WITHERS & CO LIMITED
END OF YEAR DETAIL FORMS
FARMERS
THIS FORM IS IMPORTANT
In your own interest (to provide us with complete records to reduce your costs)
PLEASE USE IT
Name
Balance Date
TOTAL HECTARES
TOTAL EFFECTIVE HECTARES
MILKING PLATFORM (INCL LEASED LAND) ______________________________________________________
AVERAGE COWS MILKED
________________________________________________________________
LATEST RATING VALUATION
1.
LIVESTOCK ON HAND AT BALANCE DATE
DAIRY
Fr & Fr X
CATTLE
DAIRY
Jer & Jer X
STUD
STOCK
BEEF
TOTAL
CATTLE
SHEEP
MA Cows
CLASS
Ewes 5&6 yr
R2yr Heifers
Ewes 3&4 yr
R3+Yr Steers
Ewes 2TH
R 1yr
Ewe Bred
Bred
NO.
Lambs
Heifers Bought
Bought
R2yr Steers
Wether Bred
Lambs
Bought
R1yr
Bred
MS
Steers Bought
Bred
Lambs
Bought
R3yr+ Bulls
MA Wethers
R2yr Bulls
Rams
R1yr
Bred
Bulls
Bought
Breeding Bulls
ALPACAS
CLASS
Mature Female
DEER
HORSES
NO.
NAME
AGE
Breed:
CLASS
MA Hinds
Yearling Females
R2yr Hinds
Yearling Males
R1yr Hinds
Breeding Males
R2yr+Stags
(non-breeding)
R1yr Stags
Breeding Stags
Any other livestock – supply on a separate list.
NO.
2.
DEATHS DURING THE YEAR
COWS
HEIFERS
CALVES
EWES
3.
RETENTION OF TITLE CLAUSE
Please advise if any or your stock is subject to a retention of title clause.
4.
OTHERS
WOOL ON HAND - in woolshed, wool store
Number of Bales:
Value
5.
$
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)
6.
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.
7.
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.
8.
CHANGES OF PLANT, VEHICLES, INVESTMENTS OR PROPERTY
We need solicitors statements, cost details. Vehicle trade price or private sale proceeds.
PURCHASE
SOLD
*Note: Assets costing $500 (GST excl) or less can now be claimed as an expense ‘Low Cost Assets’.
9.
HIRE PURCHASE FINANCE
Supply the agreements, purchase invoices.
PURCHASED
MONTHLY COST
TERM
(months)
10.
DETAILS OF BUILDINGS ERECTED OR RENOVATED DURING YEAR
TYPE
COST
11.
CHECK LIST
Please Supply:
(a)
Bank Statements – full 12 months including cheque butts

(b)
Deposit Books – full record of all bankings

(c)
Stock Co/Dairy Co – statements and invoices (full 12 months)

(d)
Savings Bank Books – with interest made up, must have RWT statement

of gross interest, and RW Tax deducted
12.
13.
14.
(e)
Details of Loan Money – personal funds, banked

(f)
Attached Personal Income – exemptions form completed

(g)
GST and FBT Returns – copies filed to IRD and you workings

(h)
Log Books – for vehicles

(i)
Fringe Benefits – to your staff, shareholders, are these paid?

(j)
Term Loans – statements of amount owed at balance date

COMPANIES
(a)
Your accounts are 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.
(b)
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)
Contingent Liability
A liability which may arise in the future, which is contingent on a present event or upcoming event,
eg court case.
(b)
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
We are hereby authorised to obtain information from Inland Revenue Department, our bankers, solicitors and finance
companies on our behalf in order to obtain such further information as you may require to carry out the above
assignments. This information may be obtained by phone, internet, fax or e-services.
Further we hereby authorise the Inland Revenue Department to provide you with all the information you may require, in
respect to all tax types, to enable you to carry out these assignments, and we authorise you, when required, to sign,
returns on our behalf for all tax types.
_______________________________
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
¢
$
¢