PART A Electronic lodgment declaration (Form C)

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Christine Edwards
5 years ago
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1 P Electronic lodgment declaration (orm ) his declaration is to be completed where the tax return is to be lodged via the ax Office's electronic lodgment service (EL). It is the responsibility of the taxpayer to retain this declaration for a period of five years after the declaration is made, penalties may apply for failure to do so. Privacy Your tax file number It is not an offence not to quote your (or if applicable, the partner's or beneficiary's) tax file number (N). However, you cannot lodge your tax return electronically if you do not quote your N. he ax Office is authorised by the Income ax ssessment ct 1936 and the Income ssessment ct 1997 to ask for information on this tax return. he ustralian usiness egister he ommissioner of axation, as egistrar of the ustralian usiness egister, may use the N and business details which you provide on this tax return to maintain the integrity of the register. Please refer to the privacy statement on the ustralian usiness egister () website ( for further information - it outlines our commitment to safeguarding your details. ax ile Number: Name: Net axable Income: $30,387 Year: 2009 I authorise my tax agent to electronically transmit this tax return via the electronic lodgment service. Important: efore making this declaration please check to ensure that all income has been disclosed and the tax return is true and correct in every detail. If you are in doubt about any aspect of the tax return, place all the facts before the ax Office. he tax law provides heavy penalties for false or misleading statement on tax returns. Declaration: I declare that: the information provided to the agent for the preparation of this tax return, including any applicable schedules is true and correct, and the agent is authorised to lodge this tax return. ignature of trustee or public officer Date / / P D ax agent's certificate (shared facilities only) I declare that: I have prepared this tax return in accordance with the information supplied by the partner, trustee, director or public officer. I have received a declaration made by the entity that the information provided to me for the preparation of this tax return is true and correct, and I am authorised by the partner, trustee, director or public officer to lodge this tax return, including any applicable schedules. gent's signature Date / / ontact name: Joe apattoni gent's phone number: (08) lient reference: VINMP gent's reference number: Page 1

2 Public officer's signature ompany tax return 2009 Day Month Year Day Month Year to Or specify period if part year or approved substitute period Notes to help you prepare this tax return are in the ompany tax return instructions 2009 (the instructions), available from the ax Office. ax file number (N) Is a payment due? Is a refund due? Y N Name of company and ustralian business number (N) N Previous name of company If the company name has changed, print the previous name exactly as shown on the last tax return lodged and show ustralian company number (N) or ustralian registered business number (N). N or N* *ross out whichever is not applicable urrent postal address If the address has not changed, print it exactly as shown on the last tax return lodged. apattoni PO ox 670 uburb or town VIOI PK tate W Postode Postal address on previous tax return If the address has changed, print the previous address exactly as shown on the last tax return lodged. apattoni GPO ox 2728 PEH tate W Postode uburb or town usiness address of main business 91 outh errace EMNLE tate W Postode uburb or town inal ax eturn his orm cannot be lodged as a paper representation of the orm Page 1

3 ompany tax return 2009 Public Officer's ignature ompany Name N 2 Description of main business activity Industry Oil and at Manufacturing ode Percentage of foreign shareholding % 3 tatus of ompany - print in a box if applicable esident Non- resident Non-resident permanent estab ooperative Non-profit trata title Pooled development fund D1 D3 D4 D5 Limited partnership orporate unit trust Public trading trust Private D6 D7 D8 D9 Public H rust D10 D11 onsolidated head company Z1 onsolidated subsidiary member Z2 Multiple business eased business ommenced business E1 E2 E3 6 alculation of total profit or loss 7 econciliation to taxable income or loss Income Expenses Other sales of goods and services Gross interest Other gross income otal Income oreign resident withholding expenses ost of sales ontractor, sub-contractor and commission expenses uperannuation expenses ent expenses D H Interest expenses within ustralia V Depreciation expenses Motor vehicle expenses Y epairs and maintenance ll other expenses otal expenses Z Q dd: Less: otal profit or loss amount shown at item 6 Non-deductible expenses ubtotal Deduction for decline in value of depreciating assets mall business and general business tax break orestry managed investment scheme deduction Other deductible expenses ax losses deducted ubtraction items subtotal W G U otal profit or loss axable income or loss inancial and other information Opening tock Purchases and other costs losing stock rade debtors ll current assets D otal assets E rade creditors ll current liabilities G otal liabilities H his orm cannot be lodged as a paper representation of the form Page 2

4 ompany tax return 2009 Public Officer's ignature ompany Name N hareholders' funds alculation statement oreign income tax offsets D ranking deficit tax offset E PYG instalments raised redit for interest on early payments---amount of interest V redit for tax withheld - foreign resident withholding I redit for tax withheld where N not quoted W ax withheld from interest/investments Y Less: axable or net income Gross tax ebates/tax offsets ax assessed > Less: otal of D and E G > dd: ax payable ec 102M interest &D tax offset U otal of, V, I, Less: W, Y, U and Z Other refundable credits Z otal amount of tax payable (+) or refundable (-) H ax agent's declaration I, apattoni declare that this tax return has been prepared in accordance with information supplied by the taxpayer, that the taxpayer has given me a declaration stating that the information provided to me is true and correct and that the taxpayer has authorised me to lodge the tax return. gent's signature Date Day Month Year lient's reference VINMP ontact Name Joe apattoni gent's telephone number gent's reference number rea code Number Declaration I declare that the information in this tax return is true and correct. Public officer's signature Date Day Month Year Hours taken to prepare and complete this tax return J itle M Daytime contact number rea code Number Public officer's name ranchina, harles John his orm cannot be lodged as a paper representation of the form Page 3

5 apital allowances schedule ead apital allowances schedule instructions2009, available on our website for instructions on how to complete this schedule ax file number (N) ee Privacy note on page 2 of this schedule ustralian business number (N) Name of Entity ignature Part Depreciating assets first deducted in the 2009 income year 1 otal costs of depreciating assets (excluding motor vehicles) ssets each costing less than $1,000 2 otal cost of depreciating assets (excluding motor vehicles) ssets each costing $1,000 or more 3 otal cost of motor vehicles elf-assessed effective life Have you self-assessed the effective life of any of these assets? D Yes No Print in the appropriate box. If yes, complete E and/or. If no, go to part. Depreciating assets (excluding motor vehicles) Motor vehicles otal cost of assets for which E effective life self-assessed Part or all depreciating assets 1 Information from depreciating assets worksheets otal assessable balancing adjustment amounts G otal deductible balancing adjustment amounts H otal deduction for decline in value - prime cost method I otal deduction for decline in value - diminishing value method J otal adjustable values at end of income year K Information from the low-value pool worksheet losing pool balance for previous income year L otal cost of low-cost assets allocated to pool M otal opening adjustable values of low-value assets allocated to pool N otal second element of cost amounts allocated to pool O losing pool balance for this income year P otal termination values of pooled assets for which balancing adjustment event occurred Q 3 ecalculation of effective life Did you recalculate effective life for any of your assets this income year? Yes No If yes, complete and/or. If no, go to part. Print in the appropriate box. otal opening adjustable values of assets for which effective life recalculated Depreciating assets (excluding motor vehicles) Motor vehicles his chedule cannot be lodged as a paper representation of the chedule Page 1

6 apital allowances schedule 2009 ignature as prescribed in tax return Name of entity ax file number Part Project pools 1 Project pools Number of project pools U otal closing pool values for previous income year otal closing pool values for this income year V W 2 mounts allocated this income year otal amounts incurred for environmental assessments otal mining capital expenditure and/or transport capital expenditure Y otal of other project amounts Z Part D Entities engaged in exploration or prospecting otal deduction for decline in value of intangible depreciating assets used in exploration or prospecting otal deduction for decline in value of other depreciating assets used in exploration or prospecting Is your apital allowances schedule 2009 complete? Make sure you have completed your apital allowances schedule 2009 correctly. If there are any errors your schedule may be ineffective and will be returned to you to complete correctly. efore you sign the apital allowances schedule 2009, check that: you included your tax file number (N) at the top of page 1 of the schedule you have included your ustralian business number (N) at the top of page 1 of the schedule your name is printed on page 1 of the schedule you have completed the appropriate parts of the schedule. Ensure your apital allowances schedule 2009 is attached to your tax return Privacy: he ax Office is authorised by the axation dministration ct 1953 to request you to quote your N. It is not an offence not to quote your N. However, your assessment will be delayed if you do not quote your N. he ax Office is authorised by the Income ax ssessment ct 1936 and the Income ax ssessment ct 1997 to ask for information on this schedule. We need this information to help us to administer the taxation laws. We may give this information to other government agencies as authorised in taxation law - for example, benefit payment agencies such as entrelink and the Department of Education, Employment and Workplace elations; law enforcement agencies such as state and federal police; and other agencies such as the hild upport gency and the ustralian ureau of tatistics. Page 2 his chedule cannot be lodged as a paper representation of the chedule

7 ax eturn Worksheets N: ax Year: 2009 econciliation Non-deductible expenses Description mount ccounting Depreciation uperannuation 7919 Entertainment 332 Donations Other deductible expenses Description mount uperannuation Paid

Fund income tax and regulatory return

Fund income tax and regulatory return Income Tax Return und income tax and regulatory return 01/07/2004 to 30/06/2005 or specify period if part year or approved substitute period R 849E05 2005 otes to help you prepare this tax return are provided