New Individual New Individual New Client Details Form - Individual Step 1 of 4 25% Personal DetailsWe would appreciate you taking the time to complete the following details. If you have any questions in relation to the form, please do not hesitate to ask for assistance.Have you already met with one of our accounants?* I have already spoken with someone at Empire. I have a call booked. I need to book an appointment. I'm just registering for my next tax return. If you haven't please book in a time here: https://calendly.com/empire-business-solutions-1/10-minute-chatPreferred PronounShe/herHe/himThem/theyFull Name* First Middle Last Stage/Dance Name* Instagram Handle:* Tax File Number* ABN Are you on a Working Holiday Visa?* Yes No Unsure What was the last year you completed and lodged a return?* How did you hear about us?*Please selectAngelGoreScarlett MorganFrankie FataleShania PerrettStuckAtZeroAshton AvenueDolly DiamondBek SchulzeShannon HottesInstagram postGoogleTwitterFriendOtherResidential Address* Street Address Address Line 2 City State Post Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Postal Address same as Residential Address?* Yes No Postal Address* Street or PO Box Address Line 2 City State Post Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Email* Home Telephone Mobile* Date of Birth* DD slash MM slash YYYY Do you have a spouse or dependant children?* Spouse & Child/Children Spouse Only Child/Children None Spouse's Full Name Spouse's Date of Birth MM slash DD slash YYYY Spouse's Tax File Number Dependant Children's Details - Name & Date of BirthBank Account Details:BSB:* Account Number:* Account Name:* Bank Name:* Employment and Financial OverviewWhat sources of income do you have?* Salaries & Wages from Employment Income From Sole Trader Business Income From Government Sources eg Newstart Other Sources of Income Not Listed Description of Main Occupation* Employer Name - (Salaries & Wage Income)* Do you have more than one employer?* Yes No Employer Name* Sole Trader - Business Name* Sole Trader - ABN* Business Telephone Website Address Details of Government Source Income* Details of Other Sources of Income*Details of Investments (Property, Shares, SMSF's etc)*Approximate Annual Income* Accounting OverviewWhat type of services are you seeking to engage?* Personal Tax Returns Bookkeeping For Sole Traders Registering for ABN. TFN, Business Names, PAYG or GST Business Activity Statements Preparation & Lodgement (PAYG and GST) Rental Property Schedules Other Services Not Listed Above How would you prefer we contact you regarding your return? Email Text Message Phone Call What is your urgency for completion of any outstanding work?* ASAP 1-2 Weeks 2-4 Weeks No Urgency IdentificationAll clients need to verify their identification when onboarding with EBS Group Aust Pty Ltd. This is how we make sure we're safe and secure for all our clients, as well as compliant with all of the relevant ATO requirements. *Please note - your images are not stored and are only for verification purposes.*Photo of ID*Max. file size: 200 MB.Please upload a photo of your drivers license or passport on a neutral background.Photo of yourself holding your ID*Max. file size: 200 MB.How to take a photo of yourself holding your ID: 1. Take the photo in a room with enough light. 2. Select the highest photo quality on the device you use to take the photo. 3. Hold up the document next to your face. 4. Make sure both your face and ID are clear on the photo — nothing on the ID can be covered or censored.Client Declaration & LodgementClient Declaration I hereby appoint Empire Industry Finance Services as my tax agent and authorise them to access the ATO portal to gather necessary information to complete my tax return and handle tax affairs on my behalf, for the period of which I am a client. I consent to my postal address being updated to the practice postal address which will receive all communications from the ATO.Name of Client Making Declaration* Mr.Mrs.MissMs.Dr.Prof.Rev. Title First Last Date of Submission* DD slash MM slash YYYY Engagement letter terms* I have read the engagement letter termsRead the engagement letter herePhoneThis field is for validation purposes and should be left unchanged. Δ