringe benefits tax or withholding tax Fuel tax credit Goods and services tax Income tax - individuals not in business Income tax - non-commercial losses or business (including superannuation funds)Lodgment, Payment, Accounting, Registrations Luxury car tax Other superannuation subjects Personal superannuation deductions Product grants or benefits Undeducted purchase price Wine equalisation tax Subject not covered Alcohol excise Petroleum excise Tobacco excise Main Subject Area Questions and Issues A full description of the scheme or circumstance must be provided. This can include all facts, assumptions, transaction dates, the names of other parties actively involved and a list of any supporting document sent with the application. Note that these details should be reasonably certain before you lodge this application. Facts Describing the Scheme or Circumstance This can include any research and analysis you have done and any references to relevant legislation, public rulings or case law. Include names of any attached documents that relate tom this item. Arguments and References Subject to Audit ATO Audit Reference Number Arrangement Start Date Arrangement End Date Arrangement Period Description Serious Consideration Indicator Sought Previous Ruling PRLodgeRequest [Abstract] RP.APP Primary Items [Abstract] RP Primary Items [Abstract] RP Prev Primary Items [Abstract] INT.RP TrueAndCorrect Primary Items [Abstract]