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Confirmation of Residential / Business Partnership Company/ CRA01

Address by Third Party
Type: Individual Trust
CC

Third Party Details (to be completed by the person providing proof of residence)
Note: A copy of the proof of residential/business address must accompany this declaration

Personal Details
Surname

First Two
Names

Initials Date of Birth ID No. Passport

(CCYYMMDD) No.
Passport Country (e.g.
South Africa = ZAF)

Contact Details
Home Tel Cell No. Bus Tel
No. No.
Contact
Email

Physical Address (the address being confirmed) Declaration

Complex (if
Unit No. applicable)
I hereby declare that the residential /
Street No.
Street / Farm business address being confirmed xxxxxxxxxxxxxxxxxxxxxxxxx
xxxxxxxxxxxxxxxxxxxxxxxxx
Name
is true and correct.
xxxxxxxxxxxxxxxxxxxxxxxxx
xxxxxxxxxxxxxxxxxxxxxxxxx
Suburb/ Please ensure you sign over
District I confirm that the taxpayer reflected, the 2 lines of “X”s above

City/ Country Code resides / carries on business at the

Town (e.g. South Africa = ZA) aforementioned address.
Postal For enquiries go to www.sars.gov.za or
Code call 0800 00 7277
Date
Relationship to Taxpayer/Entity (CCYYMMDD)
Owner Lessor Landlord Property/Estate Agency Councillor/Traditional Leader Other (Please
specify)
If 'other' provide details:

L FV SV CT NO

Y
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Details of Taxpayer (requesting change or confirmation of physical address)
Surname

First Two
Names

Initials Date of Birth ID No. Passport

(CCYYMMDD) No.
Taxpayer
Reference No.
Passport Country (e.g.
South Africa = ZAF)
Entity Details
Registered
Name
Trading
Name
Registered Taxpayer
No. Reference No.

Contact Details
Home Tel Cell No. Bus Tel
No. No.
Contact
Email

L FV SV CT NO