Financial Statements Questionnaire 2011
Ensure this questionnaire is completed and included with your records
Name Email Home: Email Work: Fax:
Terms of Engagement
Balance Date
Phone Home: Phone Work: Mobile:
I/We hereby instruct you to prepare my/our Financial Statements and Taxation Returns for this year from the information and records I/We have supplied to you. I/We accept responsibility for the accuracy and completeness of all records and information supplied to you. You are hereby authorised to communicate with my/our bankers, solicitors, finance companies, and any other business that I/We deal with to obtain such information as you require in order to complete the above duties. Signature ___________________________________________________ Date _______________________
Convenient time to call you is: Would you like us to supply a copy to your bank? Yes No (Tick One)
Records Required
Bank Statements, Cheque butts, Cash books, etc
Where no Cashbook is supplied, please provide and include one month past balance date: Bank statements including any savings account or term deposit Cheque & Deposit butts showing the nature of each payment/deposit Receipt books. Make sure any items not for business sales are clearly marked Suppliers invoices filed in cheque number order Where you supply a written Cashbook, please provide and include one month past balance date: Cashbook, written up, analysed and reconciled to the bank statements monthly Bank statements including any savings account or term deposit Cheque & Deposit butts showing the nature of each payment/deposit Where you supply a computerised Cashbook, please provide: Backup disk (USB or CD) as at the end of financial year or email files to us Copy of Bank Reconciliation as at balance date for all bank accounts Final Bank Statement for year for all bank accounts Transaction Listing for Accounts Payable and Accounts Receivable as at balance date
Comment
Loan Statements
Supply a copy of any loan transaction statements for the financial year up to your balance date. Please advise overdraft interest rate at balance date _______ % Please advise interest rate and term of loan at balance date _______ % term of loan ________ _______ % term of loan ________
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Employers Wages paid to Employees
Supply a copy of your Employer Monthly Deduction Schedule (IR 348). OR Supply wage book/wage records
Fringe Benefit Tax (FBT) Returns
Supply copies of Fringe Benefit Tax (FBT) returns and work papers.
Goods & Services Tax (GST) Returns
Supply copies of Goods & Services Tax (GST) Returns and work papers.
Interest and Dividend Certificates
Supply copies of certificates.
Accounts Receivable (Debtors) see attached Schedule 1
All accounts or amounts owing to you at balance date should be scheduled. Exclude any bad debts. To enable bad debts to be excluded from income, these must be written off prior to balance date.
Total at Balance Date: $ ____________________ GST Included Excluded
Accounts Payable (Creditors) see attached Schedule 2
All accounts or amounts owing by you at balance date should be scheduled indicating name of creditor, amount and what the debt is for. Alternatively, mark on cheque butts or highlight in cash book those items in the month following your balance date, which should be included. Holiday pay or bonuses paid within 63 days of your balance date may be included.
Total at Balance Date: $ ____________________ GST Included Excluded
Cash on Hand
*Cash on Hand Petty Cash Till Floats/Cash Floats
$______________ $______________ $______________
Date banked __/__/__
*(Include cash sales prior to balance date but not banked until after balance date)
Stock on Hand
Stock Stock should be physically counted at balance date and adequate records retained to substantiate the dollar value arrived at. Please note that if you estimate your stock to be less than $10,000 at the end of your income year, you may have the option of not physically counting your stock. In these circumstances we will assume that your closing stock is the same as your opening stock. Please indicate if you would like to use this option. (Please note that if your annual turnover is more than $1.3million, you are not able to use this option). Work in Progress Include material costs, labour costs and overhead costs. Prepayments received $_______________ GST Included Excluded
$______________ GST Included Excluded
$______________ GST Included Excluded
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Capital Expenditure see attached Schedule 3
Attach details of assets purchased or sold during the year such as motor vehicles, plant and equipment and properties. Where applicable please provide the following details: Hire Purchase or loan agreements Lease agreements All legal statements and agreements Trade-in details Lost, stolen or scrapped items Copy of Tax Invoices
Transactions Not Through the Business
Were all sales banked into your business trading bank account? Yes No
If No, list amounts not banked and when they were lodged: ________________________________________________________________ ________________________________________________________________ ________________________________________________________________
Personal Business Other bank accounts
$____________ $____________ $____________
Legal and Loan Documents
Please attach any solicitor's statements and Sale and Purchase Agreements relating to any legal transactions during the year. Please also include Statements and Agreements relating to any mortgages, hire purchase, leases or loans. Please include a copy of your latest Rateable Valuation for any properties you own.
Private Use
Value of goods taken for private use at their cost price. Telephone & Tolls please list value of private tolls $______________ $______________ GST Included Excluded
Expenses paid in Cash or from Personal Funds
Please provide a list if applicable.
Motor Vehicles
The proportion of motor vehicle business use as established by your vehicle log book(s) is/are: Vehicle Description: ______________________ Business ______ Total ______ Percentage Business ______ km km %
Home Office Expenses
If part of your home is set aside principally for use as an office/workshop/storage area, please provide the following details: Business Area: Total Area:
___________ m
_________ m
Power Insurance (Contents) Insurance (Building) Interest (House Mortgage) Rates Repairs & Maintenance Other Total
$______________ $______________ $______________ $______________ $______________ $______________ $______________ $______________
Vehicle Description: ______________________ Business ______ Total ______ Percentage Business ______ km km %
Please note that a detailed and accurate log book must be completed for a three month period every three years or vehicle expense claims will be limited to a maximum of 25% of expenses incurred If you are operating as a Company, please indicate which vehicles you are currently paying Fringe Benefit tax for: _____________________________________________ _____________________________________________
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TRUSTS ONLY
Legal and Loan Documents
Please attach any solicitor's statements and Sale and Purchase Agreements relating to any legal transactions during the year. Please also include Statements and Agreements relating to any mortgages, hire purchase, leases or loans. Please include a copy of your latest Rateable Valuation for any properties you own.
Gifting Programme
Please advise the date of gifts made to your trust during the Financial Year. If you have copies of the gifting documentation from your solicitor, please attach this. Date of Gift ______________
Major Transactions
Please provide a list of any major transactions that have occurred during the Financial Year that affect the Trust. _____________________________ _____________________________ _____________________________ _____________________________
Thank you for completing this questionnaire Don't forget to sign it
Client Business 11.doc
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Schedule 1 Accounts Receivable (Debtors) Amounts owing to you at Balance Date
Name
Name of Debtor
Description of Sale
Code
Total Incl GST
GST
Net Amount
Totals
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Schedule 2 Accounts Payable (Creditors) Amounts owing by you at Balance Date
Name
Name of Creditor
Description of Goods
Code
Total Incl GST
GST
Net Amount
Totals
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Schedule 3 Asset Purchases/Sales
Name
PURCHASES
Date Asset Description New/Used Price (excl GST) Paid for by
EXAMPLE ONLY 20 April 2010 31 January 2011 NOTE
(Put your purchases below the shaded line) iPhone 3GS BMW Car (Regn BMW001) Please attach copies of Hire Purchase forms.
New Used
1,200.00 25,000.00
Cash Hire Purchase
SALES
Date Asset Description Price (excl GST) Trade in/ Cash/Other
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