Suite 49, 2nd Floor, MVB Centre, 90 Mona Vale Road, Warriewood. NSW. 2102.
Phone: 02 9979 5710    Fax: 02 9979 1744    ABN 41808523946

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Ref Individuals – 2017 Client Tax Checklist Applicable Documents attached
Y/N
  INCOME    
1 Salary or wages shown on PAYG Payment Summary.    
  Occupation:    
2 Allowances, earnings, tips, director’s fees, etc.    
3 Employer Lump sum payments    
4 Employment termination payments (ETP)    
5 Australian government allowances and payments like newstart, youth allowance and austudy    
6 Australian Government pensions and allowances    
7 Australian annuities and superannuation income streams    
8 Australian Superannuation Lump Sum Payments    
9 Attributed personal services income    
10 Gross interest (received)    
11 Dividends    
12 Employee share schemes    
13 Partnerships and trust distributions    
14 Personal services income (PSI)    
15 Net income or loss from business (PSI issues) - require business ledger and reports    
16 Deferred non-commercial business losses    
17 Net farm management deposits or repayments    
18 Capital gains    
19 Foreign entities    
20 Foreign source income and foreign assets or property (incl. foreign pensions)    
21 Rent    
22 Bonuses from life insurance companies & friendly societies    
23 Forestry Managed Investment Scheme Income    
24 Other income (please specify)    
  DEDUCTIONS    
D1 Work related car expenses    
D2 Work related travel expenses    
D3 Work related uniform, occupation specific or protective clothing, laundry and dry cleaning    
D4 Work related self-education expenses    
D5 Other work related expenses (please list)    
D6 Low value pool deduction (assets)    
D7 Interest deductions    
D8 Dividend deductions    
D9 Gifts or donations    
D10 Cost of managing tax affairs    
D11 Deductible amount of undeducted purchase price of a foreign pension or annuity    
D12 Personal superannuation contributions    
D13 Deduction for project pool (assets)    
D14 Forestry Managed Investment Scheme Deduction    
D15 Other deductions - not claimable at items D1 to D14    
L1 Tax losses of earlier income years    
  TAX OFFSETS    
T1 Senior & pensioners (includes self-funded retirees)    
T2 Australian Superannuation income stream    
T3 Superannuation contributions on behalf of your spouse    
T4 Zone or overseas forces    
T5 Net medical expenses (disability aids, attendant care or aged care only)    
T6 Invalid and invalid carer    
T7 Landcare and water facility    
T8 Early stage venture capital limited partnerships    
T9 Early stage investor    
T10 Other tax offsets (non refundable)    
T11 Other tax offsets (refundable)    
M1 Medicare levy reduction or exemption    
M2 Medicare levy surcharge (MLS)    
  Private health insurance policy details (Health fund id, membership #, type of cover) attach fund statement    
  ADDITIONAL INFORMATION    
A1 Under 18 (excepted net income)    
A2 Part year tax-free threshold - date became or ceased to be an Australian tax resident    
A3 Government super contributions    
A4 Working holiday maker net income    
A5 Amount on which family trust distribution tax has been paid    
C1 Credit for interest on early payments - amount of interest (ie interest on tax paid)    
  SPOUSE/DE FACTO DETAILS: Full name/date of birth (DOB)    
  BANK DETAILS: BSB & ACCOUNT NUMBER - for refunds to your account (if not already supplied)    
  PRIOR YEAR TAX RETURN: Please attach if a new client (copy only)    
  Information requirements    
  Self    
IT1 Total reportable fringe benefits amount    
IT2 Reportable employer superannuation contributions    
IT3 Tax-free government pensions    
IT4 Target foreign income    
IT5 Net financial investment loss    
IT6 Net rental property loss    
IT7 Child support you paid    
IT8 Dependent children (name & date of birth)    
  Spouse    
  Your spouse's taxable income    
  Your spouse's share of trust income taxed in the hands of the trustee under section 98 not included in their taxable income    
  Distributions to your spouse on which family trust distribution tax has been paid not shown as assessable income    
  Your spouses total reportable FBT amount - exempt and not exempt amounts    
  Amount of Australian government pension and allowances your spouse received    
  Amount of exempt pension income your spouse received    
  Amount of your spouses reportable superannuation contributions (ie total of reportable employer superannuation and deductible personal superannuation)    
  Other specified exempt payments received    
  Your spouses target foreign income    
  Your spouses total net investment loss    
  Child support your spouse paid    
  Your spouses taxed element of a superannuation lump sum (if aged 55-59)    
  Other    
1 HELP or student financial loan debt    
2 PAYG instalments paid    
       
  This is only a guide and is not to be construed as advice    

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