GPO Box 900 Civic Square ACT 2608 THE PUBLIC OFFICER «Name» «ADRESS1» «Address2» «Address3» Unique Identifier: «Unique_ID» Dear Sir/Madam SURVEY OF INCOME TAX PAYABLE BY COMPANIES Your company has been selected to participate in this survey in order to assist the Australian Government to forecast the revenue collections for the remainder of the 2002-03 and the 2003-04 fiscal years. This information will assist the Government to better manage the economy. This survey is voluntary and respondents will not be held accountable if their results differ from the estimates provided in the survey. This survey requests estimates of PAYG instalments, balancing payments and refunds that are likely to be made during the period 1 April 2003 to 31 January 2004. It also requests an indication of the items that may change in the next income tax return that you will lodge. As with previous surveys, particular care is taken to ensure the confidentiality of the estimates provided through the use of randomly generated unique identifiers. The survey design and process has been authorised by the Commonwealth Statistical Clearing House. [authorisation no:XXXX]. Please submit the completed questionnaire to John Meaney on fax number 02-9374 8995 or 02-9374 8992 by 28 March 2003. If you have any questions regarding the survey, please feel free to contact John Meaney on 02-9374 2516 or Ping Wu on 02-6279 7563. Thank you for participating in this survey. Yours faithfully ______________________________________ Michael Carmody COMMISSIONER OF TAXATION 1 March 2003 IN-CONFIDENCE Survey of Income Tax Payable by Companies Previous respondents will note that the new questionnaire design allows for separate estimates relating to the individual components of PAYG Instalments, balancing payments and refunds. This change has been prompted by feedback, from the September 2002 survey, to simplify the survey structure and to reduce the information required. Question 1- Accounting Period or Substituted Accounting Period According to our records, you are a «SAP». If this is incorrect, please enter your correct Accounting Period or SAP. Eg. Early December Balancers - EDec Question 2 – Response Type Please identify the corporate structure for which your estimate is provided by placing a tick in the appropriate box . Responses relating to the period ending 30 June 2003: Entity Group Consolidated Group Responses relating to the period beginning 1 July 2003: Entity «Unique_ID» Group Consolidated Group 2 IN-CONFIDENCE Question 3 – PAYG Quarterly Instalment Estimates - (excl. balancing payments/refunds) Between 1 April 2003 and 31st January 2004, you will have «No» quarterly PAYG instalments relating to various Income Tax Return years (ITR) as follows:(a) Estimate In respect of «Q1» «Q2» «Q3» «Q4» $ $ $ $ (b) Variation To be paid (c) Alternate Date «Pay1» «Pay2» «Pay3» «Pay4» Instructions for completing tables: Column a) Please estimate the net PAYG instalments you expect to pay for the above quarters. eg. If your estimate is a payment of one million two hundred and fifty thousand dollars, your entry should be 1,250,000. (Please do not abbreviate to thousands or millions of dollars). If the net instalment is a credit, please indicate this using a minus sign. The net instalment may be a credit if you expect to claim a variation credit (at label 5B on the activity statement) as a result of varying the instalment rate or the amount for the quarter. Column b) Please place a tick in the box corresponding to the quarterly instalments that are based on a variation of your instalment rate or amount. Column c) Please update the Alternate Date fields, only if arrangements will be made to make your payment (or claim your refund) outside the standard due dates. «Unique_ID» 3 IN-CONFIDENCE Question 4 – Estimates of Balancing Payment or Refund Most companies will have to pay a balancing payment or receive a balancing refund when the final Income Tax Liability is determined upon the lodgement of the Income Tax Return. Accordingly, please answer Part A if your estimate is a balancing payment or Part B if your estimate is a balancing refund, in a similar manner to Question 3. If you feel unable to make an estimate, please complete Part C. Part A – Balancing Payment In respect of «Bal_Pay» Estimate $ To be paid in Alternate* Payment Date «Pay5» *Please up-date the Alternate Payment Date field only if an arrangement will be made to make payments outside the expected time frame for a «SAP». Part B – Balancing Refund In respect of «Bal_Ref» Estimate $ To be received «Pay6» Alternate* Refund Date *Please up-date the Alternate Refund Date field according to your estimated lodgement dates for a «SAP». Part C – Non-response to Estimate of Balancing Payment or Refund Part C should only be completed if you have not responded to Part A and Part B. Please select the reasons for your non-response by placing a tick in the appropriate box/es . You have not yet made an estimate of your balancing payment or refund as part of your cash flow estimate for your business. You do not make cash flow estimates, including balancing payments or refunds, which cover the relevant time interval. You have made an estimate but you consider it too unreliable to report. You have not provided your estimate for other reasons. «Unique_ID» 4 IN-CONFIDENCE Question 5 – Changes of Items in Your Income Tax Return Please indicate, by ticking the appropriate boxes below, any of the following items that will vary significantly compared to the «ITR». A significant variation maybe considered as being 10% greater or lesser than the previous value. It is possible that you may have already ascertained estimates for the items listed. If this is not the case, please do not spend an undue amount of time completing this question. Items in respect to ITR 2002-03 Increase Decrease No Change Not Determined Income Items Expense Items Depreciation Items Extraordinary Items Reconciliation Items Net Capital Gains Loss Utilisation (income and capital) Rebates and Credits applied in calculating Tax Payable Question 6 – Time Taken to Complete the Survey Please provide an estimate of the time taken to complete this survey. Hrs «Unique_ID» Min 5