About this resource

This disclosure helps Inland Revenue assess a person’s ability to meet tax obligations or a proposed payment arrangement.

How to use it

Answer fully using accurate figures or reasonable estimates, include partner and dependant information where required, attach extra pages and records, and date the financial position.

Related forms and guides

• Statement of assets and liabilities (IR110)
• Twelve-month cash-flow forecast (IR591)
• Elect someone to act on your behalf (IR597)

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