2015INDIVIDUAL INCOME TAX RETURN CHECKLIST

Full Name
Tax File Number
Date of birth
Australian resident? / Yes/No/Unsure
ABN (if applicable)
Address
Address (postal)
(Put ‘as above’ if the same)
Telephone contacts / Mobile:
Business Hours (work) :
After Hours (home):
Email
Bank account details / Name of account:
(for refund if applicable) / BSB:
Account number:
Main occupation
Business activities
Spouse’s full name (A5)
Spouse’s date of birth
Spouse’s TFN
Spouse’s Income (A6O)
No of dependants (IT8)
Interviewed by
Date

TOLTON & CO PTY LTD Email:

Liability limited by a scheme approved under Professional Standards Legislation

INCOME

1. Payment Summaries (include foreign employment summary ………………..………………………………

Employer’s ABN Tax Gross

…………………………………………………………………………………………………………………………

…………………………………………………………………………………………………………………………

………………………………………………………………………………………………………………………….

IT1: Total reportable fringe benefits amounts ………………………………………………………………………

IT2: Reportable employer superannuation contributions …………………………………………………………

2. Allowances ………………………………………………………………………………………………………...

3. Employer lump sum payments…………………………………………..……….…..…….………………….

4. Employment termination payments …………………………………………………………………………...

Payer’s ABN Date of payment Tax Amount

…………………………………………………………………………………………………………………………

5. Australian Government allowances and payments (newstart, parenting payment,

youth allowance and austudy payment) ..…………………………………………..……..……………………….

…………………………………………………………………………………………………………………………

6. Australian Government pensions and allowances (Inc Parenting Payment Single,

complete T2) …………………………………………………………………………………………………………..

…………………………………………………………………………………………………………………………

IT3: Tax-free government pensions…………………….. ………………………………………………………...

………………………………………………………………………………………………………………………..

7. Australian annuities and superannuation income streams (exclude taxedelement of

super income stream received after turning 60, show tax offset at T3) …………………………………………

………………………………………………………………………………………………………………………..

8. Australian superannuation lump sum payments (exclude taxed element if receivedafter turning 60)Payer’s ABN Date of payment Tax Amount

………………………………………………….……………………………………………………………………

9. Attributed personal services income …………………………………………………………………….……

10. Gross Interest (identify withholding tax if any, Indicate if joint account) ……………………………………

……………………………………………………………………………………………………………….………..

….………………………………………………………………………………………………………….….………

………………………………………………………………………………………………………………………..

………………………………………………………………………………………………………………………..

………………………………………………………………………………………………………………………..

11. Dividends (indicate if jointly held) ………………………………………………………………………………

Name of company Unfranked Franked Fr Cr

……………………………………………………………………………………………………………….………..

….………………………………………………………………………………………………………….….……

………………………………………………………………………………………………………………………

12. Employee share Schemes …………………………………………………………………………………….

13s. Distributions from partnerships and/or trusts (include managed funds) ……………… ……………

………………………………………………………………………………………………………………….………

14s. Personal services income (PSI) (tax withheld from) ……………………………………………..

ABN not quoted Voluntary agreement Labour hire

15s. Net income or loss from business (as a sole trader) …………………………………………......

……………………………………………………………………………………………………………………………..

16s. Deferred non-commercial business losses ……………………………………………..…………………

17s. Net farm management deposits or repayments …………………………………………….…………….

18s. Did you sell any assets during year? (investment property, shares, goodwill)

(provide purchase details and sale details) ………………………………………………………….……………..

………………………………………………………………………………………………………………………..

………………………………………………………………………………………………………………………..

19s. Foreign entities:

• Direct or indirect interests in a controlled foreign company …….………………………………………

• Transfer of property or services to a non-resident trust ………….………………………………………

20s. Foreign source income (including foreign pensions, wages, interest, dividends)

and foreign assets or property ……………………………………………….……………………………………..

21s. Rent ……………………………………………………………………..……………………………………….

…………………………………………………………………………………………………………………………..

22s. Bonuses from life insurance companies or friendly societies …..……………………….……………

23s. Forestry managed investment scheme income …………………………………………………………

24s. Other income …..……………………………………………………………………………………………….

…………………………………………………………………………………………………………………………..

DEDUCTIONS(see NTAA’s deduction finder for occupation related deductions)

D1. Work related car expenses

Cents per kilometre method (claim to and form work travel if carrying bulky tools ie > 20k,

up to a maximum of 5,000 kms) …………………………………………………………………….……………

2015 rates: < 1.6litre 65 c/km, 1.6litre to 2.6litre 76 c/km, > 2.6litre 77 c/km

2014 rates: < 1.6litre 65 c/km, 1.6litre to 2.6litre 76 c/km, > 2.6litre 77 c/km

………………………………………………………….……………………………………………………………...

Make of vehicle …………………….…..……………….………………….. Engine capacity ………………..cc

Business km’s ………………………………………….…………C/km………………..Claim ……………………

Other methods:

Log book method (log book must be completed every 5 years) ………………………………………………

One-third of actual expenses method…………………………………………………………………………….

12% of actual cost method ……………………………………………………………………………………….

D2. Work related travel expenses(client to sign declaration if claim for travel or meals)

Employee domestic travel with reasonable allowanceMeal allowance 2015 $28.20, 2014 $27.70, travel/meals for truck drivers who sleep away from home < $112,160 $93.40, > $112,160 $101.85 …..…… ……………..

...... ………..…………

If the claim is more than the reasonable allowance rate, do you have receipts?......

Overseas travel with reasonable allowance…………………………………………….………………………

………………………………………………………………………………………………………………………...

Do you have receipts for accommodation expenses? ……………………………………………………..

If travel is for 6 or more nights in a row, do you have travel records? (e.g. a traveldiary)……………………………

Employee without a reasonable travel allowance……………………………………………………………...

………………………………………………………………………………………………………………………...

Did you incur and have receipts for airfares?......

Did you incur and have receipts for accommodation?......

Do you have receipts for hire cars (if applicable)? …………………………………………………………

Did you incur and have receipts for meals and incidental expenses? ……………………………………

Do you have any other travel expenses? ……………………………………………………..……………..

Other work-related travel expenses (e.g., a borrowed car) ……………………………………………………….

……………………………………………………………………………………………………………………….....

………………………………………………………………………………………………………………………...

………………………………………………………………………………………………………………………...

D3. Work related uniform and other clothing expenses(cannot claim conventional clothing)

Protective clothing (claim thermal if essential for job) ………………………………………………..……………

Occupation specific clothing …………………………………………………………………………………………

Non-compulsory uniform …………………………………………………………………………………………….

Compulsory uniform ………………………………………………………………………………………………….

Laundry expenses (up to $150 without receipts) …………………………………………………………………

Dry cleaning expenses ……………………………………………………………………………………………….

Sun protection (eg hats) ……………………………………………………………………………………………

Other claims such as mending/repairs, etc (please specify) ……………………………………………………

………………………………………………………………………………………………………………………..

.………………………………………………………………………………………………………………………….

D4. Work related self-education expenses

Course taken at educational institution:……………………………………………………………………………..

Union fees……………………………………………………………………………………………………………..

Course fees ……………………………………………………………………………………………………………

Books, stationery………………………………………………………………………………………………………

Depreciation …………………………………………………………………………………………………………...

Travel ……………………………………………………………………………………………………......

Other (please specify) ………………………………………………………………………………………………..

…………………………………………………………………………………………………………………………..

D5. Other work related expenses

Computer and software ………………………………………………………………………………………………

…………………………………………………………………………………………………………………………..

Depreciation (items > $300) ………………………………………………………………………………………….

………………………………………………………………………………………………………………………...

Home office expenses (claim 34c p/h)………………………………………………………………………………

…………………………………………………………………………………………………………………………..

Journals/periodicals …………………………………………………………………………………………………

…………………………………………………………………………………………………………………………..

Seminars and courses not at an educational institution:

course fees ……………………………………………………………………………………..………………

travel …………………………………………………………………………………………………………….

Stationery/office supplies …………………………………………………………………………………………….

…………………………………………………………………………………………………………………………..

Subscriptions and union fees ………………………………………………………………………………………...

………………………………………………………………………………………………………………………….

Sun protection products (sunscreen/sunglasses) ………………………………………………………. …………

…………………………………………………………………………………………………………………………..

Telephone/mobile phone ……………………………………………………………………………………………..

………………………………………………………………………………………………………………......

Tools and equipment (< $300)………………………………………………………………………………………..

…………………………………………………………………………………………………………………………..

Any other work related deductions (please specify) ……………………………………………………………….

…………………………………………………………………………………………………………………………..

…………………………………………………………………………………………………………………………..

…………………………………………………………………………………………………………………………..

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OTHER TYPES OF DEDUCTIONS

D6. Low value pool deduction…..…………………………………………………………………………………

D7. Interest deduction………………………………..……………………………………………………………..

…………………………………………………………………………………………………………………………..

D8. Dividend deduction……………………………………………………………………………………………..

…………………………………………………………………………………………………………………………...D9. Gifts or donations……………………………………………………………………………………………..

………………………………………………………………………………………………………………………...

D10. Cost of managing tax affairs………………………………………………………………………………

travel …………………………………………………………………………………………………………….

ATO interest …………………………………………………………………………………………………….

D11. Deductible amount of undeducted purchase price of a foreign pension or annuity... ……………

………………………………………………………………………………………………………………………...

D12. Personal superannuation contributions…………………………………………………………………

Full name of fund:………..……………………………………………Account no: ………………………

Fund ABN: …………………………… Fund TFN: ………..…..……...... Contributions …………………..

Do you pass the 10% test? (ie wage income < 10% of assessable income) ……………………………...

Have you provided the fund a notice of intention to deduct the contribution?......

Has this notice been acknowledged by the fund?......

D13. Deduction for project pool…………………………………………………………………………………

D14. Forestry managed investment scheme deduction……………………………………………………….

Complete item P9: Code …………………... Year …….………………. Number ……………….……………

D15. Other deductions (please specify) …………………………………………………………………………..

- Sickness and accident/income protection insurance …………….………………………………………………

…………………………………………………………………………………………………………………………..

L1. Tax losses of earlier income years………………………………………………………………………….

TAX OFFSETS/REBATE(dependent spouse offset no longer available from 1 July 2014)

T1.Are you a senior Australian or pensioner?(> 65if born before 30/6/52, 67 if born after 1/1/57)…………………….

For 2013, 2014 and 2015single rebate income < $50,119, couple rebate income < $83,580

T2.Did you receive an Australian superannuation income stream? (Income at item 7)…………………

Tax offset per payment summary

T3s.Did you make superannuation contributions on behalf of your spouse? ……………………………..

T4s.Did you live in a remote area of Australiafor more than 183 days? (or serve

overseas with the Australiandefence force or the UN armed forces?(A $338, B $57,

special area $1173) ……………………………………………………………………………………………………………………………

Zone: ………….………….…………….……………………………………….Days: ………………………………..

Zone: …………………….……………………………………………………….Days: ………………………………

Zone: ………………………………….………………………………………….Days: …………………………….

Dependant ………..…………………… DOB ………………. Dates …………………… ATI $......

Dependant …………………..………… DOB ………………. Dates …………………… ATI $......

Dependant …………………………….. DOB ………………. Dates …………………… ATI $......

T5s.Did you have net medical expenses over $2,218 and claimed rebate in 2014 ? ………….………………

Claim 20%if ATI < $90,000 singles, < $180,000 families

Claim 10% of amount over $5,233 if ATI > $90,000 singles, > $180,000 families

Otherwise only available for for disability aids, attendant care or aged care expenses

………………………………………………………………………………………………………………………...

T6s. Did you maintain an invalid or carer dependant including your spouse, parent, Parent-in

-law, your or your spouse’s child, brother or sister aged over 16 yearsold?......

………………………………………………………………………………………………………………………...

T7s. Are you entitled to claim the landcare and water facility tax offset? ……………………………………

T8s. Other non-refundable tax offsets (please specify) …………………………………………………………

………………………………………………………………………………………………………………………...

T9s. Other refundable tax offsets (please specify) ………………………………………………………………..

………………………………………………………………………………………………………………………...

………………………………………………………………………………………………………………………...

OTHER RELEVANT INFORMATION

Medicare levy(increased to 2% from 1/7/14) (TI > $180,000 additional 2% for Budget Repair Levy)

M1. Are you entitled to the Medicare levy exemption or reduction? ……………………………………………

Number of dependents ………………………………………………………………………………………………

………………………………………………………………………………………………………………………...

………………………………………………………………………………………………………………………...

Medicare levy surcharge

M2. For the entire year, were you and all of your dependants(includingyour spouse) covered by private patient hospital cover? ……………………………………………………………………………………………

Number of days NOT liable for surcharge (singles < $90,000, families < $180,000) ………………………….

Private health insurance policy details (from PHI statement)

B.Health insurance fund ………………………………………………………………………………………..……

C. Membership number……………………………………………………………………………………………..

J.Share of premiums eligible for Australian Government rebate………………………………………………

K.Share of government rebate received ….……….………………………………………………………………….

(from 2013 year income tests and amount overclaimed will be adjusted on NOA)

L.Benefit code ...... …………….………………..………………………..……………………..

Tax claim code (S single, no dep, C with spouse claiming own share)…………………………..………….

………………………………………………………………………………………………………………………...

………………………………………………………………………………………………………………………...

………………………………………………………………………………………………………………………...

ADJUSTMENTS

A1: Were you under the age of 18 on 30 June?…………………………………………………......

A2: Did you become an Australian tax resident at any time during the year? If so, date…….…./…./......

A2: Did you cease to be an Australian tax resident at any time during the year? If so, date ...... /..../......

A3: Did you make a non-deductible (non-concessional) personal super contribution?

(max Co-cont 50% of $1000, total income < $49,488) …………..…………………………….…………….

A4s: Did a trust or company distribute income to you in respect of which family trust

distribution tax was paid by the trust or company?......

C1s: Credit for interest on tax paid. Did you pay any tax within 14 daysbefore the due date (e.g., HECS/HELP)?......

………………………………………………………………………………………………………………………...

………………………………………………………………………………………………………………………...

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INCOME TESTS INFORMATION – must be completed

IT4: Did you receive any target foreign income?......

IT5: Did you have a net financial investment loss?......

IT6: Did you have a net rental property loss?......

IT7: Did you pay child support?......

IT8: Do you havedependent children? (< 21yo or 21 to 24 and full-time student, regardless of income) ………………………………..………………...…………..……………………………………………………

If yes, how many? ......

………………………………………………………………………………………………………………………...

………………………………………………………………………………………………………………………...

SPOUSE DETAILS – married or de facto (including same sex) – must be completed if you

had a spouse during the year

L. Did you have a spouse for the full year from 1 July to 30 June? ……………......

  • If you had a spouse for only part of the income year, please specify the dates

between 1 July to 30 June when you had a spouse:

From _____ / _____ / ______to _____ / _____ / ______

Name: ………………………………………………………………………………………………..…………….

DOB: …………………………………………………………………………………………………......

O. Spouse’s income for year.…………………………………......

………………………………………………………………………………………………………………………….

T. Your spouse’sshare of trust income on which the trustee is assessed under

S.98 of the ITAA36 not included in your spouse’s taxable income…..………......

U. Distributions to your spouse on which family trustdistribution tax was paidby the trust/

company ………......

S. Spouse’s total reportable fringe benefits amount ………......

P. Amount of spouse’s Australian Government pensions or allowances
(not including exempt pension income) for year...……………......

Q. Spouse’s exempt pension income for year………………..………………………….…………......

A.Spouse’s reportable super contributions for the year…………………......

B.Spouse’s tax-free government pensions paid under the Military

Rehabilitation and Compensation Act 2004?......

C.Spouse’s ‘target foreign income’ for the year………………......

D.Spouse’s total net investment loss (i.e., the financial

investment loss/rental property loss) foryear …………….……………………………………………………..

E.Child support your spouse paid during year…………………………..…………………………………………

F.If your spouse is 55 to 59 years old, did they receive a superannuation lump sum

(other than a death benefit) during the income year which included a taxed

element that does not exceed their low rate cap?......

OTHER

1. Do you have a HECS/HELP liability or a student financial supplement loan debt? …………………………….

…………………………………………………………………………………………………………………………..

2. Did you pay any PAYG instalments?…………….…………… …………………………………………………

……………………………………………………………………… ……………………………………………….....

3. Resident individual tax rates for 2015:

Taxable income / Tax on this income
$0 – $18,200 / Nil
$18,201 – $37,000 / 19c for each $1 over $18,200
$37,001 – $80,000 / $3,572 plus 32.5c for each $1 over $37,000
$80,001 – $180,000 / $17,547 plus 37c for each $1 over $80,000
180,001 and over / $54,547 plus 47c for each $1 over $180,000 (2014 45c)

From 1 July 2014 additional 2% on taxable income over $180.000 (Temporary Budget Repair Levy)

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