INFORMATION FOR TAX RETURN CHECKLIST 2012 For year ended 30 th June 2012 IMPORTANT NOTE WORKFLOW MANAGEMENT As your Tax Returns are not due for lodgement until April 2013, please advise: a. Is your Return required urgently (in peak period August / December there is an eight to twelve week turnaround). Yes No (refer B) b. If not required urgently, indicate period that would be suitable: 9 15 weeks 16 24 weeks Any time before Due Date NAME: PHONE NO. DAYTIME: OCCUPATION: AFTER HOURS: EMAIL ADDRESS: POSTAL ADDRESS: TAX FILE NUMBER: BANK DETAILS: ACCOUNT#: NAME OF DEPENDANT CHILD AND TAX FILE NUMBER DOB: BSB NUMBER: DATE OF BIRTH NAME OF DEPENDANT SPOUSE AND TAX FILE NUMBER DATE OF BIRTH INCOME: 1. Group Certificates (including pensions and reportable fringe benefits) Yes No Number of certificates attached 2. Other Salary income: (includes any allowances, benefits, earnings, directors fees, commissions etc.) 3. Termination Payments (if you received a lump sum termination payment please provide Eligible Termination Statement ETP Statement) Max Accountants 2012 Page 1
4. Tax-free Government Pension (if you or you spouse received tax-free government pension please provide statement) 5. Employee Share Schemes (if you received shares or options under an employee share scheme please provide the statements) 6. Foreign Source Income and foreign assets or property (if you or your spouse received foreign employment income, foreign pension/s or rental income etc please provide payment summaries and/or investment details) 7. Interest (money received on your bank accounts) Name of Bank Account No. Total Interest Received $ TFN Withholding $ Joint Account? 8. Dividends Please provide copies of dividend statements of income received. Also note that if you are on the dividend reinvestment plan (DRP) which means you don t physically get the money to bank, the fund uses that money to buy you more shares that this is still income and must go in your return Name of Shares # of Shares Held Amount Received $ 9. Trusts and Partnerships: (I.e. examples of trust distributions include BT funds, Perpetual, AXA etc.). Name of trust or partnership Please provide documents (often a tax statement) to show income from the funds you list 10. Capital Gain: Did you sell any assets such as shares or property which were acquired after 20 September 1985. If yes then please provide documentation of when the asset was purchased / cost and also documents on sale / funds received etc. Max Accountants 2012 Page 2
Rental Income: Please attach details of the rent received and all expenses in their separate categories. Please supply property purchase settlement documents. Should you require the services of a Quantity Surveyor for a depreciation report please contact your client manager for a referral/form for one of the firm we use. We have a rental checklist you can use, please contact us. List of rental properties, for which information is attached:- 11. Any other income: (Any income you received in the financial year which doesn t fit into any of the above categories please provide details including personal services income, business income, foreign source income, employee share scheme, jury service fees, scholarships, grants, foreign exchange gains, royalties) DEDUCTIONS: Please ensure you are able to substantiate all claims, even if less than $300. 1. Motor Vehicle: Did you use your own car for business / work purposes through the year: Yes No If yes then please provide one of the following:- Log Book Method Business % use (please ensure you keep a log book for a continuous period of 12 weeks) Please provide details of all expenses you incurred over the financial year including fuel, repairs / maintenance, registration / insurance etc. If you have a loan for the vehicle please provide details of the interest you paid over the year and the cost of the car, if you have a hire purchase please provide a copy of the purchase contract. If you had a lease for your vehicle please provide figures of your lease payments. Kilometres Method: You haven t kept a log book but use your car for work. Let us know how many kilometres you would have travelled for work. The maximum the tax office allows you to claim is 5000 kilometres. Kilometres: Car Engine Size: (in litres i.e. 1.6 litres): Make Model Registration No, Max Accountants 2012 Page 3
2. Work Uniform: Do you have to wear a monogrammed work uniform or protective clothing? Yes No If yes were you out of pocket through the year for purchasing any new items (if so please provide details). Did you incur any dry cleaning expenses during the year? Yes No If yes please provide drying cleaning receipts. Did you incur any laundry expenses during the year? (up to $150 without receipts diary note required) Yes No 3. Other Work Related Deductions:- Travel Expenses (Please provide details if domestic or international travel and if claiming reasonable allowance) Diary / stationary / work materials Union fees / professional bodies Home office (internet, electricity, furniture, office equipment) Seminar costs or self-education (including travel) Outdoor workers sunglasses / sunscreen Telephone/ Mobile/ Internet 4. Other (Costs you incurred that was directly related to your job, capital equipment to be depreciated). Please provide details. Donations / school building fund (Please provide receipts/abn to verify DGR status of recipients) Sickness & accident insurance / income protection (Please provide copy of statement) Interest and Dividend deductions Accounting/ Tax agent Fees (including travel) Other deductions Please provide details Max Accountants 2012 Page 4
5. Child Support Payments (if you or your spouse paid child support in 2012 financial year please provide details of payments) REBATES/ OFFSETS:- 1) Private Health Insurance:- Do you have private health insurance Yes No If yes please provide us with copy of the health fund statement they send you after the end of the financial year, this will tell us if you are entitled to a rebate. 2) Spouse Did you have a spouse for the full financial year Yes No Is your spouse dependant (earns less than $6000) Yes No Did you receive or are you eligible to receive FTB Part A Yes No through Family Assistance Office for 2012 financial year? Did your spouse receive or is eligible to receive FTB Part A Yes No through Family Assistance Office for 2012 financial year? Other comments Note: You can no longer claim the Education Tax Refund - As part of a 2012 Budget measure the Education tax refund was replaced by a payment called the Schoolkids Bonus this will be received by those that would have been eligible for the education tax refund. 3) Superannuation: a) Are you self-employed, if yes please provide details of contributions you made to your superannuation for the financial year. (Full name of fund, Account no. and Fund ABN) b) Have you made any personal contributions to your superannuation fund? If so you may be entitled to super co-contributions (conditions apply). We do not require any information for your tax return as the process to claim this is automatic between the Australian Taxation Office and your superfund upon lodgement of your tax return. c) Have you made superannuation contributions on behalf of your spouse? Y/N Max Accountants 2012 Page 5
4) Medical expenses: You may be entitled to a rebate if your out of pocket expenses on medical exceeds $2,060. (This means if you are in a private health fund, the portion of which you don t get money back.) (Medical Expenses cannot include any cosmetics) If the total medical expenses exceed $2,060 you are entitled to a 20% rebate on the amount over the $2,060 threshold. Please provide a summarised total of your expenses (the out of pocket amounts only). 5) Zone or overseas forces:- Did you live or work in a remote or isolated area of Australia, or served overseas as a member of Australia s Defence Forces? Yes No If yes then please provide details. 6) Flood Levy Exemption: a) Were you affected by natural disaster able to claim an exemption from paying flood levy Yes No If yes then please provide details. 7) OTHER: Any other information which you are unsure of category and would like us to be aware of including dependent relatives, LandCare rebate, entrepreneurs tax offset, Flood levy exemption, Forestry investment: Max Accountants 2012 Page 6
RENTAL PROPERTY ANNUAL INCOME & EXPENSES Taxpayer name Year PROPERTY DETAILS: Address. P/Code. Ownership Date of Contract to Purchase Date first rented or available for rent Number of Weeks rented PURCHASE COSTS: Purchase Price Legal fees Stamp Duty Buying Agent s fees Renovations Total BORROWING EXPENSES Loan fees Stamp Duty on mortgage Mortgage Insurance Other Total Income for year Rent Other Income Total Expenses Item Date Account Ref Paid to Amount Total Advertising for tenants Body Corporate fees Cleaning Council Rates Gardening/lawn mowing Insurance (L/Lord & prop) Interest on loans Land Tax Legal Fees Pest Control Max Accountants 2012 Page 7
Property Agent fees Repairs & maintenance (Dates & type) Stationery, phone, postage Travel Expenses Water Charges Sundry rental expenses Plant and furniture additions, changes, scrapping during year Y/N Renovations during year Y/N Loan refinancing during year Y/N TAXPAYER S DECLARATION I declare that all the information I have given is true and correct. Taxpayer s signature.. Date:. Max Accountants 2012 Page 8