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Declaration

Duties Form: Statement for Livestock Duty Payment

Fields marked with * are required

Collection statement

This information is collected by the SRO to process your livestock duty payment. If you do not provide the information required, your payment may not be processed and you may be liable for penalty tax. The information collected may be used for the purposes of other SRO legislation. Where authorised by law to do so, we may also disclose this information to other government agencies including the ATO, State and Territory revenue offices, and law enforcement agencies. You can find out more about how we use and protect your information in our Privacy Policy on www.sro.vic.gov.au.

Declaration

I declare that I am authorised to make this declaration.

The information provided on this form and in any attached documents is complete and correct. I understand that penalties apply for giving false or misleading information or omitting information.

The Electronic Transactions (Victoria) Act 2000 establishes the regulatory framework for transactions to be completed electronically. This form requires you to complete an electronic signature via tick-box before lodgment. By ticking the box you indicate your approval of the contents of this electronic communication.

Date

Signature

Date (DD/MM/YYYY)

First name

Middle name(s)

Family name

Position (if applicable)

Organisation (if applicable)

Mobile number

Phone number

Email

Owner(s) details

Duties Form: Statement for Livestock Duty Payment

Fields marked with * are required

Person completing this form

I am

The owner

One of the owners

An agent acting on behalf of the owner(s)

Owner details

The owner

The owner is an:

Individual

Entity

First name

Middle name(s)

Family name

Date of birth (DD/MM/YYYY)

Name

ABN

ACN

Address

Country

Australian address

What is the type of address?

Street

PO Box

Lot number

Floor/Level type

Floor number

Flat/Unit type

Unit number

PO Box number

Post office name

Lot number

Street number

Street name

Street type

Suburb/Town

State

Postcode

International address

Street address/Postal address

Suburb/Town

State

Postcode/Zipcode

Overseas Address

Mobile number

Phone number

Email

The owners

Owner

The owner is an:

Individual

Entity

First name

Middle name(s)

Family name

Date of birth (DD/MM/YYYY)

Name

ABN

ACN

Address

Country

Australian address

What is the type of address?

Street

PO Box

Lot number

Floor/Level type

Floor number

Flat/Unit type

Unit number

PO Box number

Post office name

Lot number

Street number

Street name

Street type

Suburb/Town

State

Postcode

International address

Street address/Postal address

Suburb/Town

State

Postcode/Zipcode

Overseas Address

Mobile number

Phone number

Email

Particulars of transaction

Duties Form: Statement for Livestock Duty Payment

Fields marked with * are required

Particulars of transaction

Date of sale (DD/MM/YYYY)

Total purchase price

Details of the livestock sold

Livestock

Number sold

Net duty

Cattle

Calves

Sheep/goats

Swine

Total duty

Payment details

Livestock duty payments must be made by electronic fund transfer (EFT) to the relevant account below.

Cattle or Calves
BSB: 033 222
Account: 170233

Sheep/Goat
BSB: 033 222
Account: 170372

Swine
BSB: 033 222
Account: 170436

EFT reference that you are providing with your payment