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About this form

Use this form to join an existing imputation group, leave an imputation group and/or change the nominated company of an imputation group.

Adobe Acrobat PDF | 60kb | 2 pages

When to use this form

• A company joins an existing imputation group or,
• A company leaves an imputation group or,
• There is a change to the nominated company of an imputation group.

This includes trans-tasman imputation companies.

What you will need

IRD number

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After you finish

Please print out, then complete the form, sign and post to your nearest Inland Revenue office.

If you live in Australia please use the address below:

Inland Revenue Corporates Segment
PO Box 2198
Wellington
New Zealand

You may wish keep a copy of this form for your personal records.

List of postal addresses for Inland Revenue >