Maori organisations - current publications in English
Resident withholding tax (RWT) reconciliation statement 2004 IR17S
Specified dividends only 1 April 2003 to 31 March 2004
About this form
This form reconciles all specified dividends and RWT paid for the year to 31 March 2004.
Adobe Acrobat PDF | 61kb | 1 page
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 this form to advise us of all your resident withholding tax deductions.
What you will need
- IRD number
- total specified dividends paid suring the year including any foreign withholding tax credits
- specified dividends not subject to RWT
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After you finish
Please print, sign and post the completed form to your nearest Inland Revenue office.
You may wish keep a copy of this form for your personal records.