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About this form

Form to use if the you made gifts in any 12-month period that total more than $12,000.

Adobe Acrobat PDF | 84kb | 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

You must complete this form when the gifts made by you total more than $12,000 in any 12-month period. The 12-month period does not relate to a calendar or financial year, but runs from the date at which you made the first of the gifts that in total exceed $12,000.

What you will need

• Your IRD number - if you do not have this call us on 0800 227 774.
• The dates of gifts
• Copies of any documents that created or evidenced the gifts
• Details of monetary value you received in return for gifts.

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After you finish

Please print two copies, sign both and post the completed copies with any attachments to:

Duties Unit
Inland Revenue
P O Box 2871
Christchurch

You may wish keep a copy of this form for your personal records. We will return one copy to you after it has been processed.

List of postal addresses for Inland Revenue >