Online Form
Annual Individual Questionnaire Checklist

Important Note for Users

While completing this form, if you find that you do not have all the necessary information at hand, you can select the “Save and Continue” option located at the bottom of the form.

You will be prompted to enter your email address, and a link will be sent to you, allowing you to return and complete the form later. Please note you will have a maximum of 30 days from the date of your first “Save and Continue” to submit the completed form. We recommend saving your progress regularly to avoid losing any entered information.

Individual Questionnaire

Name(Required)

First Last

Email(Required)

Financial Year Ending(Required)

Please complete if there have been any changes to your contact details:

Contact Person

Email Address

Phone

Mobile

Physical Address

Postal Address

Terms of Engagement

I hereby instruct ABA Chartered Accountants Limited (ABA) to prepare my Financial Statements and/or Income Tax Returns for the financial year indicated above. I undertake to supply all information necessary to carry out such services and will be responsible for the accuracy and completeness of such information.

I accept responsibility for the accuracy and completeness of the information supplied in this questionnaire which is to be used in the preparation of my Financial Statements and/or Income Tax Returns. You are not to complete an audit, nor do I wish you to undertake a detailed review of my affairs in order to substantiate the accuracy of my information, and therefore you are not asked to provide any assurance on my Financial Statements. I understand your work cannot be relied on to detect error and fraud and that you accept no liability for the accuracy and completeness of the information supplied by me. I further understand that the Financial Statements will be prepared at my request and for my purposes only and that you will not be liable for any losses, claims or demands by any third person.

I also accept responsibility for all other records and information supplied to you other than those listed above. I accept responsibility for any failure by me to supply all relevant records and information to you.

I acknowledge that any interest, penalties and/or additional taxes charged by the Inland Revenue Department that arise from the supply of incomplete information to ABA shall be my responsibility.

I hereby authorise ABA to obtain from any third party any records or information ABA requires for the purpose of preparing my Income Tax Returns and accordingly, any third party is authorised to provide ABA with information required.

All other terms and conditions of this engagement are the same as those referred to in the original Engagement Letter I/we signed when I/we became a client.

For ABA to start preparing your Financial Statements and/or Income Tax Returns, please complete and submit this form.

The following questions collect the information we will need to complete your tax return.

Please provide as much information as possible.

Interest Income

Do you receive interest income?(Required)

Yes

Please upload interest certificates showing interest earned and RWT deducted

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Max. file size: 512 MB.

Dividend Income

Do you receive dividend income?(Required)

Yes

Please provide a copy of all Dividend advice notices for all dividends received from New Zealand companies. These should also include advice notices where shares have been received in lieu of dividends as well as bonus issue details.

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Max. file size: 512 MB.

Please provide relevant statements of shares sold and purchased during the year.

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Max. file size: 512 MB.

Please provide details of any alteration in shares owned including any company restructuring.

You can also upload documentation below.

Please upload details of any alteration in shares owned including any company restructuring.

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Max. file size: 512 MB.

Overseas Income

Do you receive any overseas income?(Required)

Yes

Please provide full details and schedules of any overseas income received and any related overseas tax credits.

Include overseas pensions and/or lump sum transfers from an overseas pension fund, overseas rental income & expenses and overseas share investment including dividends.

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Max. file size: 512 MB.

Overseas Investments or Superannuation

Do you own any overseas investments or superannuation?(Required)

Yes

Please provide details of any overseas investments sold or purchased during the year (shares, tax statements of portfolio investments, etc.)

(shares, tax statements of portfolio investments, etc).

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Max. file size: 512 MB.

Please provide details including name of company/ fund, numbers of shares owned at the beginning of the financial year, the market value at that date, shares purchased and sold during the twelve month period, details and number of shares owned at the end of the financial year and their market value at that time and any local tax deducted.

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Max. file size: 512 MB.

Please provide details and documentation for all bank accounts denominated in foreign currency and all off-shore non-equity investments and loans.

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Max. file size: 512 MB.

Please provide details, including advice notices, of income received from overseas investments. If any of the income was banked into a New Zealand bank account(s) please advise the exchange rate which it was converted at.

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Max. file size: 512 MB.

Please provide details of any expenses paid to people or businesses who are not New Zealand residents.

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Max. file size: 512 MB.

Please provide details of ANY foreign investments that you hold, whether or not you earned income from them.

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Max. file size: 512 MB.

Please provide details of any Foreign Investment Fund (FIF) income. Include advice notices and statements.

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Max. file size: 512 MB.

For investments held in overseas entities please provide the following records:

Name of Investment

No. of share/units held

Market value of each investment as at balance date

Cost of each investment

Portfolio Investment Entities (PIE)

Do you have any Portfolio Investment entities (PIE)?(Required)

Yes

Please provide details of any Portfolio Investment Entity (PIE) income. Include advice notices and statements of any funds in PIE and the prescribed investor rate (PIR) used

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Max. file size: 512 MB.

Please provide all the relevant information submitted by the financial planner/bank etc to you which identifies the opening balance, movements in the twelve month period, income received, market value of the Portfolio Investment at balance date and deductible fees incurred.

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Max. file size: 512 MB.

Rental Income

Did you receive any rental income?(Required)

Yes

Are you on Xero?(Required)

By selecting Yes, you are confirming that ABA receives your bank data for the rental property during the year.

Yes

Please provide bank statements for the full year

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Max. file size: 512 MB.

Please provide a copy of your cashbook (if you have one)

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Max. file size: 512 MB.

Please provide copies of your loan statements showing interest paid, principal paid and closing balances of loan at Balance Date.

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Max. file size: 512 MB.

Please provide copies of your property management statements (if any).

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Max. file size: 512 MB.

Please provide detailed settlement statements if rental properties were purchased or sold during the financial year and also a copy of the latest rates statement.

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Max. file size: 512 MB.

Did you receive any income from boarders?(Required)

Yes

How many boarders did you have?(Required)

Please provide details on how much they paid per week:(Required)

Please enter the total amount received by you this financial year:(Required)

Mixed Use Assets

You have a mixed-use asset if, during the tax year, it's used for both private use and income earning use, and it's also unused for 62 days or more. The rules apply to any:

- property, regardless of cost price or current value e.g. a holiday home.

- aircraft or boat which had a cost or market value of $50,000 or more when you bought it.

Please note “private use” of an asset is by you, your family or associated people. It can also include when the asset is used by a non-associated person who pays you at less than 80% of market rate.

Do you have any assets (such as a holiday home, boat or aircraft) that are used for both private and business use?(Required)

Yes

Asset Description

Please provide the following information

Number of income earning days

Number of days used privately

Number of days unused

Total income from income earning days and private use days

Please list expenses incurred relating to this asset for the year

e.g. Rates, Insurance, power, fuel etc

Type of expense

Amount

Do you have another mixed use asset you would like to add details for?(Required)

Yes

Asset Description

Please provide the following information

Number of income earning days

Number of days used privately

Number of unused days

Total income from income earning days and private use days

Please list expenses incurred relating to this asset for the year

e.g. Rates, Insurance, power, fuel etc

Type of expense

Amount

Do you have a third mixed use asset you would like to add details for?(Required)

Yes

Asset Description

Please provide the following information

Number of income earning days

Number of days used privately

Number of days unused

Total income from income earning days and private use days

Please list expenses incurred relating to this asset for the year

e.g. Rates, Insurance, power, fuel etc

Type of expense

Amount

Shareholdings

Are you a shareholder or director of a Qualifying Company that ABA does not act for?(Required)

Yes

Please provide the following records for a Qualifying Company of which you are a Shareholder

Name of Company

Number of Shares held

Company's IRD Number

Please provide details of all dividends received and any exempt dividends received

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Max. file size: 512 MB.

A copy of the Financial Accounts may be helpful if supplied

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Max. file size: 512 MB.

Please confirm the Qualifying Company status is still current(Required)

Yes

Are you a shareholder or director of a Look Through Company that ABA does not act for?(Required)

Yes

Please provide the following records for a Look Through Company of which you are a Shareholder

Name of Company

Number of Shares held

Company's IRD Number

Please provide details of all profit or loss allocations received

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Max. file size: 512 MB.

A copy of the Financial Accounts may be helpful if supplied

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Max. file size: 512 MB.

Did you receive any income as a director of a company that ABA does not act for?(Required)

Yes

Please provide details of any income you received as a Director of a company.

Estate, Trust or Partnership Income

Did you receive any income from an Estate, Trust or Partnership that ABA does not act for?(Required)

Yes

Please select those that apply

Estate

Trust

Partnership

Estate Income(Required)

Name of Estate you are involved with

Estate's IRD Number

Provide details of your income, share of losses

A copy of the financial accounts and tax return may be helpful if supplied

Drop files here or

Max. file size: 512 MB.

Trust Income(Required)

Name of Trust you are involved with

Trust's IRD Number

Provide details of your income, share of losses

A copy of the financial accounts and tax return may be helpful if supplied

Drop files here or

Max. file size: 512 MB.

Partnership Income(Required)

Name of Partnership(s) you are involved with

Partnership's IRD Number

Your % share of income/losses

Provide details of your income, share of losses

A copy of the financial accounts and Partnership tax return may be helpful if supplied

Drop files here or

Max. file size: 512 MB.

Crypto Assets

Did you hold or trade any crypto assets during the year?(Required)

Note: If you use crypto asset exchanges you should download your transaction history regularly, particularly if you are closing or changing platforms.

Yes

Please provide further information on your crypto holdings and transactions during the year. If you are unsure what to provide please let us know.

Drop files here or

Max. file size: 512 MB.

Other Income

Did you receive any other income not included in the above classifications?(Required)

Yes

Please provide full details of any other income received

Alternatively, you can upload files containing this information

Please upload documents relevant to any other income received.

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Max. file size: 512 MB.

Deductible Expenses

Did you incur any expenses relating to earning your income?(Required)

(e.g. Interest on loans)

Yes

Please provide full details of expenses incurred in earning your income

Alternatively, you can upload files containing this information

Please upload full details of expenses incurred in earning your income

Drop files here or

Max. file size: 512 MB.

Income Protection Insurance

Did you pay any Income Protection Insurance(Required)

Yes

Please provide a copy of the policy/invoice (in order to determine tax deductibility)

Drop files here or

Max. file size: 512 MB.

Donations

Did you make any donations during the year?(Required)

Yes

Did you make donations to Approved Charities for which a rebate can be claimed?

Yes

If you would like ABA to complete your personal tax rebate claim form with all receipts for donations made in excess of $5.00, please provide the following records:

Attach receipts (scanned originals) for charitable and school donations (including building or development levies paid to private schools).
Attach receipts for any other donations.

Drop files here or

Max. file size: 512 MB.

Tax Refunds

Do you have a nominated NZ bank account if you are receiving a tax refund?(Required)

Yes

If you would like any tax refund for this financial year direct credited to your bank account, please provide your full nominated New Zealand bank account details

Account Name

Account Number

Date(Required)

Online Form
Annual Individual Questionnaire Checklist

Important Note for Users

Individual Questionnaire

Please complete if there have been any changes to your contact details:

Terms of Engagement

The following questions collect the information we will need to complete your tax return.

Interest Income

Dividend Income

Overseas Income

Overseas Investments or Superannuation

Portfolio Investment Entities (PIE)

Rental Income

Mixed Use Assets

Shareholdings

Estate, Trust or Partnership Income

Crypto Assets

Other Income

Deductible Expenses

Income Protection Insurance

Donations

Tax Refunds

Contact Details

Accounting for Businesses

Accounting for Individuals

ABA Chartered Accountants Limited

Online FormAnnual Individual Questionnaire Checklist

Important Note for Users

Individual Questionnaire

Please complete if there have been any changes to your contact details:

Terms of Engagement

The following questions collect the information we will need to complete your tax return.

Interest Income

Dividend Income

Overseas Income

Overseas Investments or Superannuation

Portfolio Investment Entities (PIE)

Rental Income

Mixed Use Assets

Shareholdings

Estate, Trust or Partnership Income

Crypto Assets

Other Income

Deductible Expenses

Income Protection Insurance

Donations

Tax Refunds

Contact Details

Accounting for Businesses

Accounting for Individuals

Online Form
Annual Individual Questionnaire Checklist