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Form 3

Departure prohibition order

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Form 3 Departure prohibition order

COMMONWEALTH OF AUSTRALIA

Taxation Administration Act 1953

DEPARTURE PROHIBITION ORDER

Pursuant to subsection 14S(1) of the Taxation Administration Act 1953,

I, , *the/*delegate of the/*a Second/Commissioner of Taxation, believing on reasonable grounds that it is desirable to do so for the purpose of ensuring that , a person subject to the tax liability referred to in the Schedule, does not depart from Australia for a foreign country without:

(a)

wholly discharging the tax liability; or

(b)

making arrangements satisfactory to *me/*the Commissioner for Taxation for the tax liability to be wholly discharged;

hereby prohibit the departure of from Australia for a foreign country.

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