Application for registration as a Taxpayer or Changing of Registered Particulars: Company
Taxpayer ref. no. IT77C Taxpayer Information Company Details Registered Name Registration No. Email address TPINF01 Trading Name Registration date (CCYYMMDD) Nature of Business Where registered details have changed, the applicant must only fill in the taxpayer reference number and the details that have changed Use capital letters and where applicable, mark with an X R , Turnover Bus Tel No. Fax No. Cell No. Unit No. Complex (if applicable) Street No. Street / Farm name Suburb / District City / Town Postal Code Mark here with an X if same as above or complete your Postal Address Postal Code Registered Address Postal Address VDP Application No. Is this registration made in respect of a VDP agreement with SARS? Y N Voluntary Disclosure Programme Declaration I declare that the information furnished in this application is true, correct and complete. Date (CCYYMMDD) For enquiries go to www.sars.gov.za or call 0800 00 SARS (7277) XXXXXXXXXXXXXXXXXXX XXXXXXXXXXXXXXXXXXX Please ensure you sign over the 2 lines of Xs above Country code (e.g. South Africa = ZA) Country code (e.g. South Africa = ZA) IT77C Version: v2013.0.4 Page 1 of 6 Updated on: 9/13/2013 PODIF01 Public Officer Details Physical Address Taxpayer ref. no. Bus tel no. Fax no. Cell no. First two names Initials ID No. Date of Appointment (CCYYMMDD) Email Address Surname Date of Birth (CCYYMMDD) Passport Country (e.g. South Africa = ZAF) Passport No. Passport issue date (CCYYMMDD) Home tel no. Unit No. Complex (if applicable) Street No. Street / Farm name Suburb / District City / Town Postal Code Country code (e.g. South Africa = ZA) IT77C Registration No. Tel No. Tax Practitioner Details (if applicable) Contact Email TPDIF01 Surname / Registered name Initials (if applicable) Trading Details Is the Company trading? TDINF01 Y N Financial year end (MM) If No, provide reason(s): Version: v2013.0.4 Page 2 of 6 Updated on: 9/13/2013 MPDIF01 Three Main Partners Details (Only in case of partnership) ID No. Passport Country (e.g. South Africa = ZAF) Passport No. Surname Initials Taxpayer ref no. ID No. Passport Country (e.g. South Africa = ZAF) Passport No. Surname Initials Taxpayer ref no. ID No. Passport Country (e.g. South Africa = ZAF) Passport No. Surname Initials Taxpayer ref no. Number One Number Two Number Three IT77C Version: v2013.0.4 Page 3 of 6 Updated on: 9/13/2013 MNDIF01 Three Main Directors / Shareholders / Members Details Surname Initials Taxpayer ref. no Registered Name Registration No. Number One Number Two Number Three ID No. Date of Birth (CCYYMMDD) Passport Country (e.g. South Africa = ZAF) Passport No. Passport issue date (CCYYMMDD) Surname Initials Taxpayer ref. no Registered Name Registration No. ID No. Date of Birth (CCYYMMDD) Passport Country (e.g. South Africa = ZAF) Passport No. Passport issue date (CCYYMMDD) Surname Initials Taxpayer ref. no Registered Name Registration No. ID No. Date of Birth (CCYYMMDD) Passport Country (e.g. South Africa = ZAF) Passport No. Passport issue date (CCYYMMDD) IT77C Version: v2013.0.4 Page 4 of 6 Updated on: 9/13/2013 Estate Details ESTIF01 Type of Estate Voluntary liquidation Effective Date (CCYYMMDD) Involuntary liquidation Other: Specify Other (Specify) Meeting Dates for Company in Liquidation First meeting CCYYMMDD Second meeting (CCYYMMDD) Special meeting (CCYYMMDD) Capacity of Representative Liquidator Administrator Representative Taxpayer Details Taxpayer ref. no. Bus tel no. Fax no. Cell no. First two names Initials ID No. Date of Appointment (CCYYMMDD) Email Address Surname Date of Birth (CCYYMMDD) Passport Country (e.g. South Africa = ZAF) Passport No. Passport issue date (CCYYMMDD) Home tel no. Fax No. Cell No. Unit No. Complex (if applicable) Street No. Street / Farm name Suburb / District Physical Address Contact Numbers City / Town Postal Code Mark here with an X if same as above or complete your Postal Address Postal Code Postal Address Country code (e.g. South Africa = ZA) Country code (e.g. South Africa = ZA) Tel No. IT77C Version: v2013.0.4 Page 5 of 6 Updated on: 9/13/2013 For Office Use Only FOINF01 Current financial year end (MM) Initial year of liability Taxpayer Type Non-Provisional Provisional Suspense Code Dormant Suspense Effective Date (CCYYMMDD) Information Required for Registration / Change of Registered Particulars The following information is required in order for SARS to process your application. Your application may be rejected where the required information has not been submitted. Application Form This IT77C form must be completed in full and signed by the public officer. Proof of identity of Public Officer A certified legible copy of the Public Officers identity document or passport or driving licence must be submitted. Other Documents Required Copy of the Memorandum and Articles of Association / Memorandum of Incorporation; Certificate of Incorporation Certificate to commence business (if not February year end). Documents Required for Co-Operatives Constitution duly signed by the founding members Notice of registration with the co-operative registration number (CR10 form) Co-operative Certificate of Confirmation Taxpayer Sub-Category Normal Assurance Mining Exempt RQINF01 IT77C Version: v2013.0.4 Page 6 of 6 Updated on: 9/13/2013