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RWT reconciliation statement IR17SA (past years)

Use for past years

Use this form to reconcile all dividends/Māori authority distributions and RWT (resident withholding tax) paid by agents and trustees for the past years.

To complete this form you'll need:

  • your IRD number
  • total dividends/Māori authority distributions paid during the year by agents and trustees
  • total dividends/Māori authority distributions not subject to RWT
  • total foreign withholding tax already deducted from dividends/Māori authority distributions
  • imputation/Māori authority tax credits attached to dividends/Māori authority distributions
  • foreign dividend payment (FDP) credits attached to dividends/Māori authority distributions.

Please print, sign, attach your RWT withholding certificates and send to us. You may wish to keep a copy for your records.