Statement by a Supplier - Australian Taxation Office Form
This form is used by individuals or businesses supplying goods or services without quoting an Australian Business Number (ABN). It helps in providing reasons for not quoting an ABN. The payer must keep this completed form for their records for five years.
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How do I fill this out?
To fill out this form, use block letters and a black pen. Make sure to place an X in all applicable boxes. Follow the instructions carefully to ensure accuracy.

How to fill out the Statement by a Supplier - Australian Taxation Office Form?
1
Print your name and address clearly in block letters.
2
Indicate the reason for not quoting an ABN by placing an X in the appropriate box.
3
Sign and date the declaration section.
4
Provide your daytime phone number.
5
Give the completed form to the payer.
Who needs the Statement by a Supplier - Australian Taxation Office Form?
1
Freelancers supplying services without an ABN to avoid GST registration requirements.
2
Young individuals under 18 years earning less than $350 a week from their goods or services.
3
Small businesses whose supply payment does not exceed $75 excluding GST.
4
Suppliers making input-taxed supplies.
5
Hobbyists or individuals selling goods or services without a reasonable expectation of profit.
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What are the instructions for submitting this form?
After completing the Statement by a Supplier Form, provide the completed document to the payer. The payer must keep this document with their records for five years. You do not need to send this form to the Australian Taxation Office. For any assistance, you can contact the ATO helpline at 13 72 26.
What are the important dates for this form in 2024 and 2025?
Ensure to keep track of your form completion and supply records for five years.

What is the purpose of this form?
The Statement by a Supplier Form is a crucial document used by individuals and businesses who provide goods or services without quoting an ABN. This form helps the payer understand why an ABN is not being quoted, thus ensuring compliance with tax regulations. It is essential to fill out this form accurately and provide it to the payer, who must retain it for their records for five years.

Tell me about this form and its components and fields line-by-line.

- 1. Your name: Enter your full legal name in block letters.
- 2. Your address: Enter your full residential or business address.
- 3. Suburb/town: Specify the suburb or town of your address.
- 4. State/territory: Indicate the state or territory of your residence or business.
- 5. Postcode: Provide the postcode of your address.
- 6. Reason/s for not quoting an ABN: Indicate the reason(s) for not quoting an ABN by placing an X in the appropriate box(es).
- 7. Declaration: Sign and date the declaration section, providing your daytime phone number.
What happens if I fail to submit this form?
If you fail to submit this form, the payer may be required to withhold tax from your payments.
- Withholding Tax: The payer might have to withhold tax at the highest rate from your payment.
- Non-compliance: Failure to provide the form might result in non-compliance with Australian tax regulations.
How do I know when to use this form?

- 1. Freelancers: Individuals offering freelance services without an ABN.
- 2. Young Earners: Individuals under 18 years earning less than $350 a week.
- 3. Small Transactions: Payments that do not exceed $75, excluding GST.
- 4. Input-taxed Supplies: Supplies that are wholly input taxed.
- 5. Hobbyists: Individuals making supplies as part of a hobby or recreational pursuit.
Frequently Asked Questions
How do I fill out the Statement by a Supplier Form?
Use block letters and a black pen. Fill in the required fields, check the appropriate boxes, sign, and date the form, then give it to the payer.
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Use the built-in signature tool to add your signature to the document.
Can I share the completed Statement by a Supplier Form?
Yes, you can share the form via email or direct link using PrintFriendly.
Who needs to use the Statement by a Supplier Form?
Freelancers, young earners, small businesses, suppliers of input-taxed supplies, and hobbyists.
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