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About this form

Use this form to apply for a special tax code so tax is deducted at a rate to suit your individual circumstances. A special tax code can only be applied to income that has PAYE deducted but cannot be applied to an income-tested benefit.

Adobe Acrobat PDF | 157kb | 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

A special tax code is useful if your situation is out of the ordinary, such as if you:

• have a second job or other income over and above your main job
• are a beneficiary or receiving ACC and working
• receive an overseas pension that is taxable in New Zealand
• have business losses from a previous year to carry forward and you want to offset these losses against your salary or wages now.

What you will need

You will need:

• your IRD number
• details of your income including PAYE deductions and gross income received
• your employment details
• your NZ Super number if applicable.

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After you finish

When you have filled in this application, post it to Inland Revenue. We will work out the rate of deduction and let you know this rate as soon as we have processed your application.

• This rate is based on your estimates and may not be the final amount you owe. Final tax can only be worked out on the actual figures shown when you receive your 2011 personal tax summary or file your income tax return.
• Please tell us if your circumstances change during the year, for example, if your income increases or decreases.

List of postal addresses for Inland Revenue >