{"id":63,"date":"2021-08-21T09:54:12","date_gmt":"2021-08-21T09:54:12","guid":{"rendered":"https:\/\/forms.exposay.co.za\/?page_id=63"},"modified":"2021-08-21T11:02:43","modified_gmt":"2021-08-21T11:02:43","slug":"ind-tax-form","status":"publish","type":"page","link":"https:\/\/forms.exposay.co.za\/index.php\/ind-tax-form\/","title":{"rendered":"Individual Taxpayer Form"},"content":{"rendered":"<div class=\"caldera-grid\" id=\"caldera_form_1\" data-cf-ver=\"1.9.7\" data-cf-form-id=\"CF6120bfb10f720\"><div id=\"caldera_notices_1\" data-spinner=\"https:\/\/forms.exposay.co.za\/wp-admin\/images\/spinner.gif\"><\/div><form data-instance=\"1\" class=\"CF6120bfb10f720 caldera_forms_form cfajax-trigger\" method=\"POST\" enctype=\"multipart\/form-data\" id=\"CF6120bfb10f720_1\" data-form-id=\"CF6120bfb10f720\" aria-label=\"Individual Taxpayer Form\" data-target=\"#caldera_notices_1\" data-template=\"#cfajax_CF6120bfb10f720-tmpl\" data-cfajax=\"CF6120bfb10f720\" data-load-element=\"_parent\" data-load-class=\"cf_processing\" data-post-disable=\"0\" data-action=\"cf_process_ajax_submit\" data-request=\"https:\/\/forms.exposay.co.za\/cf-api\/CF6120bfb10f720\" data-hiderows=\"true\">\r\n<input type=\"hidden\" id=\"_cf_verify_CF6120bfb10f720\" name=\"_cf_verify\" value=\"2ac4984e54\"  data-nonce-time=\"1775649521\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/index.php\/wp-json\/wp\/v2\/pages\/63\" \/><div id=\"cf2-CF6120bfb10f720_1\"><\/div><input type=\"hidden\" name=\"_cf_frm_id\" value=\"CF6120bfb10f720\">\r\n<input type=\"hidden\" name=\"_cf_frm_ct\" value=\"1\">\r\n<input type=\"hidden\" name=\"cfajax\" value=\"CF6120bfb10f720\">\r\n<input type=\"hidden\" name=\"_cf_cr_pst\" value=\"63\">\r\n<div class=\"hide\" style=\"display:none; overflow:hidden;height:0;width:0;\">\r\n<label>Order Number<\/label><input type=\"text\" name=\"order_number\" value=\"\" autocomplete=\"off\">\r\n<\/div><div id=\"CF6120bfb10f720_1-row-1\"  class=\"row  first_row\"><div  class=\"col-sm-12  single\"><div data-field-wrapper=\"fld_1529543\" class=\"form-group\" id=\"fld_1529543_1-wrap\">\r\n\t<label id=\"fld_1529543Label\" for=\"fld_1529543_1\" class=\"control-label\">Title<\/label>\r\n\t<div class=\"\">\r\n\t\t<select name=\"fld_1529543\" value=\"opt1421110\" data-field=\"fld_1529543\" class=\"form-control\" id=\"fld_1529543_1\"    aria-labelledby=\"fld_1529543Label\" >\n\t\t\t\t\t\t\t<option value=\"Choose One\" selected=\"selected\" data-calc-value=\"Choose One\" >\n\t\t\t\t\t\tChoose One\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Mr.\"  data-calc-value=\"Mr.\" >\n\t\t\t\t\t\tMr.\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Ms.\"  data-calc-value=\"Ms.\" >\n\t\t\t\t\t\tMs.\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Mrs.\"  data-calc-value=\"Mrs.\" >\n\t\t\t\t\t\tMrs.\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Prof.\"  data-calc-value=\"Prof.\" >\n\t\t\t\t\t\tProf.\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Dr.\"  data-calc-value=\"Dr.\" >\n\t\t\t\t\t\tDr.\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t<\/select>\n\t\t\t<\/div>\r\n<\/div>\r\n<div data-field-wrapper=\"fld_3688899\" class=\"form-group\" id=\"fld_3688899_1-wrap\">\r\n\t<label id=\"fld_3688899Label\" for=\"fld_3688899_1\" class=\"control-label\">First Name <span aria-hidden=\"true\" role=\"presentation\" class=\"field_required\" style=\"color:#ee0000;\">*<\/span><\/label>\r\n\t<div class=\"\">\r\n\t\t<input   required type=\"text\" data-field=\"fld_3688899\" class=\" form-control\" id=\"fld_3688899_1\" name=\"fld_3688899\" value=\"\" data-type=\"text\" aria-required=\"true\"   aria-labelledby=\"fld_3688899Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<div data-field-wrapper=\"fld_6829296\" class=\"form-group\" id=\"fld_6829296_1-wrap\">\r\n\t<label id=\"fld_6829296Label\" for=\"fld_6829296_1\" class=\"control-label\">Last Name <span aria-hidden=\"true\" role=\"presentation\" class=\"field_required\" style=\"color:#ee0000;\">*<\/span><\/label>\r\n\t<div class=\"\">\r\n\t\t<input   required type=\"text\" data-field=\"fld_6829296\" class=\" form-control\" id=\"fld_6829296_1\" name=\"fld_6829296\" value=\"\" data-type=\"text\" aria-required=\"true\"   aria-labelledby=\"fld_6829296Label\" >\t\t\t<\/div>\r\n<\/div>\r\n\n<div data-field-wrapper=\"fld_6786420\" class=\"form-group\" id=\"fld_6786420_1-wrap\">\r\n\t<label id=\"fld_6786420Label\" for=\"fld_6786420_1\" class=\"control-label\">Date of Birth <span aria-hidden=\"true\" role=\"presentation\" class=\"field_required\" style=\"color:#ee0000;\">*<\/span><\/label>\r\n\t<div class=\"\">\r\n\t\t<input  type=\"text\" data-provide=\"cfdatepicker\" name=\"fld_6786420\" value=\"\" id=\"fld_6786420_1\" data-field=\"fld_6786420\" class=\"form-control cfdatepicker is-cfdatepicker\" data-date-format=\"yyyy-mm-dd\" required=\"1\" data-date-start-view=\"decade\"  data-date-start-date=\"-90y\" data-date-autoclose=\"true\"   aria-labelledby=\"fld_6786420Label\" required  \/>\n\t\t\t<\/div>\r\n<\/div>\r\n<div data-field-wrapper=\"fld_7120464\" class=\"form-group\" id=\"fld_7120464_1-wrap\">\r\n\t<label id=\"fld_7120464Label\" for=\"fld_7120464_1\" class=\"control-label\">ID Number\/Passport No <span aria-hidden=\"true\" role=\"presentation\" class=\"field_required\" style=\"color:#ee0000;\">*<\/span><\/label>\r\n\t<div class=\"\">\r\n\t\t<input   required type=\"text\" data-field=\"fld_7120464\" class=\" form-control\" id=\"fld_7120464_1\" name=\"fld_7120464\" value=\"\" data-type=\"text\" aria-required=\"true\"   aria-labelledby=\"fld_7120464Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<div data-field-wrapper=\"fld_5878527\" class=\"form-group\" id=\"fld_5878527_1-wrap\">\r\n\t<label id=\"fld_5878527Label\" for=\"fld_5878527_1\" class=\"control-label\">SARS Income Tax Number<\/label>\r\n\t<div class=\"\">\r\n\t\t<input    type=\"number\" data-field=\"fld_5878527\" class=\" form-control\" id=\"fld_5878527_1\" name=\"fld_5878527\" value=\"\" data-type=\"number\" data-parsley-type=\"number\"   aria-labelledby=\"fld_5878527Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<div data-field-wrapper=\"fld_1376465\" class=\"form-group\" id=\"fld_1376465_1-wrap\">\r\n\t<label id=\"fld_1376465Label\" for=\"fld_1376465_1\" class=\"control-label\">Married <span aria-hidden=\"true\" role=\"presentation\" class=\"field_required\" style=\"color:#ee0000;\">*<\/span><\/label>\r\n\t<div class=\"\">\r\n\t\t<select name=\"fld_1376465\" value=\"\" data-field=\"fld_1376465\" class=\"form-control\" id=\"fld_1376465_1\"  required=\"required\"  aria-labelledby=\"fld_1376465Label\" >\n\t\t<option value=\"\"><\/option>\r\n\t\t\t\t\t<option value=\"Choose One\"  data-calc-value=\"Choose One\" >\n\t\t\t\t\t\tChoose One\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Married in Community of Property\"  data-calc-value=\"Married in Community of Property\" >\n\t\t\t\t\t\tMarried in Community of Property\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Married out of Community of Property\"  data-calc-value=\"Married out of Community of Property\" >\n\t\t\t\t\t\tMarried out of Community of Property\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Traditional\/Custom\/Tribal Marriage\"  data-calc-value=\"Traditional\/Custom\/Tribal Marriage\" >\n\t\t\t\t\t\tTraditional\/Custom\/Tribal Marriage\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Single\/Not Married\"  data-calc-value=\"Single\/Not Married\" >\n\t\t\t\t\t\tSingle\/Not Married\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Divorced\"  data-calc-value=\"Divorced\" >\n\t\t\t\t\t\tDivorced\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Widow\/Widower\"  data-calc-value=\"Widow\/Widower\" >\n\t\t\t\t\t\tWidow\/Widower\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t<\/select>\n\t\t\t<\/div>\r\n<\/div>\r\n<\/div><\/div><div id=\"CF6120bfb10f720_1-row-2\"  class=\"row \"><div  class=\"col-sm-6  first_col\"><div data-field-wrapper=\"fld_6830845\" class=\"form-group\" id=\"fld_6830845_1-wrap\">\r\n\t<label id=\"fld_6830845Label\" for=\"fld_6830845_1\" class=\"control-label\">Email Address <span aria-hidden=\"true\" role=\"presentation\" class=\"field_required\" style=\"color:#ee0000;\">*<\/span><\/label>\r\n\t<div class=\"\">\r\n\t\t<input   required type=\"email\" data-field=\"fld_6830845\" class=\" form-control\" id=\"fld_6830845_1\" name=\"fld_6830845\" value=\"\" data-type=\"email\" aria-required=\"true\"   aria-labelledby=\"fld_6830845Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<div data-field-wrapper=\"fld_645468\" class=\"form-group\" id=\"fld_645468_1-wrap\">\r\n\t<label id=\"fld_645468Label\" for=\"fld_645468_1\" class=\"control-label\">Telephone Number<\/label>\r\n\t<div class=\"\">\r\n\t\t<input  data-inputmask=\"'mask': '(999)999-9999'\"   type=\"phone\" data-field=\"fld_645468\" class=\" form-control\" id=\"fld_645468_1\" name=\"fld_645468\" value=\"\" data-type=\"phone\"   aria-labelledby=\"fld_645468Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<div data-field-wrapper=\"fld_193439\" class=\"form-group\" id=\"fld_193439_1-wrap\">\r\n\t<label id=\"fld_193439Label\" for=\"fld_193439_1\" class=\"control-label\">Cellphone Number <span aria-hidden=\"true\" role=\"presentation\" class=\"field_required\" style=\"color:#ee0000;\">*<\/span><\/label>\r\n\t<div class=\"\">\r\n\t\t<input  data-inputmask=\"'mask': '9999999999'\"  required type=\"phone\" data-field=\"fld_193439\" class=\" form-control\" id=\"fld_193439_1\" name=\"fld_193439\" value=\"\" data-type=\"phone\" aria-required=\"true\"   aria-labelledby=\"fld_193439Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<div data-field-wrapper=\"fld_8638677\" class=\"form-group\" id=\"fld_8638677_1-wrap\">\r\n\t<label id=\"fld_8638677Label\" for=\"fld_8638677_1\" class=\"control-label\">Physical Address <span aria-hidden=\"true\" role=\"presentation\" class=\"field_required\" style=\"color:#ee0000;\">*<\/span><\/label>\r\n\t<div class=\"\">\r\n\t\t<textarea name=\"fld_8638677\" value=\"\" data-field=\"fld_8638677\" class=\"form-control\" id=\"fld_8638677_1\" rows=\"4\"  required=\"required\"  aria-labelledby=\"fld_8638677Label\" ><\/textarea>\n\t\t\t<\/div>\r\n<\/div>\r\n<div data-field-wrapper=\"fld_6702717\" class=\"form-group\" id=\"fld_6702717_1-wrap\">\r\n\t<label id=\"fld_6702717Label\" for=\"fld_6702717_1\" class=\"control-label\">Postal Address<\/label>\r\n\t<div class=\"\">\r\n\t\t<textarea name=\"fld_6702717\" value=\"\" data-field=\"fld_6702717\" class=\"form-control\" id=\"fld_6702717_1\" rows=\"4\"    aria-labelledby=\"fld_6702717Label\" ><\/textarea>\n\t\t\t<\/div>\r\n<\/div>\r\n<\/div><div  class=\"col-sm-6  last_col\"><div data-field-wrapper=\"fld_1720034\" class=\"form-group\" id=\"fld_1720034_1-wrap\">\r\n\t<label id=\"fld_1720034Label\" for=\"fld_1720034_1\" class=\"control-label\">Bank Name <span aria-hidden=\"true\" role=\"presentation\" class=\"field_required\" style=\"color:#ee0000;\">*<\/span><\/label>\r\n\t<div class=\"\">\r\n\t\t<input   required type=\"text\" data-field=\"fld_1720034\" class=\" form-control\" id=\"fld_1720034_1\" name=\"fld_1720034\" value=\"\" data-type=\"text\" aria-required=\"true\"   aria-labelledby=\"fld_1720034Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<div data-field-wrapper=\"fld_4466579\" class=\"form-group\" id=\"fld_4466579_1-wrap\">\r\n\t<label id=\"fld_4466579Label\" for=\"fld_4466579_1\" class=\"control-label\">Account Name <span aria-hidden=\"true\" role=\"presentation\" class=\"field_required\" style=\"color:#ee0000;\">*<\/span><\/label>\r\n\t<div class=\"\">\r\n\t\t<input   required type=\"text\" data-field=\"fld_4466579\" class=\" form-control\" id=\"fld_4466579_1\" name=\"fld_4466579\" value=\"\" data-type=\"text\" aria-required=\"true\"   aria-labelledby=\"fld_4466579Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<div data-field-wrapper=\"fld_6650955\" class=\"form-group\" id=\"fld_6650955_1-wrap\">\r\n\t<label id=\"fld_6650955Label\" for=\"fld_6650955_1\" class=\"control-label\">Account Number <span aria-hidden=\"true\" role=\"presentation\" class=\"field_required\" style=\"color:#ee0000;\">*<\/span><\/label>\r\n\t<div class=\"\">\r\n\t\t<input   required type=\"number\" data-field=\"fld_6650955\" class=\" form-control\" id=\"fld_6650955_1\" name=\"fld_6650955\" value=\"\" data-type=\"number\" data-parsley-type=\"number\" aria-required=\"true\"   aria-labelledby=\"fld_6650955Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<div data-field-wrapper=\"fld_2365257\" class=\"form-group\" id=\"fld_2365257_1-wrap\">\r\n\t<label id=\"fld_2365257Label\" for=\"fld_2365257_1\" class=\"control-label\">Branch Code <span aria-hidden=\"true\" role=\"presentation\" class=\"field_required\" style=\"color:#ee0000;\">*<\/span><\/label>\r\n\t<div class=\"\">\r\n\t\t<input   required type=\"number\" data-field=\"fld_2365257\" class=\" form-control\" id=\"fld_2365257_1\" name=\"fld_2365257\" value=\"\" data-type=\"number\" data-parsley-type=\"number\" aria-required=\"true\"   aria-labelledby=\"fld_2365257Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<\/div><\/div><div id=\"CF6120bfb10f720_1-row-3\"  class=\"row \"><div  class=\"col-sm-12  single\"><div data-field-wrapper=\"fld_7007738\" class=\"form-group\" id=\"fld_7007738_1-wrap\">\r\n<div class=\"\">\r\n\n<div class=\"checkbox-inline caldera-forms-consent-field\">\n    <input data-parsley-required=\"true\" data-parsley-group=\"fld_7007738_1\" data-parsley-multiple=\"fld_7007738_1\"        type=\"checkbox\" data-label=\"Agreed and Accepted\"\n        data-field=\"fld_7007738\"\n        id=\"fld_7007738_1\"\n        class=\"fld_7007738_1 option-required\"\n        name=\"fld_7007738\"\n        value=\"1\"\n        data-type=\"checkbox\"\n        data-checkbox-field=\"fld_7007738_1\"\n    >\n    <label for=\"fld_7007738_1\"\n           class=\"caldera-forms-gdpr-field-label\"\n           style=\"display:inline; margin-left: 0.5rem;\"\n    >\n        Agreed and Accepted        <p\n            class=\"caldera-forms-consent-field-agreement\"\n        >\n            I hereby agree that Exposay Financial Services and its agents permission to access my profile with SARS.        <\/p>\n        <a href=\"\"\n           target=\"_blank\"\n                title=\"Privacy Policy Page\"\n            class=\"caldera-forms-consent-field-linked_text\"\n            >\n            *        <\/a>\n    <\/label>\n    <span style=\"color:#ff0000;\">*<\/span>\n<\/div>\n\n<\/div>\r\n<\/div>\r\n<\/div><\/div><div id=\"CF6120bfb10f720_1-row-4\"  class=\"row  last_row\"><div  class=\"col-sm-12  single\"><div data-field-wrapper=\"fld_7862207\" class=\"form-group\" id=\"fld_7862207_1-wrap\">\r\n<div class=\"\">\r\n\t<input  class=\"btn btn-default\" type=\"reset\" name=\"fld_7862207\" id=\"fld_7862207_1\" value=\"Reset Form\" data-field=\"fld_7862207\"  >\n<\/div>\r\n<\/div>\r\n\t<input class=\"button_trigger_1\" type=\"hidden\" name=\"fld_7862207\" id=\"fld_7862207_1_btn\" value=\"\" data-field=\"fld_7862207\"  \/>\n<div data-field-wrapper=\"fld_9202177\" class=\"form-group\" id=\"fld_9202177_1-wrap\">\r\n<div class=\"\">\r\n\t<input  class=\"btn btn-default\" type=\"submit\" name=\"fld_9202177\" id=\"fld_9202177_1\" value=\"Submit Form\" data-field=\"fld_9202177\"  >\n<\/div>\r\n<\/div>\r\n\t<input class=\"button_trigger_1\" type=\"hidden\" name=\"fld_9202177\" id=\"fld_9202177_1_btn\" value=\"\" data-field=\"fld_9202177\"  \/>\n<\/div><\/div><\/form>\r\n<\/div>\r\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":[],"_links":{"self":[{"href":"https:\/\/forms.exposay.co.za\/index.php\/wp-json\/wp\/v2\/pages\/63"}],"collection":[{"href":"https:\/\/forms.exposay.co.za\/index.php\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/forms.exposay.co.za\/index.php\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/forms.exposay.co.za\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/forms.exposay.co.za\/index.php\/wp-json\/wp\/v2\/comments?post=63"}],"version-history":[{"count":3,"href":"https:\/\/forms.exposay.co.za\/index.php\/wp-json\/wp\/v2\/pages\/63\/revisions"}],"predecessor-version":[{"id":84,"href":"https:\/\/forms.exposay.co.za\/index.php\/wp-json\/wp\/v2\/pages\/63\/revisions\/84"}],"wp:attachment":[{"href":"https:\/\/forms.exposay.co.za\/index.php\/wp-json\/wp\/v2\/media?parent=63"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}