| Income |
|---|
| Salary, wages, allowances and tips | |
| Payment summary amount at Item A | |
| Payment summary amount at Item B | |
| Payment summary amount at Item D | |
| Payment summary amount at Item E | |
| Superannuation income - taxed element | |
| Superannuation income - untaxed element | |
| Taxable government allowances | |
| Gross interest | |
| Dividends - total received | |
| Dividends - franking credit received | |
| Current year capital gains | |
| Of the current year capital gains, how much relates to assets held for >12 months? | |
| Current year capital losses | |
| Net business income plus net farm management deposits or repayments | |
| Net rent (positive or negative) | |
| Partnership income, trust income and other income | |
| Deductions |
|---|
| Work related deductions | |
| Personal deductible superannuation contributions | |
| Gifts, donations, and cost of managing tax affairs | |
| Capital losses applied from previous years | |
| All other deductions incl. tax losses applied from earlier years | |
| Tax Offsets |
|---|
| Spouse and housekeeper offset | |
| Superannuation income stream offset | |
| Net medical expense offset | |
| Other tax offsets (if applicable - see Australian tax return instructions) | |
| Other |
|---|
| Did you have private patient hospital insurance cover for the whole financial year? | YesNo |
| Were you aged 55 or more at 30 June of the prior financial year? | YesNo |
| Are you eligible for an Australian Government pension? | YesNo |
| Amount, if any, of salary sacrificed superannuation contributions? | |
| What tax in relation to the current financial year has already been deducted/paid to the Australian Taxation Office? | |
| Amount, if any, of reportable fringe benefits amounts? | |
| Amount, if any, of net investment losses? | |
| Amount, if any, of any exempt foreign employment income? | |
| Do you have a Higher Education Loan Program (HELP) debt? | YesNo |
|
