Authorisation form for Organisations Stuck trying to obtain requested information/documentation for your tax refund? My Refund can help! This form is for you to provide authority for My Refund to contact a specific organisation or company to obtain copies of documentation for tax purposes. Complete the below form and return to My Refund Limited. Either: 1. Scan the information or snap a photo on your smartphone 2. Send it from your device straight to My Refund Ltd a. Send us a message through our website and select your photo/file b. Attach your photo/file and email [email protected] c. Chat live with My Refund and send your photo/file through our live chat service

Examples of requested documentation: • • • •

Donation Receipts Interest Statements KiwiSaver Statements Shareholder Statements

Or post it into FREEPOST, PO Box 6490, Christchurch 8442

Your details

IRD Number: Full Name: Date of Birth:

☐☐☐-☐☐☐-☐☐☐ ☐☐-☐☐-☐☐

Would like to give authority to my tax agent, My Refund to contact the below organisation/s on my behalf to obtain copies of documentation for tax purposes.

Organisations details

Name: Address: Phone Number: Email Address:

☐☐-☐☐-☐☐ Your Signature

Date received:

Date OFFICE USE ONLY Entered By: