Transcription of THE REVENUE ADMINISTRATION ACT FORM 1 APPLICATION …
1 12. Home Address14. Mother's NameTHE REVENUE ADMINISTRATION ACTAPPLICATION FOR taxpayer registration (INDIVIDUALS)FORM 1 SECTION AType of APPLICATION (Tick appropriate box) taxpayer registration Number (TRN)1. Name -Last:First:Middle:2. Name at Birth -Last:First:Middle:(If different from 1.)3. Reason for Name Change4. Sex5. Marital Status6. Date of Birth7. Country of Birth8. Parish of Birth9. Place of BirthCodeCode10. Nationality11. Telephone Number(s)HomeWork13(a) E-mailAddress13(b) Mailing Address(If Different From Home Address)CodeCode15.
2 Name of Applicant's Spouse(Last, First, Middle) First, Middle)16. (a) NIS Number:(b) Income Tax Reference No.:17. Please provideONE (1) of the following three (3) identifications (ID):(BirthCertificate No. )18. Occupation/Profession19. Do you carry on a Trade, Business or Profession ?If y es, complete Sections B and C ov erleaf - state number of businesses in box - complete an additional form for each If no, complete Section C ov erleafCodeCodeCodeJ AMAICAForm 1 (Issued 2002/08)Tax ADMINISTRATION Services DepartmentIdentification PresentedDocuments PresentedStatusPLEASE SEE OVERLEAF FOR CONTINUATION OF FORMFOR OFFICIAL USE ONLYR eceivingOffice:Date:AgencyCode:(Official Stamp)RemarksProcessing Officer's NameProcessing Officer's SignatureYearMonthDay(PassportType.
3 (Apt. No., Street No. & Name, Postal Zone, Parish)(If Other, Specify)(If Other, Specify)PLEASE SEE INSTRUCTIONS OVERLEAF BEFORE COMPLETING THIS FORMF irst applicationAmended APPLICATION (MAIDEN)AdoptionDeed PollOtherMarriageMaleFemaleSingleMarried DivorcedWidowedJamaicaOtherJamaicanOther Driver's Licence No:National ID No:Passport 's LicenceNational ID:BirthCertificateOldNewOtherNIS Reference CardBusiness NameRegistration CertificateNewUpdated(If amended, complete only relevant boxes)SECTION B (To be Com pleted by Persons Carrying on a Trade/Business/Profession)20.
4 Trade /Business Name21. Telephone Number(s)21(a) Fax Number(s)21(b) Business Address( , Street No. & Name, Postal Zone,Parish)21(c) Business Mailing AddressCodeCode21(d) E-mail Address22. Date Business Acquired/ Started/To StartYearMonthDayDayMonthYearMonthDay23. If Acquired, state the previous -(Last, First, Middle)Owner's Name:Business Name:TRN:24. Date First Employee Commenced Employment25. Date Accounting Year Begins27. Name of Auditing Firm/ Accountant:TRN:26. NIS (Employer's) No.:Business Name registration No.
5 :Date of registration :28. Specify Nature of Business29. Usual Collectorate for PaymentsCodeSECTION C30. Employer's Name and Address31. Collectorate/Agency at which you Desire to Collect your TRN Card31(a) Collectorate nearest your Home Address32. I declare that the information given in this form is to the best of my knowledge and belief true and 's NameDateApplicant's SignatureINSTRUCTIONSP lease TYPE or PRINT. Use blue or black ink only. CompleteALL relevant boxes. Do NOT write in shaded ( ) appropriate box(es) where 1 and 2: At 'Middle ', please state all your middle names if more than 17: provide at least one (1) valid ID.
6 If National ID is used, provide a certified copy of your Birth Certificate.(NB: Baptismal Certificate and a Certificate of Birth registration , that is , "pink form", will not be accepted.)Applicants using a Birth Certificate and a certified photograph for ID must submit their applications in should be signed by applicants ONLY. Persons signing on behalf of applicants MUST provide a valid Powerof completed form to the taxpayer registration Centre (TRC) or nearest Collectorate along with appropriateID, original documents and an additional form for each branch, if (if different from Business Address)
