Form Ir526 - Tax Credit Claim Form - 2017
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1
2Tax credit claim form 2017
IR526 (17)
For donation claims only
March 2017
1 April 2016 - 31 March 2017
Your name
1
IRD number
(8 digit numbers start in the second box.
)
YEAR ENDING
Your address
2
0
1
7
Tax year
2
31 March
Your daytime telephone
Are you eligible to make a claim?
You can't claim a tax credit for:
You can claim a tax credit if, in the tax year you are claiming for:
• childcare and/or housekeeper payments from 1 April 2012
• you received taxable income, eg, salary, wages, and
• tuition, exam, tertiary education, private school fees or
extracurricular activities, eg, music lessons
• you have valid receipts for donations made to approved
donee organisations.
• donations you've made through payroll giving at your workplace
• payments made where there is direct benefit to the donor or the
donor's family.
For more information including "WHAT CAN I CLAIM?" and "HOW MUCH CAN I CLAIM?" see page 2.
Donation tax credits for the period 1 April 2016 to 31 March 2017.
Receipt amount
For donations made for any other period please download the appropriate form from our website.
Total donations made to school/kindergartens
3
4
Total donations made to donee religious organisations
5
Total remaining donations made to donee organisations
Total receipt amount
Add Boxes 3, 4 and 5 and enter the amount in Box 6.
6
7
Multiply the amount in Box 6 by 33.3333% and enter it in Box 7.
Print new total here
Print your spouse/partner's details if you are sharing any receipts
8
Name
IRD number
Bank account details
Account holder's name
If a bank account number isn't shown below or is incorrect, enter the bank
account number you would like your tax credit to go to in Box 9.
Bank
Branch
Account number
Suffix
9
Do you want to transfer your tax credit?
Transfer to IRD number
10
If you want to transfer your tax credit to your, or someone else's, income tax account, enter
the details here. Please do not transfer your tax credit to a donee organisation. If you wish to
Transfer to year ending
donate your tax credit, you will need to do this through the donee organisation directly.
31 March
Name of person receiving the tax credit
Amount to transfer
11
Signature
Please sign and date the declaration
/
/
I declare the information I have provided
on this form is true and correct.
Date
IMPORTANT
We'll send you confirmation of the amount
of your tax credit within six weeks, unless we
need to wait for your IR3 income tax return
to be filed.
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