COMPANY OR SOLE TRADER INCOME YEAR ENDED 31 MARCH 2018

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COMPA OR SOLE TRADER ICOME EAR EDED 31 MARCH 2018 CLIET/COMPA AME: METHOD OF COTACT: Email or Post Please provide a copy of your Passport for each individual (a new requirement under anti-money laundering Rules) Please indicate your preference for all communications (1 only) My Current Email is: A. BAK RECORDS REQUIRED Checklist now at most questions (please indicate) Coded bank statements for the income year to 31 March 2018 for all Company accounts. Please write beside each payment and deposit details (i.e. Purchases, Phone, Sales, Transfer etc.) (B. We only require you to code and supply bank statements if we have not had your bank records during the year to do GST Returns, or we rely on your computer printouts to verify the details.) 2. All cheque butts or cheque details for the year and also the month following balance date. (unless we complete your GST) 3. Receipt books/deposit books for all bank accounts for the full income year. (unless we complete your GST) B. COMPUTER OR CASHBOOK RECORDS Where you have a computerised cash book, please provide a copy of relevant printouts in PDF format at the end of the financial year by post or email. Please send to admin@westons.co.nz. Copy of bank reconciliations as at balance date for all bank accounts. Final bank statement for the year for all bank accounts. Transaction Listing for accounts payable and accounts receivable at balance date. C. MORTGAGES/LOAS/HIRE PURCHASE Legal, Lease/Mortgage and or Hire Purchase Documents for any new Finance arrangements. Provided: SOLE TRADER/PARTERSHIPS OL - Vehicles D. VEHICLES Sole Trader/Partnerships Question If it has been three years since you have completed a logbook, please do so now. If more than one vehicle, list all vehicles below and the Business percentage use for each. Business usage: % Vehicle Make Business usage: % Vehicle Make - Companies Question Vehicles owned by Companies are covered under FBT rules (Fringe Benefit Tax). Is there more than 1 vehicle available for private use? Please Indicate Vehicle Details: If es, are there any days the business vehicle (s) are available for private use? Private Use Days: Advise which days: E. GOODS AD SERVICES TAX Copies of all returns filed and worksheets during the year, including the return spanning the end of year balance date. (Please provide your worksheets). Has there been any one-off adjustments made during the Adjustments: tax year? If so please provide the date and nature of the adjustment. (i.e. Sale of vehicle, adjustment from last year, errors etc.) F. WAGES Paid to staff, please provide your monthly calculation sheets or computer print outs. G. LEGAL Solicitors statements for all business transactions e.g. Sale and Purchase Agreement, Finance Statement of Account, fees invoice etc. (Where you have paid legal fees, we need a breakdown on what the expense was for) H. ETERTAIMET Please advise on your bank statement or cashbook those restaurant /alcohol bills that were for entertaining clients. Overseas or out of town travel/entertainment Expenses: Please also advise whether you were entertaining a client or were paying your own food and travel bills. Also, please advise the predominant reason for the trip, days away and days spent on business.

Overseas Expenses continued COMPA IFORMATIO REQUIRED A. CASH O HAD Cash float/cash sales prior to balance date not yet banked B. This is not your bank balance B. ACCOUTS RECEIVABLE (DEBTORS) - IVOICES/MOE OWIG TO OU AT BALACE DATE Schedule of Individual accounts which make up this total. (Please specify whether GST is included or not) Invoice number/payee detail (Please list on back of this sheet if insufficient space) GST Included? Total Debtors Amount Are there any Bad Debts? (Please Indicate Amounts) C. TRADIG STOCK O HAD Stock should be taken at balance date and adequate records retained to substantiate this figure. It should be valued at the lower of cost and market value. Please note that if stock is less than 10,000 you have the option of using the same as the opening value. Stock on hand as at balance date Total *GST Included? (Please Indicate) D. FIXED ASSETS Please supply full details of purchases (DURIG THIS TAX EAR) greater than 500 and a copy of all invoices. (e.g. vehicle, equipment, computer etc.) Please advise whether ew or Used. (GST Exclusive) Full details of all fixed assets sold - including trade-ins (DURIG THIS TAX EAR). Please advise if any assets need to be scrapped (refer last year s asset schedule) Date of Sale Asset Description Purchased Sold Write Off Amount E. ACCOUTS PAABLE (CREDITORS) - ACCOUTS OWIG B OU AT BALACE DATE: GST Included? (Please indicate) Schedule of all outstanding amounts and full name of Creditor. Full details of what each payment was for (please specify whether GST included or not). i.e. Telephone Materials etc. Creditor ame (attach list) What For? Amount Total GST Inclusive? (Please Indicate) F. HOME OFFICE/STORAGE AREA If you have a room set aside as a study or you use any part of your home for business purposes, please provide details of the following: If there has been no change to your home office expenses or area please indicate here: Indicate percentage of area used if different from prior year o Change from last year (indicate /) If changed from previous year (complete summary below) Percent Rates/Water rates

Home Office Expenses continued House Insurance (Home and Contents) Interest Paid Mortgage Power Rent Paid Other G. BUSIESS ICOME OT BAKED ITO BUSIESS ACCOUT Has all business banking been banked into your trading account during the year? Please provide details of any amounts which were not banked by 31 March 2018. Total ot Banked at 31/03/2018. PERSOAL IFORMATIO REQUIRED Income Received (Provide Advice otices). 1. Pensions or annuities (not Z Superannuation) Tax Deducted Imputation Credits 2. Interest and Dividends (Including Withholding Tax Deducted, Imputation Credits and Kiwisaver Annual Summary) 3. PIE Income (See below Foreign dividends) 3. Other e.g. Rental, Trust and Estate Income to be claimed. 4. Any other income not already detailed. (Worldwide Income) Foreign Investment Funds and Foreign Dividends Please Indicate: Foreign Investments Funds (certain Foreign Investments may fall under new tax rules) If you have any of the following: a) Shares in a Foreign Company, Foreign Unit Trust or Managed International Portfolio. b) An Interest in a Life Insurance Policy issued by a foreign Company. c) An Interest in a foreign superannuation scheme d) ou receive a pension or annuity from a foreign life insurance policy. Please enclose investment or dividend statements. 6. Any dividends received or re-invested during the year to 31 March 2018. At 01 April 2017 At 31 March 2018 H. DOATIOS If you require us to complete your annual rebate for donations made, please include all donation Total Donations: receipts that you have. I. WORKIG FOR FAMILIES TAX CREDITS Please indicate if you have received this before: Please indicate as a household how many per week hours you have worked this year. Please tick: Hours: 0 to 20 Hours: 20 to 30 Hours :30 and over If we need to apply for IRD numbers for children, please supply copies of birth certificates: ame of child 1.. 2. 3 4. Date of birth IRD number SUPPLEMETAR QUESTIOS (ALL CLIETS) J. TRUST ICOME Are you the Settler of a Trust? Did the Trust have any income during the 2018 year? If so, please supply a copy of the Accounts and Tax return for the year ended 31 March 2018. Please Indicate:

K. EMPLOMET BEEFITS (Please supply details) Did you receive any non-taxed benefits from an employer? Such as: Use of a motor Vehicle or loan at nil or low interest. Please Indicate: Details: L. PIE ICOME Do you have any PIE Investments? If so, please supply the annual Income Certificate for 2018 M. CHILDRE S ICOME Do your children receive any Interest, Dividends, Pie income, Distributions from Trusts? If so, please add the amounts received for each child and if this is more than 500.00, supply the certificates to us. Child Amount. O - RESIDET SPOUSE Is your spouse a tax resident? We will require details of overseas income for this calculation. O. TAX EXEMPT ICOME Do you or your spouse receive any Tax-exempt Income? Indicate here any Tax Exempt special arrangements: P. PESIOS AD AUITIES Do you receive either of these (excluding Z Super)? If so, please supply details as 50% of the gross has to be included in the calculation. Details: R. OTHER PAMETS Did your family receive 5000.00 or more in total towards day to day living? This includes amounts received and used to pay cost or paid directly for items such as: Payments from Insurance for loss of earnings/employment Payment of usual costs such as rent, phone, power, gas, water bills by someone else. Payment of children's private school fees Please include loans with no set date for repayment, with no or little interest. If so, please supply details. Do not supply Gifts such as Birthday or Christmas Anything else not previously specified. Please provide as much information as you can. TERMS OF EGAGEMET Weston & Associates Limited will compile your financial statements, in accordance with the standards applicable to Compilation Engagements, from information provided by you. We will not audit, review or otherwise attempt to verify the accuracy or completeness of that information. Our service will not result in the expression of an audit or any other form of assurance on the Financial Statements nor the fulfilling of any statutory or other audit requirement. Our services cannot be relied upon to detect any fraud or error in the organisation. a ou must provide us with accurate and complete information necessary to compile such statements and you accept responsibility for any failure to supply us with all the relevant records and information. The responsibility for the accuracy and completeness of the assertions in the financial statements remains with you. b The financial statements will be conspicuously marked as unaudited and you will attach our disclaimer (which is in a form approved by the Chartered Accountants Australia and ew Zealand) when distributing the financial statements to third parties. c If we sign any GST returns on your behalf, it is with your authority and as your duly authorised Accountant and is not in a capacity as an employee. It is your responsibility to provide all relevant information to us when preparing your GST returns. d If not all of the receipts, invoices or vouchers are supplied to us we will assume that all receipts are held by you at the time of preparation of your Financial Accounts and GST returns. e IMPORTAT - If any part of this document is not completed we will assume that the required figure is nil or this question does not apply to your business.

TERMS TO SERVICE 1. I / We agree to the terms above and confirm that the information supplied in this questionnaire is accurate and complete in all respects. 2. I / We hereby authorise Weston & Associates Limited to seek any additional information they may require for the purpose of preparing our financial statements and statutory requirements with the Inland Revenue Department, (for all tax types), Registrar of Companies, from your Solicitor, Adviser, Employees, Bank or other financial institution and we hereby also authorise your Solicitor, Adviser, Employees, bank or other financial institution to supply such information. 3. I/ We authorise Weston & Associates Limited to obtain and provide any information required under law, but not limited to Anti-money laundering and Terrorism Act Regulations. If you have any questions, please discuss these with us before signing this checklist. Print ame: Signature: Designation (e.g. Director, Owner, Partner, Trustee) Email: Business: Mobile: Date: Private: Text ok?