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Twelve month cash flow forecast (IR591)

(published March 2011)

About this form

Complete this form with information when you wish to apply for relief from debt for your business so we can assess your situation.

PDF | 74kb | 2 Pages

When to use this form

If you are an individual in business or a non-individual, complete and attach this form as supporting information when you are making an application for relief from payment of a debt.


It is important that you send this form in as soon as you can. We can only consider and/or accept an arrangement when we receive written application from you.

What you will need

To successfully complete and submit this form you will need:

  • your IRD number - if you do not have this contact us
  • your business IRD number
  • details and receipts of your business income, including rents and investments
  • details of your business expenses including salary/wage payments and capital expenditure.


After you finish

Please print and sign the completed form and send to your nearest Inland Revenue office including any supporting documentation.
You may wish to keep a copy for your personal records.

List of postal addresses for Inland Revenue >