PART A Electronic Lodgment Declaration (Form I)
This declaration is to be completed where a taxpayer elects to use an approved ATO electronic channel. It is the
responsibility of the taxpayer to retain this declaration for a period of five years after the declaration is
made, penalties may apply for failure to do so.
Tax File Number Year of return 2018
Name Aminuddin
Muhammad Afiq
Total Income or Loss 7772 Total Deductions 0
Total Tax Withheld 2526.00 Total Tax Offsets 0
Total Credits 0.00 Taxable Income 7772
Privacy
The ATO is authorised by the Taxation Administration Act 1953 to request your tax file number (TFN). We will use your
TFN to identify you in our records. It is not an offence not to provide your TFN. However, you cannot lodge your income
tax form electronically if you do not quote your TFN.
Taxation law authorises the ATO to collect information and to disclose it to other government agencies.
For information about your privacy go to ato.gov.au/privacy.
Electronic funds transfer - direct debit
Where you have requested an EFT direct debit some of your details will be provided to your financial institution and the
Tax Office's sponsor bank to facilitate the payment of your taxation liability from your nominated account.
Declaration
I declare that:
* the information provided to my registered tax agent for the preparation of this tax return, including any applicable
schedules is true and correct, and
* the agent is authorised to lodge this tax return.
Important: The tax law imposes heavy penalties for giving false or misleading information.
Signature Date
PART B ELECTRONIC FUNDS TRANSFER CONSENT
This declaration is to be completed when an electronic funds transfer (EFT) of a refund is requested and the tax
return is being lodged through an approved ATO electronic channel.
The declaration must be signed by the taxpayer prior to the EFT details being transmitted to the Tax Office. If you elect
for an EFT, all details below must be completed.
Important: Care should be taken when completing EFT details as the payment of any refund will be made to the
account specified.
Account name: Baker Hughes Australia Pty Ltd
I authorise the refund to be deposited directly to the specified account as above.
Signature Date
Complete - 0064 04/09/2018 : 07:51
PART D Tax Agent's Certificate (shared facility users only)
We, MOORE STEPHENS (WA) PTY LTD declare that:
* We have prepared this tax return in accordance with the information supplied by the taxpayer
* We have received a declaration made by the taxpayer that the information provided to us for the preparation
of this document is true and correct, and
* We are authorised by the taxpayer to lodge this tax return and any applicable schedules that are attached.
Agent's Signature Date
Agent's phone 08 92255355 Client's reference BAK920J
Agent's Contact Name Chris Dickie
Agent's reference number 62509000
Complete - 0064 04/09/2018 : 07:51
Moore Stephens (WA) Pty Ltd
Substantiation Declaration 2018
I confirm that I have been advised by you of the requirements that must be satisfied before an expense is
considered to have been incurred for deductible purposes, together with satisfying the SUBSTANTIATION
requirements in relation to:
* work related expenses
* car expenses, and
* business travel expenses
In addition, I have been informed by you of the need to OBTAIN ORIGINAL RECEIPTS for deductible expenses I
wish to claim. I have also been informed of the need to keep my original receipts for a minimum of five years
from the date of lodgment of my return carrying details of:
(1) Name of supplier;
(2) Amount of expense;
(3) Nature of goods and services (noting the specific type of items purchased or expenditure incurred which
I am able to personally record up to the date of lodgment of my return where not adequately noted by the
supplier);
(4) Date of expense (which I am able to personally record where not noted by the suppliers); and
(5) The date of the documents.
Penalties to apply with incorrect returns
I have also been advised by you of the additional tax, penalty charge, general interest charge and possible
prosecution action which could be initiated by the ATO if I lodge an incorrect tax return.
Income from all sources in and out of Australia for the year of income
You have advised me that I cannot make claim for an amount which is not allowable for income tax purposes and
that I must declare income from all sources, in and out of Australia, including net capital gains received for
the year of income in my return.
Apportionment
Where items are used for both business and private purposes e.g. car, mobile telephone, home telephone,
computer, etc. I advise I have kept appropriate apportionment documents to verify my business usage claim. I
can also confirm that my employer will acknowledge that it was necessary for me to incur such expenditure in
earning my income. Further, I have instructed you to prepare the return based on my specific instructions on
the understanding I will be able to produce such information to the satisfaction of the ATO if called upon in
an audit situation.
Audit matters
I further confirm that I am also aware:
1. of the procedures to follow if a document is lost or destroyed;
2. that I may be required to verify any income or expense item noted in my return in an audit situation, and
3. that I understand the Substantiation schedule I should complete for all work, car and travel expense
claims under self-assessment, and
4. I have read and understood the return prepared for me.
I declare that:
a) I have disclosed and you have returned all the income, including net capital gains, which I have
earned/derived/received for the 2017-18 income year.
b) All the claims for deductions and rebates which have been included in the return are based on my specific
instructions and advise that I satisfy the relevant taxation requirements relating to income, expenses and
rebates.
c) That, if in any case, I did not have the receipts to substantiate the above claims at our interview, I
confirm to be in existence prior to lodgment of this return, I will make them available if required by the Tax
Office; and
d) That you have clarified what written evidence, including car/travel records will be required during an
audit and penalties (including prosecution) that may be applied if incorrect claims are identified in an audit
situation.
___________________________ ___________________________ / /
Signature of Taxpayer Name Print Date
Sensitive (when completed)
Complete - 0064 29/08/2018 : 14:46
