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Territory Revenue Office Life Insurance Return: Stamp Duty Act
Territory Revenue Office Life Insurance Return: Stamp Duty Act
Territory Revenue Office Life Insurance Return: Stamp Duty Act
Office Location:
Website Address:
www.revenue.nt.gov.au
Email: ntrevenue.ntt@nt.gov.au
Registration Number:
Legal Entity:
Postal Address:
Office Location:
Website Address:
www.revenue.nt.gov.au
Email: ntrevenue.ntt@nt.gov.au
Help
Initialising your spreadsheet
Workbook protection
How to navigate around the spreadsheet
How to complete your monthly returns
Initialising your spreadsheet: This spreadsheet will not operate unless you enter your "Registration
Number" and your business's "Legal Entity Name" in the WHITE cells at the top of the Main Page to the
Spreadsheet (click on the "Main Page" button above). You can then move your mouse button to select the
required function (ie. Main Page, Help or your monthly return). When your mouse pointer changes, click on
your mouse button and the function will open.
Workbook protection: This entire spreadsheet has been protected except for the WHITE cells to
preserve the formulae and calculations. If you try to update a cell that is protected, you will receive an
error message saying that "The cell or workbook you are trying to change is protected and therefore readonly". Press enter or use your mouse to click "OK" to accept the message and use your directional keys
on your keyboard to move to a WHITE cell.
How to navigate around the spreadsheet: Throughout the spreadsheet are buttons and hyperlinks
(coloured blue - in help notes only) to allow you to quickly move to a particular area. To select a button or
hyperlink, point to it with your mouse and when the pointer changes to a pointed hand, click on it and you
will be taken to the function.
How to complete your monthly returns: Enter your details in the WHITE cells which are broken up into the following categories:
Total sum insured of life policies other than temporary insurance, term insurance or re*
insurance policies.
Gross premiums on temporary and term policies for first year only.
*
Number of re-insurance policies issued
*
Once you have entered your monthly details, the spreadsheet will automatically calculate your duty
payable and update the worksheet with your year to date duty paid. You should then save the record, print
the return, detach the remittance advice slip and send it to this office with your payment. When you have
finished entering your data, you can use the navigational button to return to the Main Page.
How to adjust your monthly returns: If you have made an error in completing your return, you can go
back to that return, enter the correct figures, and send it to this Office with either payment or a request for
a refund or credit note. Please mark the return "Amended Return".
Return to Top
Problems & technical advice: If you experience any difficulties with the operation of the spreadsheet,
phone 1300 305 353 for assistance.
General information: For more detailed information on general insurance matters, please do not hesitate
to contact this Office at the addresses or contact numbers above.
GUIDANCE NOTES
Life Insurance: Means insurance insuring the payment of money on death (not being death by accident
only or sickness benefits only) or on the happening of a contingency dependent upon the termination or
continuance of human life (either with or without provision for a benefit under a continuous disability
contract referred to in paragraph (c) of this definition), and includes:
(a) Insurance under an instrument evidencing a contract that is subject to payment of premiums for a term
dependent upon the termination or continuance of human life;
(b) Insurance under an instrument sercuring the grant of an annuity for a term dependent upon the
termination or continuance of human life;
(c) Insurance under a continuous disability insurance contract (that is by its terms expressed to be of more
than one year's duration and is incorporated in a life policy) under which a person is to become entitled to
a benefit in the event of the occurance, within the duration of the contract, of death by accident or by
another cause specified in the contract, or injury or disability caused by an accident or sickness; and
(d) Insurance under a sinking fund policy insuring the payment of a sum, or series of sums, of money
on a future date or dates in consideration of one or more permiums.
However, a life policy issued by a life insurer that is a first home saver account under the
First Home Saver Account Act 2008 (Cth) is exempt from duty.
Due Date: The return is to be furnished and the duty paid within 21 days after the close of the period it
relates to. Failure to satisfy these requirements may result in the imposition of interest and penalty tax.
Records: A copy of the return should be retained as part of your records for audit purposes for a period
of not less than five (5) years.
Electronic Funds Transfer (EFT): This convenient method of payment is quick and easy to use. Approval
is not required to pay by EFT, simply follow these steps:
1. Complete your return and calculate the duty payable.
2. Using your PIN (see below), transmit the payment to:
Bank:
National Australia Bank
Account Name: NTT Territory Revenue Office
BSB:
085 933
Account No:
187 960 174
3. Fax your return to (08) 8999 5577 noting that duty has been paid by EFT.
About your payment identification number (PIN): All registered life insurers are allocated a unique EFT
'PIN'. It consists of their six digit registration number, the tax code (LFE) and the month and the year of the
relevant return period. For example, the PIN for registered life insurer 123456 for February 2012 is
123456LFE0212. The last four digits change for each return period.
Important: To avoid delays and inconvenience, your complete PIN must be transmitted with your payment.
Registration Number:
!
Legal Entity:
Gross premiums on temporary and term policies for the first year only
Click here.
GROSS PREMIUMS - Is the amount charged for the policy without any deduction for any discount allowed, commission to an
agent or other person for arranging the policy or any GST payable in relation to the supply of the policy. It does not include any
stamp duty payable in respect of the policy or re-insurance premiums.
3 DUE DATE - The return is to be furnished and the duty paid within 21 days after the close of the return period
it relates to. Failure to satisfy these requirements may result in the imposition of interest and penalty tax.
4 FURTHER INFORMATION - Refer to the web site www.revenue.nt.gov.au to obtain further return forms, general circulars and other
information or contact this Office on 1300 305 353.
PART A - To be retained as part of your records for audit purposes for a period of not less than 5 years.
PART B - To be completed, detached and returned with payment.
"
"
PART B - LIFE INSURANCE RETURN REMITTANCE ADVICE
"
You may use this worksheet as a remittance advice. Print the return, detach the remittance advice and mail with your cheque (made
payable to "Receiver of Territory Monies") to Territory Revenue Office GPO Box 154 DARWIN NT 0801.
Payments can also be made by EFT or personnally at Level 4, 38 Cavenagh St Darwin NT.
Registration No:
Enter your registration details
Return Period:
Legal Entity:
$0.00
$0.00
Signature
Date: ____/____/_______
Warning: It is an offence under the Taxation Administration Act to provide information that you know is misleading in a material
particular (maximum penalty 400 penalty units current penalty unit values are available from the TRO website
www.revenue.nt.gov.au).
PRIVACY STATEMENT
The information requested in this form is required by law to determine your stamp duty liability. The information may be
communicated to persons authorised under the Act. You may review or correct any personal information provided by contacting the
Territory Revenue Office.
Registration Number:
Gross premiums on temporary and term policies for the first year only
Click here.
GROSS PREMIUMS - Is the amount charged for the policy without any deduction for any discount allowed, commission to an
agent or other person for arranging the policy or any GST payable in relation to the supply of the policy. It does not include any
stamp duty payable in respect of the policy or re-insurance premiums.
3 DUE DATE - The return is to be furnished and the duty paid within 21 days after the close of the return period
it relates to. Failure to satisfy these requirements may resault in the imposition of interest and penalty tax.
4 FURTHER INFORMATION - Refer to the web site www.revenue.nt.gov.au to obtain further return forms, general circulars and
other information or contact this Office on 1300 305 353.
PART A - To be retained as part of your records for audit purposes for a period of not less than 5 years.
PART B - To be completed, detached and returned with payment.
"
"
PART B - LIFE INSURANCE RETURN REMITTANCE ADVICE
"
You may use this worksheet as a remittance advice. Print the return, detach the remittance advice and mail with your cheque
(made payable to "Receiver of Territory Monies") to Territory Revenue office GPO Box 154 DARWIN NT 0801.
Payments can also be made by EFT or personnally at Level 4, 38 Cavenagh St Darwin NT.
Registration No:
Enter your registration details
Return Period:
Legal Entity:
$0.00
$0.00
Signature
Date: ____/____/_______
Warning: It is an offence under the Taxation Administration Act to provide information that you know is misleading in a material
particular (maximum penalty 400 penalty units current penalty unit values are available from the TRO website
www.revenue.nt.gov.au).
PRIVACY STATEMENT
The information requested in this form is required by law to determine your stamp duty liability. The information may be
communicated to persons authorised under the Act. You may review or correct any personal information provided by contacting
the Territory Revenue Office.
Registration Number:
Gross premiums on temporary and term policies for the first year only
Click here.
GROSS PREMIUMS - Is the amount charged for the policy without any deduction for any discount allowed, commission to an
agent or other person for arranging the policy or any GST payable in relation to the supply of the policy. It does not include any
stamp duty payable in respect of the policy or re-insurance premiums.
3 DUE DATE - The return is to be furnished and the duty paid within 21 days after the close of the return period
it relates to. Failure to satisfy these requirements may result in the imposition of interest and penalty tax.
4 FURTHER INFORMATION - Refer to the web site www.revenue.nt.gov.au to obtain further return forms, general circulars and
other information or contact this Office on 1300 305 353.
PART A - To be retained as part of your records for audit purposes for a period of not less than 5 years.
PART B - To be completed, detached and returned with payment.
"
"
PART B - LIFE INSURANCE RETURN REMITTANCE ADVICE
"
You may use this worksheet as a remittance advice. Print the return, detach the remittance advice and mail with your cheque
(made payable to "Receiver of Territory Monies") to Territory revenue Office GPO Box 154 DARWIN NT 0801.
Payments can also be made by EFT or personnally at Level 4, 38 Cavenagh St Darwin NT.
Registration No:
Enter your registration details
Return Period:
Legal Entity:
$0.00
$0.00
Enter your registration
details
Signature
Date: ____/____/_______
Warning: It is an offence under the Taxation Administration Act to provide information that you know is misleading in a material
particular (maximum penalty 400 penalty units current penalty unit values are available from the TRO website
www.revenue.nt.gov.au).
PRIVACY STATEMENT
The information requested in this form is required by law to determine your stamp duty liability. The information may be
communicated to persons authorised under the Act. You may review or correct any personal information provided by contacting
the Territory Revenue Office.
Registration Number:
Gross premiums on temporary and term policies for the first year only
Click here.
GROSS PREMIUMS - Is the amount charged for the policy without any deduction for any discount allowed, commission to an
agent or other person for arranging the policy or any GST payable in relation to the supply of the policy. It does not include any
stamp duty payable in respect of the policy or re-insurance premiums.
3 DUE DATE - The return is to be furnished and the duty paid within 21 days after the close of the return period
it relates to. Failure to satisfy these requirements may resault in the imposition of interest and penalty tax.
4 FURTHER INFORMATION - Refer to the web site www.revenue.nt.gov.au to obtain further return forms, general circulars and
other information or contact this Office on 1300 305 353.
PART A - To be retained as part of your records for audit purposes for a period of not less than 5 years.
PART B - To be completed, detached and returned with payment.
"
"
PART B - LIFE INSURANCE RETURN REMITTANCE ADVICE
"
You may use this worksheet as a remittance advice. Print the return, detach the remittance advice and mail with your cheque
(made payable to "Receiver of Territory Monies") to Territory Revenue Office GPO Box 154 DARWIN NT 0801.
Payments can also be made by EFT or personnally at Level 4, 38 Cavenagh St Darwin NT.
Registration No:
Enter your registration details
Return Period:
Legal Entity:
$0.00
$0.00
Signature
Date: ____/____/_______
Warning: It is an offence under the Taxation Administration Act to provide information that you know is misleading in a material
particular (maximum penalty 400 penalty units current penalty unit values are available from the TRO website
www.revenue.nt.gov.au).
PRIVACY STATEMENT
The information requested in this form is required by law to determine your stamp duty liability. The information may be
communicated to persons authorised under the Act. You may review or correct any personal information provided by contacting
the Territory Revenue Office.
Registration Number:
A
B
Gross premiums on temporary and term policies for the first year only
Click here.
GROSS PREMIUMS - Is the amount charged for the policy without any deduction for any discount allowed, commission to an
agent or other person for arranging the policy or any GST payable in relation to the supply of the policy. It does not include any
stamp duty payable in respect of the policy or re-insurance premiums.
3 DUE DATE - The return is to be furnished and the duty paid within 21 days after the close of the return period
it relates to. Failure to satisfy these requirements may result in the imposition of interest and penalty tax.
4 FURTHER INFORMATION - Refer to the web site www.revenue.nt.gov.au to obtain further return forms, general circulars and
other information or contact this Office on 1300 305 353.
PART A - To be retained as part of your records for audit purposes for a period of not less than 5 years.
PART B - To be completed, detached and returned with payment.
"
"
PART B - LIFE INSURANCE RETURN REMITTANCE ADVICE
"
You may use this worksheet as a remittance advice. Print the return, detach the remittance advice and mail with your cheque
(made payable to "Receiver of Territory Monies") to Territory Revenue Office GPO Box 154 DARWIN NT 0801.
Payments can also be made by EFT or personnally at Level 4, 38 Cavenagh St Darwin NT.
Registration No:
Enter your registration details
Return Period:
Legal Entity:
$0.00
$0.00
Enter your registration
details
Signature
Date: ____/____/_______
Warning: It is an offence under the Taxation Administration Act to provide information that you know is misleading in a material
particular (maximum penalty 400 penalty units current penalty unit values are available from the TRO website
www.revenue.nt.gov.au).
PRIVACY STATEMENT
The information requested in this form is required by law to determine your stamp duty liability. The information may be
communicated to persons authorised under the Act. You may review or correct any personal information provided by contacting
the Territory Revenue Office.
Gross premiums on temporary and term policies for the first year only
Click here.
GROSS PREMIUMS - Is the amount charged for the policy without any deduction for any discount allowed, commission to an
agent or other person for arranging the policy or any GST payable in relation to the supply of the policy. It does not include any
stamp duty payable in respect of the policy or re-insurance premiums.
3 DUE DATE - The return is to be furnished and the duty paid within 21 days after the close of the return period
it relates to. Failure to satisfy these requirements may result in the imposition of interest and penalty tax.
4 FURTHER INFORMATION - Refer to the web site www.revenue.nt.gov.au to obtain further return forms, general circulars and
other information or contact this Office on 1300 305 353.
PART A - To be retained as part of your records for audit purposes for a period of not less than 5 years.
PART B - To be completed, detached and returned with payment.
"
"
PART B - LIFE INSURANCE RETURN REMITTANCE ADVICE
"
You may use this worksheet as a remittance advice. Print the return, detach the remittance advice and mail with your cheque
(made payable to "Receiver of Territory Monies") to Territory Revenue Office GPO Box 154 DARWIN NT 0801.
Payments can also be made by EFT or personnally at Level 4, 38 Cavenagh St Darwin NT.
Registration No:
Enter your registration details
Return Period:
Legal Entity:
$0.00
$0.00
Signature
Date: ____/____/_______
Warning: It is an offence under the Taxation Administration Act to provide information that you know is misleading in a material
particular (maximum penalty 400 penalty units current penalty unit values are available from the TRO website
www.revenue.nt.gov.au).
PRIVACY STATEMENT
The information requested in this form is required by law to determine your stamp duty liability. The information may be
communicated to persons authorised under the Act. You may review or correct any personal information provided by contacting
the Territory Revenue Office.
Registration Number:
Return Period (eg 01/2008):
Legal Entity:
Gross premiums on temporary and term policies for the first year only
Click here.
GROSS PREMIUMS - Is the amount charged for the policy without any deduction for any discount allowed, commission to an
agent or other person for arranging the policy or any GST payable in relation to the supply of the policy. It does not include any
stamp duty payable in respect of the policy or re-insurance premiums.
3 DUE DATE - The return is to be furnished and the duty paid within 21 days after the close of the return period
it relates to. Failure to satisfy these requirements may result in the imposition of interest and penalty tax.
4 FURTHER INFORMATION - Refer to the web site www.revenue.nt.gov.au to obtain further return forms, general circulars and
other information or contact this Office on 1300 305 353.
PART A - To be retained as part of your records for audit purposes for a period of not less than 5 years.
PART B - To be completed, detached and returned with payment.
"
"
PART B - LIFE INSURANCE RETURN REMITTANCE ADVICE
"
You may use this worksheet as a remittance advice. Print the return, detach the remittance advice and mail with your cheque
(made payable to "Receiver of Territory Monies") to Territory Revenue Office GPO Box 154 DARWIN NT 0801.
Payments can also be made by EFT or personnally at Level 4, 38 Cavenagh St Darwin NT.
Registration No:
Enter your registration details
$0.00
$0.00
Return Period:
Legal Entity:
Signature
Date: ____/____/_______
Warning: It is an offence under the Taxation Administration Act to provide information that you know is misleading in a material
particular (maximum penalty 400 penalty units current penalty unit values are available from the TRO website
www.revenue.nt.gov.au).
PRIVACY STATEMENT
The information requested in this form is required by law to determine your stamp duty liability. The information may be
communicated to persons authorised under the Act. You may review or correct any personal information provided by contacting
the Territory Revenue Office.
Registration Number:
Gross premiums on temporary and term policies for the first year only
Click here.
GROSS PREMIUMS - Is the amount charged for the policy without any deduction for any discount allowed, commission to an
agent or other person for arranging the policy or any GST payable in relation to the supply of the policy. It does not include any
stamp duty payable in respect of the policy or re-insurance premiums.
3 DUE DATE - The return is to be furnished and the duty paid within 21 days after the close of the return period
it relates to. Failure to satisfy these requirements may result in the imposition of interest and penalty tax.
4 FURTHER INFORMATION - Refer to the web site www.revenue.nt.gov.au to obtain further return forms, general circulars and
other information or contact this Office on 1300 305 353.
PART A - To be retained as part of your records for audit purposes for a period of not less than 5 years.
PART B - To be completed, detached and returned with payment.
"
"
PART B - LIFE INSURANCE RETURN REMITTANCE ADVICE
"
You may use this worksheet as a remittance advice. Print the return, detach the remittance advice and mail with your cheque
(made payable to "Receiver of Territory Monies") to Territory Revenue Office GPO Box 154 DARWIN NT 0801.
Payments can also be made by EFT or personnally at Level 4, 38 Cavenagh St Darwin NT.
Registration No:
Enter your registration details
Return Period:
Legal Entity:
$0.00
$0.00
Signature
Date: ____/____/_______
Warning: It is an offence under the Taxation Administration Act to provide information that you know is misleading in a material
particular (maximum penalty 400 penalty units current penalty unit values are available from the TRO website
www.revenue.nt.gov.au).
PRIVACY STATEMENT
The information requested in this form is required by law to determine your stamp duty liability. The information may be
communicated to persons authorised under the Act. You may review or correct any personal information provided by contacting
the Territory Revenue Office.
Registration Number:
Gross premiums on temporary and term policies for the first year only
Click here.
GROSS PREMIUMS - Is the amount charged for the policy without any deduction for any discount allowed, commission to an
agent or other person for arranging the policy or any GST payable in relation to the supply of the policy. It does not include any
stamp duty payable in respect of the policy or re-insurance premiums.
3 DUE DATE - The return is to be furnished and the duty paid within 21 days after the close of the return period
it relates to. Failure to satisfy these requirements may result in the imposition of interest and penalty tax.
4 FURTHER INFORMATION - Refer to the web site www.revenue.nt.gov.au to obtain further return forms, general circulars and
other information or contact this Office on 1300 305 353.
PART A - To be retained as part of your records for audit purposes for a period of not less than 5 years.
PART B - To be completed, detached and returned with payment.
"
"
PART B - LIFE INSURANCE RETURN REMITTANCE ADVICE
"
You may use this worksheet as a remittance advice. Print the return, detach the remittance advice and mail with your cheque
(made payable to "Receiver of Territory Monies") to Territory Revenue Office GPO Box 154 DARWIN NT 0801.
Payments can also be made by EFT or personnally at Level 4, 38 Cavenagh St Darwin NT.
Registration No:
Enter your registration details
Return Period:
Legal Entity:
$0.00
$0.00
Signature
Date: ____/____/_______
Warning: It is an offence under the Taxation Administration Act to provide information that you know is misleading in a material
particular (maximum penalty 400 penalty units current penalty unit values are available from the TRO website
www.revenue.nt.gov.au).
PRIVACY STATEMENT
The information requested in this form is required by law to determine your stamp duty liability. The information may be
communicated to persons authorised under the Act. You may review or correct any personal information provided by contacting
the Territory Revenue Office.
Registration Number:
Gross premiums on temporary and term policies for the first year only
Click here.
GROSS PREMIUMS - Is the amount charged for the policy without any deduction for any discount allowed, commission to an
agent or other person for arranging the policy or any GST payable in relation to the supply of the policy. It does not include any
stamp duty payable in respect of the policy or re-insurance premiums.
3 DUE DATE - The return is to be furnished and the duty paid within 21 days after the close of the return period
it relates to. Failure to satisfy these requirements may result in the imposition of interest and penalty tax.
4 FURTHER INFORMATION - Refer to the web site www.revenue.nt.gov.au to obtain further return forms, general circulars and
other information or contact this Office on 1300 305 353.
PART A - To be retained as part of your records for audit purposes for a period of not less than 5 years.
PART B - To be completed, detached and returned with payment.
"
"
PART B - LIFE INSURANCE RETURN REMITTANCE ADVICE
"
You may use this worksheet as a remittance advice. Print the return, detach the remittance advice and mail with your cheque
(made payable to "Receiver of Territory Monies") to Territory Revenue Office GPO Box 154 DARWIN NT 0801.
Payments can also be made by EFT or personnally at Level 4, 38 Cavenagh St Darwin NT.
Registration No:
Enter your registration details
Return Period:
Legal Entity:
$0.00
$0.00
Enter your registration
details
Signature
Date: ____/____/_______
Warning: It is an offence under the Taxation Administration Act to provide information that you know is misleading in a material
particular (maximum penalty 400 penalty units current penalty unit values are available from the TRO website
www.revenue.nt.gov.au).
PRIVACY STATEMENT
The information requested in this form is required by law to determine your stamp duty liability. The information may be
communicated to persons authorised under the Act. You may review or correct any personal information provided by contacting
the Territory Revenue Office.
Registration Number:
Gross premiums on temporary and term policies for the first year only
Click here.
GROSS PREMIUMS - Is the amount charged for the policy without any deduction for any discount allowed, commission to an
agent or other person for arranging the policy or any GST payable in relation to the supply of the policy. It does not include any
stamp duty payable in respect of the policy or re-insurance premiums.
3 DUE DATE - The return is to be furnished and the duty paid within 21 days after the close of the return period
it relates to. Failure to satisfy these requirements may result in the imposition of interest and penalty tax.
4 FURTHER INFORMATION - Refer to the web site www.revenue.nt.gov.au to obtain further return forms, general circulars and
other information or contact this Office on 1300 305 353.
PART A - To be retained as part of your records for audit purposes for a period of not less than 5 years.
PART B - To be completed, detached and returned with payment.
"
"
PART B - LIFE INSURANCE RETURN REMITTANCE ADVICE
"
You may use this worksheet as a remittance advice. Print the return, detach the remittance advice and mail with your cheque
(made payable to "Receiver of Territory Monies") to Territory Revenue Office GPO Box 154 DARWIN NT 0801.
Payments can also be made by EFT or personnally at Level 4, 38 Cavenagh St Darwin NT.
Registration No:
Enter your registration details
Return Period:
Legal Entity:
$0.00
$0.00
Signature
Date: ____/____/_______
Warning: It is an offence under the Taxation Administration Act to provide information that you know is misleading in a material
particular (maximum penalty 400 penalty units current penalty unit values are available from the TRO website
www.revenue.nt.gov.au).
PRIVACY STATEMENT
The information requested in this form is required by law to determine your stamp duty liability. The information may be
communicated to persons authorised under the Act. You may review or correct any personal information provided by contacting
the Territory Revenue Office.
Registration Number:
Return Period (eg 06/2008):
Legal Entity:
Gross premiums on temporary and term policies for the first year only
Click here.
GROSS PREMIUMS - Is the amount charged for the policy without any deduction for any discount allowed, commission to an
agent or other person for arranging the policy or any GST payable in relation to the supply of the policy. It does not include any
stamp duty payable in respect of the policy or re-insurance premiums.
3 DUE DATE - The return is to be furnished and the duty paid within 21 days after the close of the return period
it relates to. Failure to satisfy these requirements may result in the imposition of interest and penalty tax.
4 FURTHER INFORMATION - Refer to the web site www.revenue.nt.gov.au to obtain further return forms, general circulars and
other information or contact this Office on 1300 305 353.
PART A - To be retained as part of your records for audit purposes for a period of not less than 5 years.
PART B - To be completed, detached and returned with payment.
"
"
PART B - LIFE INSURANCE RETURN REMITTANCE ADVICE
"
You may use this worksheet as a remittance advice. Print the return, detach the remittance advice and mail with your cheque
(made payable to "Receiver of Territory Monies") to Territory Revenue Office GPO Box 154 DARWIN NT 0801.
Payments can also be made by EFT or personnally at Level 4, 38 Cavenagh St Darwin NT.
Registration No:
Enter your registration details
Return Period:
Legal Entity:
$0.00
$0.00
Enter your registration
details
Signature
Date: ____/____/_______
sdfs
If signing on behalf of a corporation, provide your position title
Warning: It is an offence under the Taxation Administration Act to provide information that you know is misleading in a material
particular (maximum penalty 400 penalty units current penalty unit values are available from the TRO website
www.revenue.nt.gov.au).
PRIVACY STATEMENT
The information requested in this form is required by law to determine your stamp duty liability. The information may be
communicated to persons authorised under the Act. You may review or correct any personal information provided by contacting
the Territory Revenue Office.
DETERMINATION OF
DUTY PAYABLE
July
Aug
Sept
Oct
Nov
Dec
Jan
Feb
Mar
April
May
June/Annual
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
Enter your
registration details
Enter your
registration details
Enter your
registration details
Enter your
registration details
Enter your
registration details
Enter your
registration details
Enter your
registration details
Enter your
registration details
Enter your
registration details
Enter your
registration details
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
Enter your
registration details
Enter your
registration details
Enter your
registration details
Enter your
registration details
Enter your
registration details
Enter your
registration details
Enter your
registration details
Enter your
registration details
Enter your
registration details
Enter your
registration details
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
Duty Sub-Total
Gross premiums on
temporary and term
policies for first year only
Duty Sub-Total
0.00
0.00
0.00
0.00
0.00
0.00
0.00
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