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  • How to complete the form

    You must:

    • write each letter in a separate box
    • use a black pen
    • use BLOCK LETTERS.

    You do not have to complete every field. For example, where an amount has not been paid or withheld, leave those boxes blank.

    Show all amounts in whole dollars - do not show cents. For example, show an amount of $122.76 as $122.

    When you send the payment summary to us as part of your pay as you go PAYG withholding payment summary annual report, send the ATO original. We cannot accept photocopies or duplicates.

    Payment summary for year ending 30 June

    You must show the year as a four-digit figure. For example, show the year ending 30 June 2017 as 2017 and not 17.

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    Last modified: 30 Apr 2019QC 26159