Only securities that have been registered with us qualify for a zero rate of non-resident withholding tax. This form is used to register securities - a separate form must be completed for each security or class of securities.

Adobe Acrobat PDF | 89kb | 1 page

This form can be completed on-screen by typing content directly into the PDF document. Once you have completed the form it is important that you print it out as you will not be able to save the information you enter into the form.

If you already have approved issuer status, use this form to register each additional security - fill in a separate form for each security you want to register.

If you have more than one security to register, you'll need to complete a separate security registration.

• IRD number to be registered
• contact details
• nature of business or trade
• start date of paying interest to
• expected AIL for each year
• description of security
• issue date for security
• date of redemption
• face value of security in New Zealand dollars
• redemption value
• interest or coupon rate

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After you finish

Please print, sign and post the completed form to your nearest Inland Revenue office.

You may wish to keep a copy of this form for your personal records.