General Return Preparation & Substantiation ... - BHE Business
General Return Preparation & Substantiation Declaration
Client Name: ____________________________________________________________________
Address: ____________________________________________________________________
Suburb: ________________________ Post Code: _____________________________
Tax File No: ________________________ Telephone No: ______________________
Date of Birth: ________________________ Fax No: ______________________
Email address: ___________________________________________________________________
Occupation: ________________________ Recommended by: _______________________
Name of Spouse: ______________________ Spouse TFN: _______________________
Spouse Date of Birth: __________________ Spouse Taxable income: _________________
Was last year’s return prepared by a registered tax agent? NO YES
(If so, please advise name)
Bank Details for Electronic Transfer of Refund
For any possible refund to be transferred by the ATO into your bank account, please include account details below:
A/C Name: __________________________________________ Bank: ______________________________
BSB (Six Digits): __________________ Account Number:__________________________________________
Dated the ……………… day of ………….……………… 20_____.
_________________________
Signature of taxpayer
_____________________________________
Full Name (Print)
INCOME Details if answered YES- AMOUNT
Salary and wages in Australia NO YES
Foreign Income NO YES
Australian Government Income - Centrelink NO YES
Eligible termination payments NO YES Provide termination details
Interest from bank NO YES
Income from partnerships and/or trusts NO YES
Income from business NO YES
Capital gains from shares NO YES
Dividends NO YES
Other income: …………………………………………. NO YES
Rental Property Investment
Address of Rental Property.........................................................................................................................................
Date property first earned rental income …………………
Number of weeks rented for the year ……………
Name of Owners ………………………………………….
Income from Rental Property ………………………………………….
Expenses
• advertising for tenants ………………………………………….
• body corporate fees and charges ………………………………………….
• council rates ………………………………………….
• water charges ………………………………………….
• land tax ………………………………………….
• cleaning ………………………………………….
• gardening and lawn mowing ………………………………………….
• pest control ………………………………………….
• insurance (building, contents, public liability) ………………………………………….
• interest on loan only (no principal repayments) ………………………………………….
• property agent's fees and commission ………………………………………….
• repairs and maintenance ………………………………………….
DEDUCTIONS - MUST PROVIDE RECEIPTS FOR CLAIMS[1]
Work-related car expense claims
Method:
• Cents per km method
o Car make/model …………………………………………..
o Km travelled ……………….. (provide diary for claim)
• Logbook Method provide logbook
o Fuel ………………………………………….
o Registration ………………………………………….
o Insurance ………………………………………….
o Repairs ………………………………………….
Other work-related travel expenses:
• public transport ………………………………………….
• air fares ………………………………………….
• taxi fares / Uber / Ola ………………………………………….
• bridge and road tolls ………………………………………….
• parking fees ………………………………………….
• short-term car hire for work purposes ………………………………………….
• meal, accommodation and incidental expenses you ………………………………………….
incur while away overnight for work
Uniform/protective clothing expenses
• protective clothing (eg.steel-capped boots, gloves, etc) …………………………………………
• occupation specific clothing (chef pants) ………………………………………….
• compulsory uniform ………………………………………….
• laundry ………………………………………….
• Other costs (renting, repairing and dry cleaning) ………………………………………….
Self-education expenses
• textbooks ………………………………………….
• stationery ………………………………………….
• student union fees …………………………………………
• student services and amenities fees ………………………………………….
• course fees ………………………………………….
Other expenses (Include amounts)
• Union fees ………………………………………….
• Home office expenses ………………………………………….
• Computer and software ………………………………………….
• Telephone/mobile phone ………………………………………….
• Tools and equipment ………………………………………….
• Subscriptions & union fees ………………………………………….
• Depreciation ………………………………………….
• Any other work deductions ………………………………………….
Superannuation (for self-contributions)[2]
• Full Name of Fund: ………………………………………….
• Policy No: ………………………………………….
• Superfund ABN or TFN: ………………………………………….
OTHER DEDUCTIONS
• Gifts of $2 or more to eligible charities ………………………………………….
• Tax agent fees for the previous year ………………………………………….
• ATO interest ………………………………………….
• Income protection insurance ………………………………………….
REBATES
Sole parent (Number of Days) ………………………………………………………
Zone rebate Location (Residential Address only) ………………………………………………………
Private health insurance policy details …………provide private health insurance statement
CHILDREN NO YES
FULL NAME DOB DAYS OF CARE Maintenance (CSA + other) Student Living with you
$ Y / N Y/N
Client Substantiation Declaration
I, hereby confirm that I have been advised by you as to the requirement to demonstrate that an expense has been incurred for deductible purposes, together with satisfying the SUBSTANTIATION legislation in relation to:
* Work, car and business travel expenses
In addition, I have been informed by you of the need to OBTAIN ORIGINAL RECEIPTS carrying details of:
(1) Name of supplier;
(2) Type of goods/services purchased;
(3) Date expense incurred;
(4) Amount expressed in the currency it was incurred;
(5) Day it was made out
I have been advised by you of the need to keep the written evidence for at least four years.
Also, I have been advised of the consequences and penalties which will arise if the information I have provided is Incomplete or incorrect and does not strictly comply with the SUBSTANTIATION or nexus requirements.
I have all income tax and SUBSTANTIATION DOCUMENTS necessary to support all the claims made in my income tax return.
Where items are used for both business and private purposes, e.g. car, telephone/mobile, computer, library, etc., I advise that I have kept appropriate apportionment documents to verify my business usage claim. Further, I have instructed you to prepare the return based on my specific instructions.
I have read and understood the return prepared for me.
I declare:
(a) That I have disclosed to you all the income which I have earned
(b) That all income has been declared in the return
(c) That all the claims for deductions and rebates which have been included in the return are based on my specific instructions
(d) That any documents I did not have at the time, receipts to substantiate the above claims at the meeting, will be made available if required by the Tax Office.
(e) That you have clarified what written evidence will be required during an audit and penalties that may be applicable if incorrect claims are identified.
Signed: ___________________________________
Name: ____________________________________
Dated: …………………
BOLIVAR HOLDINGS PTY LTD
29 Bert St Gosnells WA 6110
E-mail: admin@ or reception@
Phone: (08) 9490 1300 Fax: (08) 9490 1500
PO Box 630 Gosnells WA 6990
-----------------------
[1] All deductions must not be refunded or reimbursed by the employer.
[2] *MUST HAVE SUBMITTED ‘Notice of Intent to Claim or Vary a Deduction for Personal Contributions’
FORM TO THE SUPERANNUATION PROVIDER.
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