Application for registration as a Taxpayer or Changing of Registered Particulars: Company IT77C TPINF01 Information Taxpayer ref. no. Where registered details have changed, the applicant must only fill in the taxpayer reference number and the details that have changed Area code Use capital letters and where applicable, mark with an “X” Details Registered Name Trading Name Registration No. Registration date (CCYYMMDD) Bus Tel No. Turnover Fax No. , R Cell No. Email address Nature of Business Programme Address Unit No. Complex Is this registration made in respect of a VDP agreement with SARS? Street No. Street / Farm name VDP Application No. (if applicable) Y N Suburb / District City / Town Country code (e.g. South Africa = ZA) Postal Code I declare that the information furnished in this application is true, correct and complete. XXXXXXXXXXXXXXXXXXX XXXXXXXXXXXXXXXXXXX Address Mark here with an “X” if same as above or complete your Postal Address Please ensure you sign over the 2 lines of “X”s above Date (CCYYMMDD) Country code (e.g. South Africa = ZA) For enquiries go to www.sars.gov.za or call 0800 00 SARS (7277) Postal Code IT77C Version: v2012.0.5 Page 1 of 6 Updated on: 1/23/2013 All changes will be verified before your banking details are updated. SARS will notify you if you are required to visit a SARS branch to present supporting information. Bank account details are required for refunds. Details Mark here if you do not have a local bank account Account No. Branch No. Account Type: Current Savings BNKIF01 Transmission Bank Name Branch Name Account Holder Name (as registered at bank) PODIF01 Details Surname Initials First two names Taxpayer ref. no. Date of Birth (CCYYMMDD) ID No. Passport No. Passport Country (e.g. South Africa = ZAF) Home tel no. Bus tel no. Passport issue date (CCYYMMDD) Cell no. Fax no. Date of Appointment (CCYYMMDD) Email Address Address Unit No. Street No. Complex (if applicable) Street / Farm name Suburb / District City / Town Country code (e.g. South Africa = ZA) Postal Code IT77C Version: v2012.0.5 Page 2 of 6 Updated on: 1/23/2013 TPDIF01 Practitioner Details (if applicable) Surname / Registered name Registration No. Initials (if applicable) Tel No. Contact Email Details Is the Company trading? TDINF01 Y N Financial year end (MM) If ‘No’, provide reason(s): MPDIF01 Details (Only in case of partnership) One Taxpayer ref no. Surname ID No. Initials Passport Country (e.g. South Africa = ZAF) Passport No. Two Taxpayer ref no. Surname ID No. Initials Passport Country (e.g. South Africa = ZAF) Passport No. Three Taxpayer ref no. Surname Initials ID No. Passport No. Passport Country (e.g. South Africa = ZAF) IT77C Version: v2012.0.5 Page 3 of 6 Updated on: 1/23/2013 MNDIF01 Details One Initials Surname Taxpayer ref. no Registered Name Date of Birth (CCYYMMDD) ID No. Passport No. Passport Country (e.g. South Africa = ZAF) Passport issue date (CCYYMMDD) Registration No. Two Initials Surname Taxpayer ref. no Registered Name Date of Birth (CCYYMMDD) ID No. Passport No. Passport Country (e.g. South Africa = ZAF) Passport issue date (CCYYMMDD) Registration No. Three Initials Surname Taxpayer ref. no Registered Name ID No. Date of Birth (CCYYMMDD) Passport No. Passport Country (e.g. South Africa = ZAF) Passport issue date (CCYYMMDD) Registration No. IT77C Version: v2012.0.5 Page 4 of 6 Updated on: 1/23/2013 Details ESTIF01 of Estate Date (CCYYMMDD) for Company in Liquidation First meeting CCYYMMDD Voluntary liquidation Second meeting (CCYYMMDD) Special meeting (CCYYMMDD) Involuntary liquidation Other: Specify Taxpayer Details Surname Initials First two names Taxpayer ref. no. Date of Birth (CCYYMMDD) ID No. Passport No. Passport Country (e.g. South Africa = ZAF) Home tel no. Bus tel no. Passport issue date (CCYYMMDD) Cell no. Fax no. Date of Appointment (CCYYMMDD) Email Address Address Numbers Unit No. Complex Tel No. Street / Farm name Cell No. (if applicable) Street No. Suburb / District Fax No. City / Town Country code (e.g. South Africa = ZA) Postal Code of Representative Mark here with an “X” if same as above or complete your Postal Address Liquidator Administrator Other (Specify) Country code (e.g. South Africa = ZA) Postal Code IT77C Version: v2012.0.5 Page 5 of 6 Updated on: 1/23/2013 Required for Registration / Change of Registered Particulars RQINF01 The following information is required in order for SARS to process your application. Your application may be rejected where the required information has not been submitted. Application Form This IT77C form must be completed in full and signed by the public officer. Proof of identity of Public Officer A certified legible copy of the Public Officer’s identity document or passport or driving licence must be submitted. Use Only FOINF01 Sub-Category Initial year of liability Current financial year end (MM) Code Type Normal Mining Non-Provisional Assurance Exempt Provisional Effective Date (CCYYMMDD) Dormant IT77C Version: v2012.0.5 Page 6 of 6 Updated on: 1/23/2013