Focus Taxation and Accounting Pty Ltd ABN 68 136 655 608

8 Rochford Way, Girrawheen WA 6064. - Ph: 08 9343 9107

Tax Return for Individuals

2019-2020 2018-2019 2017-2018

Date

INDIVIDUAL INFORMATION

Yes/No

Mr Mrs Miss Ms Other

Family name

Given name

Other given name

Has any part of your name changed since completing your last tax return?

Yes

No

If yes, please attach supporting documents.

Your tax file number (TFN)

See the Privacy note in the Taxpayer's declaration

Marital Status

Single De Facto Married Seperated Divrosed Widow

Dependants

n/a 1 2 3 4 5

Residential Address

Suburb

City

State

Zip

Phone

Cell Home Office

E-mail

Are you an Australian resident?

Yes

No

If no, please provide Visa status:

Please upload Photographic Identification Documents

Attachment Photo ID:

INCOME

Yes/No

1. Earned Salary or wages

Annual salary

Employer name

Annual salary

Employer name

Annual salary

Employer name

*Self Employed Income ( Australian Business Number )

Yes

No

Payer's ABN

Payer's ABN

Attach last payslip:

Attach document:

Attach last payslip:

Attach document:

*Rent Income

Yes

No

Gross rent

Interest deductions

Capital work deduction

Other rental deductions

Attach documents:

Attach documents:

2. Allowances, earnings, tips, director's fee etc

3. Employer lump sum payments

Yes

No

Yes

No

4. Employment termination payments (ETP)

5. Australian Government allowances & payment like Newstart, Youth

Yes

No

Allowance, JobSeeker & Austudy payments

Date of payment

Yes

No

Payer's ABN

Note:

6. Australian Government pension & allowance

7. Australian annuities and superannuation income streams

Yes

No

Yes

No

T1- Tax offsets.

Note:

8. Gross Interest Income

9. Dividends Income

Yes

No

Yes

No

10. Employee share schemes - Discount: from taxed upfront

10. Capital gains

eligible for reduction

Capital gain tax during the year

discount from deferral schemes

Attach document:

DEDUCTIONS

Yes/No

Work-related

car expences

travel expenses

clothing, laundry expenses

self-education expenses

other work-related expenses

low calue pool deduction

Interest deductions

Dividend deductions

Gifts or donations

Cost of managing tax affairs

Attach document:

Attach document:

Attach document:

Attach document:

LOSSES

Yes/No

Tax losses of earlier income years

Prinary production losses carried forward from earlier income years

Primary production losses claimed this income year

Non-primary production losses carried toward from earlier income years

Non-primary production losses claimed this income year

PRIVATE HEALTH INSURANCE POLICY DETAILS

Yes/No

Do you have private health cover?

Yes

No

If yes, who with?

Start date

End date

Attach document:

Attach document:

Note:

Bank Details

Yes/No

BSB

Account Number

Note:

Spouce details- if applicable

Yes/No

Mr Mrs Miss Ms Other

Family name

First given name

Other given name

Date of Birth

Phone

E-mail

Note:

Taxpayer's declaration

Yes/No

Disclamer

All work related deductions must be evidenced. Otherwise we suggest you not to include them in your tax return to avoid any possible audit from the Australian

Taxation Office (ATO). Kindly note that if incorrect deductions were claimed, it may result a penalty from the ATO.

I declare that:

* All the information I have given on this tax return, including any attachments, is true and correct.

* I have shown all my income including net capital gains-for tax purposes for 2019–2020.

* I have completed and attached the supplementary section, schedules and other attachments as appropriate that the instructions told me to provide.

* I have the necessary receipts and/or other records or expect to obtain the necessary written evidence within a reasonable time of lodging this tax return

to support my claims for deductions and tax offsets.

Print Name

Date

Privacy Policy

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