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About this form

Complete one certificate for each non-resident you deducted NRWT from during the year to 31 March.

Adobe Acrobat PDF | 120kb | 2 pages

This form can be completed on-screen by typing content directly into the PDF document. Once you have completed the form it is important that you print it out as you will not be able to save the information you enter into the form.

When to use this form

Use a separate certificate for each non-resident, showing the gross amount (in NZ dollars) for:

• dividends
• interest
• copyright (cultural) royalties
• other royalties.

You will also be showing the gross amount of NRWT - in NZ dollars.

What you will need

• the recipients' details and New Zealand IRD number (if known)
• gross amount of dividends, interest, copyright and other royalties
• FDP credits
• payers details and IRD number
• the certificate number.

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After you finish

Please print, sign and post the completed form to your nearest Inland Revenue office.

Please remember to keep the duplicate for your records.

List of postal addresses for Inland Revenue >