BUSINESS CHECKLIST

DETAILS FOR THE TAX YEAR

(Completed form must be signed and returned with all relevant information attached)

Name: ______

Contact Name and Phone No: ______

Email Address: ______Mobile Phone:______

TERMS OF ENGAGEMENT

I instruct Simpsons Chartered Accountants Ltd to prepare Financial Statements and Tax Returns from the information and records I have supplied and to sign the completed tax return as a true and correct return on my behalf as agent. I do not wish you to complete an audit or review, and accordingly will not result in the expression by you of an opinion on the Financial Statements. I accept responsibility for the accuracy and completeness of all records and information supplied, and undertake to review the completed return and advise you of any errors or omissions within 10 days.

Simpsons Chartered Accountants Ltd are hereby authorised to act as our agent for all tax types (except Child Support) with the IRD, and to obtain information through all channels from IRD, ACC, other government agencies and financial institutions as they may require in order to carry out the above assignments.

I understand that payment of our invoice is due 20th of the month following date of invoice. Any late payment will be subject to an interest charge at the rate of 1.2 % per month until paid in full. I accept that any collection costs incurred by Simpsons Chartered Accountants Limited will be fully recoverable from me.

Signature Date

KEY INFORMATION REQUIRED

1. Accounts Receivable as at balance date (Amounts due to you by Customers).

Please list on enclosed schedule 1 excluding bad debts written off. $______

(Include GST)

2.  Bad Debts Written Off.

These must be written off prior to balance date to claim this year. $______

(Include GST)

3. Accounts Payable as at balance date (Amounts owing by you to suppliers). $______

Please list on enclosed schedule 2. (Include GST)

4. Stock on Hand at balance date. $______

Detailed stock sheets must be kept to substantiate this figure. (Exclude GST)

Value at cost.

5. Work in Progress, where applicable $______

To be valued at balance date to include materials, labour and (Exclude GST)

direct overhead cost (freight etc).

Fixed Assets

a) Assets Purchased

Has any vehicle, machinery, plant or land & buildings been purchased or leased during the

year? Please enclose hire purchase or lease agreements.

Date Asset Purchased From Cost

$

$

$

$

b) Assets Sold or Traded in (land, buildings, plant, vehicles, machinery etc).

Date Asset Sold To Sale Price

$

$

$ $

$

OTHER INFORMATION REQUIRED

1. Cheque Butts for the full year. Note: Each butt should show the nature of the payment. Any private payments should be noted as such.

2. Bank Statements for the full year for all bank accounts that were used for any business transactions. This includes credit card accounts, Farmlands accounts and other charge card accounts.

3. Bank Deposit Records for the full year. Note: Every deposit which is not a normal business sale (e.g. private lodgement, sale of fixed asset, dividend, interest, rent, rebate or loan) should be clearly marked.

4. GST Returns and Worksheets for the full year, including any return straddling balance date.

5. Computerised or Manual Cash Book that has been reconciled to bank statements. (Supply a paper copy and a CD or Flash Drive).

Name of Computer Programme

6. Unbanked sales on hand at Balance Date (include GST) $______

7. Were all takings banked in full to your business account? YES / NO

If not, supply details of the amount and what it was used for.

8. Cash Float (if any). $______

9. Annual or monthly Mortgage and Loan Statements

Please attach statement confirming interest paid and balance owing at balance date.

10. Have you borrowed or lent any money during the year. YES / NO

If yes, supply copies of the agreements (if any).

(Please advise the security provided).

11. Solicitors' Statements if you have dealt with any legal transactions during the year (e.g. sale or purchase or properties, raising or releasing mortgages, litigation). Please include copies of all statements and relevant documents including accounts for legal fees.

12. Wage Reconciliation. Please attach the wage book and your copy of the monthly PAYE pay in slips for the full year.

13. ACC Premium Invoices

Please include invoices if you would like us to check the amount of the premiums charged.

14. Motor Vehicles

a) Do you have motor vehicles made available to self-employed, employees, directors or shareholders? YES/NO

b) Percentage of private motor vehicle running substantiated by your log book

(three month period every three years must be kept). Business ______

Private ______

TOTAL 1 0 0 %

15. Private Usage (include GST)

a) Your estimate of the value of business goods taken for private use $______

at cost price (per week/year)

b) The cost of private toll calls included in your business telephone payments $______

16. Claims for other expenses

List any items which may be claimed that were paid from another source e.g. cash, credit card or personal account.

______

______

______

17. Use of Home for Business Purposes.

Please supply the total amount of expenditure incurred on your home:

(If paid from business account these should be clearly identified)

Rates $ ______Insurance $ ______

Interest on Mortgage $ ______Repairs $ ______

Electricity & Heating $ ______Telephone Rental $ ______

Business Toll Calls $ ______Other e.g. Improvements $ ______

(Invoices should be available if required) Total Area of Home ______

Area used for Business ______

18. Beneficiaries Expenses

List any expenses for beneficiaries not paid through the Trust bank account.

19. Personal Information. Amount of interest and dividends received. (Attach advice slips)

Income Protection Insurance paid. Any personal relationship changes.

20. Working for Family’s Tax Credits. Please provide details of changes, ie: birth of a child (birth certificate or IRD number), date of a child leaving school, any child support paid or received and money received from family members.

21. Donations Claim Form (IR526)

Please attach donation receipts for schools and charities, if not already claimed.

22. Overseas Income

Please provide details of any

·  Interest, dividends and employment income

·  Overseas bank accounts including debit or credit cards

·  Overseas life insurance policies or super schemes

·  Shareholding in an overseas company

·  Interests in an overseas entity (including estates)

23. Has the nature of the business changed at all in last 12 months?

If yes, details please. YES / NO

Thank you for completing this questionnaire

Don't forget to sign on the front page

SIMPSONS

CHARTERED ACCOUNTANTS LTD

P O Box 78, Invercargill