VAT Online Form 4

> Commissioner for Revenue > eServices > VAT Online Form 4

Termination Form

The fields marked with an asterisk (*) are required

Original Application Reference number:*

(As per acceptance email)

1. Termination requested by TAXPAYER

I am requesting termination of access allocated to:

E-mail:

2. Termination requested by TAX PRACTITIONER

I am requesting to terminate the authorisation of the services:

1. Assigned to me by:

Vat Registration Number:

2. Allocated to user:

Vat Registration Number:

3. Termination requested by USER

I am requesting to terminate the authorisation of the services:

1. Assigned to me by Taxpayer:

2. Assigned to me by Tax Practitioner:

Full Name:*

Designation:*

Date:*

Please upload declaration form:*

The Commissioner for Revenue will use the information provided, to process this form in accordance with the Revenue Acts. We may check information provided by you, or information about you provided by a third party, with other information held by us. We will not disclose information about you to anyone outside these Departments unless permitted by law. The Revenue Departments treat your personal information in accordance with the Data Protection Act 2001 (Cap 440) to protect your privacy. Any queries may be addressed to the Data Controller, Office of the Commissioner for Revenue

Please enter the code provided:

Please enter the code exactly as shown into the text form field

Declaration Form
Please print and sign this declaration form and upload in the 'VAT Online Form 4' online application form.