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  • Worksheet

    Attention

    Warning:

    This information may not apply to the current year. Check the content carefully to ensure it is applicable to your circumstances.

    End of attention

    Step 1

    Collect all the statements for dividends you received or distributions you were entitled to relating to the period from 1 July 2000 to 30 June 2001. Using steps 2 to 7 transfer the information from each statement to the appropriate columns in the worksheet

    Column 1
    Company or fund

    Column 2
    Unfranked amounts

    Column 3
    Franked amounts

    Column 4
    Imputation credit

    Column 1
    TFN amounts withheld

    -

    $

    $

    $

    $

    -

    $

    $

    $

    $

    -

    $

    $

    $

    $

    -

    $

    $

    $

    $

    -

    $

    $

    $

    $

    -

    $

    $

    $

    $

    Total

    S

    T

    U

    V

    When transferring the totals for S, T, and U to your form-ignore any cents.

    Step 2

    Write the company or fund name shown on your statement in column 1.

    Step 3

    Transfer any unfranked amounts into column 2.

    Step 4

    Transfer any franked amounts into column 3.

    Step 5

    Transfer any imputation credit amounts into column 4.

    Step 6

    Transfer any TFN amounts withheld (or deducted) from dividends into column 5.

    Step 7

    Repeat steps 2 to 6 if you have more than one dividend or distribution statement.

    Step 8

    Add up the amounts in columns 2, 3, 4 and 5 and write them in the Total line in the worksheet.

    Step 9

    Transfer the amount at V on your worksheet to V item 11 on your form. Include any cents.

    Step 10

    Transfer the amounts at S, T and U to the matching labels at item 11 on your form. Ignore any cents.

    Step 11

    Add up the amounts shown at S, T and U on your form and write the total at $.

    Stop: If the amount at $ is more than $6,000 you cannot use this application form. You will need to lodge a tax return to claim your refund.

    Step 12

    Read, sign and date your declaration on page 2 of your application form.

    Example

    Steven received a dividend statement from Teleco Ltd. His statement showed a franked amount of $41.00 and an imputation credit of $21.12.

    Teleco Ltd Security holder reference number 018 012 111Date paid 30 October 2000Steven McKay 2 Cable Circle Telegraph Point NSW 2441Fully franked final dividend for hte period ended 30 June 2001.Franked at a 34% tax rate.Class description: Ordinary sharesDividend rate per ordinary share: 7 centsNumber of ordinary shares: 586Imputed credit: $21.12Unfranked amount: nilFranked amount: $41Dividend paid: $41TFN quoted

    Steven also received 3 other statements:

    JT Corporate Unit Trusts-his dividend statement showed $120.23 unfranked amount.

    Koles Bier Pty Ltd-he did not give the company his tax file number (TFN) so his entitlement of $180 unfranked amount had $87.30 tax withheld (therefore he actually received $92.70).

    SDW Managed Investment Fund-his distribution statement shows a franked dividend amount of $132 and an imputation credit of $68.

    Steven would complete the worksheet like this:

    Column 1
    Company or fund

    Column 2
    Unfranked amounts

    Column 3
    Franked amounts

    Column 4
    Imputation credit

    Column 5
    TFN amounts withheld

    Teleco Ltd

    na

    $41.00

    $21.12

    na

    JT Corp Unit Trust

    $120.23

    na

    na

    na

    Koles Bier Pty Ltd

    $180.00

    na

    na

    $87.30

    SDW Fund

    na

    na

    na

    na

     

    na

    $132.00

    $68.00

    na

    Total

    S $300.23

    T $173.00

    U $89.12

    V $87.30

    When transferring the totals for S, T and U to your form-ignore any cents.

    This amount includes both the amount received by Steven and the TFN amount withheld ($92.70 + $87.30).

    Steven fills out the dividend details at item 11 on his application form like this:

     11 Dividends Label V Tax file numbe amounts withheld from dividends: $87.30 Label S Unfranked amounts: $300 Label T Franked amount: $173 Label U Imputation credit: $89

    Steven will receive a refund of $176.30 ($87.30 + $89) providing he has no outstanding tax debts.

    End of example
    Last modified: 13 Feb 2019QC 16274