Business Name Registration

Registration Details

Entity Type *

Email *

Name of Entity

Phone *

ABN (Australian Business Number) *

Date of Birth *

Proposed Business Name *A business name is the registered name a trust uses to operate and identify itself to customers and the government.

Registration Period *

1-year: $129 inc GST3-year: $229 inc GST

Fees include all charges. Choose your term and renew before expiry to keep your business name.

Start Date of Business Name Use

Business Address *

Address Line 1 *Address Line 2

City *

State / Province / Region *

Postal / Zip Code *

It can be the same as your residential address.

Business Name Registration Consent

I authorize AY Consultants Pty Ltd ABN 49 623 860 819 t/a Clear Tax, ASIC agent number 46527, to lodge the business registration application on my behalf under the terms and conditions of the

Australian Securities and Investments Commission (ASIC) Electronic Lodgement Protocol and declare that:

I am not disqualified from managing corporations under section 206B(1) of the Corporations Act 2001.

Within the last 5 years, the applicant has not been:

convicted of, or
released from prison after being convicted of, and serving a term of imprisonment for, any of the criminal offences referred to in section 32(1) (c) or (d) of the Business Names Registration Act 2011.

To the best of my knowledge, the information supplied in this transaction is complete and accurate
(it is an offence to provide false or misleading information to ASIC).

Signature *

Draw signature|Type signatureClear

Date

Business Name Registration Fee

Business Name Registration - 1 year (inc GST)

Business Name Registration - 3 years (inc GST)

Payment Information

Payment Method *

Credit/Debit CardBank Transfer (BSB & Account Number)

Payment *

Pay

Note: Payments made via credit card will incur a surcharge. We recommend using alternative payment methods to avoid this additional fee.

Bank Transfer Details

BSB: 063 000
Account Number: 1316 6899
Account Name: AY Consultants Pty Ltd, trading as Clear Tax

Receipt / Reference Number *

Upload Payment Receipt *

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