If you have a pay as you go (PAYG) instalment obligation only, you can download a sample of this form in Portable Document Format (PDF)
Sample forms are provided for the purpose of information only and cannot be lodged.
- Download IAS B - Instalment activity statement (PDF, 238KB)This link will download a file (NAT 4192)
See also:This sample form (NAT 4192) is for taxpayers with a PAYG instalment obligation only. Typical users include partners in partnerships and other individual taxpayers who report and pay PAYG instalments quarterly.