FBT CHECKLIST Business Name

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FBT CHECKLIST Business Name 1. Car Benefits Did you provide a car to a director, employee or their associate(s) that was available for private use? Do you have any employees who salary package cars? Have you provided any exempt vehicles (e.g. Utes)? - please ensure you consider the ATO requirement that the private use of an exempt vehicle be minor, infrequent or irregular. The ATO has new (strict) guidelines on this, please contact us for more information if you are unsure. Yes 2. Loan Benefits Have you provided loans to a director, employee or their associate(s)? 3. Debt Waiver Benefits Have you released a director, employee or their associate(s) from an obligation to repay money previously owed to you? 4. Expense Payment Benefits Have you paid for directly or reimbursed any expenses on behalf of directors, employees or their associates? 5. Housing Benefits Have you provided a director, employee or their associate(s) with a right to use a unit of accommodation as their usual place of residence? 6. Board Benefits Do you provide accommodation and/or meals to employees or directors as a result of industrial award or employment agreement? 7. Living away from Home Allowance (LAFHA) Benefits Do you provide accommodation benefits to directors or employees who are required to live away from their normal place of residence? Do you provide a cash food allowance to directors or employees who are required to live away from their normal place of residence? 8. Property Benefits Do you provide property or goods to directors or employees (either free or at a discount?) 9. Car Parking Benefits Do you provide car parking facilities to directors or employees? If so, is there a commercial parking station within a 1km radius? 10. Entertainment Benefits Have you provided food, drink or recreation benefits to directors, employees or their associate(s) (this includes meals)? Did you provide a Christmas party for staff and/or their associate(s)? Have your directors, employees or their associate(s) been given regular gifts and/or once off gifts? 11. Residual Benefits Have you provided any other benefits in relation to employment not previously covered? 12. Tax Audit Protection Do you have tax audit protection that covers the FBT year ended 31 March 2018? If you answered yes to any of the above, you may need to complete the enclosed schedule No Signed: Date:

STATUTORY FORMULA DECLARATION FBT YEAR ENDED 31 MARCH 2018 Opening and closing kilometres Name of employee Name of employer Date of entry Make and model of car Car registration Engine capacity Opening odometer reading at 01/04/2017 Closing odometer reading at 31/03/2018 Signature as a true and correct record Dated (to be signed by employee) Where the car was acquired, or disposed of, during the current 2017 FBT year, insert alternative dates.

FRINGE BENEFITS DECLARATION FBT YEAR ENDED 31 MARCH 2018 Declaration of No Fringe Benefits I, (Name), of (Entity name and address), declare that no fringe benefits were provided to employees during the year 1 April 2017 to 31 March 2018. Signed: Dated:

FRINGE BENEFITS SCHEDULE FBT YEAR ENDED 31 MARCH 2018 NAME: 1. Motor vehicles (a) All motor vehicles provided by the business at 31 March 2018 Driver Name Make Type of Vehicle (Car/Van/Ute) Registration Opening Odometer Reading 01/04/17 Closing Odometer Reading 31/03/18 Was vehicle available to the driver for the whole year? (if not provide dates)

(b) All motor vehicles included above but purchased between 01/04/17-31/03/18 Driver Name Registration Cost Price $ Date Provided Odometer Reading when purchased Closing Odometer (c) All motor vehicles sold between 01/04/17-31/03/18 Driver Name Make Registration Date Sold Sale Price $ Odometer Reading at Sale Date IF THE DRIVER HAS MAINTAINED A LOG BOOK, PLEASE COMPLETE THE FOLLOWING SECTION FOR EACH MOTOR VEHICLE. (d) Motor vehicle expenses Petrol and oil Driver Name Registration 01/04/17 31/03/18 GST amount included in payments Registration*

Insurance* Repairs Other Please note that for registration and insurance, we need the costs for the period 1 April 2017 to 31 March 2018 which are likely to be found on two separate accounts (possibly paid before and during the FBT year) rather than just the payment made in that period. (e) Employee contributions If employees have made any after-tax contributions towards the benefits received, please provide details. Driver Name Amount Date Paid If employees have attended to payment of motor vehicle expenses, please provide details. Driver Name Expenses Paid Amount Date Paid

2. Car parking (IF PARKING IS PROVIDED TO EMPLOYEES WITHIN 1KM OF A COMMERCIAL PARKING STATION) of bays for employees: Lowest all day rate charged by a commercial parking station within 1km: Is there a commercial parking station within 1km with a minimum charge of greater than $8.66 per day: IF CAR PARKING IS PROVIDED AT A COMMERCIAL PARKING STATION of bays provided for employees: Parking fees charged in relation to the bays provided: Is the car parking part of your business premises: 3. Expenses Do you pay any expenses on behalf of any employees: Employee Telephone Electricity Club Memberships etc Other After tax cash received from employee Total amount paid 01/04/17 31/03/18 $ GST included In payments $ Employee Telephone Electricity Club Memberships etc

Other After tax cash received from employee 4. Board or housing supplied to employee of employees provided with accommodation Kind of accommodation: Location of accommodation Were meals provided: of houses/units provided: Yes / No 5. Living away from home allowance Employee Location Date commenced living away from home Usual place of residence Living away from home period (weeks) Total allowance paid Accommodation Total allowance paid Meals of adults of children

6. Loans to employees Were there any loans made to employees Yes / No If Yes, Amount: $ Interest Rate: Did you waive or forgive any loans to employees: If Yes, what was the amount of the loan: % Yes / No $ 7. Entertainment Do you pay for any entertainment for, or on behalf of, employees. This may include certain lunches, dinners and holidays provided to employees. If so, please provide relevant details overleaf: Date Function/Occasion of employees of associates of clients Total costs GST included in payments If other forms of entertainment were provided, please provide details: