TAX INVOICE: #	Invoice Date:
GST No. 63 625 078	Payment Term: 7 days from invoice date

Research Levy Return: Arable Crops (Excluding Maize)

The following constitutes all levies deducted from all first point of sale or transfer of arable crops sold for the month(s) and year indicated, hereby declared by the individual completing the return.

Company / Reseller Name:
Period of this Return:
Return Completed By:
Postal Address:
Phone:
Email:

Crop	Year	Weight	Price / Unit	Total Value	Rate	Total Levy

	Subtotal	NZD $0.00
	+ GST	NZD $0.00
	Total	NZD $0.00
	less 1% optional collection fee	- $0.00
All amounts on this invoice are in NZD	Total Payment to FAR	NZD $0.00

Please pay your levy by internet banking.
Transfer payment to:	Foundation for Arable Research, ANZ # 06-0501-0657860-25.
Levy due:	NZD $0.00
Reference:	# (please include reference number)

TAX INVOICE: #

Invoice Date:

GST No. 63 625 078

Payment Term: 7 days from invoice date

Research Levy Return: Arable Crops (Excluding Maize)

Company / Reseller Name:

Period of this Return:

Return Completed By:

Postal Address:

Phone:

Email: