If you have more than one dividend or distribution statement, follow these steps to fill in the worksheet and calculate the amounts to show at item 11 on your application.
Step 1
Collect all the statements for dividends you received or distributions you were entitled to for the period 1 July 2003 to 30 June 2004. Using steps 2 to 4, transfer the information from each statement to the appropriate columns in the worksheet below.
Step 2
Print the company or fund name shown on your statement in column 1.
Step 3
Write the amount of any unfranked (or supplementary), franked or franking credit amounts in the appropriate columns. If your dividend is from a New Zealand company, do not include New Zealand imputation credits in column 4 (only include Australian franking credits).
Note: If your statement does not show the franked and unfranked portions of the dividend, include the total dividend amount in column 3 'Franked amount'.
Step 4
Write any TFN amounts withheld (or deducted) from dividends in column 5.
Step 5
Add up the amounts in columns 2, 3, 4 and 5 and write them at TOTAL – S, T, U and V – on the worksheet.
Step 6
If you have received any dividend distributions from a managed fund or you received Australian franking credits from a dividend paid by a New Zealand company, you will need to print an X at the YES box in question 11 of your application.
Step 7
Transfer the amounts at S, T and U on your worksheet to labels S, T and U at item 11 on your application. Do not show any cents.
Step 8
Transfer the amount at V on your worksheet to label V at item 11 on your application. Include any cents.
Step 9
Add up the amounts shown at S, T and U on your application and write the total at $ TOTAL DIVIDEND INCOME.
Note
If you are over 18 years of age on 30 June 2004 and your total dividend amount is more than $6,000, or you are under 18 years of age on 30 June 2004 and the total dividend amount is more than $416, you cannot use this application. You will need to lodge a tax return to claim your refund.
Step 10
Read, sign and date Your declaration on page 2 of the application.