Super Return - Online Tax Refund Application

Online Tax Refund Application Please complete the information below to apply for your tax refund. Once you have completed these steps, please post your PAYG summaries or final payslip to Super REturn, PO BOX 952, Manly NSW 1655.
* indicates mandatory fields ABOUT YOU
Title *
Given Names *
Family Name *
Date of Birth *	(DD/MM/YYYY)
Tax File Number *
Which country are you from?
Type of visa
Visa expiry date	(DD/MM/YYYY)
First entry into Australia *	(DD/MM/YYYY)
Departure date from Australia *	(DD/MM/YYYY)
HOW CAN WE CONTACT YOU
Email address *
Address and Phone Numbers
Street
Suburb/Town/City
State
Postcode
Mobile/Phone *
IMPORTANT INFORMATION Please answer all the questions carefully as your responses may increase your refund!
1. Do you have a spouse/partner or dependent children?
Yes No
2. Did you work in a remote location?
Yes No If yes, where did you work? For how many months?
3. Did you have high medial expense during your stay?
Yes No If yes, approximately how much did you spend? $
4. Have you stayed in Australia for a shorter time that you originally planned?
Yes No
5. Have you had any expenses for your job? Please give information

6. Would you like to apply for Cash Back Now - your tax refund will be transferred in 24 hours (18.5% fee charged)?
Yes No
7. How did you hear about Super Return?
If other:
WHERE DO YOU WANT YOUR MONEY TO GO?
Name of Bank
Country of Bank
Account Name
Branch Identifier	(BSB or SORT Code)
Account Number
IBAN
SWIFT or BIC
WHERE DID YOU WORK?
Your First Job
Name of employer *
Address of employer
Suburb/Town/City
State
Postcode
Employer Phone Number
Job Title
Total Income
Total Tax Paid
Start Date *	(DD/MM/YYYY)
End Date *	(DD/MM/YYYY)
Your Second Job
Name of employer
Address of employer
Suburb
State
Postcode
Employer Phone Number
Job Title
Total Income
Total Tax Paid
Start Date	(DD/MM/YYYY)
End Date	(DD/MM/YYYY)
Your Third Job
Name of employer
Address of employer
Suburb
State
Postcode
Employer Phone Number
Job Title
Total Income
Total Tax Paid
Start Date	(DD/MM/YYYY)
End Date	(DD/MM/YYYY)

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Online Tax Refund Application

ABOUT YOU

HOW CAN WE CONTACT YOU

Address and Phone Numbers

IMPORTANT INFORMATION

WHERE DO YOU WANT YOUR MONEY TO GO?

WHERE DID YOU WORK?

Your First Job

Your Second Job

Your Third Job