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Ms Prithvi DevkotaTFN: 999 399 525 Important: The tax law imposes heavy penalties for giving false or misleading information. · the agent is authorised to lodge this tax return. · the information provided to my registered tax agent for the preparation of this tax return, including any applicable schedules is true and correct, and Declaration the payment of your taxation liability from your nominated account. Where you have requested an EFT direct debit some of your details will be provided to your financial institution and the Tax Office's sponsor bank to facilitate Electronic funds transfer - direct debit Taxation law authorises the ATO to collect information and to disclose it to other government agencies. For information about your privacy go to ato.gov.au/privacy not an offence not to provide your TFN. However, you cannot lodge your income tax form electronically if you do not quote your TFN. The ATO is authorised by the Taxation Administration Act 1953 to request your tax file number (TFN). We will use your TFN to identify you in our records. It is Privacy This declaration is to be completed where a taxpayer elects to use an approved ATO electronic channel. It is the responsibility of the taxpayer to retain this declaration for a period of five years after the declaration is made, penalties may apply for failure to do so. PART A Date I declare that: YearTax file number Name Signature Electronic Lodgment Declaration (Form I) 9993995252019 MsPrithviDevkota Sensitive (when completed)Client Ref: DEVK0001 Agent : 00013-000
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Page 1 of 11 Return year 2019 declaration on page 15 of this return. See the Privacy note in the Taxpayer's Given names Surname or family name Mr, Mrs, Ms, Miss Title - for example,Your name Yfor yesPrintYour tax file number (TFN) for no.Nor for yesYPrintHave you included any attachments? for no.Nor Are you an Australian resident? 1 July 2018 to 30 June 2019 Individual tax return 2019 Prithvi Devkota Ms 999399525 N Y or phone 13 28 61 To find out how to update your name on our records, go to ato.gov.au/updatedetails for no.Nor for yesYPrint your last tax return? changed since completing Has any part of your name N Print for no.Nor for yesY your last tax return? changed since completing Has your postal address Your postal address 4066QLDCOOLANGATTA HillStreet 70 ABOVE. postal address, print AS If the same as your current Your home address 4066QLDCOOLANGATTA HillStreet 70 - to conduct research and marketing. - to issue notices to you, or - to correspond with you with regards to your taxation and superannuation affairs - to advise you of tax return lodgment options Your contact details may be used by the ATO: Your email address Your mobile phone number number above ) (if different from your mobile phonenumbercode Your daytime phone numberPhoneArea prithivi@scu.com 123456 1234560401 tax return, print FINAL. item A1 on page 5 of this tax return. If you know this is your finalIf you were under 18 years of age on Final tax returnYour date of birth 30 June 2019 you must complete N 05/08/1979 and account name below. Write the BSB number, account number number such as cheque, savings, mortgage offset) you have provided them to us before. (must be six digits) Use Agent Trust Account? Account name (for example, JQ Citizen. Do not show the account type, AccountBSB number to pay any refund owing to you, even if Electronic funds transfer (EFT) We need your financial institution details Sensitive (when completed)
Page 2 of 11Individual Tax Return 2019Ms Prithvi DevkotaTFN: 999 399 525 Income Occupation codeX Your main salary and wage occupation Salary or wages1 111111Director-executive PayerAllowancesLump ALump BTax WithheldGross PurpleRainPtyLtdABN: 84 111 122 223RFBA:1128RESC:5200 48,337.00156,000 $boxes.Add up theTotal tax withheld48,337.00 Dividends11 withheld from dividendsVUFranking credit Franked amount Unfranked amountS T Tax file number amounts UnfrankedFrankedFranking creditTFN amountBusiness?27.5% 0.0024,960 0 58,240 NY56,000.0024,000.00PurpleRainPtyLtd NN680.00291.43CBAShares NN900.00385.71COHShares NN450.00192.86FLTShares NN210.0090.00TLSShares LOSS / Only used by taxpayers completing the supplementary sectionITransfer the amount from TOTAL SUPPLEMENT INCOME OR LOSS16,019 LOSS /Add up the income amounts and deduct any loss amount in theboxes.TOTAL INCOME OR LOSS255,219 Deductions D1A CLAIM /Work-related car expensesS3,400 D5EOther work-related expenses307 JD9Gifts or donations2,400 RSPCA1,200 SeaShepherd1,200 DTransfer the amount from TOTAL SUPPLEMENT DEDUCTIONS Only used by taxpayers completing the supplementary section6,390 boxesadd up thetoD1ItemsTOTAL DEDUCTIONSD12,497 LOSS /TOTAL DEDUCTIONSlessTOTAL INCOME OR LOSSSUBTOTAL242,722 from amount at SUBTOTAL item L1andZFLOSS /$ Subtract amounts at TAXABLE INCOME OR LOSS242,722 U-add up theboxesItems T2 andTOTAL TAX OFFSETST0 Medicare levy surcharge (MLS) (including your spouse) - if you had any - covered by private patient HOSPITAL cover? liable for surcharge Number of days NOTA for no.Nor for yesYPrint E If you do not complete this item you may be charged the full Medicare levy surcharge. THIS ITEM IS COMPULSORY M2 For the whole period 1 July 2018 to 30 June 2019, were you and all your dependants Sensitive (when completed)
Page 3 of 11Individual Tax Return 2019Ms Prithvi DevkotaTFN: 999 399 525 Private health insurance policy details You must read Private health insurance policy details in the tax return instructions before completing this item. Fill all the labels below unless directed in the instructions. tax return instructions. Tax claim code. Read the rebate received Your Australian Government Benefit code Australian Government rebate Your premiums eligible for L J insurer IDnumber K MembershipHealth CODE BC 30 7373 BUPRDA1465 D (for ATO validation only) Total reportable fringe benefits amounts Employers not exempt from FBT under section 57A of the FBTAA 1986 Employers exempt from FBT under section 57A of the FBTAA 1986 W If the amount is zero, write 0. TReportable employer superannuation contributionsIT2 If you had a spouse during 2018-19 you must also complete Spouse details – married or de facto on page 7. You must complete this section. Income tests N Total reportable fringe benefits amountsIT1 1,128 1,128 5,200 0 XNet financial investment lossIT50 YNet rental property lossIT60 Non-resident foreign income / (For ATO validation only) / Estimated eligible income Estimated total income Adjusted taxable income247,922 161,200 264,277 Indeterminate If you had more than one spouse during 2018-19 print the name of your spouse on 30 June 2019 or your last spouse. Your spouse's name If you did not have a spouse, go to page 8. Your spouse's gender K FemaleMale date of birth Your spouse'sYearMonthDay Other given names Surname or family name First given name We need the information included in this section to assess your tax accurately. If you had a spouse during 2018-19, you must complete Spouse details - married or de facto. Use related ref details?Spouse details-married or de facto X 16/08/1982 Bethenie Devkota N Period you had a spouse - married or de facto 30 June 2019. NoYesDid your spouse die during the year? YesNo- 1 July 2018 to 30 June 2019? Did you have a spouse for the full year From to N spouse between 1 July 2018 and full year, write the dates you had a MIf you did not have a spouse for the L X X Sensitive (when completed)
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Page 4 of 11Individual Tax Return 2019Ms Prithvi DevkotaTFN: 999 399 525 assessable First home super saver released amount) Your spouse's total reportable fringe benefits amounts SEmployers not exempt from FBT under section 57A of the FBTAA 1986 Military Rehabilitation and Compensation Act 2004 You must complete all labels This information relates to your spouse's income (exclude exempt pension income) /(ATO validation purpose only) Spouse’s total ATI Your spouse’s taxed element of a superannuation lump sum for which the tax rate is zero (see M2 Medicare levy surcharge in the tax return instructions)F Child support your spouse paidE investment loss and net rental property loss) Your spouse’s total net investment loss (total of net financialD CYour spouse’s target foreign income Other specified exempt payments that your spouse receivedB (see Spouse details – married or de facto in the instructions) employer superannuation contributions and deductible personal superannuation contributions) Pre-fill using related ref return details? (Related ref for spouse details above must be answered Y) O Your spouse’s 2018-19 taxable income (excluding any Amount of your spouse’s reportable superannuation contributions (which is the total of reportableA that your spouse received in 2018-19. Do not include any amount paid under theQ Amount of exempt pension income (see Spouse details - married or de facto in the instructions) pensions and allowances in the tax return instructions) that your spouse received in 2018-19 Amount of Australian Government pensions and allowances (see Q6 Australian Government P REmployers exempt from FBT under section 57A of the FBTAA 1986 Distributions to your spouse on which family trust distribution tax has been paid and whichU your spouse would have had to show as assessable income if the tax had not been paid section 98 and which has not been included in spouse’s taxable incomeTYour spouse’s share of trust income on which the trustee is assessed under 84,000 N84,000 Xwithholding amounts Credit for foreign resident capital gains / CODE exemption or rollover?MHave you applied anfrom a trust. tax event during the year? A V H G Net capital gain had an amount of a capital gain You must print Y at G if you Total current year capital gains to later income years Net capital losses carried forward Did you have a capital gainsfor no.Nor for yesYPrintCapital gains18 12,83712,837 Y K BW Iin a controlled foreign company (CFC)? Did you have either a direct or indirect interest trust income Transferor services to a non-resident trust estate? thetransferofproperty-includingmoney-or , either directly or indirectly, causedeverHave you for no.Norfor yesYPrint CFC income for no.Norfor yesYPrint Foreign entities19 N N P a total value of AUD$50,000 or more? assets located outside Australia which had During the year did you own, or have an interest in, for no.Nor for yesYPrint Foreign source income and foreign assets or property20 N LOSS /U F Q P P less (Q + F + U) Net rentOther rental deductions Capital works deductions Interest deductions Gross rentRent217,040 2,100 3,1821,758 boxes for income amounts and deduct LOSS Transfer this amount to / any loss amounts in theboxes Items 13 to 24 - add up the on page 3 INCOME OR LOSS TOTAL SUPPLEMENT I 16,019 Sensitive (when completed)
Page 5 of 11Individual Tax Return 2019Ms Prithvi DevkotaTFN: 999 399 525 Other deductions-not claimable at items D1 to D14ED15Election expenses Description of claim InsuranceOtherForeign rentalInvestments JOther deductions 1,200 1,200Membershipfeesoffinancialadvisor InsuranceOtherForeign rentalInvestments JOther deductions 120 120SubscriptiontoTheEconomist InsuranceOtherForeign rentalInvestments JOther deductions 860 860Feespaidtobank InsuranceOtherForeign rentalInvestments JOther deductions 4,000 4,000Premiumofreplacementincome InsuranceOtherForeign rentalInvestments JOther deductions 210 210PrivatehealthinsuranceBUPA boxes and transfer this amount to-adduptheD15toD11Items TOTAL SUPPLEMENT DEDUCTIONS D6,390 Tax offset carried forward from previous year Current year tax offset M KEarly stage venture capital limited partnershipT8 OTax offset carried forward from previous year Current year tax offsetLEarly stage investorT9 Transfer this amount to - add up theboxesItems T3, T4, T6, T7, T8, T9, T10 and T11 TAX OFFSETS TOTAL SUPPLEMENT T Sensitive (when completed)
Page 6 of 11Individual Tax Return 2019Ms Prithvi DevkotaTFN: 999 399 525 Position held standard review period is two years but for some taxpayers it is four years. your tax return, and issue an amended assessment if a review shows inaccuracies that change the assessment. The The ATO will issue your assessment based on your tax return. However, the ATO has some time to review in our records. It is not an offence not to provide your TFN. However if you do not provide your TFN, your assessment may be delayed. go to ato.gov.au/privacy Taxation law authorises the ATO to collect information and to disclose it to other government agencies. For information about your privacy Privacy: The ATO is authorised by the Taxation Administration Act 1953 to request your tax file number (TFN). We will use your TFN to identify you Taxpayer's •I authorise my registered tax agent to lodge this tax return. YearMonthDay DateSignature The tax law imposes heavy penalties for giving false or misleading information.Important: I, •the information provided to my registered tax agent for the preparation of this tax return is true and correct, and I declare that: professional items section and other schedules if applicable. Read and sign the declaration after completing your tax return, including the Supplementary section, Business and Taxpayer’s declaration YearDayMonth Telephone numberArea code DateClient’s referenceAgent’s signature Agent’s reference number Agent’s telephone number Contact name and that the taxpayer has authorised me to lodge the tax return. that the taxpayer has given me a declaration stating that the information provided to me is true and correct declare that this tax return has been prepared in accordance with information supplied by the taxpayer, Tax agent’s declaration 00013000 HANDISOFTSOFTWAREPTYLTD DEVK0001 Sensitive (when completed)
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Page 7 of 11Ms Prithvi DevkotaTFN: 999 399 525 (default private use % for this worksheet)Private Use % 2019 Transfer to Title Depreciation Worksheet 1WorkDeductions Rentalproperty Total CostOpeningAcquisition Date Acquisition Cost Total Value Rate % Type P/D Decline in Value Private PortionClosing Acquisitions during the year (2) Refrigerator 1,180001/03/20191,1801,18033.33 D13001,050 Washing Machine 1,600001/03/20191,6001,60033.33 D17701,423 Total CostOpeningAcquisition CostTotal ValueDecline in ValuePrivateClosing 2,78002,7802,78030702,473 Deduct for Private Use0 Net Depreciation Deduct for Private Use Disposals:Net Adjustment Total Claimed for Depreciation307 Total Assets - 2[On hand the full year - 0, Acquisitions - 2, Disposals - 0] Sensitive (when completed)
Page 8 of 11Ms Prithvi DevkotaTFN: 999 399 525 Work Related Expenses Schedule 2019 D1Work related car expenses Car Expenses - Set Rate Per Kilometre Rate Evidence / calculation code KilometresClaimed$ VehicleRegistration 68.005,0003,400 BMWX5 Date ...................................................Signature ................................................... I declare that I have explained to my client the information necessary to complete this form. Tax agent declaration: Date ...................................................Signature ................................................... I declare that the information I have given is true and correct and that I hold the necessary evidence to support my claims. Taxpayer declaration: Sensitive (when completed)
Page 9 of 11Ms Prithvi DevkotaTFN: 999 399 525 Private Use % Number of weeks property was rented this year Date property first earned rental income Address of Rental Property Rental Property Schedule 2019 01/03/2019 12 PacificParade 4225QLDBilinga 4/285 % ownedOwnership DEVK0001Prithvi100.00Devkota Gross Rent ReturnIncome Other rental related income Gross rental income 7,0407,040 7,0407,040 TotalPrv %ExpensesReturn 483483EBodycorporatefees 317317HCouncilRates 123123UWatercharges 228228KInsurance 2,1002,100LInterestonloans 307307ICapitalallowances(depreciation) 300300VSundryrentalexpenses Total expenses Net Rent// 3,8583,858 3,1823,182 Sensitive (when completed)
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Page 10 of 11Ms Prithvi DevkotaTFN: 999 399 525 2019Capital Gains Worksheet Description %SHARES - AUST100.00SharesPortfolio Acquisition : 2,30011.00048,99048,99001/12/2018BHPSHARES 9,50011.00011,49511,49501/12/2018MYRSHARES Disposal : 2,30005/01/201960,922 9,50005/01/201912,400 Assessable Amount / / Frozen Indexation Discountable (Individual - subject to discount) Gain Frozen Reduced cost base Cost base + Assessable income on disposal - Allowable deductions 12,837 12,837 60,485 60,485 60,485 Sensitive (when completed)
Page 11 of 11Ms Prithvi DevkotaTFN: 999 399 525 Page 11 of 112019 Capital gains from CGT Assets/Events Amounts shown are PRE any applicable discount and/or losses. IndexationDiscountableOther Shares - Aust (S)--12,837 Shares - Other (X)--- Units in Unit Trusts - Australia (U)--- Units in Unit Trusts - Other (Y)--- Real Estate - Australia (R)--- Real Estate - Other (Z)--- Capital gains from Trusts (T)--- Collectables (C)--- Other (O)--- Previously Deferred (D)--- 2019 Current year capital Losses (CYCL) from CGT Assets/Events Shares - Aust (S)- Shares - Other (X)- Units in Unit Trusts - Australia (U)- Units in Unit Trusts - Other (Y)- Real Estate - Australia (R)- Real Estate - Other (Z)- Capital gains from Trusts (T)- Collectables (C)- Other (O)- Previously Deferred (D)- Applying capital losses against current year capital gains IndexationDiscountableOther Current year capital losses applied--- Prior year capital losses applied--- Current year capital gains (CYCG) after applying capital losses IndexationDiscountableOther Totals--12,837 2019 Capital Gains Tax Worksheet - Summary Listing Asset DescriptionIndexationDiscountableOtherLossNet Cap Gain Shares Portfolio [11800]S--12,837-12,837 12,837 Sensitive (when completed)
2019 TFN: 999 399 525Ms Prithvi Devkota Income Tax Return Tax Estimate Sub-Total$ Tax Free Part Tax Payable on Taxable Income Taxable Income Tax Payable for Individual 82,321.90 18,200 82,321.90 242,722 Foreign Income Offset Low and Middle Income Offset Small business income offset Private Health Insurance Offset - Payable Sub-Total$ Other Offsets Lump Sum Low Income Offset Seniors / Pension / Beneficiary Offset Offsets (T2 to T11)Less Offsets: 0.00 0.00 0.00 -73.00 82,394.90 -73.00 0.00 0.00 0.00 0.00 0.00 Sub-Total$ Medicare Levy (inc surcharge @ 1.50% = 3657.75)Plus: 90,907.09 8,512.19 8,512.19 PAYG Income Tax Instalments Other Amounts withheld - ABN,Vol,Labour,Foreign Franking Tax Offset (refundable) Estimated Tax Payable Sub-Total$ Other Refundable Credits Foreign Tax Credits TFN Amounts (credits) Arrears tax withheld Tax withheld - salary & wage type incomeLess Credits: DR 0.00 0.00 24,960.00 17,610.05 73,297.00 0.00 0.00 0.00 0.00 48,337.00 DISCLAIMER =========== This estimate is provided without warranty of any kind. It is subject to legislative changes and includes estimates of currently unknown rates. WARNING : Amounts shown may be adjusted by amounts not included in this return. Sensitive (when completed)