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ITP NO - STRESS, FULL ADVISORY, ASSISTED TAX PREPARATION SERVICE- Answer as many questions as you can and then your friendly ITP Tax Consultant will help you out - You are under no obligation to proceed until you accept our quotation.

Note-Only questions with an asterisk (*) are compulsory.

Note-In lieu of filling out parts of this form, you can attach the relevant source documents. i.e previous year tax return, payment summaries, expense schedules, spreadsheets, share trading details etc. If you wish to send more than one file, we suggest you prepare them now by enclosing them in a folder (2.5MB limit) on your computer's desktop. When all files are in the folder, zip or compress it and attach it to this form. Note - there is a file attachment question and 'choose file' button at the start of the form.

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Would You Like to Attach a File? Your Family Name: * Your Given Names: * E-mail Address: * Your Birth Date dd/mm/yyyy * Your Street Address * Your Suburb * Your State * NSW VIC QLD SA WA TAS ACT NT OTHER Your Post Code * Did You Use ITP-The Income Tax Professionals For Your Last Tax Return ? * Yes No Your preferred contact phone number * Your Gender Male Female Your Marital Status ChooseMarriedDe-FactoNot married If Married or De-Facto, Your Spouses Details spouses full name, DOB (dd/mm/yyyy), income earned$ Has Any Part of Your Name Changed? Yes No If Yes, What WasYour Former Name? Home Phone Number (include area code) Work Phone Number Mobile Phone Number Facsimile Number (include area code) Your Occupation Details of any PAYG Salary/Wages Payment Summaries? List for each summary - your occupation, tax year paid, start date, end date, payers name, payers ABN or withholding number, gross amount $, tax withheld $ Details of Any Allowances, Earnings or Fees ? List - payers name, payers ABN or withholding number, gross amount $, tax withheld $ Details of Any Reportable Fringe Benefits ? List - payers name, payers ABN or number, amount $, Details of Any Newstart / Abstudy / Youth Allowance ? List - payers name, payers ABN or number, gross amount $, tax withheld $ Details of Any Australian Pensions ? List - payers name, payers ABN or number, gross amount $, tax withheld $ Details of Any Foreign Income, Including Pensions ? List - payers name, your account number, amount $ Details of Any Lump Sum Payments Received ? List - payers name, payers ABN or number, type 1 or type 2 , gross amount $, tax withheld $ Details of Any Interest Received ? List - payers name, last 3 digits of your account number, amount $ Details of Any Dividends Received ? List - share name, number of shares, dividend amount $ $ Details of Any Work Related Deductions ? - note, receipts required if > $300 list - type of deduction, amount $ - note that work uniforms generally must have logos. > Details of Any Donations to Approved Charities ? List - charity name, amount $ Details of Any Motor Vehicle Expenses for Work Related Purposes? Type of vehicle, model, year, engine size cc, total km, work related km Details of Any Private Health Cover? List provider, type of membership, membership number, amount paid, months covered Are You Entitled to Medicare Benefits? Yes No If No, Have you Applied for a Medicare Levy Exemption? Yes No Do You Have HECS Debt or Student Loans? Yes No Details of Any Dependent Children? List full name, DOB (dd/mm/yyyy), Months dependent during year Any Child Support or Maintenance Arrears? Yes No Are You Receiving Family Assistance? Yes No Details of Any Out of Pocket Medical Bills Over $2,000? List - person treated, type of expense, gross amount paid $ Any Investment property / Rental Income ? ChooseNoneFrom one propertyFrom two propertiesFrom three propertiesFrom more than three properties Have You Sold Any Investment Property Yes No Have You Sold Any Shares? Yes No Any Superannuation Contributions if Self Employed or Unsupported? Yes No Do You Have Any Business Income? Yes No Do You Have Any Partnership or Trust Distributions?: Yes No Are You a Primary Producer? Yes No Did You Work in a Remote Area During The Year? Yes No What Year Was Your Last Tax Return Has Your Address Changed Since Your Last Tax Return?: Yes No How Many Years Tax Returns Do You Wish to Prepare? ChooseOne yearTwo yearsThree YearsFour YearsFive YearsSix YearsSeven yearsEight YearsNine yearsMore than nine years What Was Your Cost of Tax Preparation Last Year ? - You can claim this expense this current year Is There Anything Else You Would Like to Tell Us? please type here How Did You Find Out About Our Assisted Online Service?: A Google search Another search engine Through the ITP national website Newspaper advertising Television advertising From a friend, family member or colleague Other How Would You Prefer To Pay For Your Tax Return? ChooseTake the fee from my refund (Trust Account admin fee will apply)Credit Card (Amex, Visa, Mcard)PAYPALBank transfer Definition Of a Normal Taxpayer - This Is Needed For the Next Question. A normal taxpayer can have wages, salary, other payment summary related income, bank interest, share dividends, trust distributions etc. Expenses include work related expenses (including car), private health insurance, spouse deductions, education expenses, out of pocket medical expenses, & remote area work. In submitting this form I confirm that the information I provide is / will be a true representation of my tax situation and I appoint ITP as my Tax Agents by the following electronic signature and authorise them to confirm the validity of the information provided. * Please electronically sign by typing your full name and date of birth (dd/mm/yyyy) > Your Approval To Proceed? * I am a normal taxpayer as defined above - prepare my tax return at ITPs most competitive rate. Do not proceed - I would like a quotation please. Verification Code: Enter Verification Code: * * Required

ITP's Guarantee - Every aspect of a client's tax return will be held in strict confidence. Every return will be prepared by an ITP specialist consultant and double checked prior to lodgement. Every legitimate deduction or rebate will be claimed. If we make an error that results in additional tax or penalties imposed by the ATO over and above your correct position we will pay that penalty or interest. Throughout the year, clients can discuss with us all matters relating to their personal taxation affairs without charge.