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Betting Operations Tax Registration Form

Betting Operations Tax Registration Form

This form is to be used by Betting Operators for the purpose of registering for the Betting Operations Tax in the ACT.

All fields marked ( * ) are mandatory.

Section 1: Business Details

Business legal name: *

Trading name: *

ABN: *

ACN:

Select Business Type: *

If 'Other' is selected:

Has the betting operator exceeded the tax free threshold of $150,000 in the current financial year? *

In which month did you exceed the tax free threshold?

Section 2: Business Addresses

Postal address: *

Business location address: *

Is this the location where the business records are kept? *

Address where business records are kept: *

Section 3: Administrator Contact Details

Primary contact person (administrator): *

Position in the business: *

Telephone: *

Contact email address: *

The administrator will be responsible for all transactions associated with this email address and should have sole access to this account.

Section 4: Other authorised users

Additional user 1

Full name:

Business name:

ABN:

Email address:

The user will be responsible for all transactions associated with this email address and should have sole access to this account.

Telephone number:

Additional user 2

Full name:

Business name:

ABN:

Email address:

The user will be responsible for all transactions associated with this email address and should have sole access to this account.

Telephone number:

Additional user 3

Full name:

Business name:

ABN:

Email address:

The user will be responsible for all transactions associated with this email address and should have sole access to this account.

Telephone number:

Section 5: Declaration

I, the administrator: *

Declare that: *

The information provided in this registration application is true and correct at the time of application.
I have read, understood and agree to the Terms and Conditions and am duly authorised to bind the Betting Operator and any nominated user to these Terms and Conditions.
I acknowledge that under section 338 of the Criminal Code 2002, giving false or misleading information is a serious offence.
I will notify the ACT Revenue Office in writing and provide full details if there is a change in my circumstances during the financial year, this includes change of contact details or cessation of trading in the ACT.

Terms and Conditions

To view the Betting Operations Tax Terms and Conditions please click here.

Privacy Statement

All information collected by the ACT Revenue Office is protected by secrecy provisions in Acts administered by the Office and only used for the purposes of those Acts. In addition, personal information provided to the ACT Revenue Office is protected by the Information Privacy Act 2014. Information (including personal information) is not disclosed to any third party unless authorised by law or with the consent of the person involved.

Contact us

If you require further information on the Betting Operations Tax and your registration, please contact the ACT Revenue Office by clicking here or call us on (02) 6207 0028.