Annual Questionnaire – Business
For the 2016 financial year
CLIENT NAME:
The following list contains all the relevant information that will allow us to use your information to finalise the
tax accounts. Please answer ALL the questions. Where lists of information are required please compile
separate schedules. Please file information in a folder with an A-Z index as noted on the Financial
Statements Schedules attached.
Tick the relevant box if the information is enclosed or "N/A" if the schedule is not required. By providing
this information, we will be able to efficiently prepare your end of year taxation accounts and returns.
If you are not sure of any of the information required, please contact us.
Folder
Ref
Com puterised Accounts: (only com plete w here system file given)
Package:
User:
Version:
Passw ord:
Enclosed
N/A
Enclosed
N/A
System Files:
CD/Disk enclosed
E-mailed to Crow e Horw ath Advisor
A
Copies of your Trial Balance, Profit & Loss and Balance Sheet from your
accounting system.
E
If you haven't provided a system file, please provide an electronic copy of your
detailed General Ledger for the w hole year for all accounts/account names.
Folder
Ref
Com puterised Accounts and Non Com puterised Accounts:
G
Com puterised System
Please provide a copy of the bank reconciliation report plus the final bank
statement for the year show ing the balance at year end.
G
Manual Cashbook (Non Com puterised System )
Please provide your cashbook including a bank reconciliation plus a copy of the
final bank statement for the year show ing the balance at year end. Please also
include the first month of the new financial year w ith the source data.
G
Bank Statem ents (Non Com puterised System )
Please provide copies of all bank statements for the year plus deposit and
cheque butts. Please include the first month of the new financial year w ith the
source data.
G
Please provide the follow ing inform ation as at year end:
H

Cash on hand
$

Till float
$

Layby sales
$

Sales up to balance date but deposited after balance date
$
Accounts Receivable
List (over page) or if you use the sales module of a computerised system
simply print a copy of the Debtors Aged Trial Balance (attach schedule).
Please review for any bad debts and mark as necessary .
Folder
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Enclosed /
Yes
Com puterised Accounts and Non Com puterised Accounts:
Nam e
Particulars
N/A
Am ount (inc GST)
Note: If Bad Debts are to be a deductible expense in the current year they must be w ritten out of your
Debtors Ledger before the end of your financial year.
I
Inventory / Stock
What is the total value of your "trading stock" at balance date? Stock may be
valued at the low est of (a) Cost, (b) Market Value, (c) Replacement Cost, or (d)
Discounted Selling Price. Please indicate w hich method used.
□
A
□
□
□
B
Exclusive of GST?
□
□
C
Yes
$
D
No
Stock on Hand report
I
Work in Progress
WIP Value
$
□
Exclusive of GST?
□
Yes
No
WIP report
J
Date
Fixed Assets
Details of cost, selling price and trade-in value of plant, vehicles, property etc
bought, sold or traded in for the period w ith copies of invoices.
Purchased (greater than $500):
New /
Used
Price
(inc GST)
Description
Asset traded
(if any)
Value
(inc GST)
$
$
$
$
$
$
Sold (excluding trade -ins included above):
Date
Price
(inc GST)
Description
Scrapped?
$
$
$
L
Details of any business investments, plus investments bought and sold during
the year, plus any income received from them e.g. dividends and interest.
L
Overseas investments – provide details of any investments, including life
insurance policies, land, shares, trusts or superannuation.
M
Accounts Payable
List (below ) w here not included in company file provided or please print a copy
of your Accounts Payable ledger and attach.
Nam e
Particulars
Am ount (inc GST)
$
$
$
Folder
Ref
N
Com puterised Accounts and Non Com puterised Accounts:
Enclosed /
Yes
N/A
Copies of GST w orkpapers and GST returns.
Did you process prior year GST adjustments as provided by your Crow e
Horw ath advisor?
Q
Loans
List below details of bank loans, including closing loan balances, interest rate
and details of securities in place (w here applicable).
Interest
Rate
Loan
Q
%
$
%
$
%
$
Interest
Rate
Security
Balance
%
$
%
$
%
$
OTHER INCOME
R
Details of dividends/bonuses/insurance payments/interest income/partnership
income or any other sundry income received during the period (attach
documentation including RWT and dividend slips).
R
Details of Sales receipts used directly, ie sales not banked.
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Balance
Hire Purchase Agreem ents
List below details of Hire Purchase Agreements, including closing loan
balances, interest rate and details of securities in place (w here applicable).
Hire Purchase
Folder
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Security
EXPENSES
S
Bad Debts w ritten off prior to balance date, but invoiced during the period.
S
Details of any legal expenses (including copies of invoices).
S
Details of any insurance and ACC payments (including copies of invoices).
S
Details of any donations made.
S
Details of any expenses paid personally, i.e. paid out of a non-business bank
account or from a personal credit card (please provide invoices).
S
Details of motor vehicle expenses i.e. business related versus personal.
Please provide log book or mileage details, including date, distance and
purpose.
S
Entertainment – You can only claim 50% of most entertainment expenses.
How ever, there are exceptions and exemptions. Please list all entertainment
expenses and give a brief explanation of each.
S
Resident Withholding Tax (RWT)/Non Resident Withholding Tax (NRWT) .
Please provide copies (if any) of w orksheets and returns, and annual
reconciliation.
S
FBT – Copies of w orksheets and returns.
S
Please provide details of any benefits supplied to employees e.g. cash or noncash benefits, including motor vehicles available for private use.
Enclosed /
Yes
N/A
Enclosed /
Yes
N/A
Folder
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Enclosed /
Yes
EXPENSES
S
Holiday pay paid w ithin 63 days after your balance date.
S
Home Office Expenses - If part of your home is used for business purposes,
please advise expenses below . This includes a home office, w orkshop or
storage area.
Please provide details of the purchase price and a copy of the rates demand if
this is the first year you have made a home office claim.

Area of home for office

Total area of home
sq m
sq m
Expense
Private use %
Insurance
%
$
Mortgage interest
%
$
Rates
%
$
Repairs
%
$
Pow er
%
$
Gas
%
$
Other:
%
$
S
Goods for ow n use – please provide details.
S
Repairs & Maintenance – Details of significant repairs and maintenance,
alterations and modifications over $500.
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U
Am ount (inc GST)
Enclosed /
Yes
OTHER
Contingent Liabilities / Commitments:

Are there any contingent liabilities, law suits, guarantees?

Any commitments for capital expenditure at or since balance date?

Any commitment under a lease for plant or vehicles?
OTHER
Details of any other major transactions or changes undertaken during the
period.
OTHER
Please provide details of any associated entities that are not clients of this firm.
OTHER
If this is a Trust, please fill in the “Annual Questionnaire – Trust”
OTHER
Do you require a copy of the accounts to be forw arded to a third party?
If Yes, please provide details:
GENERAL COMMENTS
N/A
N/A