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1 REQUIRED FOR YEAR END 31 MARCH 2015 Your busness nformaton

2 Your detals Busness detals Busness name Balance date IRD number Contact detals - to ensure our records are up to date, please complete the followng Preferred contact method Busness phone Fax Home phone Moble Emal Webste Busness postal address Busness street address Home address Please sgn the Prvacy Act authorsaton on page 3 2 Your busness nformaton 2015

3 Prvacy Act authorsaton 1 I/We authorse Grant Thornton New Zealand Ltd (Grant Thornton) and any employees or contractors of Grant Thornton to act as our tax agent wth Inland Revenue on matters relatng to ALL tax types. Ths ncludes authorty to: - dscuss and make enqures verbally or n wrtng to Inland Revenue from tme to tme regardng my/our tax affars - obtan and access nformaton va telephone/nfo express, fax or onlne servces provded by Inland Revenue. 2 I/We authorse any person or company to provde Grant Thornton wth such nformaton as Grant Thornton may requre to complete the Fnancal Statements, and/or Tax Return, and any other work Grant Thornton carres out on behalf of myself/ourselves. 3 I/We further authorse Grant Thornton to furnsh to any thrd party, fnancal nformaton of mne/ours as Grant Thornton sees ft that s requested n furtherance of our busness actvtes. 4 I/We further authorse that all nformaton s true and correct and s suppled under the terms pursuant to the sgned terms of engagement prevously ssued. 5 I/We authorse Grant Thornton to act on my/our behalf n respect of the Accdent Compensaton Corporaton (ACC) for the purposes of queryng and/or changng nformaton on my/our ACC levy account(s) through ACC staff, and through ACC Onlne Servces. Ths authorty wll also allow Grant Thornton s man representatve dscreton to delegate access to your ACC nformaton to any member Grant Thornton. Other delegated members of Grant Thornton wll also be able to query and change nformaton on your ACC levy account. I agree wth the terms of the Prvacy Act authorsaton Busness name Name Desgnaton Date Your busness nformaton

4 Fnancal statements To assst n the preparaton of your annual fnancal statements please complete the followng. 1 Accounts recevable - amounts owng to you Yes No N/A GT use 1 Provde a lst of accounts recevable at balance date ndcatng whether amount(s) are GST nclusve or exclusve. 2 Clearly mark any doubtful debts e. debtors that, as at balance date, you do not beleve you wll be able to collect/fully collect. Note: Bad debts must be wrtten off n the debtors ledger by balance date to be deductble for tax purposes. 3 If monthly accounts recevable control records are kept, provde: monthly summares of transactons detals of journal entres 2 Inventores and work n progress Yes No N/A GT use 1 Provde a lst of nventory and work n progress on hand at balance date ndcatng whether amounts are GST nclusve or exclusve. 2 Include nventory sold on consgnment. 3 Provde detals of nventory n transt. 3 Bankng and cash detals Yes No N/A GT use 1 Do you have a computersed cashbook/accountng package? If no go to 3.2, f yes advse: Name of package Verson Password 4 Your busness nformaton 2015

5 3 Bankng and cash detals (contnued) Yes No N/A GT use Provde: dsk or prnt-out of transacton (general) ledger wth year to date transactons year to date tral balance fnal bank reconclaton and last bank statement at balance date v now go to Do you have a manual cashbook? If no go to 3.3, f yes provde: the cashbook the bank reconclaton at balance date the last bank statement at balance date v f the cashbook has not been reconcled please provde detals requested n 3.3 v now go to If no cashbook kept, provde: bank statements for the full year cheque butts depost books 4 Any other busness bank accounts? If yes, provde all bank statements wth supportng detals for the full year as requested from queston 3.1 to Petty cash - provde a summary and analyss of transactons. 6 Cash on hand - advse amount receved but unbanked at balance date: $ 7 Cash receved durng year not banked - provde a lst of any ncome receved that was not banked and detals of what t was used for, eg payment of busness accounts, personal expendture, banked nto another account. 8 Is there an overdraft faclty? If yes, advse the overdraft nterest rate as at balance date: % Detals of the assets the overdraft s secured over: Your busness nformaton

6 4 Accounts payable - amounts owng by you Yes No N/A GT use 1 Attach detals of accounts payable at balance date ndcatng whether amount(s) are GST nclusve or exclusve. 2 If your suppler retans ttle to the goods untl they are pad for, mark these tems ROT. 3 Remember to nclude full detals of sundry amounts owng (eg wages and PAYE). 4 Holday pay value of holday pay owng at balance date: $ value of holday pay taken wthn 63 days after balance date: $ 5 Goods and servces tax (GST) Yes No N/A GT use 1 Provde copes of all GST returns for the year, along wth your workngs. 6 Frnge beneft tax (FBT) Yes No N/A GT use 1 Provde copes of all FBT returns for the year, along wth your workngs. 7 Property, plant and equpment Yes No N/A GT use 1 Purchased durng the year - provde copes of nvoces, full detals of the GST nclusve cost, date of acquston and attach detals of any trade-n. Date: Descrpton: Amount: / / $ / / $ For property purchases provde: agreement for sale and purchase solctor settlement statements valuaton (f done) v detals of any borrowngs (ncludng a copy of the loan document f possble) 6 Your busness nformaton 2015

7 7 Property, plant and equpment (contnued) Yes No N/A GT use 2 Dsposed of durng the year - provde detals of any sales, notng dates, amounts and where the proceeds were banked: Date: Descrpton: Amount: 3 Assets scrapped durng the year - revew your latest property, plant and equpment schedule and note any tems whch have been scrapped, or are no longer used: Date: Descrpton: Amount: 4 Were all assets purchased, sold or traded-n ncluded n the relevant GST returns? 8 Land and buldngs Yes No N/A GT use 1 If leased when does the lease termnate? what s the lease payment? $ per month per annum 2 If owned, provde the latest rateable or ndependent valuatons: date land value value of mprovements v valuaton prepared by 3 Advse whether you have entered nto an agreement to buy or sell property durng the year wth settlement occurrng after balance date. Attach detals. Your busness nformaton

8 9 Investments Yes No N/A GT use 1 Provde full detals of: all funds placed on depost loans made by the busness durng the year resdent wthholdng tax (RWT) certfcates of nterest receved. If none have been provded by your bank please request a copy from them v any government stock or local body debentures or bonds v dvdends receved ncludng dvdends from power companes v any funds n portfolo nvestment enttes (PIEs) and the prescrbed nvestor rate (PIR) used 10 Overseas holdngs Yes No N/A GT use 1 Provde full detals of any holdng n offshore enttes, eg bank accounts, credt cards, superannuaton schemes, unt trusts, lfe nsurance polces, shares n overseas companes, loans to foregn enttes. Note: If you have offshore nvestments we wll need to contact you n relaton to applyng the foregn nvestment fund (FIF) rules. 11 Loans and borrowngs/overdrafts Yes No N/A GT use 1 Provde closng statement or summary of actvty for all busness loans. 2 Provde detals of how borrowngs/overdrafts are secured (over what assets, etc). 3 Advse f any new borrowngs ths year. If yes, provde a copy of the agreements. 4 Advse full detals of loans settled durng the year. 12 Hre purchase/leases Yes No N/A GT use 1 Provde detals of hre purchase agreements entered nto durng the year. 2 Provde detals of hre purchases settled durng the year. 3 Provde detals of non-cancellable leases. 8 Your busness nformaton 2015

9 13 Rental allowance for home offce and storage Yes No N/A GT use 1 Dd you use part of your resdence for busness purposes? If yes, provde detals of GST nclusve outgongs durng the year: home phone lne rental and advse who makes the payment $ power/gas $ mortgage nterest (excludng prncpal repayments) $ v nsurance: - buldngs $ - contents $ v rates $ v water rates $ v repars and mantenance (please provde detals) $ v f rented, total rent pad $ x other $ $ 2 Is your house owned by a trust? 3 If you have not clamed before, provde: orgnal purchase prce of home ncludng legal fees and date of acquston cost of addtons snce purchase and dates of addtons government or ndependent valuaton nearest purchase date showng splt between: Land value: $ Value of mprovements: $ v type of constructon eg wooden, brck, stucco v area of room n house used as an offce v area of garage used for busness v total area of house (excludng garage) v total area of garage 4 If you have changed homes durng the year, advse the above detals separately for each and the date you shfted. 5 If you commenced or ceased rentng durng the year, provde detals of the dates. Your busness nformaton

10 14 Shareholder/propretor adjustments Yes No N/A GT use 1 Busness accounts pad personally - provde a full lst (GST nclusve). 2 Vehcles for prvate use (self employed only) - provde detals of the percentage of prvate use of vehcles as supported by your log book. 3 Goods or servces (ncludng stock) taken for own use - provde detals of all goods and servces taken for personal use, ncludng value at cost. 4 Goods or servces (ncludng stock) suppled to shareholders or employees for less than market value? Provde detals: 15 Wage records and ACC Yes No N/A GT use 1 Please provde us wth your ACC number: 2 We need to reconcle your wage records to your fnancal statements. Provde the followng: IR345 employer deductons IR348 employer monthly schedules for the fnancal year to balance date 3 Provde copes of all Accdent Compensaton Corporaton nvoces ssued to you by the ACC durng the year. 16 Look through company (LTC) If the company s an LTC, please provde detals of any debt securty n place ncludng the name of the party or partes securng the debt, what debt has been secured and the type of securty n place. We need ths nformaton to determne the extent of the LTC losses clamable under the new LTC rules. 17 Other nformaton Yes No N/A GT use 1 Legal expenses - provde copes of solctors settlement statements and nvoces for all legal transactons. 2 Dvdend or nterest RWT/NRWT pad - f you have pad resdent and/or non-resdent wthholdng tax, provde copes of the followng: IR15 - RWT certfcate IR15P RWT payment slp IR15S RWT reconclaton 10 Your busness nformaton 2015

11 17 Other nformaton (contnued) Yes No N/A GT use v IR67 - NRWT certfcate v IR67P NRWT payment slp v IR67S NRWT reconclaton v IR4K dvdend RWT payment slp 3 Entertanment expenses - most entertanment expenses are restrcted to 50% deductblty for tax purposes. However, some are stll fully deductble or qualfy for a partal exempton eg overseas expendture on entertanment, busness travel expendture. Provde full detals: 4 Dd you make any payments to non-resdents? For example, an offshore nsurance company, royalty payments, dvdends, nterest, contract payments for servces to non resdents, rental of overseas equpment. Advse full detals: 5 Have any employees been workng overseas for the busness durng the year? Or has the busness had offshore employees workng n New Zealand durng the year? If yes, gve bref detals: 6 has there been any change n the nature of your busness snce last balance date? are there any materal events subsequent to balance date? f yes, lst bref detals of changes or events: 7 Are there any contngent labltes (a possble oblgaton arsng from events before balance date?) If yes, advse: 8 Have drectors meetngs been held durng the year? If yes, state n whch country they where held f not New Zealand: 9 If a company, has there been any change n the shareholdng? If yes, provde detals of who the new shareholders are, who the old shareholder was, number of shares and a date change: 18 Notes please provde any other nformaton you consder relevant Your busness nformaton

12 Auckland L4, Grant Thornton House 152 Fanshawe Street Auckland 1140 T +64 (0) F +64 (0) E Wellngton L15, Grant Thornton House 215 Lambton Quay Wellngton 6143 T +64 (0) F +64 (0) E Chrstchurch L3, 2 Hazeldean Road Addngton Chrstchurch 8024 T +64 (0) F +64 (0) E Grant Thornton New Zealand Ltd. All rghts reserved. Grant Thornton refers to the brand under whch the Grant Thornton member frms provde assurance, tax and advsory servces to ther clents and/or refers to one or more member frms, as the context requres. Grant Thornton New Zealand Ltd s a member frm of Grant Thornton Internatonal Ltd (GTIL). GTIL and the member frms are not a worldwde partnershp. GTIL and each member frm s a separate legal entty. Servces are delvered by the member frms. GTIL does not provde servces to clents. GTIL and ts member frms are not agents of, and do not oblgate, one another and are not lable for one another s acts or omssons.

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