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Worksheet instructions

Last updated 13 April 2020

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 and for distributions you were entitled to for the period 1 July 2005 to 30 June 2006. Using steps 2 to 4, transfer the information from each statement to the appropriate columns in the worksheet.

Step 2

Print the company or fund name shown on your statement under company or fund.

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, and

  • you paid New Zealand non-resident withholding tax on that dividend, and
  • that company paid you a supplementary dividend,

then you must subtract the amount of that supplementary dividend from the amount of franking credits that you include in the worksheet.

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 the total for each column at Total - S, T, U and V respectively on the worksheet.

Step 6

Print X at the Yes box at item 11 on your application, if you have received:

  • any dividend distributions from a managed fund, or
  • Australian franking credits from a dividend paid by a New Zealand company.

Step 7

Transfer the amounts at S, T and U on your worksheet to 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 V at item 11 on your application. Include any cents.

QC95497