Tax Client Details Form Step 1 of 3 33% Client InformationTitle*MrMrsMissMsDrFirst Name*Middle NameSurname*Date of Birth Has your name/address changed since your last lodged return?Has your name/address changed since your last lodged return?*YesNo SexSex*MaleFemale AddressAddress* Residential Street address Residential Street address line 2 City/Suburb Postcode State*StateACTNSWNTQLDSATASVICWAOther E-mail addressE-mail address* Contact Phone NumberContact Phone Number Postal AddressPostal Address Same as Above Street address/PO Box Number City/Suburb Postcode State*StateACTNSWNTQLDSATASVICWAOther Tax File NumberTax File Number* Work StatusWork Status*Full-TimePart-TimeCasualContractLabour-hire Occupation/Job TitleOccupation/Job Title Are you self-employed/sub-contractor/work under your own A.B.N?Are you self-employed/sub-contractor/work under your own A.B.N?*YesNoIf yes, A.B.N?Is this A.B.N. registered for GST/PAYG Withholding? If yes, please give details Bank Details (The ATO only issue refunds electronically, so you must provide these.BSB*Account No.*Name as it appears on the Account*Spouse NameSpouse D.O.B. Spouse's Taxable Income ($)Names and D.O.B.'s of all Dependent Children Are you covered by private health insurance, which includes hospital? Please provide a copy of your 2019 Private Health Insurance statement, for you & any other family members covered on the policy. Please note, a membership number and fund name is NOT sufficient as the entire statement is needed.NameThis field is for validation purposes and should be left unchanged.