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Documents numbered between 100 and 199


Income equalisation deposit/refund form IR155

(published October 2010) 

About this form

This form includes all the information required to make a deposit to the income equalisation scheme, or to request a refund from the income equalisation scheme.

Adobe Acrobat PDF | 55kb | 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 this form to make a deposit into the income equalisation scheme, or to request a refund from the income equalisation scheme.

What you will need

Find out about the income equalisation scheme.

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After you finish

Please print, sign and post the completed form to the address provided.

Please keep a copy of this form for your personal records.

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