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2017. Tax return for individuals 1 July 2016 to 30 June

   

Added on  2022-10-08

12 Pages4167 Words8 Views
Sensitive (when completed) Page 1
Tax return for individuals
20171 July 2016 to 30 June 2017
Your tax file number (TFN)
See the Privacy note in the Taxpayer’s
declaration
on page 10 of this return.
Yes
NoAre you an Australian resident?
Your postal address
Print the address where you want your mail sent.
Suburb/town/locality

Country if not Australia

State/territory
Postcode
No
Yes
Has this address changed since

completing your last tax return?

Is your home address different from

your postal address?

Suburb/town/locality

Country if not Australia

State/territory
Postcode
No
Yes Print your home address below.Read on.
Use
Individual tax return instructions 2017 to fill in this tax return.
n
Print clearly using a black pen only.
n
Use BLOCK LETTERS and print one character in each box.
S M I T H S T

n
Print X in all appropriate boxes.
n
Do not use correction fluid or tape.
n
Complete your details carefully to avoid delays
in processing your tax return.

Individual information

Your name
(Print your full name)
Surname or family name

First given name
Other given names
Title: Mr
Mrs Miss Ms Other
No
Yes See Completing individual information on your
tax return
on page 8 of the instructions.
Has any part of your name changed

since completing your last tax return?
Read on.
NAT 2541-06.2017

Your mobile phone number
Your daytime phone number
(if different from your mobile phone number)

Your email address

Your contact details may be used by the ATO:

n
to advise you of tax return lodgment options
n
to correspond with you with regards to your taxation and superannuation affairs
n
to issue notices to you, or
n
to conduct research and marketing.
Your contact details

25410617

1 8 9 4 2 6 7 6 5
X
X
R O B E R T O
4 5
A L I B A B A H E I G H T S
V I C T O R I A 5 4 6 9 8 6 4
r o b e r t o @ g m a i l. c o m

Sensitive (when completed)Page 2 TAX RETURN FOR INDIVIDUALS 2017
Income

1 Salary or wages
Your main salary and
wage occupation

Payer’s Australian business number Tax withheld – do not show cents Income – do not show cents

.
00,C.00,$ $
.
00,D.00,$ $
.
00,E.00,$ $
.
00,F.00,$ $
.
00,G.00,$ $
.
00,K.00,2 Allowances, earnings, tips, director’s fees etc $ $
3 Employer lump sum payments
.00,R.00,
.
00,H.00,
Amount A in lump sum payments box

5% of amount B in lump sum payments box

TYPE

$

$

$

$

.
00,A.00,
5
Australian Government allowances and
payments like Newstart, Youth Allowance

and Austudy payment

$
$
.
00,B.00,
6
Australian Government pensions and allowances
You must complete item
T1 in Tax offsets. $ $
.
00,J
.
00,
7 Australian annuities and superannuation

income streams
$
$
Taxed element
.
00,N $Untaxed element
.
00,Y $Taxed element
.
00,Z $Untaxed element
Taxable component

Lump sum in arrears – taxable component

.
00,I
4 Employment termination payments (ETP)

.
00,$ $
Taxable component
CODEDay Month Year
Payer’s

ABN

Date of

payment

Electronic funds transfer (EFT)

We need your financial institution details to pay any refund owing to you, even if you have provided them to us before.

Write the BSB number, account number and account name below.

BSB number (must be six digits)
Account number
Account name (for example, JQ Citizen. Do not show the account type, such as cheque, savings, mortgage offset)

Your date of birth
Day Month Year
If you were under 18 years old on 30 June 2017

you must complete item
A1 on page 7.
Provide your date of birth to avoid delays in

the processing of your tax return.

Will you need to lodge an Australian

tax return in the future?
Yes No FINAL TAX RETURNDon’t know
TYPE

TYPE

TYPE

TYPE

TYPE

B A N K M A N A G E R
1 2 3 4 5 6 7 8 9 0 0 1 7 2 5 0 8 0 0 0 0
1 2 0 0

Sensitive (when completed) Page 3TAX RETURN FOR INDIVIDUALS 2017
I
If you completed the Tax return for individuals (supplementary
section)
2017, write here the amount from TOTAL SUPPLEMENT INCOME
OR LOSS
on page 15.
.
00,
LOSS

,
$
.
00,
LOSS

$
,
TOTAL INCOME

OR LOSS
Add up the income amounts and deduct any loss amount in the $ boxes
on pages 2 and 3.

Your tax file number (TFN)

Attach here all documents that the instructions tell you to attach.

Do not send in your tax return until you have attached all requested attachments
.
Income
continued
Income – do not show cents

11 Dividends

$
,V .
Unfranked amount

Tax file number amounts

withheld from dividends

Franked amount

Franking credit

If you are a foreign-resident make sure you have printed

your country of residence on page 1.

$
.00,S ,
$
.00,T ,
$
.00,U ,
12 Employee share schemes

Discount from taxed upfront

schemes – eligible for reduction
$ .00,D ,
Discount from taxed upfront schemes

– not eligible for reduction
$ .00,E ,
Discount from deferral schemes
$ .00,F ,
Discount on ESS Interests acquired

pre 1 July 2009 and ‘cessation time’

occurred during financial year

.
00,G $ ,
Total assessable discount amount
$ .00,B ,
Foreign source discounts
$ .00,A ,
TFN amounts withheld from discounts
C $ , .,
.
00$ ,TOTAL TAX WITHHELD Add up the $ boxes. ,
.
00,O.00,9 Attributed personal services income $ $
8 Australian superannuation lump sum payments
.00,$
$

TYPE

Payer’s

ABN
.00,P $Untaxed element
Day
Month Year
Date of

payment
.00,QTaxed elementTaxable component
Do not include

total income here

Tax withheld – do not show cents Income – do not show cents

$
,M .Tax file number amounts
withheld from gross interest

10 Gross interest

Gross interest
If you are a foreign-resident make sure you have printed
your country of residence on page 1.

$
.00,L ,
25410717

1 7 2 5 0
1 2 2 5
7 0 0
2 8 0 0
1 8 0 0
8 7 7 2 5

Sensitive (when completed)Page 4 TAX RETURN FOR INDIVIDUALS 2017
Deductions

D1 Work-related car expenses
.00$ ,A TYPE
CLAIM

D2 Work-related travel expenses
.00$ ,B
D3 Work-related uniform, occupation specific

or protective clothing, laundry and dry

cleaning expenses

.
00$ ,C TYPE
CLAIM

D4 Work-related self-education expenses
.00$ ,D TYPE
CLAIM

D5 Other work-related expenses
.00$ ,E
D6 Low value pool deduction
.00$ ,K
D7 Interest deductions
.00$ ,I
D8 Dividend deductions
.00$ ,H
D9 Gifts or donations
.00$ ,J
D10 Cost of managing tax affairs
.00$ ,M
TOTAL DEDUCTIONS
Add amounts at items D1 to D .00,$ ,
SUBTOTAL
TOTAL INCOME OR LOSS less TOTAL DEDUCTIONS .00$ ,
LOSS

,

You must read

the deductions

section in the

instructions if you

are claiming

deductions for

expenses that relate

to your work as an

employee at items

D1
D6.
Losses

L1 Tax losses of earlier income years

.
00$ ,F
.
00$ ,Z
Primary production losses

claimed this income year

Non-primary production losses

claimed this income year

.
00$ ,Q
.
00$ ,R
Primary production losses carried

forward from earlier income years

Non-primary production losses carried

forward from earlier income years

If you were not required to complete
L1,
TAXABLE INCOME
write the amount from SUBTOTAL above here.
OR LOSS
If you completed L1, add up the amounts you wrote at F and Z and take the total away from
the amount you wrote at
SUBTOTAL. Write the answer at $ TAXABLE INCOME OR LOSS.
.
00$ ,
LOSS

,

Make sure that you complete item M2 on page 6.

D
If you completed the Tax return for individuals (supplementary section)
2017
, write here the amount from TOTAL SUPPLEMENT DEDUCTIONS on page 15.
.
00,$ ,
1 2 0
2 2 7 9
1 6 0
2 0 0
2 7 5 9
8 4 9 6 6

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