Example AIIR spreadsheet file continued…… G H I J K L M 12 Non investor tax identification number Individual investor surname Individual investor first given name Individual investor second given name Individual investor date of birth (DDMMCCYY) Sex Non-individual investor name 13 Ainsleigh M 15031957 F 14 Bronwyn 17021963 F 15 25121960 M 16 Keagan Ace Constructions Pty Ltd N O P Q R S T 12 Australian address line 1 Australian address line 2 Australian suburb, town or locality Australian or territory Australian postcode Investor daytime contact telephone number Date of change of residency status from to (DDMMCCYY) 13 NSW 2060 14 Artarmon NSW 2064 15 Artarmon NSW 2064 16 Level 1 TAS 7000 U V W X Y Z AA AB AC 12 Overseas address line 1 Overseas address line 2 Overseas suburb, town or locality Overseas state or province Overseas postal code Overseas country Non-resident investor overseas country code Date of change of residency status from non-resident to resident (DDMMCCYY) Non-resident investor country of residence for tax purposes 13 14 15 16
Example AIIR spreadsheet file continued…… AD AE AF AG AH AI AJ AK AM AN 12 *Investment reference number Customer reference number Account reference number BSB number *Account name *Number of investors in the account *Number of investor records provided *Date of payment (DDMMCCYY) *Type of investment *Type of payment Term of investment 13 1001 1234 1 1 30062014 1 INT 14 1002 MA01 1234 Bronwyn and 2 2 30062014 2 TDP 15 1002 MA02 1234 Bronwyn and 2 2 30062014 2 TDP 16 1003 1234 Keagan Ace Constructions Pty Ltd 1 1 30062014 5 UTD AO AP AQ AR AS AT AU AV AW 12 TFN withholding tax deducted TFN withholding tax refunded Non-resident withholding amount deducted (cents) Non-resident withholding amount refunded Cash or non-cash value of an investment related betting chance prize (cents) Interest (cents) Unfranked dividends not declared to be conduit foreign income Unfranked dividends declared to be conduit foreign income Franked dividends 13 150000 14 200000 15 200000 16 300000 213300 102700 AX AY AZ BA BB BC BD BE BF 12 Franking credit (cents) Other taxable Australian income (cents) Non-primary production income (cents) Other deductions relating to distributions (cents) Capital gains discounted method (cents) Capital indexation method (cents) Capital gains other method (cents) CGT concession amount Net capital gain 13 14 15 16 44010 630000 1020000 7000 8500 7000 15500 Example AIIR spreadsheet file continued……
BG BH BI BJ BK BL BM BN 12 Total current year capital gains (cents) Taxable foreign capital gains (cents) Assessable foreign source income Other net foreign source income (cents) Foreign income tax offset (cents) Australian franking credits from a franking company (cents) Tax-exempted amounts Tax-free amounts (cents) Tax-deferred amounts (cents) 13 14 15 16 22500 7500 4500 9000 BP BQ BR BS BT BU BV 12 Other allowable trust deductions (cents) Share of credit for amounts withheld from foreign resident withholding (cents) Share of credit for tax paid by trustee (cents) Non-resident beneficiary ss98(3) assessable amount (cents) Non-resident beneficiary ss98(4) assessable amount (cents) Interposed entity name Interposed entity TFN or ABN 13 14 15 16 60000 BW BX BY BZ CA 12 Managed investment trust fund payments (cents) Amounts withheld from managed investment fund payments (cents) Share of National rental affordability scheme tax offset (cents) Primary production income (cents) Share of credit for tax withheld where ABN not quoted (cents) 13 14 15 16 Example AIIR spreadsheet file continued……