New Client Form - Individual We need some information to set you up as a client. Please complete the form below and agree to our terms and conditions. Thank you Personal Details Please complete the details below about yourself. Name * First Name Middle Name Last Name Current Address Street Address Street Address Line 2 City State / Province Postal / Zip Code Have you lived at the above address for more than 3 years? Yes No - please provide a prior address Previous Address Street Address Street Address Line 2 City State / Province Postal / Zip Code Home Phone Number - Area Code Phone Number Mobile Phone Number - 04 Phone Number Email * example@example.com Date of birth * - Day - Month Year Date Picker Icon Your Tax File Number * What is your main occupation (asuming you don't need to provide Business Information)? Just in case you are due a refund please give us your bank details so the ATO can deposit directly into your account. Bank Name Account Name BSB Account Number Do you need to provide Business Information (i.e. do you have a company or are you a sole trader?) * Yes No select one Business Information (If Applicable) Please provide information about your business below Type of Entity * Sole Trader Company Trust Partnership Business Trading Name * ABN * Company TFN * Business Address Street Address Street Address Line 2 City State / Province Postal / Zip Code Business Phone Number - Area Code Phone Number Business Email example@example.com Website www.website.com Business Activity Please provide the business bank account details that the ATO can use to deposit into if required. Business Bank Name Business Account Name Business Account BSB Business Account Number Services Please select the services that Hemisphere Accounting will be providing. Book-keeping Yes No Monthly Instalment Activity Statements (IAS) Yes No Quarterly Business Activity Statements (BAS) Yes No Annual Returns and Accounts Yes No Payroll Yes No Payroll Frequency Weekly Fortnightly Monthly Other Next Payroll Pay Date - Month - Day Year Date In order to comply with money laundering regulations we are required to verify your identity. Please can you send send us a copy of your passport and proof of address. If you don't have this available now you can send through later Please upload a copy of a bill or evidence of your address Browse Files Cancel of Please upload a copy of your passport or drivers licence Browse Files Cancel of How did you hear about us? Referred by a friend Facebook post Real Entrepreneur Mums Other Please can you let us know who referred you so we can thank them Please give details of other ANNUAL AUTHORITY TO LODGE (Single Touch Payroll STP) Once Hemisphere Accounting has registered as my tax agent I would like ATO communication to be sent to: Hemisphere Accounting Pty Ltd (We will forward all communication electronically) Myself AFTER SIGNING PLEASE ENSURE YOU HIT THE SUBMIT BUTTON BELOW OTHERWISE WE WILL NOT RECEIVE THE FORM! Save Submit Should be Empty:
