EmailMe Form - INDIVIDUAL TAX RETURN

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Name *
First Last
Male / Female *
Male
Female
Tax File Number *
Email *
Your Digital Signature
Date of Birth *
DD / MM / YYYY
Bank Account Details (ATO)

Bank

Account Name

BSB

Account No
Address *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region
LODGEMENT YEAR *
INCOME
Salary or Wages
Allowances or Earnings
Employer Lump Sum Payment
Employment Termination Payments (ETP)
Australian Government Allowances
Australian Government Pensions
Australian Annuities And Superannuation Income Streams
Australian Superannuation Lump Sum Payments
Attributed Personal Services Income
Gross Interest
Dividends
Employee Share Schemes
Partnerships And Trusts
Personal Services Income
Net Income Or Loss From Business
Deferred Non-commercial Business Losses
Net Farm Management Deposits Or Withdrawals
Capital gains or losses - for example, on disposal of assets
Foreign Entities
Foreign source income
Rent
Bonuses From Life Insurance Companies And Friendly Societies
Forestry Managed Investment Scheme Income
Other Income
DEDUCTIONS
Work-related Car Expenses
Work-related Travel Expenses
Work related uniform, Occupation Specific Or Protective Clothing
Work-related Self-education Expenses
Other Work-related Expenses
Low Value Pool Deduction
Interest Deductions
Dividend Deductions
Gifts or Donations
Cost of Managing Tax Affairs
Deductible Amt Of UPP Of Foreign Pension Or Annuity
Personal Superannuation Contributions
Deduction For Project Pool
Forestry Managed Investment Scheme Deduction
Other Deductions
Tax Losses Of Earlier Income Years Claimed This Income Year
TAX OFFSETS
Spouse (without dependent child or student), Child-Housekeeper Or Housekeeper
Senior Australians (includes age pensioners, service pensioners and self-funded retirees)
Pensioner
Australian Superannuation Income Stream
Private Health Insurance
Education Tax Refund
Other Tax Offsets
OTHERS
Medicare Levy Reduction Or Exemption
Flood levy exemption
Under 18
Part-year Tax-free Threshold
Super co-contribution
Amount On Which Family Trust Distribution Tax Has Been Paid
Questions / Comments / Additional Information
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Bank
Account Name
BSB
Account No

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