RETURN of INCOME for BUSINESS, PROFESSIONALS, FARMING, RENT, DIVIDEND, INTEREST, BENEFICIARIES and PARTNERS

Transcription

1 Taxation Division Tax Identification No.: () First Name: Middle Name: Last Name: Residential Address : RETURN of INCOME for BUSINESS, PROFESSIONALS, FARMING, RENT, DIVIDEND, INTEREST, BENEFICIARIES and PARTNERS Derived during the year ended 31st December FNPF No.: Date of Birth: Father's Name: B Sex: Phone No.: Male Female Postal Address (if different from above) : Mobile No.: Name of Spouse: Spouse : Has Postal/ Residential Address changed since last tax return lodged? Yes No Occupation, Trade, Business or Vocation : Bank Name: Bank Branch: Account No.: Are you a SRT payer? Yes No If yes complete line 3 on page 2. Do you have any investments and/or assets overseas? Yes No If yes complete line 8 and 9 on page 3. Provide your local bank details for direct deposit of your tax refund. Non-resident taxpayers to complete and attach supplementary TT Declaration Form (IRS230) for banking abroad. RESIDENTIAL STATUS (Tick one box only ) Resident : Non-Resident: NON-RESIDENT ONLY Permit No.: Date of Arrival in Fiji: Expected Date of Departure: Actual Date of Departure: OFFICE USE ONLY Stamp Here DATA ENTRY : ASSESSOR : CHECKER : FSIC : BATCH NO. : RETURN NO. :

2 2 TOTAL INCOME DERIVED DURING THE YEAR 1 INCOME FROM EMPLOYMENT (attach slip or certificate) Name of Employer SRT Deducted Salary or Wages Office Use Only c Wife Income (if less than 1,200) Pension Income Wife Income (if less than 1,200) ` Total Total Salary or Wages (C/F to line 55): 2 Employee Share Scheme Benefit 3 Total Value of Cash Benefits 4 Total SRT Paid during the Year 5 DIRECTOR'S/MANAGEMENT FEES RECEIVED Name of Company or Organisation Director's/ Management Fees Total Total Fees (C/F to line 55): 6 SHARE OF PARTNERSHIP INCOME/(LOSS) Name of Partnership Income Total Partnership Income (C/F to line 55): 7 SHARE OF TRUST/ESTATE INCOME Name of Trust/Estate Income Total Income (C/F to line 55):

3 3 TOTAL INCOME DERIVED DURING THE YEAR (continued) 8 INTEREST INCOME Name of Financial Instituation (RIWT) c Gross Interest 9 OVERSEAS INTEREST INCOME Total Total Interest Income (C/F to line 55): Name of Financial Instituation (NRIWT) c Gross Interest Total Total Interest Income (C/F to line 55): 10 OVERSEAS INCOME (other than interest) Name of Company Gross Income Total Total Overseas Income(C/F to line 55): 11 DIVIDENDS RECEIVED 8 Name of Company Gross Rents and Premiums : Period from less EXPENSES (a) Rates (b) Rent paid in respect of Lease (c) Insurance on Property (d) Repairs & Maintenance (e) Interest (f) Depreciation (g) Other Expenses to Total Expenses: Total Total Dividends (C/F to line 55): Gross Dividends

4 4 TOTAL INCOME DERIVED DURING THE YEAR (continued) 12 RENTAL INCOME Gross Rents and Premiums : Period from 8 to less EXPENSES Gross Rents and Premiums : Period from to (a) Rates c less EXPENSES (b) Rent paid in respect of Lease (a) Rates (c) Insurance on Property (b) Rent paid in respect of Lease (d) Repairs & Maintenance (c) Insurance on Property (e) Interest and Bank Charges (d) Repairs & Maintenance (f) Depreciation (e) Interest (g) Other Expenses (f) Depreciation (g) Other Expenses Total Expenses: Deduct Adjustment for Portion of Property occupied by You Total Expenses: Net Income/(Loss) from Rent (C/F to line 55): Address/Location of Property Net Farming Income Net Income from other Farming Activities Net Income from other Business Purchased Annuities Other income Add: Items not allowable as deductions (attach details) Accounting Depreciation Capital Expenditure Income Taxes Fines and Penalties Donations and Subscriptions Legal Expenses Losses on disposal of Assets for accounting purposes Preliminary Expenses Gain on disposal of Fixed assets for tax purposes FNPF (50% of 10% Employer Contribution) (Section 23(2)) Indemnity Debt (Debt forgiveness - related party loans being forgiven) Forfeited deposit Other Items (attach details) Less: Deductions/Concessions IRS202 [Revised: 29-Jun-2016]

5 5 TOTAL INCOME DERIVED DURING THE YEAR (continued) Pension Exemption Lump Sum Payment Deduction (max. 5,000) Employee Share Scheme (max. 1,000) Dividend Deduction Net Exempt Income Tax Depreciation Allowable Cash Donations to Approved Organisations/ Charities Hotels Aid Investment Allowance Accelerated Depreciation Film Making & Audio Visual Production- Exempt Income F1 - Contribution to Audio Visual Production (150% of monies expended) F2 - Contribution to Audio Visual Production (125% of monies expended) Tourist Vessels Export Promotion Incentive Fuel Concession Employment Taxation Scheme (150% tax deduction of employees education fees who are allowed to study(upskill) and attend training to attain a professional qualification during the course of employment) Employment Taxation Scheme (200% tax deduction on apprenticeship in the related area of study up to 6 months in a year before graduation as part of course requirements and/or on wages paid to students employed in the related area of study up to 3 months in a year during holidays) Employment Taxation Scheme (300% tax deduction on wages paid in the employment of disable people who will be employed continuously for the period of 3 years) Export Profit (Section 25(8)) Investment Allowances (Hotel/Medical Services or others) Losses on disposable of assets for Tax purposes Vanua Levu Incentives 40% deduction on capital expenditure Small & Micro Enterprises deductions (max. 500,000 Gross) Other Incentives - Charitable Donations Section 24 Tax Free Region Exemption Scientific Research Expenditure Section 29 Bad Debts Section 26 (attach details) Interest Income Exemption (Section 125 (2)) Total Business Loss Other Items (attach details) Taxable Business Income/(Loss) for Current Year Losses brought forward from prior years TOTAL INCOME/(LOSS) (Add lines 1-25 minus lines 26-52) Losses to be carried forward

6 6 TOTAL INCOME DERIVED DURING THE YEAR (continued) 66 Redundancy Payment (attach details) less: Exemption Taxable Amount of Redundancy Payment : Office Use Only Opening Stock plus: Purchases less: Closing Stock = COST OF GOODS SOLD Total Sales less: Cost of Goods Sold 72 Gross Trading Income = GROSS TRADING INCOME plus: Interest Income plus: Dividend Income plus: Other Income = TOTAL GROSS INCOME Total Expenses Interest Expenses Net Income Drawings Total Assets Total Liabilities Total wages and salary paid for the year 83 DETAILS OF CONTRACTUAL PAYMENTS RECEIVED Name of Contractor of Contractor Gross Payment Total : Total Payments IRS202 [Revised: 29-Jun-2016]

7 7 INFORMATION REQUIRED 84 DETAILS OF CANE PAYMENTS RECEIVED Name of Contractor of Contractor Farm No. Sector No. Tax Deducted Gross Payment Total : Total Payments DECLARATION AND AUTHORITY OF TAXPAYER I, declare that this tax return is true and complete. I agree I do not agree to transfer part or whole of my credit to offset my spouse's liability. (Tick the appropriate box) Signature: Date: IT IS A SERIOUS OFFENCE TO MAKE A FALSE INCOME TAX RETURN DECLARATION BY TAX AGENT I, declare that this tax return has been prepared in accordance with information supplied by the taxpayer. Tax Agent's No.: Signature: Date: NOTE : All attachments to this return must be signed by the person authorised to make the return.