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Thank you for choosing Berwick Tax. Please fill in all the applicable information in the form below.
Date of Appointment
Appointment with
Your Details
Title
*
First Name
*
Surname
*
Tax File Number
*
ABN
Occupation
*
Date of Birth
*
Street Address
*
City
*
State
*
State*
ACT
NSW
NT
QLD
SA
TAS
VIC
WA
Postcode
*
Home Phone Number
Business Phone Number
Mobile Phone Number
Fax Number
Email Address
*
Your Partners Details
Title
First Name
Surname
Tax File Number
ABN
Occupation
Date of Birth
Street Address
City
State
State
ACT
NSW
NT
QLD
SA
TAS
VIC
WA
Postcode
Home Phone Number
Business Phone Number
Mobile Phone Number
Fax Number
Email Address
Previous Accountant
Previous Accountant
Previous Accountant Postal Address
Previous Return Year
Place
Dependants
Dependants
Full Name
Date of Birth
Name
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Phone
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