Form APD643 is input to the computer by CCU to completely withdraw an assessment/voluntary disclosure. The input of this form will not generate any notification to the trader.
| Box | Instructions for completion |
| Registration number | The trader’s APD registration number. |
| OA reference | The reference number of the original assessment or voluntary disclosure to be withdrawn. This number appears on the original output documents. |
| Assessment date | The date which appears on the original notification of assessment (APD35) or voluntary disclosure (APD36). |
| Assessing officer | Must be officially appointed departmental reviewing officer if withdrawal results from a departmental review. Otherwise, it should be signed by the officer withdrawing the assessment or voluntary disclosure. |
| Value of assessment being withdrawn | This is the net amount of APD on the original assessment/voluntary disclosure. You do not need to include any interest in this amount. |
| Countersignatory | All withdrawals require a countersignature as outlined in APD12000 |
