TAX Agent Authorization Form TAX Agent Authorization FormFull NameOccupationTFNDate of BirthGender– Select –MaleFemaleOthersHome AddressAddress Line 2 (optional)SuburbStatePost CodeAccount NameBSBAccount NumberMedicare Yes NoPrivate Health Insurance Yes NoComments I hereby appoint and authorize Safe Accountants to act as my tax agent, and to lodge my tax return electronically or otherwise. I have willingly supplied my Tax File Numbers and information. I further authorize the agent to deal with any appropriate authority, which may affect my probable tax consequences. I, instruct Safe Accountants to prepare my Income Tax Return for the year ended 30th June, based on the information provided by me. I understand that I am responsible for the accuracy and completeness of the information I provide for the completion of my return. Accept Terms and Conditions I read & accept above all the terms and conditions.Submit Form