- Determine your residency for tax purposes (see Residency status) for the periods during 2012–13 that you were in the JPDA then complete this schedule.
 - Attach the completed schedule to page 3 of your tax return.
 - Print X in the Yes box at Taxpayer’s declaration question 2 on page 10 of your tax return.
 
Schedule of additional information: Item 20 Joint Petroleum Development Area I declare that I worked in the Joint Petroleum Development Area.  | 
||||||||||
Name Tax file number  | 
||||||||||
Print X in the appropriate box.  | 
||||||||||
  | 
A  | 
  | 
I was an Australian resident for the whole year  | 
  | 
||||||
  | 
B  | 
  | 
I was a resident of Timor-Leste for the whole year  | 
  | 
||||||
  | 
C  | 
  | 
I was a resident of a country other than Australia or Timor-Leste for the whole year  | 
  | 
||||||
  | 
D  | 
  | 
I changed my residence during the income year (provide details of the dates that cover each period)  | 
  | 
||||||
  | 
||||||||||
Dates  | 
Day  | 
Month  | 
Year  | 
to  | 
Day  | 
Month  | 
Year  | 
Country  | 
||
  | 
  | 
  | 
  | 
  | 
  | 
  | 
||||
Dates  | 
Day  | 
Month  | 
Year  | 
to  | 
Day  | 
Month  | 
Year  | 
Country  | 
||
  | 
  | 
  | 
  | 
  | 
  | 
  | 
||||
Dates  | 
Day  | 
Month  | 
Year  | 
to  | 
Day  | 
Month  | 
Year  | 
Country  | 
||
  | 
  | 
  | 
  | 
  | 
  | 
  | 
||||
Sign here  | 
||||||||||