AUSTRALIAN TAXATION LAW COVER PAGE |Individual tax return 2016 | 1 July 2015 to 30 June 2016 | |1 July 2015 to 30 June 2016 | |1 July 2015 to 30 June 2016 | |1 July 2015 to 30 June 2016 | |1 July 2015

AUSTRALIAN TAXATION LAW

COVER PAGE
Individual tax return 2016
1 July 2015 to 30 June 2016
Your tax file number (TFN) 188 128 215 Are you an Australian resident? Y Print Y for yes
or N for no.
See the Privacy note in the Taxpayer's Have you included any attachments?
declaration on page 15 of this return. N Print Y for yes
or N for no.
Your name Title - for example, Mr
Mr, Mrs, Ms, Miss
Surname or family name Michael
Given names Knight
Has any part of your name
changed since completing N Print Y for yes If yes, print
your last tax return? or N for no. previous surname.
Your postal address 19 Abercrombie Road
Has your postal address Clayfield QLD 4011
changed since completing Print Y for yes
or N for no.
your last tax return?
Your home address 19 Abercrombie Road
If the same as your current
postal address, print AS
ABOVE. Clayfield QLD 4011
Your mobile phone number 0422871064
Your daytime phone number Area 07 Phone [phone]
(if different from your mobile phone code number
number above )
Your email address [e-mail]
Your contact details may be used by the ATO:
- to advise you of tax return lodgment options
- to correspond with you with regards to your taxation and superannuation affairs
- to issue notices to you, or
- to conduct research and marketing.
Your date of birth Final tax return N
If you were under 18 years of age on 03/08/1979 If you know this is your final
30 June 2016 you must complete tax return, print FINAL.
item A1 on page 5 of this tax return.
Electronic funds transfer (EFT) Use Agent Trust Account? N
We need your financial institution details BSB number Account
to pay any refund owing to you, even if (must be six digits) number
you have provided them to us before.
Write the BSB number, account number Account name (for example, JQ Citizen. Do not show the account type,
and account name below. such as cheque, savings, mortgage offset)
INCOME TAX RETURN

Income
1 Salary or wages
Your main salary and wage occupation
Newspaper journalist Occupation code X 212413
Payer Allowances Lump A Lump B Tax Withheld Gross
The Brisbane Telegraph ABN: 90 850 815 320
ABN:
5,640
ABN: 90 850 815 320
ABN:
37,818.00 127,700
Brisbane Telegraph ABN: 90 850 815 320
2 Allowances, earnings, tips, director’s fees etc. K 5,640
Allowances from Item 1 5,640
Total tax withheld Add up theboxes. $ 37,818.00
10 Gross interest Gross L 181
interest
Tax file number amounts M 71.00
withheld from gross interest
Bank / Branch / Account TFN amt Gross amt
ANZ 143
St George 71.00 38
11 Dividends Unfranked amount S 1,309
Franked amount T 3,450
Tax file number amounts V 174.00 Franking credit U 1,478
withheld from dividends
Company Unfranked Franked Imp Cred TFN Amt
AMP 120.00 324.00 138.86
Cabcharge 98.00 207.00 88.71
Commonwealth bank of Aust. 875.00 375.00
Flight centre 640.00 274.29
IIuka Resources 102.00 98.00
Oz Minerals 320.00
Seven West media 165.00 256.00 109.71
Telstra 720.00 308.57
US Dividend 504.00 428.00 183.43 76.00
Only used by taxpayers completing the supplementary section LOSS
Transfer the amount from TOTAL SUPPLEMENT INCOME OR LOSS (32,995) / L
LOSS
TOTAL INCOME OR LOSSAdd up the income amounts and deduct any loss amount in the boxes.
106,763 /

Deductions
D1 Work related car expenses A 47,273 CLAIM B
/
Motor car 47,273 B
D2 Work related travel expenses B 1,677
Travel expenses 1,677
D5 Other work related expenses E 8,352
Mobile telephone 1,284
AJA annual renewal 1,039
Australian Geographic 92
Research purposes 785
Membership renewal fee 488
Home internet 384
Computer 2,800
Insurance for income protection 1,480
D9 Gifts or donations J 850
Diabetic Association of Queensland LTD 120
Hepatitis Queensland Inc. 80
Breast cancer Australlia 100
Queensland University of technology 50
Srilanka disaster 75
rainbow beach surf livesaving 200
gala charity ball 175
Donation to beyong blue 50
D10 Cost of managing tax affairs M 674
Tax agent fee 600
General interest charge 74
Only used by taxpayers completing the supplementary section
Transfer the amount from TOTAL SUPPLEMENT DEDUCTIONS 5,640
TOTAL DEDUCTIONS Items D1 to add up the boxes 64,466
LOSS
SUBTOTAL TOTAL INCOME OR LOSS less TOTAL
DEDUCTIONS 42,297 /
Subtract amounts at F and Z item
L1 LOSS
TAXABLE INCOME OR LOSS from amount at SUBTOTAL $ 42,297 /
TOTAL TAX OFFSETS Items T2 and —add up the boxes U 0
M2 Medicare levy surcharge (MLS)
THIS ITEM IS COMPULSORY
If you do not complete this item you may be charged the full Medicare levy surcharge.