|Tax File Number*
Address Line One*
Address Line Two
|Date Of Birth*
Date of Visa
Please provide bank details for electronic funds transfer:
BSB Number *
Name on Account*
|Number of Dependants*
|Tax return for the year ending June*
|Attach your group certificates or payment summaries*
If you have more than four payment summaries, please email them to email@example.com
All other income, dividends, interest, managed funds, rental properties
|Deductions – If yes provide specifics.
D1. Work related car expenses – let us know the details of the car and the expenses.
Vehicle engine size
Cents per kilometer method (up to a maximum of 5,000 kms)
Log book method (kept logbook for 12 consecutive weeks) % of business use?
|D2. Work related travel expenses
Did you incur and have receipts for tolls? Total $
Do you have receipts for parking? Total $
Do you have any other travel expenses? Total $
|D3. Work related uniform and other clothing expenses
Protective clothing Total $
Occupation specific clothing Total $
Compulsory uniform Total $
|D4. Work related self-education expenses
Name of course and institution
All expenses related to the course Total $
Tickets or license? Total $
|D5. Other work related expenses
Do you work from home?
If yes, average hours per week?
Stationery/Ink Total $
Computer and software Total $
Telephone/mobile phone Total $
Tools and equipment Total $
Subscriptions and union fees Total $
Any other work related deductions (please specify)
|Other types of deductions
D9. Donations receipted Total $
D10. Cost of managing previous year's tax affairs Total $
|Other relevant information
Are you entitled to a Medicare Card?
Approx. estimate of partners income
Do you have private health insurance?
If yes please provide end of FY statement.
Did you live in a remote area of Australia for more than 181 days or serve overseas with the Australian defence force
|You authorise Finn Warner & Associates Pty Ltd to lodge your tax return on your behalf*
|Are you entitled to the Medicare levy exemption or reduction?