Client Name Home Address Postal Address Address (Mandatory) ABN (if applicable) Tax File No. Date of Birth Australian Resident?

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2018 Individual Income Tax Return Kit Client Details SYNERGY PTY LTD Client Name Home Address Postal Address Email Address (Mandatory) ABN (if applicable) Tax File No. Date of Birth Australian Resident? Occupation Details Bank Details for ATO Refund (ATO no longer issues cheques) BSB Account Number Name on Account Children s Details: Full Name Date of Birth Spouse s Details Please supply a copy of your spouse s 2018 Tax return if NOT a client of PDK Financial. MYOB Portal MYOB Portal is an online collaboration platform that allows us to share documents and take digital signature approvals from you. This information can be shared on any device with an internet browser. Please advise if you do not wish to receive your completed Income Tax Return this way:- I DO NOT wish to use PDK Financial MYOB Portal Uploading documents - For quicker processing of your Income Tax Return you can send through your documents to us either via email info@pdkfinancial.com.au or upload via www.hightail.com/dropbox?dropbox=pdkfinancial I confirm that you have advised me that I must demonstrate that I have incurred an expense for income producing purposes. In addition, you have advised me of the stringent SUBSTANTIATION legislation I must satisfy in relation to work, car and business travel expenses. In addition, you have informed me that I must obtain original receipts and keep them for a minimum of five years from the date my return is lodged. Signature

INCOME 1. Salary and Wages, allowances, directors fees, commissions, bonuses, income from part-time or casual work, parental leave pay, Dad and partner pay, foreign employment, amounts for lost salary or wages paid under an income protection policy, sickness or accident insurance policy or a workers compensation scheme. Please forward all original payment summaries regarding payment of salary and wages during the 2018 Income Year. 2. Employment Termination Payments Please forward details of any Lump Sum payments received together with your ETP Payment Summary. 3. Pensions, Government Allowances, Family Tax Payments, Allowances, Earnings, Director s Fees, Employer Lump Sum payments, Australian annuities, Superannuation income streams and lump sum payments Forward all statements detailing the year s earnings together with any statements for exemption of the Medicare levy. For Annuities include any undeducted purchase price information. 4. Gross Interest Received Bank Account Number $ Joint Yes/No Share of Interest % Withholding Tax % % 5. Dividends Received Company Date Paid Unfranked Dividends Franked Dividends Imputation Credits Join Yes/No Withholding Tax 6. Did you receive any benefit from an employee share acquisition scheme? If YES, please forward any details. 7. Did you receive any of the following in the 2018 income year? Personal Services Income (PSI) Distributions from Partnerships and/ or Trusts Income / Loss from a Business If YES please provide details of any such payments received.

8. Foreign Source Income (incl. foreign pensions and foreign assets/ property) If YES, please forward details of any such payments received. 9. Sale of Shares / Rental Property Note: Please provide copies of share sale and purchase contracts. For sale of property, please provide settlement statements of the purchase and sale as well as details of any improvements undertaken not previously claimed. Date Purchased or Acquired Cost Date Sold Net Proceeds Description of Property Sold 10. RENT See last page of kit for rental schedule details or supply your own statement.

DEDUCTIONS D1. Work Related Motor Vehicle Expenses Method used Cents per kilometre 66c Log Book Car (make, model) Have you kept written evidence and/or other records? Please advise what kind of evidence Please explain the circumstances why you used your car for work purposes. If you made a claim using the log book method, you must include opening and closing odometer readings. You must also have maintained a logbook which documents your business kilometres for a continuous period of 12 weeks (which is representative of your normal annual car usage), you must update your logbook at least every 5 years. If you made a claim using the cents per kilometre method, tell us how you made your estimate of business kilometres. D2. Work Related Travel Expenses Expense Type Accommodation Airfares Meals Incidentals Transport expenses Other (please specify) Have you kept written evidence and/or other records? Please advise what kind of records Please explain how these expenses related to your work. D3. Work-Related clothing, laundry and dry cleaning expenses Clothing expense type Laundry.Dry Cleaning Compulsory work uniform C Non-compulsory work uniform N Occupation-Specific clothing S Protective clothing P Have you kept written evidence and/or other records? Please advise what kind of records Please provide a description of the clothing items and explain why you needed to use these for work purposes. D4. Work-Related Self-Education Expenses Expense type Course Fees (HECS is not deductible) Books, Stationery etc. Travel Seminars/ Conferences Equipment e.g. computer Other (please specify) Have you kept written evidence and/or other records? Please advise what kind of records Please explain how these expenses are related to your work as an employee.

D5. Other Work-Related Expenses Expense type Union fees Home office (please specify hours) Books, journals & professional library Computer & Software expenses Telephone/Internet Tools Seminars & Conferences Sun Protection (hats, sunscreen, glasses) Other (please specify) Have you kept written evidence and/or other records? Please advise what kind of records Please explain how these expenses relate to your work. If you have apportioned a work related expense eg. telephone, tell us how you arrived at the amount and what percentage you are claiming. D7-D10. Other types of deductions Expense type Interest Deductions Dividend Deductions Gifts or Donations Financial Planning Fees Sickness/ Accident Insurance Tax Agent Fees Personal Deductible Superannuation Contributions Other (please specify) Please provide all necessary details in regards to this claim TAX OFFSETS T1. Senior Australian and Pensioner Were you eligible for an Australian Government Pension in 2018? T2. Australian Superannuation Income Stream Did you receive an Australian Superannuation Income Stream? YES / NO YES / NO T3. Superannuation contributions on behalf of your spouse You may be entitled to tax offset up to $540 for your spouse if your spouse s income is $40,000 or less. Please provide:- The total amount of contributions $ Spouse s assessable income and reportable fringe benefits $

T4. Zone Tax Offset or Overseas Forces Tax Offset You may be eligible for a tax offset if you lived in a remote area of Australia, or served overseas with the Australian Defence Force for 183 days or more during the 2018 income year. Please note that remote areas do not include offshore oil or gas rigs (from July 1 2015 working in a remote area only does not qualify). Name of Remote Area Number of Days T5. Net Medical Expenses Tax Offset This offset has changed. Expenses you can claim are restricted to disability aids, attendant care or aged care. Net expenses are your total eligible medical expenses less refunds from Medicare, National Disability Insurance Scheme (NDIS) and private health insurers which you, or someone else, received or are entitled to receive. They do not include contributions to a private health insurer or travel or accommodation expenses associated with other categories of medical expenses. The Tax offset is income tested. The percentage of net expenses you can claim is determined by your adjusted taxable income and family status;- Single as at June 30 2018 with ATI threshold $90,000 or less you can claim 20% of net medical expenses over $2,333. Single as at June 30 2018 with ATI threshold over $90,000 10% of net medical expenses over $5,504. Family as at 30 June 2018 with ATI threshold $180,000 or less (plus $1,500 for each dependent child after the first) you can claim 20% of net medical expenses over $2,333. Family as at 30 June 2018 with ATI threshold above $180,000 10% of net medical expenses over $5,504. Private Health Insurance Were you in a Private Health Fund for the period 1 July 2017 to 30 June 2018? YES / NO What type of Private Health Cover do you have? Please Circle. A Ancillary H Hospital C Combined What Class of Private Health Cover do you have? Please Circle. I Individual C Couple F Family Please include all names of dependants included on your Private Health Insurance Policy. Please provide a copy of your and your spouse s annual Private Health Insurance Statement. Adjustments A1 Under 18 Were you under 18 years of age on 30 June 2018? YES / NO HECS-HELP, SSL, TSL AND SFSS HECS-HELP, FEE-HELP, OS-HELP DEBT TRADE SUPPORT LOAN DEBT STUDENT START-UP LOAN DEBT STUDEN FINANCIAL SUPPLEMENT LOAN DEBT $

A4 Working holiday maker net income 2018 Individual Income Tax Return Kit Were you on a 417 or 462 working holiday visa at any time during 2017-18? YES / NO Income Tests Information For the 2018 income year the Australian Tax Office will apply new income tests and amend other existing tests to assess the eligibility of taxpayers to claim certain tax offsets as well as to receive certain government benefits. In order to make sure you are meeting all obligations towards the ATO and to ensure we considered all relevant factors when preparing your tax return please provide the following information:- reportable fringe benefits amounts reportable employer superannuation contributions Tax-free government pensions Foreign Income Net financial investment loss Net rental property loss Child support you paid Number of dependent children $

Rental Property Income & Expenses NOTE: If you acquired or sold property during this financial year, please enclose a copy of the settlement statement from the land conveyancer. Property Address:.. Rental Period: Date first rented out... % of Ownership: INCOME Rent $ Other Income $ EXPENSES Advertising $ Body Corporate Fee $ Borrowing costs $ Cleaning $ Council Rates $ Electricity $ Gardening/Lawn Maintenance $ Insurance $ Interest Loan 1 + date if refinanced $ Interest Loan 2 + date if refinanced $ Loan refinance costs if applicable $ Land Tax $ Legal Fees $ Pest Control $ Postage $ Property Agents Fees/Commission/Lease Fees $ Repairs & Maintenance $ Stationery, Telephone $ Sundry $ - Emergency Service Levy $ - Bank Charges $ - Others (please provide details) $ Water Rates $ From 1 July 2017, you are not entitled to a deduction for travel expenses relating to your residential rental property. If you purchased any depreciable items (cost over $300) in the 2018 income year, please provide detailed information regarding the item itself, its purchase cost and purchase date.