PREMIA TNC (SG) – GIRO Application Form for Your Tax Payment and Refund Matters

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GIRO Application Form for your Tax Payment and Refund Matters
This form will take you less than 5 minutes to complete. [Fields marked with (^) are required]

1. You need to use a bank account that is held by you wholly or jointly with others.

2. Mail the original completed form to Inland Revenue Authority of Singapore. GIRO arrangement will be set up within 3 weeks.

Full Name

NRIC / FIN / UEN

Contact Number

Email Address

Bank Account Details

Name (as in Bank's records)

Name of Bank

Account No.

Select the tax(es) you wish to pay using GIRO

I wish to pay for my

Individual Income Tax

Individual Income Tax in

One yearly deduction

12 interest-free monthly instalments

THIS I wish to pay for my

Property Tax(es), for the following property(ies):

Please indicate your Property Tax reference number(s). You can find it at the top-left hand corner of your Property Tax Bill

Property Tax reference number(s)	Property Tax Bill

Please attach a separate list of Property Tax reference numbers if space above is insufficient. All pages in this list should be signed by authorised signatory as in Bank's records.

I wish to pay for the following tax(es):

Corporate Tax

Goods & Services Tax

S45 Withholding Tax

Declaration

(a) I/We hereby instruct the bank to process IRAS' instruction to debit and credit my/our account.

(b) The Bank is entitled to reject IRAS' debit instruction if my/our account does not have sufficient funds and charge me/us a fee for this. The Bank may also at its discretion allow the debit even if this results in an overdraft on the account and impose charges accordingly.

(c) This authorisation will remain in force until terminated by the Bank's written notice sent to my/our address last known to the Bank or upon the Bank's receipt of my/our revocation through IRAS.

For IRAS' completion

SWIFT BIC	Originating Bank Account	GIRO Type	DDA Reference No.

SWIFT BIC

Account No. to be Debited / Credited

Your Signature(s) / Thumbprint(s) / Company Stamp (as in Bank's Record)

Sign Here

For Bank's completion

This application is hereby REJECTED (please tick √) for the following reason(s):

Signature / thumbprint # differs from Bank's records

Amendments not countersigned by customer

Signature / thumbprint # incomplete / unclear #

Wrong account number

Account operated by signature / thumbprint #

Others :

Others

Name of Approving Officer

Authorised Signature

Sign Here

Date

GIRO Application Form For Tax Payment and Refund Matters

GIRO Application Form for your Tax Payment and Refund Matters