Use this form if you do
not want Inland
Revenue to collect
payments from the
liable parent/person.
Only the person entitled to receive
payments can complete this form.
1
Your IRD number
2
Your name
This form does not cancel child support or
domestic maintenance.
More
information and
child support
forms can be
found on our website at
www.ird.govt.nz/childsuppport
To cancel your child support, please complete
the Cancelling your child support (IR 107) form.
To cancel domestic maintenance, please complete the Cancelling
domestic maintenance (IR 112) form.
(8 digit numbers start in the second box.
Mr
(Tick one)
Mrs
)
Miss
Ms
First name(s)
Surname
3
Your home address
Street address
Town or city
4
Your postal address
(if different from above)
Postcode
Street address or PO Box
Town or city
5
Your contact details
(
Postcode
)
Day
(
)
(
)
EveningMobile
Email
6
Name of liable parent/person
(Tick one)
Note: If there is more than one
liable parent/person, please
complete a form for each
Mr
Mrs
Miss
Ms
First name(s)
Surname
7
Choose one of the options below:
I want you to collect some child support or domestic maintenance payments.
Please complete Question 8
I do not want you to collect any current or outstanding child support or domestic maintenance payments.
Please read the notes on page 2 and sign the declaration
Child Support
Page 1
www.ird.govt.nz/childsupport
August 2016
IR 129
IR 129
Authorisation not to collect child support or
domestic maintenance
8
Collecting payments
Please write below the amount of child support or domestic maintenance you want us to collect. You can give dates that you
want us to collect payments from, or you can tell us a specific amount to collect. For example:
• collect only $3,000 of the debt, or
• collect everything owed between 1 January and 30 June last year.
Write here which payments you want collected
Notes
•
If you were receiving a sole parent rate of benefit from Work and Income, you cannot ask us to stop collecting child support
for those periods. You can however, still ask us not to collect payments of domestic maintenance or court-ordered lump sums
of child support.
•
You can ask us not to collect all or part of the money owing. You cannot uplift any penalties owed by the liable parent/person
as these are owed to the government.
•
If you do not want us to collect any future payments of child support or domestic maintenance, you must also cancel your
future entitlement using the Cancelling your child support (IR 107) or Cancelling domestic maintenance (IR 112) form. This
does not prevent you from applying for child support again in the future.
•
Once you have asked us not to collect payments for a particular period, you cannot at a later date ask us to collect them.
However, it is still possible for you to collect the payments owing by applying through the District Court.
Declaration
I understand the option I have chosen in Question 7 and that any payments I don’t want collected cannot be collected by Inland
Revenue at a later date.
Signature
Date
Please send this completed form to: Child Support, PO Box 39010, Wellington Mail Centre, Lower Hutt 5045
Privacy
Meeting your tax obligations means giving us accurate information so we can assess your liabilities or your entitlements under
the Acts we administer. We may charge penalties if you don’t.
We may also exchange information about you with:
• some government agencies
• another country, if we have an information supply agreement with them
• Statistics New Zealand (for statistical purposes only).
If you ask for the personal information we hold about you, we’ll give it to you and correct any errors, unless we have a lawful
reason not to. Call us on 0800 377 774 for more information. For full details of our privacy policy go to www.ird.govt.nz
(search keyword: privacy).
RESET FORM
Child Support
Page 2
www.ird.govt.nz/childsupport