This questionnaire will help us obtain information to verify your GST refund.
Part 1 will help us understand your business profile.
Part 2 will help us understand your accounting system.
Part 3 will help us understand the specifics of your business.
Note
To print this form, click the printer symbol above and you will be taken to a printable version.
When answering our questions, if you need more space than is available, you can attach extra sheets of paper to the printed questionnaire.
Name:
ABN:
Part 1: Your business profile
The nature of your business
- What type of business activity do you do?
If you conduct more than one business, list them in order of priority.
- Is your business activity affected by seasonal influences?
If you have answered 'yes', please provide detail in the space below.
Reason for refund
- Did you claim a refund for this quarter because of any unusual events or activities?
If you have answered 'yes', please provide detail in the space below.
- If you bought a capital asset (such as a vehicle or equipment), how was it financed?
- Did you also trade in an asset?
Projected expenditure
- Do you expect to have any capital or unusual expenditure in the next 12 months?
If you have answered 'yes', please provide detail in the space below.
Transactions with related businesses
- Does your business trade with related businesses?
For example, do you buy from, or sell to, another business with some of the same directors or partners?
If you have answered 'yes', please provide detail in the space below.
- How do you calculate and record these sales or purchases?
Employees
- How many people do you employ?
Additional information
Provide any additional information about your business or refund that supports your claim.
Part 2: Your accounting system
Your GST accounting method
- Do you account on a cash or non-cash basis?
Your accounting system
- What record keeping/accounting system do you use?
Maintenance of your records
- Who inputs your data and maintains your records?
Bank reconciliations
- How often do you complete bank reconciliations?
Daily
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Weekly
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Fortnightly
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Monthly
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Quarterly
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Other
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If you have selected 'Other', please provide detail in the space below.
Preparation of your activity statement
- Who prepared the figures you reported on your activity statement?
Provide the level of experience of the person who prepared the figures, for example any work experience, bookkeeping experience or qualifications.
- If the person who prepared the figures is not the same person who maintains your records, what source documents did they use to prepare the figures on your activity statement?
Additional information
Provide any additional information about your method of accounting or bookkeeping that supports your claim.
Part 3: Business information for fuel tax credits
Fuel tax credits
- What activities have you claimed a fuel tax credit for?
- What type of fuels are you claiming for?
- What types of vehicles or equipment that the business owns, or leases uses the fuels?
- Do you use fuels in activities that are not entitled to a fuel tax credit?
For example, on fuels you sell to other people or companies.
If you have answered 'yes', please provide detail in the space below.
- Are there any seasonal influences that impact the amount of fuel you use at different times of the year?
If you have answered 'yes', please provide detail in the space below.
- Have there been any significant changes to your business operations since you last claimed a fuel tax credit (or energy grant)?
If you have answered 'yes', please provide detail in the space below.
Amount of tax fuel credits
- How much tax fuel credit will you claim?
Calculations and record keeping
- How did you calculate your fuel tax credit amount?
- Are you claiming on-road use, off-road use or a combination of both?
On-road
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Off-road
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Combination
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- What records do you keep to help you calculate the amount of fuel tax credit you can claim?
- How did you record ineligible fuel?
Complete this section if you use fuel for road transport only
- Does your vehicle meet any of the four environmental criteria below?
Criteria
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Yes
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No
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a. Was it manufactured after 1 January 1996?
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b. Was it manufactured after 1 January 1996?
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c. Has it passed a DT80 test in the last two years?
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d. Is it part of an accredited maintenance program?
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Additional information
Provide any additional information about your business that supports your claim.
- Are you aware of any errors in your activity statement?
If you have answered 'yes', please provide detail in the space below.
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More information
For more information or a copy of our publications:
- visit our website at www.ato.gov.au
- phone 13 28 66, or
- write to us at PO Box 9935 in your capital city.
If you do not speak English well and want to talk to a tax officer, phone the Translating and Interpreting Service on 13 14 50 for help with your call.
If you have a hearing or speech impairment and have access to appropriate TTY or modem equipment, phone 13 36 77. If you do not have TTY or modem equipment, phone the Speech to Speech Relay Service on 1300 555 727
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Last Modified: Wednesday, 14 March 2012