PERSONAL INCOME TAX RETURN QUESTIONNAIRE

Transcription

1 PERSONAL INCOME TAX RETURN QUESTIONNAIRE Checklist for the year ended 30 June 2017 Instructions: 1) Please answer all questions. If a question does not apply to your circumstances, please mark with "N/A.". 2) If there is insufficient space to provide all information relating to a question, please provide a separate schedule containing the additional information. 3) If you have any queries in relation to the checklist, please contact our office on (08) ) Sign, scan and return via with all relevant schedules to admin@kensingtonpartners.com.au PERSONAL DETAILS 1 Full Name 2 Tax File Number 3 Date of Birth 4 Current Residential Address 5 Postal Address (if different from Residential Address) 6 Contact Numbers Home: 7 address 8 Occupation Business: Mobile: 9 Have you had a change in marital status during the income year? 10 Did you have a spouse during the 2017 income year? If yes, please provide the following info: Spouse s Full Name: Spouse s Date of Birth: Spouse s TFN: Spouse s approximate income (if known): 1

2 PERSONAL DETAILS 11 Do you have any dependants (children under the age of 21 or, full time students under the age of 25 living with you)? If yes, please provide full names & dates of birth Dependant 1 - Name & DOB: Dependant 2 - Name & DOB: Dependant 3 - Name & DOB: 12 Are you a resident of Australia for tax purposes INCOME DETAILS 1 PAYG PAYMENT SUMMARY Did you earn salary or wages from an employer(s) If yes, please provide the relevant payment summaries. 2 ALLOWANCES, BENEFITS, TIPS ETC Did you receive any allowances, benefit, tips, directors fees, kilometre reimbursements for car/s details 3 TERMINATION / LUMP SUM PAYMENTS Did you receive any lump sum payments from an employer as a result of retiring or ceasing with that employer If yes, please provide all PAYG/ETP summaries and documents relating to such payments. 4 GOVERNMENT BENEFITS / ALLOWANCES Did you receive any Government benefits/allowances (eg: Newstart, Austudy, Sickness etc) during the year? If yes, please provide relevant payment summary and/or Statement of Benefit/Allowance. 2

3 INCOME DETAILS 5 AUST. GOVERNMENT PENSIONS / ALLOWANCES Did you receive any Aust Government pensions/allowances (eg: Age Pension, Disability Pension, Age Service Pension etc) If yes, please provide relevant payment summary and/or Statement of Benefit/Allowance. 6 OTHER AUSTRALIAN PENSIONS OR ANNUITIES Did you receive any other AUSTRALIAN pensions or annuities including superannuation pensions? If yes, please attach relevant documentation. 7 INTEREST RECEIVED Did you receive any bank interest If yes, please provide the following details: Name of Bank / Interest Received: Name of Bank / Interest Received: Name of Bank / Interest Received: Name of Bank / Interest Received: 8 DIVIDENDS RECEIVED Did you receive any dividends details. If available, please also provide relevant dividend statements. 9 DISTRIBUTIONS FROM PARTNERSHIP/TRUSTS Did you receive distributions from business or investments held in partnerships or trusts (including managed funds) details (including tax statements or tax returns for each investment or business held) 3

4 INCOME DETAILS 10 CAPITAL GAINS / (LOSSES) Have you sold any assets (eg: house, land, shares etc) or made any other capital gains or losses If yes, please provide the following details: Original purchase price & date of purchase: Sale proceeds received and date sold: Details of additions/improvements made to the asset whilst held: 11 FOREIGN INCOME Did you receive any foreign income details 12 RENTAL PROPERTY INCOME Existing Properties Did you earn any rental income from an existing rental property If yes, please provide details of rent received and expenses incurred (including interest on borrowings) for the 2016/17 financial year (see attached schedule) New Properties Did you buy a new rental property If yes, please also provide the date of acquisition, the purchase price, a copy of the settlement statement and a copy of the quantity surveyor s report showing the depreciation deductions. **Please Note: Depreciation cannot be claimed on assets acquired with a property after 9 th May

5 INCOME DETAILS 13 OTHER INCOME Were you involved in any other income earning activities not already covered by the questionnaire, or have you received any insurance payouts or similar? details 14 SHARE TRADING Were you involved in any share trading activities If yes, please provide details of purchases and sales made during the year, preferable in the form of broker s notes. 15 WORKING HOLIDAY MAKERS If you were not a resident for tax purposes did you work in Australia on a 417 or 462 Visa? DEDUCTION DETAILS 1 WORK RELATED MOTOR VEHICLE EXPENSES Did you use your car for work related purposes other than travelling to or from home and work and wish to make a claim for these expenses? If yes, please select the method below you would prefer to use and provide the information to support your choice: Set rate per km: Please provide number of business kilometres travelled for the year: Log Book Method: Please provide a copy of the log book & summary of expenses incurred for the year 5

6 DEDUCTION DETAILS 2 OTHER WORK RELATED TRAVEL EXPENSES Did you incur any other work related travel expenses? If so, please provide details of expenses including business percentage use. 3 UNIFORM & PROTECTIVE CLOTHING Did you have any occupation specific clothing, protective clothing or compulsory work uniform expenses that relate to your work? information including the cost to purchase the item and the cost of cleaning it. 4 WORK RELATED SELF EDUCATION Did you have any work related selfeducation expenses during to the year? information regarding expenses incurred. Note that HECS/HELP and Financial Supplement fees are non-deductible. 5 WORK RELATED EXPENSES Capital If you have incurred any of the work related expenses listed below, please detail the amount spent and provide a copy of the invoice: Computer & software Machinery 6

7 DEDUCTION DETAILS Non-Capital If you have incurred any of the work related expenses below, please list the amount spent: Union Fees Subscriptions/Professional Journals Home office expenses Tools & equipment Telephone/mobile phone Sickness & accident insurance Income protection insurance Expenses in relation to allowances that you have received Any other work related deductions 6 INTEREST & DIVIDEND DEDUCTIONS If you have had interest and any dividend income during the year were there any expenses in relation to that income? If yes, please detail: 7

8 DEDUCTION DETAILS 7 OTHER DEDUCTIONS Gifts over $2 Please provide name of organisation and amount Tax Agent fees for previous year General Interest Charge paid to ATO 8 PREVIOUS YEARS TAX LOSSES Did you have a tax loss in the previous year/s? If yes, did you want to claim that loss in this years return? If yes, please provide details of your previous year/s losses 9 SUPERANNUATION Are you self-employed? (i.e. does more than 90% of your income come from sources other than salary and wages?) If yes, did you contribute to a nonemployer sponsored superannuation fund? If yes, please provide: Name of fund Policy Number Amount contributed Acknowledgement from the fund that you are claiming a tax deduction for the contribution OFFSETS & REBATES 1 CAPITAL GAINS Did you buy any shares in a qualifying early stage innovation Company? If yes, please provide: Name of company Quantity of shares acquired Cost of shares acquired Date shares were acquired 8

9 OFFSETS & REBATES 2 DEPENDANT REBATES Do you believe you are entitled to any of the following dependant rebates? Parent Child/Housekeeper Housekeeper Invalid Relative If yes, please provide the following with respect to each dependant: Name/s Date/s of birth Separate net income of each dependant 3 PRIVATE HEALTH INSURANCE REBATE Do you have private health cover? If yes, please provide a copy of the statement as posted to you from your Health Insurer detailing your Health Cover, Policy Number and rebate entitlement (if any) 4 SUPERANNUATION CONTRIBUTIONS ON BEHALF OF YOUR SPOUSE Did you make any superannuation contributions on behalf of your spouse? If yes, please provide the relevant details 9

10 OFFSETS & REBATES 5 ZONE REBATE A Zone Rebate may be available if you resided in a designated zone area during the year. Note: this rebate no longer applies to fly in/fly out arrangements Please provide: Place of residence in Zone: Period of residence: 6 MEDICAL EXPENSES REBATE Do you have medical expenses in respect of disability aids or aged care? If yes, please provide details of the expenses incurred ADJUSTMENTS 1 PART-YEAR TAX-FREE THRESHOLD During the 2016/2017 year did you become an Australian resident or stop being an Australian resident? If yes, please provide date and type of charge 2 FOREIGN ENTITITES During the 2016/2017 year did you own or have an interest in assets held overseas with a value over AUD $50,000? 3 MEDICARE LEVY SURCHARGE Did you receive a Medicare Levy Surcharge exemption certificate for the 2017 year? If yes, please attach certificate 10

11 MISCELLANEOUS 1 HECS/HELP DEBT/FINANCIAL SUPPLEMENT LOANS Do you have a HECS/HELP Debt or Financial Supplement loan? If yes, please provide a copy of the HECS/HELP or Financial Supplement Loans Assessment Advice as issued by the ATO in June SUPERANNUATION CO- CONTRIBUTION Did you make an after tax superannuation contribution during the 2017 year? If yes, please provide the following: Full Name of Fund: Fund ABN: Amount Contributed: 3 SUPERANNUATION STATEMENT Have you attached a copy of the last statement issued by your superannuation fund? 11

12 evolve. grow. prosper. T: (08) E: W: ABN Letter of Engagement - Accounting & Advisory Services Directors Wayne French CPA/CA Michael Karalis CPA This letter is to confirm our understanding of the terms of our engagement and the fees to be charged for the services that we provide. Purpose, Scope and Output of the Engagement This firm will provide Taxation Return preparation services, which will be conducted in accordance with the relevant professional and ethical standards issued by the Accounting Professional & Ethical Standards Board Limited (APESB). The extent of our procedures and services will be limited exclusively for this purpose only. As a result, no audit or review will be performed and, accordingly, no assurance will be expressed. Our engagement cannot be relied upon to disclose irregularities including fraud, other illegal acts and errors that may exist. However, we will inform you of any such matters that come to our attention. Costs Our minimum fee for preparing an individual income tax return is $ plus GST, however due to the varying complexity of your affairs and any meeting time involved in preparing and presenting your tax return, our fee may be greater. Any meeting conducted to discuss your affairs will be charged at our hourly rate. Should you require a quote prior to us commencing work on your return, please contact us. Our trading terms are 14 days from the date you receive our invoice and our policy is to not lodge your income tax return until our account is paid. Unless we are advised to the contrary we will arrange for refunds to be directly deposited into your bank account by the ATO. This improves the speed and efficiency of your refund being received. If you prefer to have your fee deducted from your refund, an administrative fee of $50 will be charged in addition to your tax preparation fee. Responsibilities You are responsible for the reliability, accuracy and completeness of the accounting records, particulars and information provided and disclosure of all material and relevant information. You are required to arrange for reasonable access by us to relevant individuals and documents, and shall be responsible for both the completeness and accuracy of the information supplied to us. Any advice given to you is only an opinion based on our knowledge of your particular circumstances. You have obligations under self-assessment to keep full and proper records in order to facilitate the preparation of accurate returns. It is your responsibility to keep those records for five (5) years. KP Accounting Pty Ltd is a CPA Practice KP Accounting Pty Ltd ACN Suite 2, 315 Bulwer Street, Perth WA 6000 PO Box 8271 Perth Business Centre, Perth WA 6849 Liability limited by a scheme approved under professional Standards Legislation

13 evolve. grow. prosper. Involvement of Others Where, as part of our engagement, the services of an external consultant or technical expert are required, an estimated cost and timeframe will be provided to you for your approval. Limitation of Liability Our liability is limited by a scheme approved under Professional Standards Legislation. Further information on the scheme is available from the Professional Standards Councils website: Acknowledgment of Terms of Appointment I acknowledge I have been requested to complete the Personal Income Tax Questionnaire provided by Kensington Partners and will / have been requested to answer any questions which require further clarification before my tax return is prepared and lodged with the Australian Taxation Office. I acknowledge that if I have not provided receipts to substantiate any expenditure listed on the above questionnaire that I can produce original receipts on demand. I have received, read, understand, acknowledge and agree to the terms of your appointment. Client 1: Name : Signature: Date: Client 2: Name : Signature: Date: