Southside Accounting Online Tax Application

Sex:

Male Female

First Name :

Surname:

Tax File Number:

Date of Birth:

Home Address:

Email Address:

Mobile Number:

Occupation:

Tax Year:

Payment Summary:

Employer Name:

A.B.N.

Gross Salary:

PAYG Withheld:

Allowances:

Lump Sum Payments:

Reportable Fringe Benefits:

Deductions:

Total Interest Received:

Withholding Tax:

Dividends Received:

Government Payments:

Gross Payments:

PAYG Tax Withheld:

Work Related Deductions:

Yes No

Details:

Last Years Accounting Fee:

Private Health Insurance:

Yes No

Name of Fund:

Policy Number:

Type of Cover:

Hospital Ambulance Combined

Number of Days Covered:

Offset Amount at T2:

Medical expenses over $1500?:

Yes No

Investment property?:

Yes No

Additional Comments:

Southside Accounting Pty Ltd
Suite 1, 5-7 Boyle Street
Sutherland NSW 2232
Phone 02 9521 2066
Fax 02 9521 2088