I, the undersigned, declare to the revenue commissioners of Ireland, that I authorise Adrian Tax Agent to act as my agent with regard to all aspects of Income tax
I understand that this agreement will remain in place granting Adrian Tax Agent to automatically process applications on an annual basis until such time as either party, the client or agent has notified the Revenue Commissioners of Ireland in writing of their wish to cancel this agreement.
2. Authorisation for Agent to receive refunds on behalf of client
I authorise the transfer of any refund or repayment of PAYE/Income Levy/Universal Social Charge due to me by the Revenue Commissioners by electronic funds transfer to the following bank account which is held by “Tax Agency” Adrian Tax Agent.
IBAN IE 15 AIBK 932523 78602085
BIC AIBKIE2D ALLIED IRISH BANK
Name of Account Holder: Avram Adrian
I understand that any refund made by Revenue Commissioners to my agent, (Adrian Tax Agent), on my behalf is refunded in a similar manner as if same were being refunded directed to me and that once the refund is transferred into the bank account nominated by me I have no further call upon the Revenue Commissioners in respect of same.
I understand that (Adrian Tax Agent) is acting as my agent and is solely responsible to me in respect of any refund received by them on my behalf. I further understand that my agent (Adrian Tax Agent) is an independent entity and the Revenue Commissioners make no endorsement of my agent of any such agency cannot accept any responsibility whatsoever for problems encountered by me in dealing with them.
I understand and agree that the TAX AGENT (Adrian Tax Agent) will input its own bank account details on the Revenue Record for this process.
I confirm that I am aware of, and agree to, the payment of the fees charged by the TAX Agent (Adrian Tax Agent) in respect of the services carried out on my behalf and that this fee will be deducted from any amount refunded by the Revenue Commissioner and the balance of the amount will be paid to me.
I understand that if I cancel the TAX Agent (Adrian Tax Agent) I have an obligation to revert bank details to my own, if TAX Agent (Adrian Tax Agent) receive funds to their bank after cancellation of agent link I understand and agree to the payment of the fees charged by the TAX Agent (Adrian Tax Agent) in order to process refund by the Revenue Commissioner and the balance of the amount will be paid to me.
3. Terms and conditions of Authorisation
I understand that TAX law provides for both civil penalties and criminal sanctions for the failure to make a return, the making of a false return, facilitating the making of a false return, or claiming tax credits, allowances or reliefs that are not due.
I confirm that I will provide the necessary documentation to the TAX Agent (Adrian Tax Agent) to support any refund made to Revenue on my behalf by (Adrian Tax Agent).
I confirm that I will provide details of all my sources of income to the TAX Agent (Adrian Tax Agent).
I understand that Tax Agent (Adrian Tax Agent) is required to retain a copy of all documentation relating to any refund or credit or allowance or relief claimed by the agent on my behalf and that the agent will be required to produce same to Revenue upon request.
I understand that if I cancel the TAX Agent (Adrian Tax Agent) I have an obligation to revert bank details to my own, if TAX Agent (Adrian Tax Agent) receive funds to their bank after cancellation of agent link I understand and agree to the payment of the fees charged by the TAX Agent (Adrian Tax Agent) in order to process refund by the Revenue Commissioner and the balance of the amount will be paid to me.
I confirm that I am aware of, and agree to, the payment of the fees charged by the TAX Agent (Adrian Tax Agent) in respect of the services carried out on my behalf and that this fee will be deducted from any amount refunded by the Revenue Commissioner and the balance of the amount will be paid to me.
This arrangement will remain in place until changed by either the agent or client and the change is
notified to the Office of the Revenue Commissioners.
I understand that this does not preclude me from my responsibility to maintain appropriate /
adequate books and records and to produce such documentation as / when requested by the
Office of the Revenue Commissioners.