Fringe Benefits Tax QuestionnaireYear Ending 31 March 2017

Client Name: / Click here to enter text. /
Contact Person: / Click here to enter text. /
Email Address: / Click here to enter text. /
Return to: /
Yes / No
Has any non-cash benefit, such as providing a company maintained car, or low interest loan to past, present or future employees been provided during the year?
This may include benefits that have been provided by associates or third party arrangements to employees or their associates.
There are different types of Fringe Benefits to consider. In order to determine which ones apply to you for the period 1 April 2016 to 31 March 2017, please answer the following questions. / ☐ / ☐ /
1 / Motor Vehicles
Do you provide a car to employees (including working directors)? If yes, complete the Motor Vehicle Schedule. / ☐ / ☐ /
Have you taken an odometer reading at 31 March 2017 for each vehicle provided? / ☐ / ☐ /
Do you pay expenses for any employee’s or associates personal vehicle (eg fuel)? / ☐ / ☐ /
Do you reimburse lease payments? / ☐ / ☐ /
Have you sold a motor vehicle to an employee at less than market value? / ☐ / ☐ /
Have any motor vehicle leases been renewed, extended or paid out? / ☐ / ☐ /
2 / Loan Benefits
Have you provided any loans to employees or directors? / ☐ / ☐ /
3 / Debt Waiver
Have you released any employees from a debt that was previously owed to you? / ☐ / ☐ /
4 / Expenses Payment
Have you paid any expenses on behalf of any employees or directors? / ☐ / ☐ /
Have you reimburse employees or directors for any expenses paid by them? / ☐ / ☐ /
5 / Housing
Has any employee or director been provided with a right to use a house, etc as their usual place of residence? / ☐ / ☐ /
6 / Board
Do you provide meals to employees or directors as a result of an industrial award or under an employment arrangement? / ☐ / ☐ /
7 / Living Away From Home Allowance
Do you provide employees or directors an allowance when they are required to live away from their usual place of residence? / ☐ / ☐ /
8 / Property Benefits
Do you provide property or goods to employees or directors which are normally sold as part of the business? / ☐ / ☐ /
Do you provide property or goods to employees or directors which are not normally sold as part of the business? / ☐ / ☐ /
9 / Car Parking
Do you provide car parking facilities to employees or directors if there is a commercial all day park within one kilometre radius that charges more than $8.48 a day at the beginning of the FBT year. / ☐ / ☐ /
10 / Entertainment
Have you paid any entertainment expenses? If yes, complete the Entertainment Schedule. / ☐ / ☐ /
11 / Residual Benefits
Have you paid any other benefits to employees or directors not included above? / ☐ / ☐ /
Did the company pay any personal expenses on behalf of employees? / ☐ / ☐ /
At any stage during the year did any employee owe money to the company? / ☐ / ☐ /
Have you reviewed your cash book and/or financial statements to ensure all employee Fringe Benefits have been brought to account for the FBT year 1 April 2016 to 31 March 2017. / ☐ / ☐ /
Would you like us to perform an FBT review of your business? / ☐ / ☐ /
Would you like salary packaging advice to find out how to save tax this financial year? / ☐ / ☐ /

Declaration

I/we acknowledge that I/we have understood and answered each of the questions above correctly and completely. I/We acknowledge that the preparation is based on the financial information supplied by me/us and does not involve the verification of that information.

Your Name: / Click here to enter text. /
Signature: / Click here to enter text.
Date: / Click here to enter a date. /

What to do now

Please return the completed questionnaire by 14 April 2017 to:

PO Box 10839

Southport BC Qld 4215

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The MBA Partnership Pty Ltd

V5.0 02/2017