Personal Details
Title:
* First Name:
Last Name:
* Date Of Birth:
Australian Address
* Street Address:
* City:
* State:
* Post Code:
* International Address:
* Email:
* Confirm Email:
* Australian Mobile Telephone:
* Overseas Telephone Number:
* Which Country are you from?:
* Passport Number:
* Tax File Number:
ABN:
Status Information
* Approximate first date of arrival in Australia:
* Approximate last date of departure from Australia:
* Date when your visa expires:
* Would you like us to claim back your superannuation money when you leave Australia?:
Yes No
Residence Questionnaire

Please read and carefully answer the following questions so we can determine whether you are treated as a resident for Australian tax purposes.

* Are you an Australian returning to live?:
Yes No
Work Details
* What was your main occupation in Australia?:
How many employers did you work for ?:
EMPLOYER 1:
* Company Name:
Pay period:
  
To
Do you have your payment summary (PAYG)?:
Yes No
Would you like us to source replacements for you?:
Yes No
Other Sources of Income
Do you have an active business with ABN?:
Do you have/receive any of the following?
More than $20 bank interest
Shares or managed funds
An investment property
Distribution from partnership
Distribution from Trust
Capital gains
Foreign source income
Foreign assets with total value of A$50,000 or more
Paid Parental Leave
Family Tax Benefit (Part B)
Employer termination payments
Employer lump sum payments
Pensions/payments from your superannuation
Other government payments
Forex trading

If you have selected any of above items, we will contact you and ask for the additional information such as statements, worksheets or files.

Work Related Deductions

If you had work related expenses that exceed $300 please write them down below. It is important that you keep your receipts as you may be asked to show then to the Australian Taxation Office.

Deductions and Offsets
Please check all that apply to you:
I had a Medicare card or I was eligible for Medicare benefits
I had private health insurance which covered hospital
I had medical bills over $2,120 (after any refunds)
I maintained my parent, my spouse's parent or an invalid relative
I lived or worked in a remote or isolated area of Australia
I worked FIFO(fly-in-fly-out)
I donated money to eligible charities
I paid a tax agent to prepare my return last year
I did work-related travels (other than to and from home)
Do you do any of the following for work purposes?
Use your own motor vehicle (other than to and from home)
Study/training directly related to work
Use personal mobile phone/internet
Use home phone/internet
Pay union fees
Wear a compulsory uniform (that you purchase)
Pay any membership, license or registration fees
Purchase and maintain any tools/materials/aids
Work from home
Have income protection insurance (that you pay for)

VERY IMPORTANT:

If your are claiming more than $300 you may be asked to show receipts to the Australian Taxation Office. You risk heavy fines for fraudulent claims so only claim what you can prove!

* I understand that if my tax deduction claim exceeds $300 in total then I must be able to provide receipts to support my claim. I understand I risk heavy fines for fraudulent claims so I am only claiming what you can prove.

Bank Details

VERY IMPORTANT:

Please make sure your bank details are correct. We take no responsibility for refunds paid to a wrong bank account as a result of the incorrect bank details you have provided. Retrieval fees apply to trace lost payments.

Please choose where you would like us to pay your refund.
If you change your bank details then make sure to email us at info@supertaxrefunds.com.au
Please choose from payment options below:

* Account Type:
Australian Bank Account:
* Account Name:
* BSB:
* Account Number:
Europe:
* Choose Country:
* Bank Name:
* Branch Address:
* SWIFT Code (BIC):
* IBAN:
* Account Name:
* Residential Address:
IBAN lengths  
Country Example
Andorra (24 digits) AD12 0001 2030 2003 5910 0100
Austria (20) AT61 1904 3002 3457 3201
Belgium (16) BE68 5390 0754 7034
Cyprus (28) CY17 0020 0128 0000 0012 0052 7600
Czech Republic (24) CZ65 0800 0000 1920 0014 5399
Denmark (18) DK50 0040 0440 1162 43
Estonia (20) EE38 2200 2210 2014 5685
Finland (18) FI21 1234 5600 0007 85
France (27) FR14 2004 1010 0505 0001 3M02 606
Germany (22) DE89 3704 0044 0532 0130 00
Gibraltar (23) GI75 NWBK 0000 0000 7099 453
Greece (27) GR16 0110 1250 0000 0001 2300 695
Hungary (28) HU42 1177 3016 1111 1018 0000 0000
Iceland (26) IS14 0159 2600 7654 5510 7303 39
Ireland (22) IE29 AIBK 9311 5212 3456 78
Italy (27) IT60 X054 2811 1010 0000 0123 456
Latvia (21) LV80 BANK 0000 4351 9500 1
Lithuania (20) LT12 1000 0111 0100 1000
Luxembourg (20) LU28 0019 4006 4475 0000
Netherlands (18) NL91 ABNA 0417 1643 00
Norway (15) NO93 8601 1117 947
Poland (28) PL27 1140 2004 0000 3002 0135 5387
Portugal (25) PT50 0002 0123 1234 5678 9015 4
Slovak Republic (24) SK31 1200 0000 1987 4263
Slovenia (19) SI56 1910 0000 0123 438
Spain (24) ES80 2310 0001 1800 0001 2345
Sweden (24) SE35 5000 0000 0549 1000 0003
Switzerland (21) CH39 0070 0115 2018 4917 3
United Kingdom (22) GB29 NWBK 6016 1331 9268 19
United Kingdom:
* Account Name:
* Bank Name:
* Branch Address:
* SWIFT Code (BIC):
* IBAN:
* Sort Code:
* Account Number:
* Residential Address:
Canada:
* Account Name:
* Bank Name:
* Branch Address:
* SWIFT Code (BIC):
* Bank Code:
* Transit Code:
* Account Number:
* Residential Address:
USA:
* Account Name:
* Bank Name:
* Branch Address:
* SWIFT Code (BIC):
* FedWire/Routing Number/ABA :
* Account Number:
* Residential Address:
Japan:
* Account Name:
* Bank Name:
* Branch Address:
* Branch Code:
* SWIFT Code (BIC):
* Account Number:
* Residential Address:
Hong Kong:
* Account Name:
* Bank Name:
* Bank Code:
* Branch Address:
* Branch Code:
* SWIFT Code (BIC):
* Account Number:
* Residential Address:
South America:
* Account Name:
* Bank Name:
* Branch Address:
* SWIFT Code (BIC):
* Account Number:
* Residential Address:
Other:
If you are unsure please contact your bank or fill in required details below:
* Account Name:
* Bank Name:
* Bank Code:
* Branch Address:
* Branch Code:
* SWIFT Code (BIC):
* IBAN:
* Account Number:
* Other details:
* Residential Address:
Superannuation Refund

You can claim your superannuation refund when you are leaving Australia. It is a good idea to organise everything before you go home so please complete the application and we will contact you with further requirements

Have you already left Australia ? :
Yes No
Overseas Residential Address:
Most Recent Postal Address in Australia:
Previous Address in Australia:

PLEASE INCLUDE ALL ADDRESSES AS EACH SUPER FUND MAY HAVE A DIFFERENT ADDRESS!!!

How many jobs did you have whilst working in Australia?
Job 1
* Company Name:
Business Address:
Phone/fax number:
Email address/website:
Pay period:
To
Super Fund name:
Membership Number:

IMPORTANT:

To process your superannuation refund we will need certified copies of the following:

  • Passport photo page (Passport number must be clear)
  • Passport entry stamp when first landed in Australia
  • Passport departure stamp once permanently left Australia
  • Visa details
  • Secondary form of identification. Eg. Licence, student card etc.
  • Any statements received from Superannuation Funds
  • Signed Power of Attorney documents.
Please attach the above documents here:
Please send us your documents by either:
Email: info@supertaxrefunds.com.au
Fax: +61 3 8679 3343
Post: Super Tax refunds
PO Box 1335
Broadbeach QLD
Australia 4218

VERY IMPORTANT:

Please make sure to send all documents together. Your application will not be processed until all documents have been received.
Additional Information

Please enter any additional comments and information here:

How did you hear about our service?:
Hostel
Internet
Friend
Others (Please Specify)
Do you know anyone else who needs to lodge their tax return? :
Declaration and Lodgement

* Yes, I accept the Terms and Conditions

Please read our terms and conditions and indicate that you accept them in order for your application to proceed:

VERY IMPORTANT:

Please check your spam/junk folder as many email providers have strict filters preventing our emails from reaching you.