Authority to Act template

[Your Name]

[Your Address]

[City, Post Code]

[Email Address]

[Phone Number]

To:

Inland Revenue

PO Box 39010 Wellington Mail Centre

Lower Hutt 5045, New Zealand

Re: Authority to Act on Behalf of Donor - [Your Full Name and IRD Number]

I, [Your Full Name], with IRD number [Your IRD Number], hereby grant Impact Aotearoa Charitable Trust trading as Impact (142-774-070) the authority to act on my behalf in all matters relating to REB and INC (Donation Tax Credits and Income Tax).

Impact Aotearoa Charitable Trust, represented by its trustees and staff is authorised to perform the following actions:

Access and review my donation records.
Submit claims for donation tax credits.
Communicate with Inland Revenue for any clarifications, updates, or submissions required in relation to my donations.
Obtain information from Inland Revenue through all channels (including electronic ones).

This authority to act is granted from [Start Date] and remains ongoing until revoked by me in writing. Please acknowledge receipt of this letter and confirm that the necessary arrangements have been made to allow Impact Aotearoa Charitable Trust to act on my behalf.

Yours sincerely

[Dated]

[Electronic or Written Signature]

Your printed name