ATO Negotiation Form for Clients

ATO Negotiation Form

The purpose of this form is to capture all the information needed before starting a negotiation with the ATO on behalf of a client. This is a very detailed form because we need to be prepared for a range of questions that will be asked about the client and their financial circumstances when negotiating on their behalf. If we don’t have this information on-hand when the process begins, it slows down the application and can cause unnecessary back and forth and time between the client, our team and the ATO – which can also negatively impact the outcome of the negotiation.

If you have any questions about the contents of this form, please speak to your Manager in the first instance.

Client Name*
Client Code*
Provide a brief description of their business activity and industry:*
ATO Negotiation Type*
Please select from the following:
- Payment Plan
- Lodgement & Debt Deferral
- Remission on General Interest Charges/Penalties
- Refund
- Payment Transfer between Clients Accounts (i.e. ITA and ICA)
- Payment Transfer between two different Client Accounts (i.e. Client has paid money into the wrong entity)
Payment Plan
ATO Account:*
Please note if a client has a debt on more than one account, the ATO may not approve a Payment Plan on just one of those accounts.
- ITA (Income Tax Account)
- ASA (Activity Statement Account)
- Superannuation Guarantee Account
- Fringe Benefits Tax (FBT) Account
Reason client cannot pay debt in full:*
If client has defaulted on a payment plan for the relevant account in the past two years, please also provide a reason for this.
Payment Frequency*
Lump Sum Amount*
Lump Sum Payment Date*
- 30 Days from today
- Select specific date (within 30 days)
Specify Payment Date*
Initial Payment Type*
Please note: The ATO normally require the first payment to be 10% of the debt, and for it to be paid within 7 days. If this is an issue, you need to discuss this with the client before proceeding any further.
- Percentage (%)
- Dollar Amount ($)
Initial Payment Amount ($)*
Please note: The ATO normally require the first payment to be 10% of the debt, and for it to be paid within 7 days. If this is an issue, you need to discuss this with the client before proceeding any further.
Initial Payment Amount (%)*
Please note: The ATO normally require the first payment to be 10% of the debt, and for it to be paid within 7 days.
- 10% (default)
- Other percentage amount
Initial Payment Amount (%)*
Please note: The ATO normally require the first payment to be at least 10% of the debt, and for it to be paid within 7 days. If this is an issue, you need to discuss this with the client before proceeding any further.
Initial Payment Date*
The upfront payment must be made within 7 days as a condition of setting up a payment plan.
Subsequent Payment Amount ($)*
Payment Reminder Preferences*
The client’s payment reminder preference will apply to all their payment plans and be updated on their ATO profile.
- SMS
- Email
- No payment reminders
Phone Number*
This number will receive SMS payment reminder notifications.
Any changes made will be reflected in the client’s ATO profile details.
Email Address*
This email address will receive email payment reminder notifications.
Any changes made will be reflected in the client’s ATO profile details.
Is the debt over $100,000?*
If the debt owed is over $100,000 the ATO will require capacity to pay information.
- Yes
- No
Does the company have an existing Payment Plan in place?*
If so, the ATO will require capacity to pay information.
- Yes
- No
Has the client defaulted on a Payment Plan?*
If so, the ATO will require capacity to pay information.
- Yes
- No
I have created a meeting with the Compliance Officer to discuss the background of the client:*
You must book a meeting if you ticked “yes” to any of the three questions above.
- Yes
- No
Capacity to Pay Information
Monthly Income*
Monthly Expenses (including other cash payments e.g. ATO Payments)*
Total Assets*
Total Liabilities*
Aged Debtors Balance*
Aged Creditors Balance*
Bank Account Balance*
Is there a Bank Overdraft Facility Limit?*
- Yes
- No
Bank Overdraft Facility Limit*
Name of Financial Institution*
Client is paying by:*
- Direct Debit
- BPAY
Direct Debit Authorisation
The client must have provided Aintree Group with a signed 3rd Party Direct Debit Request Form (NAT 2284) either electronically or in writing. This form authorises the ATO to automatically deduct payments from the nominated bank account. Where a multi-signatory account, or the account of another person, is used, Aintree Group must ensure we have the direct debit authorisation of all applicable parties.
Download the Direct Debit Request Form here.
Direct Debit Account Details
Provide the client’s bank account details below if paying by Direct Debit. The bank account must be in the client’s name and cannot be any other entity.
BSB*
Account Number:*
Lodgement & Debt Deferral
Deferral Type:*
Deferral Reason:*
Who did the issue affect?*
- Client
- Agent
Lodgement Type:*
Number of clients affected:*
- Single client
- Multiple clients
Client Name:*
Please include details of ALL affected clients:*
Are all deferrals for a single lodgement period?*
- Yes
- No
Reason for requesting deferral?*
Obligation Period – Start Date:*
E.g. If lodgement deferral relates to March BAS (Monthly), the obligation start date would be 1 March and obligation end date would be 31 March.
Obligation Period – End Date:*
E.g. If lodgement deferral relates to March BAS (Monthly), the obligation start date would be 1 March and obligation end date would be 31 March.
Preferred requested due date:*
Please input entity names and dates where there are multiple entities with different dates.
Maximum Timeframes:
Annual – 28 Days
Quarterly – 21 Days
Monthly – 14 Days
New or Re-Engaged Clients – 42 Days
Job Number:*
What job should time be added to for this work?
Did you provide the client with a fixed quote amount for this work?*
- Yes
- No
Remission of General Interest Charges/Penalties
ATO Account:*
- ITA (Income Tax Account)
- ASA (Activity Statement Account)
Amount:*
Reason for Remission:*
Refund
ATO Account:*
- ITA (Income Tax Account)
- ASA (Activity Statement Account)
- Superannuation Guarantee Account
- Fringe Benefits Tax (FBT) Account
Amount to be refunded:*
Will the amount mentioned above be refunded into the bank account listed against the client in XPM?*
- Yes
- No
Please provide the bank account details for the refund below.
BSB:*
Account Number:*
Account Name:*
Payment Transfer between Clients Accounts
(i.e. ITA and ICA)
Transfer from:*
- ITA (Income Tax Account)
- ICA (Integrated Client Account)
Transfer to:*
- ITA (Income Tax Account)
- ICA (Integrated Client Account)
Amount:*
Reason for payment transfer:*
Payment Transfer between two different Client Accounts
(i.e. Client has paid money into the wrong entity)
Transfer from (Entity Name):*
Transfer from (Account):*
- ITA (Income Tax Account)
- ICA (Integrated Client Account)
Transfer to (Entity Name):*
Transfer to (Account):*
- ITA (Income Tax Account)
- ICA (Integrated Client Account)
Amount:*
Do you have evidence of the incorrect transaction?*
- Yes
- No
Please upload evidence of incorrect transaction:
Including date of transaction, amount, etc.
Drop files here or
Max. file size: 256 MB.
Date of incorrect payment:*
Aintree Group Fees
ATO negotiations are outside Aintree Group’s Fixed Price Agreement scope and a separate fee is charged.
Minimum fee amount is $150 + GST.
Client will automatically be invoiced (the minimum or full WIP amount, whichever is greater) upon completion unless the WIP exceeds the quoted amount, in which case the invoice will be sent to the Partner for review.
Please make comments below if something else should occur.
Please see this schedule in FYI Docs for the standard Aintree Group fees for this work.
Have you discussed this with the client?*
- Yes
- No
Did you provide the client with a fixed quote amount for this work?*
- Yes
- No
Quoted Amount:*
GST Exclusive
Please discuss this with the client before proceeding any further with this form.
Additional Comments:
Please notify the following team members once task is completed:
Please list the full name of each team member.
Completed By:*
Team Member Name
First Last
Email*
This will be used to send you a copy of the completed form once it has been approved by your nominated Partner.
Partner to review:*
Once you have completed the form, please nominate the relevant Aintree Group Partner to review and give final approval. Then click “Save and Submit for Review”.
Team Members: Please check you have completed ALL required fields marked with a red asterisk BEFORE submitting this form for approval. Otherwise it causes issues for the next person in the process.
No review necessary. Click “Approved” when form is completed.
Final Review & Approval
To be completed by relevant Aintree Group partner only!
Once you have review the form and confirmed all fields are correct, please fill in your details below and click “Approved” button.
Approved By:*
Date*

ATO Negotiation Form

Payment Plan

Capacity to Pay Information

Direct Debit Account Details

Lodgement & Debt Deferral

Remission of General Interest Charges/Penalties

Refund

Please provide the bank account details for the refund below.

Payment Transfer between Clients Accounts

Payment Transfer between two different Client Accounts

Aintree Group Fees

Final Review & Approval

Connect

Office Access – June 2026