About this Form

Form to use to apply for a certificate of exemption from resident withholding tax.

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 when you are applying for an exemption from resident withholding tax.

If you are exempt from RWT under an Act other than the Income Tax Act, you do not need to complete this form. Just advise your payer under what Act you are exempt.

What you will need

• IRD number
• name of organisation claiming exemption
• contact details
• reason for the declaration

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