Application for registration as a Taxpayer or Changing of ...

1 Application for registration as a Taxpayer or Changing of registered particulars : CompanyIT77 CTaxpayer InformationCompany DetailsRegistered NameRegistration addressTrading NameRegistration date (CCYYMMDD)Nature of Business Where registered details have changed, the applicant must only fill in the Taxpayer reference number and the details that have changed Use capital letters and where applicable, mark with an X Note: Please refer to the Supporting Document list available on the SARS website ( )RTurnoverBus Tel Disclosure ProgrammeDeclarationI declare that the information furnished in this Application is true, correct and (CCYYMMDD)For enquiries go to or call 0800 00 SARS (7277)XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX XXXXP lease ensure you sign over the 2 lines of X s aboveIT77 CArea codeTaxpayer ref. no.,Unit (if applicable)Street / Farm name Suburb /DistrictCity / TownPostal CodeMark here with an X if same as above or complete your Postal AddressPostal CodePhysical AddressPostal AddressCountry code ( South Africa = ZA)Country code ( South Africa = ZA)VDP Application this registration made in respect of a VDP agreement with SARS?

2 1 of 5 Updated on: 10/16/2017 Public Officer DetailsTaxpayer ref. tel two namesInitialsID of Appointment (CCYYMMDD)Email AddressSurnameDate of Birth (CCYYMMDD)Passport Country ( South Africa = ZAF)Passport issue date (CCYYMMDD)Home tel Details Is the company trading?Financial year end (MM)If No , provide reason(s):Unit (if applicable)Street / Farm name Suburb /DistrictCity / TownPostal CodePhysical AddressCountry code ( South Africa = ZA) registration Practitioner Details (if applicable)Contact EmailSurname / registered nameInitials (if applicable) 2 of 5 Updated on: 10/16/2017 Three Main Partners Details (Only in case of partnership)IT77 CSurnameTaxpayer ref ref ref One Number Two Number Three InitialsID Country( South Africa = ZAF)ID Country( South Africa = ZAF)Passport Country( South Africa = ZAF) 3 of 5 Updated on: 10/16/2017 Three Main Directors / Shareholders / Members DetailsSurnameInitialsTaxpayer ref.

3 NoRegistered NameRegistration One Number Two Number Three Passport issue date (CCYYMMDD)IT77 CID of Birth (CCYYMMDD)Passport Country ( South Africa = ZAF)Passport ref. noRegistered NameRegistration issue date (CCYYMMDD)ID of Birth (CCYYMMDD)Passport Country ( South Africa = ZAF)Passport ref. noRegistered NameRegistration issue date (CCYYMMDD)ID of Birth (CCYYMMDD)Passport Country ( South Africa = ZAF)Passport 4 of 5 Updated on: 10/16/2017 Estate Details Type of EstateVoluntary liquidationEffective Date (CCYYMMDD)Involuntary liquidationOther: SpecifyMeeting Dates for company in LiquidationFirst meeting CCYYMMDDS econd meeting (CCYYMMDD)Special meeting (CCYYMMDD)Capacity of RepresentativeRepresentative Taxpayer DetailsTaxpayer ref. two namesInitialsID of Appointment (CCYYMMDD)Email AddressSurnameDate of Birth (CCYYMMDD)Passport Country ( South Africa = ZAF)Passport issue date (CCYYMMDD)Fax AddressContact NumbersMark here with an X if same as above or complete your Postal AddressPostal AddressTel Tel Tel (if applicable)Street / Farm name Suburb /DistrictCity / TownPostal CodeCountry code ( South Africa = ZA)Postal CodeCountry code ( South Africa = ZA)Other (Specify)LiquidatorAdministratorInitial year of liabilitySuspense CodeSuspense Effective Date (CCYYMMDD) Taxpayer Sub-CategoryNormalAssuranceMiningExemptC urrent financial year end (MM)For Office Use Only DormantTaxpayer 5 of 5 Updated on: 10/16/2017