2016 Individual Tax Return Information
CLIENT NAME: / CLIENT SIGNATURE: / XINFORMATION FOR 2016 TAX RETURN
Name:
/Spouse Name:
DOB:
/Spouse DOB:
Address:
/Postal Address:
TFN:
/Email:
Phone:
/W
/H
/M
CHILDREN
Name:
/Name:
DOB:
/DOB:
School:
/Primary/Secondary
/School:
/Primary/Secondary
Name:
/Name:
DOB:
/DOB:
School:
/Primary/Secondary
/School:
/Primary/Secondary
PRIVATE HEALTH INSURANCE – Please provide copy of annual tax statement received from Health Fund
Fund Name:
/ Type of Cover:Membership No:
/ Days Covered:Rebate Claimed? Yes No
/ Out-of-pocket Medical Expenses: / $DO YOU HAVE ANY OF THESE ITEMS?
If so, then please download additional forms from our Website – rrfarr.com.au / Investment IncomeRental Properties
Investments SoldMotor Vehicles used for Work
INCOME
1. PAYG PAYMENT SUMMARIES (Please Attach All Slips)
Employer / Occupation / Gross / Tax$
/$
$
/$
2. BANK INTEREST
Bank / Amount / TFN Credits / Bank Charges$
$
$
$
$
$
3. DIVIDENDS RECEIVED OR REINVESTED (Please provide copies of dividend statements)
Name of Shares / # of Shares Held / Amount Received4. TRUSTS AND PARTNERSHIPS (i.e. example of trusts is BT funds, Merrill Lynch, AXA etc.). Name of trust or partnership – Please provide documents (including year end Tax Statements) to show income from the funds you list.
Name of Trust / Partnership / Tax Statement Attached5. ANY OTHER INCOME (Any income you received in the financial year which doesn’t fit into any of the above categories – please provide details)
DEDUCTIONS – Please ensure you are able to substantiate all claims, even if less than $300. Refer to our web site for further information
Work Related Expenses1. Motor Vehicle Expenses (Please use downloaded forms from our website)
Yes / NoDid you use your own car for business / work purposes through the year
If yes, please provide further information using the downloaded forms from our website rrfarr.com.au
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(i.e. 1.6 litres:
2. Work Uniform
Yes / NoDo you have to wear a logo uniform or protective clothing?
If yes were you out of pocket through the year for purchasing any new items (if so please provide details).
3. Other Work Related Deductions
Expenditure / DetailsDiary / stationary / work materials
Union fees / professional bodies
Sickness & accident insurance / income protection
Donations / school building fund
Seminar costs or self-education
Other: (Any costs you incurred that were directly related to your job). Please provide details
REBATES & OFFSETS
1. Spouse / Yes / No- Did you have a spouse for the full financial year
- Is your spouse dependant
- Does your spouse receive any benefits from Centrelink (Details of benefits )
2. Superannuation
- Are you self employed, if yes please provide details of contributions you made to your superannuation for the financial year
- Have you made any personal contributions to your superannuation fund?
- Have you made superannuation contributions on behalf of your spouse?
3. Medical Expenses
You may be entitled to a rebate for your out of pocket medical expenses.Refer -
Please note that the entitlement to claim medical expenses has changed significantly and is due to be phased out completely by 2019. To be eligible, you must have already claimed a net medical tax offset in the year ended June 2013 & 2014, or the expenses only relate to disability aids, attendant care or age care.
4. Other - Any other information which you are unsure of, or which you would like us to be aware of :
Tax Return - Items to Consider
To maximise your deductions and ensure that your tax return is complete, please review the following suggestions and advise us if any apply to you.
Income Employment Income
Centrelink / Pension Income
Employment Termination Payment (ETP)
Interest & TFN Credits
Dividends, Imputation & TFN Credits
Partnership & Trust Distributions
Capital Gains
Rental Property Income
Foreign Income
Business Income / General Tax Deductions
Work Related Motor Vehicle Expenses
(Log Book may be required)
Work Related Travel Expenses
(Travel Log required)
Work Related Clothing & Laundry Expenses
Work Related Self-Education Expenses
Other Work Related Expenses
Dividend & Interest Deductions
Gifts & Donations
Tax free amount -Pension / Annuity
Tax Related Expenses
(eg. travel to tax appointment)
Other Items to Consider
HELP (Higher Education Loan Program)
HECS
Child Support Agency Liability
Health Insurance
PAYG Instalment Credits
Other Offsets & Tax Credits
Reportable Fringe Benefits amount / Specific Deductions
Income Protection Insurance
Union Fees
Home Office Expenses
Seminars
Overtime Meals
Briefcase
Tools & Equipment
Depreciation
Calculator
Electronic Organiser
Computer Costs
Software
Memberships & Subscriptions
Telephone & Mobile Phone
Bank Fees
Interest Expenses
Sun Protection Deductions
Russell R Farr & Associates
PO Box 1714 Hornsby Westfield NSW 1635
TELEPHONE: 02-99874077
WEB:
Motor Vehicle Information
2016 Individual Tax Return
CLIENT NAME: / CLIENT SIGNATURE: / XINFORMATION FOR 2016 TAX RETURN – 1 July 2015 to 30 June 2016
Log Book Kept: / YesNo
Period Covered:
Registration No:
Vehicle Make & Model:
Owner of Vehicle:
Driver of Vehicle:
Total Km Travelled in Financial Year:
Business Km in Log Book Period:
Total Km in Log Book Period:
Your Calculation of Business Use %:
Date Purchased: / ____ / ____ / ______ / Purchase Price: / $
Leased Hire Purchase Paid Cash
RUNNING COSTS / TOTAL FOR YEAR (including GST) / MONTHLY PAYMENTS
Fuel: / $ / Please e-mail, fax or post to our office a
Registration: / $ / copy of your Hire Purchase / Lease
Insurance: / $ / Agreement (if you haven’t already).
Repairs & Maintenance: / $
Lease Payments: / $ / $
HP Payments: / $ / $
Interest Paid: / $
Membership Fees: / $
Parking: / $
Tolls: / $
Rental Property Information
2016 Individual Tax Return
CLIENT NAME: / CLIENT SIGNATURE: / XPROPERTY DETAILS
Address of Rental Property:
Date Property Purchased: / Date Property First
Earned Rental Income:
Number of Weeks
Available For Rent: / Date Property Built:
Ownership Details:In Your NameIn Joint Names (please supply details)
INCOME – 1 July 2015 to 30 June 2016
Gross Rent: / $
Other Rental Income: / $
PROPERTY DETAILS – 1 July 2015 to 30 June 2016
Advertising for Tenants: / $ / Body Corporate Fees: / $
Borrowing Expenses: / $ / Cleaning: / $
Council Rates: / $ / Gardening / Lawnmowing: / $
Insurance: / $ / Interest: / $
Land Tax: / $ / Legal Fees: / $
Pest Control: / $ / Property Management
Fees/Commission: / $
Repairs & Maintenance: / $ / Stationery, Telephone
& Postage: / $
Travel: / $ / Water Charges: / $
Other:______ / $ / Other:______ / $
DEPRECIABLE ITEMS – 1 July 2015 to 30 June 2016
ITEM / DATE PURCHASED / COST
$
$
$
$
$
IMPROVEMENTS / CONSTRUCTION COSTS – 1 July 2015 to 30 June 2016
Please email, fax or post to our office a copy of your tax depreciation schedule prepared by third party (if you haven’t already)
ITEM / DATE / COST
$
$
$
Russell R Farr & Associates – PO Box 1714 HORNSBY WESTFIELD NSW 1635 GPS Workpapers/Income Tax Preparation/2015 ITR Checklist