Completing your application
This information may not apply to the current year. Check the content carefully to ensure it is applicable to your circumstances.
End of attention
The instructions that follow will take you through each part of the application. Tear out one of the applications at the back of this publication and start with item 1 below.
Item 1 Your tax file number (TFN)
Write your TFN on page 1 of your application. If you are not sure of your TFN or need to apply for one, phone us on 13 28 61.
Item 2 Were you an Australian resident for the whole income year?
You must be an Australian resident for tax purposes for the whole period 1 July 2010 to 30 June 2011 to apply for a refund of franking credits.
The standards we use to determine your residency status are not the same as those used by the Department of Immigration and Citizenship. Generally, if you have always lived in Australia or you have come to Australia to live permanently, we consider you to be a resident for tax purposes.
If you need help in deciding whether or not you are an Australian resident for tax purposes, use our Are you a resident? tool or phone us on 13 28 61.
Items 3 to 9 Personal details
Complete all these items accurately to avoid delays in the processing of your application.
If you want to lodge your application for refund of franking credits by phone, the name and address we have for you must be current. If anything has changed or you are unsure what details you last gave us, phone us on 13 28 61 to update or check the details before you lodge your application.
Item 10 Electronic funds transfer (EFT)
It's faster and simpler to have your refund paid directly to your financial institution account. Joint accounts are acceptable.
Provide your account details, even if you have provided them previously. If you have changed your tax agent or have a new account check that you completed the item with the new details. If you do not complete this item, your refund cheque will be mailed to you.
Complete the following:
Print the bank state branch (BSB) number. This six-digit number identifies the financial institution. Do not include spaces, dashes or hyphens in the number.
Print the account number. You cannot use an account number with more than nine characters. Do not include spaces in the account number.
Print the account name as shown on your account records. Do not print the account type, for example, savings, cheque or mortgage offset. Include spaces between each word and between initials in the account name. The account name must not exceed 32 characters.
Item 11 Dividends
If you received a distribution statement from a managed fund or Australian franking credits from a New Zealand company, print X in the YES box.
If you have more than one dividend or distribution statement, you can use the worksheet to help you calculate the amounts to show at item 11.
At S, T, U and V write your:
- unfranked amount
- franked amount
- franking credit (also known as imputation credit)
- TFN amounts withheld or deducted from dividends (if applicable).
Your dividend or distribution statement should show these amounts.
'Tax file number amounts withheld from dividends' are only withheld if you did not provide your TFN to the investment body.
A dividend statement from a New Zealand company will show the amount of Australian franking credits (if any) you can claim.
Total dividend income
Add up the amounts shown at S, T and U on your application and write the total at $ Total dividend income.
If you are 18 years old or older on 30 June 2011 and your total dividend income amount is more than $6,000, or you are under 18 years old on 30 June 2011 and your total dividend amount is more than $416, you cannot use this application. You will need to lodge a tax return to claim your refund of franking credits.
Read, sign and date Your declaration on page 2 of the application.
Last modified: 13 Feb 2019QC 28009