Information

A Office use only 41890314 Business activity statement Document ID ABN Form due on When completing this form: print clearly using a black pen Payment due on round down to whole dollars (do not show cents) GST accounting method if reporting a zero amount, print '0' (do not use NIL) leave boxes blank if not applicable (do not use N/A, NIL) Contact phone number do not report negative figures or use symbols such as +, -, /, $. Authorised contact person who completed the form Goods and services tax (GST) Complete Option 1 OR 2 OR 3 (indicate one choice with an X) Option 1: Calculate GST and report quarterly Option 2: Calculate GST quarterly and report annually Total sales (G1 requires 1A completed) G1 $ NON.DO OR Total sales (G1 requires A completed) `Does the amount shown Does the amount shown at G1 include GST? yes Wo at G1 include GST? (indicate with X) Yes No (indicate with X) Report GST on sales at 1A and GST on purchases at 1B Export sales G2 $ 1.00 in the Summary section over the page Other GST-free sales G3 $ .00 OR Option 3: Pay GST instalment amount quarterly Capital purchases G10 $ 1.08 G21 $ Write the G21 amount at 1A in the Summary section over the page Non-capital purchases G11 $ 1.00 (leave 1B blank) OR if varying this amount, complete G22, G23, G24 Report GST on sales at 1A and GST on purchases at 1B in the Summary section over the page Estimated net GST for the year G22 $ Varied amount payable for the quarter G23 $ .De Write the G23 amount at 1A in the Summary section over the page (leave 1B blank) Reason code for variation G24 NAT 4189-03.2014 [JS 29398]PAYG tax withheld PAYG income tax instalment Total salary, wages and Complete Option 1 OR 2 (indicate one choice with X) other payments W1 $ Option 1: Pay a PAYG instalment amount quarterly Amount withheld from W2 $ ayments shown at W1 1.00 T7 $ Write the 17 amount at 5A in the Summary section below Amount withheld where no ABN is quoted W4 $ 300.000 010.08 OR if varying this amount, complete T8, T9, T4 Estimated tax for the year T8 $ Other amounts withheld (excluding any amount W3 $ .90 shown at W2 or W4) Varied amount payable for the quarter T9 $ Write the T9 amount at 5A in the Summary section below Total amounts withheld (W2 + W4 + W3) W5 $ 90 Reason code for variation T4 Write the W5 amount at 4 in the Summary section below OR Option 2: Calculate PAYG instalment using income times rate Reason for varying (G24 & T4) Code Obligation PAYG instalment income It $ 10.00 Change in investments 21 PAYG only Current business structure not continuing 22 GST & PAYG 1% Significant change in trading conditions 23 GST & PAYG Internal business restructure 24 GST & PAYG New varied rate T3 Change in legislation or product mix 25 GST & PAYG Financial market changes 26 GST & PAYG 1 x T2 (or x 73) 11 $ .98 Use of income tax losses 27 PAYG only Write the 11 amount at 5A in the Summary section below Reason code for variation T4 Summary Amounts you owe the ATO Amounts the ATO owes you GST on sales or GST instalment 1A $ GST on purchases 18 $ .De Do not complete 1B if using GST instalment amount (Option 3) PAYG tax withheld 7.00 PAYG income tax instalment 5A $ Credit from PAYG income tax 5B instalment variation Deferred company/fund instalment 1A + 4 + 5A +7 8A $ 1B +5B 8B $ 100.000.0.0 Payment or refund? Yes, then write the result of 8A minus 8B at 9. This amount is Is 8A more than 8B? Your payment or refund amount payable to the ATO. (indicate with X) 9 then write the result of 8B minus 8A at 9. This amount is $ No, refundable to you (or offset against any other tax debt you have) Do not use symbols such as +, -, /, $ Declaration I declare that the information given on this form is true and correct, and that Return this completed form to HRS MINS I am authorised to make this declaration. The tax invoice requirements have been met. Estimate the time taken to complete