Application for registration as a Taxpayer or Changing of Registered Particulars: Company IT77C

Taxpayer Information TPINF01

Taxpayer ref. Area code Where registered details have changed, the applicant must only fill in the taxpayer reference number and the details that have changed
no. Use capital letters and where applicable, mark with an X

Company Details
Registered
Name

Trading
Name

Registration Registration date

No. (CCYYMMDD) Turnover R ,
Bus Tel No. Fax No. Cell No.

Email
address
Nature of
Business

Registered Address Voluntary Disclosure Programme

Unit No. Complex Is this registration made in respect of a VDP agreement with SARS? Y N
(if applicable)

Street No. Street / Farm VDP Application No.

name
Suburb /
District
Declaration
City / Town

Country code (e.g. South Africa = ZA) Postal Code

I declare that the information furnished in this XXXXXXXXXXXXXXXXXXX
application is true, correct and complete. XXXXXXXXXXXXXXXXXXX
Postal Address

Mark here with an X Please ensure you sign over

the 2 lines of Xs above
if same as above or
complete your Postal
Address Date (CCYYMMDD)

For enquiries go to
www.sars.gov.za or
call 0800 00 SARS (7277)
Country code (e.g. South Africa = ZA) Postal Code

IT77C
Version: v2013.0.4 Page 1 of 6 Updated on: 4/28/2015
 Public Officer Details PODIF01

Surname Initials

First two Taxpayer ref.

names no.
Date of Birth Passport Passport Country
ID No. (CCYYMMDD) No. (e.g. South Africa = ZAF)

Home tel no. Bus tel no. Passport issue date

(CCYYMMDD)

Cell no. Fax no. Date of Appointment

(CCYYMMDD)

Email
Address

Physical Address

Unit No. Complex

(if applicable)

Street No. Street / Farm

name
Suburb /
District

City / Town

Country code (e.g. South Africa = ZA) Postal Code

Tax Practitioner Details (if applicable) TPDIF01

Surname /
Registered Initials
name (if applicable)
Registration Tel No.
No.
Contact
Email

Trading Details TDINF01

Is the Company trading? Y N Financial year end (MM)

If No, provide reason(s):

IT77C
Version: v2013.0.4 Page 2 of 6 Updated on: 4/28/2015
 Three Main Partners Details (Only in case of partnership) MPDIF01

Number One
Taxpayer
Surname ref no.

ID No. Passport No. Passport Country

Initials (e.g. South Africa = ZAF)

Number Two
Taxpayer
Surname ref no.

ID No. Passport No. Passport Country

Initials (e.g. South Africa = ZAF)

Number Three
Taxpayer
Surname ref no.

ID No. Passport No. Passport Country

Initials (e.g. South Africa = ZAF)

IT77C
Version: v2013.0.4 Page 3 of 6 Updated on: 4/28/2015
 Three Main Directors / Shareholders / Members Details MNDIF01

Number One

Surname Initials

Taxpayer
Registered ref. no
Name

Date of Birth Passport Passport Country

ID No. (CCYYMMDD) No. (e.g. South Africa = ZAF)
Registration Passport issue date
No. (CCYYMMDD)

Number Two

Surname Initials

Taxpayer
Registered ref. no
Name

Date of Birth Passport Passport Country

ID No. (CCYYMMDD) No. (e.g. South Africa = ZAF)
Registration Passport issue date
No. (CCYYMMDD)

Number Three

Surname Initials

Taxpayer
Registered ref. no
Name

Date of Birth Passport Passport Country

ID No. (CCYYMMDD) No. (e.g. South Africa = ZAF)
Registration Passport issue date
No. (CCYYMMDD)

IT77C
Version: v2013.0.4 Page 4 of 6 Updated on: 4/28/2015
 Estate Details ESTIF01

Type of Estate Effective Date (CCYYMMDD) Meeting Dates for Company in Liquidation

Voluntary liquidation First meeting Second meeting Special meeting

CCYYMMDD (CCYYMMDD) (CCYYMMDD)

Involuntary liquidation

Other: Specify

Representative Taxpayer Details

Surname Initials

First two Taxpayer

names ref. no.
Date of Birth Passport Passport Country
ID No. (CCYYMMDD) No. (e.g. South Africa = ZAF)

Home tel no. Bus tel no. Passport issue date

(CCYYMMDD)

Cell no. Fax no. Date of Appointment

(CCYYMMDD)

Email
Address

Physical Address Contact Numbers

Unit No. Complex Tel No.

(if applicable)

Street No. Street / Farm Cell No.

name
Suburb / Fax No.
District

City / Town

Country code (e.g. South Africa = ZA) Postal Code

Postal Address Capacity of Representative

Mark here with an X Liquidator

if same as above or
complete your Postal Administrator
Address
Other (Specify)

Country code (e.g. South Africa = ZA) Postal Code

IT77C
Version: v2013.0.4 Page 5 of 6 Updated on: 4/28/2015
 Information Required for Registration / Change of Registered Particulars RQINF01

The following information is required in order for SARS to process your application. Your application may be rejected where the required information has not been submitted.
Documents required for company/cc/co-operatives/welfare organisations/association not for gain/other
Copy of certificate of incorporation with a company/cc/co-operative (CR10 form) registration number
Copy of the signed constitution

Proof of Address
General accounts: Municipal/business residential account/utility account i.e. rates and taxes/ water or electricity account/student fee account/medical aid statement/mortgage statement from mortgage lender/ All telephone network accounts/eToll account/Major retail
accounts
Government documents: Motor vehicle licence documentation/court order/subpoena/traffic fine/UIF payout document/pension payout document
Insurance and investment documents: Life assurance document/short-term insurance document/health insurance document/funeral policy document/investment statement from share, portfolio or unit trust
CRA01 form: Where the place of residence is in the name of a third party, a Confirmation of Entity Residential / Business Address (CRA01) form must be completed by the third party.
Legal document: Any statutory body, local government or any other legal document that bear the residential address of the taxpayer.
Lease agreement: A valid lease agreement signed by the lessor.

Bank Details

Original letter from bank not older than one month confirming the account holders legal name; account number, account type; branch code and the date reflecting the date on which the account was opened
Recent bank statement with original bank stamp
ABSA bank eStamped statement
Internet statement with or without an original bank stamp.
A clear bank statement drawn from an ATM machine containing all the information such as the account holder's legal name, account number, account type, branch code and the date on which the bank account was opened.

Representative taxpayer

Copy of identity document/driving licence/passport//temporary identity document/asylum seekers certificate/permit

Power of attorney (POA)/letter of authority authorising the practitioner/representative/public officer to act on behalf of the taxpayer

For Office Use Only FOINF01

Taxpayer Sub-Category Taxpayer Type Suspense Code Suspense Effective Date (CCYYMMDD)
Initial year of liability

Normal Mining Non-Provisional Dormant

Current financial year end (MM)

Assurance Exempt Provisional

IT77C
Version: v2013.0.4 Page 6 of 6 Updated on: 4/28/2015