Agent Appointment Form
Agent Appointment Form
Please read the notes on the back before completing this authority. This authority allows us to exchange and disclose information about you with your agent and to deal with them on matters within the responsibility of HM Revenue & Customs (HMRC), as specified on this form. This overrides any earlier authority given to HMRC. We will hold this authority until you tell us that the details have changed.
I, (print your name) Unique Taxpayer Reference (if applicable) of (name of your business, company or trust if applicable)
If UTR not yet issued tick here
Please tick the box(es) and provide the reference(s) requested only for those matters for which you want HMRC to deal with your agent. Individual*/Partnership*/Trust* Tax Affairs *delete as appropriate (including National Insurance).
Your National Insurance number (individuals only)
If you are self employed tick here
If you are a Self Assessment taxpayer, we will send your Statement of Account to you, but if you would like us to send it to your agent instead, please tick here
who is acting on my/our behalf. This authorisation is limited to the matters shown on the right-hand side of this form. Signature see note 1 before signing
Tax Credits
Your National Insurance number (only if not entered above)
Date
If you have a joint Tax Credit claim and the other claimant wants HMRC to deal with this agent, they should sign here Name
Corporation Tax
Company Registration number
VAT
(see notes 2 and 5 overleaf) If not yet registered tick here HMRC 07/06
64-8
You
You. We need the name of the business in all cases unless this form is for your personal tax affairs The partner responsible for the partnership's tax affairs. It applies only to the partnership. Individual partners need to sign a separate authority for their own affairs One or more of the trustees The secretary or other responsible officer of the company
Partnership
Trust Company
4 Multiple agents
If you have more than one agent (for example, one acting for the PAYE scheme and another for Corporation Tax), please sign one of these forms for each.