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Save Form Reset Form Print Form Confirmation of Residential Address/Business Address by Third Party Print Blank Form Type Email Form Partnership Individual Trust CRA01 Company/ CC Third Party Details to be completed by the person providing proof of residence Personal Details Surname First Two Names Date of Birth CCYYMMDD Initials Passport No. ID No. Passport Country e.g. South Africa ZAF Contact Details Home Tel Contact Email Cell No. Bus Tel Physical Address the address being confirmed Unit No. Street No. Declaration Complex if applicable Street / Farm I hereby declare that the residential / business address being confirmed is true and correct. Suburb/ District City/ Town I confirm that the taxpayer reflected resides / carries on business at the aforementioned address. Country Code e*g* South Africa ZA Please ensure you sign over the 2 lines of X s above For enquiries go to www. sars. gov*za or call 0800 00 7277 Postal Code Date Relationship to Taxpayer/Entity Owner xxxxxxxxxxxxxxxxxxxxxxxxx Lessor Property/Estate Agency Landlord Councillor/Traditional Leader If other provide details L FV SV CT NO P Y Other Please specify Details of Taxpayer requesting change or confirmation of physical address Taxpayer Reference No* Entity Details Registered Trading. Suburb/ District City/ Town I confirm that the taxpayer reflected resides / carries on business at the aforementioned address. Country Code e*g* South Africa ZA Please ensure you sign over the 2 lines of X s above For enquiries go to www. Country Code e*g* South Africa ZA Please ensure you sign over the 2 lines of X s above For enquiries go to www. sars. gov*za or call 0800 00 7277 Postal Code Date Relationship to Taxpayer/Entity Owner xxxxxxxxxxxxxxxxxxxxxxxxx Lessor Property/Estate Agency Landlord Councillor/Traditional Leader If other provide details L FV SV CT NO P Y Other Please specify Details of Taxpayer requesting change or confirmation of physical address Taxpayer Reference No* Entity Details Registered Trading. Suburb/ District City/ Town I confirm that the taxpayer reflected resides / carries on business at the aforementioned address. Country Code e*g* South Africa ZA Please ensure you sign over the 2 lines of X s above For enquiries go to www. sars. gov*za or call 0800 00 7277 Postal Code Date Relationship to Taxpayer/Entity Owner xxxxxxxxxxxxxxxxxxxxxxxxx Lessor Property/Estate Agency Landlord Councillor/Traditional Leader If other provide details L FV SV CT NO P Y Other Please specify Details of Taxpayer requesting change or confirmation of physical address Taxpayer Reference No* Entity Details Registered Trading. .

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