Follow the steps to complete your form accurately.

1. Click ‘Get Form’ button to obtain the form and open it in your chosen editor.
2. Enter the MDA information in section A. This includes the full name of the MDA, the FIRS/JTB TIN, the preferred short name code, and the physical address. Ensure that the address is complete and not a P.O. Box.
3. Proceed to section B and list the revenue types under 'Revenue Name' along with their corresponding revenue codes, if applicable. Use capital letters as indicated in the instructions.
4. If you have more than ten revenue types to declare, prepare an additional sheet and attach it to the main form.
5. In the authorization section, fill in the MDA name, name of the authorizing officer, their designation, and provide the officer's signature and date.
6. Review all entries for accuracy. Once satisfied, save your changes to the document.
7. Download or print the completed form. Ensure it is accompanied by a covering letter signed by the Chief Executive Officer to the designated office.

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