WITHERS & CO LIMITED
END OF YEAR DETAIL FORM
BUSINESS, CONTRACTORS & GROWERS
THIS FORM IS IMPORTANT
In your own interest (to provide us with complete records to reduce your costs)
PLEASE USE IT
Name
Balance Date
Tick when completed
1.
BANK STATEMENTS
12 months ending at balance date, plus following month if available.
Check that none are missing.
Bank Lodgement Details: Deposit Books


IMPORTANT – show details of anything banked which is not ordinary sales,
eg your own personal funds, borrowings, tax and GST refunds, assets.
2.
3.
Cheque Butts – for all payments to the end of balance date
(if you have a current book in use please copy the details out)

Automatic Payments and Direct Credits – mark on the left of bank statements
what these are for.

GST, FBT (Fringe Benefit Tax)
Copies of worksheets and returns.
STOCKS
The total value of your ”trading stock” as at balance date
$
EXCLUDE GST (trading stock is goods bought, that you intend to sell at a profit)
Do not include packaging – or assets to retain. Value each item of stock at the
lowest of (a) cost, (b) market value, (c) present replacement cost.
YOU MUST MAKE AND KEEP A STOCK LIST. Note: LEAVE GST OUT!


4.
RETENTION OF TITLE CLAUSE
Please advise if any of your stock is subject to a retention of title clause.

5.
DEBTORS
A list of amounts owing to you at balance date. eg. goods or services you sold
before balance date, but did not receive payment for until after balance date.
Mark any debts likely to be bad. See attached form.

6.
CREDITORS
A list of any goods or services you bought in before balance date, but did not
pay until after balance date. Include PAYE. For each figure we require: NET, GST, TOTAL.
See attached form.

7.
VEHICLE LOG BOOK
Required for three months only, every three years.

8.
DAY BOOKS
For 12 months ending at balance date. Show all payments made in cash.

9.
LOAN DETAILS
Details of any money borrowed for 12 months ending at balance date.

10.
CASH ON HAND
Unbanked cash and cheques as at balance date.
$

11.
FIXED ASSET CHANGES
Details of cost, selling price and trade-in value of plant, vehicles, property,
buildings bought, sold or for 12 months ending at balance date
$

*Note: Assets purchased for $500 (GST excl) or less can be claimed 100%
ie recorded as expense ‘Low Cost Assets’.
12.
PETTY CASH
Details of petty cash expenses for 12 months ending at balance date.

13.
SECURITY FOR MONIES BORROWED
We are now required to show details of security given for loans. These will
include bank overdrafts, mortgages, term loans etc. Please advise details of security
given in the space below (an example is included).

LOAN TYPE
Bank Overdraft
SECURITY
1st Mortgage over land (Lot 12 DP 6042)
14.
FINANCE COMPANY BORROWINGS
Copies of hire purchase and loan agreements.

15.
SOLICITORS
Copies of all solicitor’s statements.

16.
WAGE RECORDS
(1)
PAYE pay-in slips (IRD forms IR345)
(2)
Copies of the Employer Monthly Schedules forms sent to you by the IRD
(3)
PAYE deduction statements of account




17.
OUT OF POCKET EXPENSES
Paid by you and not reimbursed by your business.

18.
ENTERTAINMENT
You can only claim 50% of most entertainment expenses.
List all entertainment and give a brief description of each

19.
HOME EXPENSES
If part of your home is used for business purposes provide a list for interest on house
mortgages, rates, insurance, external repairs and maintenance, water rates, electricity,
gas, heating, rent etc.

20.
PERSONAL TAX DETAILS
Income – it is your responsibility to disclose all your income from your business,
wages, interest, dividends, rents, pension, PAYE etc.

21.
TAX CREDITS (REBATES)
Receipts and donations.

22.
WORKING FOR FAMILIES
Details of amount received, spouse and children.

23.
NOTE
If you have shares in Public Companies we will need copies or originals of every piece
of paper they send you, eg dividend advice slips, shares in lieu of dividend, bonus issues,
cash issues, takeover advice etc. Please provide electricity accounts that show details of dividends
received.
24.
COMPANIES
(a)
(b)
25.
Your accounts required within 5 months of balance date at Inland Revenue
The Financial Reporting Act requires that the directors complete the financial statements within
5 months of balance date. Please ensure that this questionnaire is completed promptly.
Statutory Records
Various statutory records (eg Share Register, Register of Directors) are required to be kept by the
Companies Act 1993. There are significant fines for not keeping these records. We keep these
records for companies for which we are the Registered Office. Please ensure your company is
maintaining these statutory records if we are not the Registered Office.
CONTINGENT LIABILITIES / FUTURE CAPITAL COMMITMENTS
Please advise if you have either of the above.
(a)
(b)
26.
Contingent Liability
A liability which may arise in the future, which is contingent on a present event or upcoming
event, eg court case.
Future Capital Commitments
Where a contract to expend money in the future exists at balance date.
POST BALANCE DATE EVENTS
Please advise of any events occurring after balance date which may be relevant to the accounts.
AUTHORISATION – PLEASE SIGN
With reference to the Privacy Act you are hereby authorised to communicate with the Inland Revenue
Department, our bankers, solicitors and finance companies to obtain such further information as you may require
in order to prepare our accounts and taxation returns for Income Tax, GST and any other tax types.
We authorise the Inland Revenue Department, our bankers, solicitors and finance companies to provide you with
all the information you may require to prepare the accounts and returns mentioned above.
ACCIDENT COMPENSATION
I authorise Withers & Co Ltd to act as my agent for ACC levy purposes for all associated entities. This
authorisation allows Withers & Co Ltd to query and change information on your ACC levy account(s) through ACC
staff, and through ACC Online Services. This authority will also allow Withers & Co Ltd’s main representative
discretion to delegate access to your ACC information to other members of Withers & Co Ltd. Other delegated
members of Withers & Co Ltd will also be able to query and change information on your ACC levy account.
_______________________________
Signed
____________________________
Date
COMPLETE THIS FORM AND BRING IT IN WITH YOUR BOOKS
DEBTORS as at
(balance date) (money owing to me/us by other people,
for goods and services sold to them at any time before balance date, but paid to me/us after
balance date).
NAME
TOTAL
TOTAL INCLUDING GST
$
¢
COMPLETE THIS FORM AND BRING IT IN WITH YOUR BOOKS
STOCKS (make and supply a list) total $
(excluding GST).
CREDITORS as at
(balance date) (money owing by me/us to other people,
for goods and services bought by me/us at any time before balance date, but paid to them
after balance date).
NAME
NATURE OF
GOODS OR
SERVICES
CODE
(office use
only)
NET
$
GST
¢
$
TOTAL
¢
$
¢