ABN Tax Return – XY Partners

Full Name:*

Tax Number :*

D.O.B:*

Address:*

Residency Status

permanent resident

resident for tax purposes

non-resident

BUSINESS & ABN INCOME

BUSINESS DETAILS

ACITIVITY

ABN NUMBER

TRADING PERIOD FROM

day

month

year

day

month

year

GST REGISTERED ?

YES

IF YES, Is a BAS reconciliation or GST return required?

Yes

INCOME

GROSS INCOME

any PAYG tax withheld from this, and Payers ABN

OTHER INCOME

Other income details

EXPENSES

Expenses list

E-mail:*

Phone:*

Phone:(2)

Address:(2)

about tax residency

INCOME DETAILS

PAYG Summary 1

Occupation:

Employer:

ABN:

Income:

PAYG Tax:

PAYG Summary 3

Occupation:(3)

Employer:(3)

ABN:(3)

Income:(3)

PAYG Tax:(3)

PAYG Summary 2

Occupation:(2)

Employer:(2)

ABN:(2)

Income:(2)

PAYG Tax:(2)

Other Income

Others

DEDUCTIONS

Work related expenses 1

Work related expenses 2

Work related expenses 3

Work related expenses 4

Work related expenses 5

Other Deductions

See list examples

OFFSETS & OTHER INFO note - most income-based offsets will be automatically calculated for you

Other Offset

Select:

Remote Zone Offset

Spouse

Dependants

Income Tests

Private Hospital Cover, if any

Medicare Levy Exemption

I have a medicare card

I am not entitled to medicare

more about Offsets

flood levy info

REFUNDS *A Bank account is required * Must be in your name for ATO identity purposes

Deposit your Refund to:

Australia Bank Account

Overseas Bank Account

AUSTRALIAN BANK DETAILS:

Bank

Account

OVERSEAS BANK DETAILS*
* Note - IMT bank transfer fees of $35 apply

Oversea Bank

Oversea Account

*NOTES - Enter all amounts below, actually received or paid during year. Exclude GST from amounts if you are GST registered. For depreciation of equipment purchased in a prior year, you can email details to info@xypartners.com.au.

DECLARATION & CONSENT

I declare that all the information provided above is true and correct, and I understand the tax law imposes heavy
penalties for giving false or misleading information. I have all the necessary receipts and records to evidence my
claims for deductions. I authorise my tax agent BC Accountants to lodge my tax return based on this information.

Tick if agree*

DECLARATION APPROVED

Easiest Tax return for ABN or business income

ABN Tax Return Form