FBT Questionnaire 2021 BUSINESS NAME:(Required)At any time from 1 April 2020 to 31 March 2021, did you:(Required) make vehicles owned or leased by the business available to employees/associates for private use? provide loans at reduced interest rates to employees/associates? forgive or release any debts owed by employees/associates? pay for, or reimburse, any private expenses incurred by employees/associates? provide a house or unit of accommodation to employees/associates? provide employees with living-away-from-home (LAFH) allowances? provide entertainment by way of food, drink or recreation to employees (including any Christmas party)? provide any employees with a salary package (salary sacrifice) arrangement? provide any employees/associates with goods at a lower price than they are normally sold to the public? change your business address or contact details? * An “associate” is a relative of an employee, such as a spouse or a child. If you ticked one or more of these questions then we will need to calculate any potential FBT liability, or to minimise it.Please take the time to complete this checklist as it is a very important part of the FBT process. It helps you: • Identify and provide the information we need to prepare your Fringe Benefits Tax Return • Minimise the queries from us during the preparation of your Fringe Benefits Tax Return • Ensure we can complete your Fringe Benefits Tax Return by the due date of 25 June 2021(Required) YES NO First Time Fringe Benefits Tax Return: If we are preparing your FBT for the first time, please provide copies of your last FBT return lodged with the Australian Taxation Office.(Required) YES NO N/A Motor Vehicle Benefits: Did you provide any motor vehicles to employees or associates (including directors), that were used for private use? If YES, please complete a Motor Vehicle Schedule and Odometer Readings Form(Required) YES NO N/A Entertainment Benefits: Have you provided any form of entertainment to employees or associates/ directors, such as restaurant meals, end of year parties, prizes, alcohol etc? If YES, please complete an Entertainment Schedule; OR Please provide a print out from your computerised accounts with the following additional information noted: • Details of entertainment (e.g. meal, recreation activity) • Where entertainment was provided • Who entertainment was provided to (incl. all names of employees, spouses/family members and clients) • Number of people attended function • If a meal, was it during business travel? • If a meal, was it consumed on business premises?(Required) YES NO N/A Loan Benefits: Please provide details of each loan or advance provided to an employee or associate throughout FBT year: • Date loan commenced • Interest rate • Repayments made • Drawdowns made • Purpose of Loan • Who took out the loan?(Required) YES NO N/A Debt Waiver Benefits: Please provide details of each loan provided to an employee or associate that was waived throughout the FBT year: - • Date loan commenced • Date and amount waived • Who took out the loan • How much was received by the employee in relation to the waiver?(Required) YES NO N/A Housing Benefits: Please provide details of any LAFHA payments to any employees or associates above the market rate accommodation plus a food component over the statutory allowances (i.e. $42/week for adults and $21 for children under 12 years old): • Employee’s name and family • Amount of Accommodation Allowance Paid, and when • Market rate accommodation for the area • Total Food Allowance Paid • Other amounts paid as part of the LAFHA, including those paid by the employee • Agreement details • Has the LAFHA been in use for more than 12 months?(Required) YES NO N/A Board Benefits: Please provide details of any board provided to employees or associates: • Employee names • Number of days board provided • Number of meals provided • Any payments employees made towards board(Required) YES NO N/A Car Park Benefits: Please provide details of any car parking benefits (or facilities) provided to employees or associates (including directors): • Employee name • Date and place vehicle parked • Nature of journey to and from car park (e.g. to and from work) • Hours parked • Collective days parked • Employee payments towards the parking Not required if your business income is less than $10 million and the car park provided is not a commercial car park station YES NO N/A Airline Transport Benefits: Please provide details of any free or discounted airline travel provided to employees or associates. Only applies to businesses in the Travel Industry YES NO N/A Property Benefits: Please provide details of any property provided to employees or associates free or at a discount price? If YES, please complete an Expense Benefits Schedule; OR Please provide a print out from your computerised accounts with the following additional information noted: • Who received the benefit • Details of product, including type of property provided • Date benefit received • Business related % • Cost of Benefit (including GST) • If given under a salary sacrifice arrangement provide the market value and after-tax employee contribution amounts. YES NO N/A Other Benefits: Please provide details of any other benefits provided to employees or associates outside the course of usual employment (e.g. payments of bills on their behalf) YES NO N/A OTHER INFORMATION: Please list any other information that you believe may assist us below:AUTHORISATION: I/We authorise Westwoods BGA to complete the preparation of Fringe Benefits Tax Returns for me/us for the 2021 FBT year. I/We understand that the preparation is based on the financial information supplied by me/us and does not involve the verification of that information. I/We do not require Westwoods BGA to carry out an audit or a review assignment on the information provided. I/We acknowledge that I/we have understood and answered each of the above questions correctly and completely. I/we also acknowledge that the employer may be liable to penalties for incomplete or inaccurate FBT Returns.Please type "Okay"SignatureName First Last Date MM slash DD slash YYYY SignatureName First Last Email Date MM slash DD slash YYYY CAPTCHAEmailThis field is for validation purposes and should be left unchanged. Δ