✨ Tax Return Forms
772
THE NEW ZEALAND GAZETTE.
[No. 22
PART G.
Return as Agent for Debenture-holders.
(To be filled in by companies and other corporate bodies which have issued debentures.)
Return of the income of the debenture-holders received or receivable for the year ended the , 19 .. .. £
PART H.
Return of Directors, Auditors, and others.
(This Part applies to registered companies only.)
(All amounts should be included in this list.)
| Name in full. | Status as regards Company. | Address. | Amount of Fees, &c., earned. |
|---|---|---|---|
- The figures in these columns should represent the actual salary or emolument for the year ended 31st March, 19 , and not for the period covered by the taxpayer’s balance-sheet, if made up to another date.
If there should not be sufficient space in either of the above Parts, a sheet giving the required information may be attached.
PART I.
Statement of Assets and Liabilities as at 31st March, 19 , for the Purpose of determining the Amount of Capital employed in the Production of the Income.
| Liabilities (incurred in the Production of the Income). | Assets (used in the Production of the Income). |
|---|---|
| Mortgages .. | Land and buildings |
| Deposits .. | Sundry debtors .. |
| Other investments | Bills receivable .. |
| Unpaid purchase-money | Plant, machinery, and implements |
| Loans .. | Stock-in-trade .. |
| Bank overdraft .. | Live-stock .. |
| Bills payable .. | Farm produce .. |
| Sundry creditors | Cash in hand .. |
| Other liabilities (if any) | Cash in bank .. |
| Reserves .. | Other assets (if any) |
| Balance of Profit and Loss Account Balance.. .. (Capital Account) | |
| Total £ | Total £ |
Names of partners and shares in capital :—
Total £
A copy of the taxpayer’s annual balance-sheet at the above date will be accepted in lieu of the above particulars.
Declaration.
I, , of do hereby solemnly and sincerely declare that this return includes the whole of the assessable income derived during the period indicated, and that all the statements contained therein are true, accurate, and complete in every particular.
Dated at , this day of , 19 .
[Usual signature.]
Capacity in which I make this return : [If not made by the taxpayer, state whether as trustee, attorney, agent, secretary, director, or executor.]
—
Schedules to Form No. 3.
SCHEDULE A.—RETURN TO BE SUPPLIED BY BANKING COMPANIES.
(a.) Total assets and liabilities of the banking company for the four quarters ending respectively on (excluding debentures of companies and local or public authorities)—
£
30th June, 19 .. .. ..
30th September, 19 .. .. ..
31st December, 19 .. .. ..
31st March, 19 .. .. ..
(b.) Average of total assets and liabilities for the four quarters .. .. ..
(c.) Income derived by banking company during income-year as interest on debentures issued under the New Zealand Loans Amendment Act, 1915 .. .. ..
(d.) Income derived by banking company during the income-year as interest on debentures issued by a company or local or public authority ..
SCHEDULE B.—RETURN OF INCOME BY INSURANCE OR GUARANTEE COMPANY.
Statement of Gross Income from Business and Deductions therefrom.
(NOTE.—This may be taken for TWELVE MONTHS ended at date of stocktaking or annual balance nearest to 31st March.)
For the Year ended , 19 .
| Amount. | Total. | |
|---|---|---|
| £ | £ | |
| Gross premiums received .. .. | .. | |
| Less : Returns .. .. | ||
| Reinsurances (with companies represented in New Zealand only) | ||
| Deduct losses on risks undertaken in New Zealand, less recoveries .. .. | .. | |
| Income from rents .. .. | ||
| Income from investments .. .. | ||
| Other income in New Zealand .. .. | ||
| Gross income in or from New Zealand | .. £ |
DEDUCTIONS FROM GROSS INCOME.
| Salaries, wages, and commissions .. | |
| Rent (include only rent of premises or portion of premises used exclusively for the purposes of the business), not to include rental value of premises owned by taxpayer | |
| Rates on business premises or portion of premises used exclusively for the purposes of the business (not to include payments for land-tax or income-tax) | |
| Annual license fees .. .. | |
| Fire insurance (on business premises and stock only) | |
| Exchange and discounts allowed, less amounts received | |
| Repairs or maintenance of business premises (not to include additions or improvements to property, or any depreciation) | |
| Travelling-expenses incurred in the business only | |
| Printing, stationery, advertising, stamps, and telegrams | |
| Petty expenses incurred in the business only (not to include donations, gratuities, nor subscriptions) | |
| Bad debts (to include those proved to be bad during the year and actually written off the books as bad and irrecoverable, and no others) | |
| Interest on registered mortgage payable to . . . . . . . . | |
| Other interest : [Give name and address of person to whom interest paid.] | |
| Other items (to be specified) .. |
Total deductions .. .. .. £
Net income .. .. .. £
Care should be taken to fill up the above items as correctly as possible. No averages or estimates will be accepted.
SCHEDULE C.—RETURN OF INCOME BY FOREIGN LIFE-INSURANCE COMPANY.
Part A.—Particulars required in Respect of Special Exemption under Section 87.
| Locality of Premises. | Total Rents received, including Amount charged to Company for Portion occupied in its Business. £ | Amount charged to Company as Office-Rent for Portion occupied in its Business. £ | Unimproved Value, as assessed under Valuation of Land Act, 1908. £ | Value of Portion occupied by the Company. £ | Value of Portion let to Tenants. £ | Total Expenditure on Building. £ | Amount of Expenditure on Portion occupied by the Company in its Business. £ | Amount of Expenditure on Portion occupied by Tenants. £ |
|---|---|---|---|---|---|---|---|---|
| 1 | ||||||||
| 2 | ||||||||
| 3 | ||||||||
| 4 | ||||||||
| 5 | ||||||||
| 6 | ||||||||
| 7 | ||||||||
| 8 | ||||||||
| 9 | ||||||||
| 10 | ||||||||
| 11 | ||||||||
| 12 |
Next Page →
Online Sources for this page:
VUW Te Waharoa —
NZ Gazette 1922, No 22
NZLII —
NZ Gazette 1922, No 22
✨ LLM interpretation of page content
💰 Return as Agent for Debenture-holders
💰 Finance & RevenueDebenture-holders, Income Return, Corporate Bodies
💰 Return of Directors, Auditors, and others
💰 Finance & RevenueDirectors, Auditors, Company Fees, Salary
💰 Statement of Assets and Liabilities
💰 Finance & RevenueAssets, Liabilities, Capital, Balance Sheet
💰 Declaration of Assessable Income
💰 Finance & RevenueIncome Declaration, Tax Return, Assessable Income
💰 Return for Banking Companies
💰 Finance & RevenueBanking Companies, Assets, Liabilities, Income
💰 Return of Income by Insurance or Guarantee Company
💰 Finance & RevenueInsurance Company, Gross Income, Deductions
💰 Return of Income by Foreign Life-Insurance Company
💰 Finance & RevenueForeign Life-Insurance, Premises, Rents, Expenditure