*EXAMPLE ONLY*
OTHER FRINGE BENEFITS SUMMARY CHECKLIST
1.
LOAN FRINGE BENEFITS
A loan fringe benefit arises when an employer makes a loan to an employee or
associate, without charging a commercial rate of interest on the loan, and the
employee is under an obligation to repay the loan to the employer.
A loan fringe benefit will not arise where:
 the loan is deemed to be a dividend under Div. 7A of the ITAA 1936;
 there is no employment linked to the loan;
 the loan is an exempt loan fringe benefit.
Were any loans made to employees, including directors or their associates? Yes/No
If No to the above question, please go to next page.
If yes to the above question, please provide the following details:
(The amount should not have any GST as it is an input-taxed supply)
Name of
Employee
Amount of
Loan ($)
Amount of
Repayment
s made ($)
Purpose of
the loan
Interest paid
by employee
Closing loan
balance as
at
DD/MM/YY
The amount of interest rate charged on the loan to employee is:
(The statutory FBT rate for 20XX FBT year is 7.05% per year)
Name of Employee
Amount of Loan ($)
Interest rate p.a. (%)
DECLARATION
I DECLARE THAT I HOLD THE RELEVANT RECORDS OF ALL THE ABOVE
EXPENSES AND THE ABOVE INFORMATION IS TRUE & CORRECT FOR THE
YEAR ENDING 31ST MARCH 2005.
Signed by
-----------------------------------
Name (please print) ----------------------------------Capacity
Director/Trustee/Partner*
Name of Employer ---------------------------------(please print)
* - delete where inapplicable.
2. DEBT WAIVER FRINGE BENEFITS
A debt waiver fringe benefit arises when an employer waives/releases an employee
from the obligation of paying or repaying an outstanding debt. The waiver must be
in connection with employment, e.g. a debt waived for commercial reasons may not
give rise to a fringe benefit. The benefit does not apply to a debt forgiven that is
deemed as a dividend under Div. 7A of ITAA 1936.
Is an employee’s debt forgiven during the 20XX FBT year?
If No to the above question, please go to next page.
If Yes, please provide the following information:
Name of
Employee
Amount of
Original Debt
Amount of
Date of Debt
Interest Accrued Forgiven
Yes/No
Total Amount of
Debt Forgiven
DECLARATION
I DECLARE THAT I HOLD THE RELEVANT RECORDS OF ALL THE ABOVE
EXPENSES AND THE ABOVE INFORMATION IS TRUE & CORRECT FOR THE
YEAR ENDING 31ST MARCH 20XX.
Signed by
-----------------------------------
Name (please print) ----------------------------------Capacity
Director/Trustee/Partner*
Name of Employer ---------------------------------(please print)
* - delete where inapplicable.
3.
EXPENSE PAYMENT FRINGE BENEFITS
(All amounts should be GST-inclusive, where applicable)
An expense payment fringe benefit may arise if the employer reimburses an employee
for an expense incurred by an employee or pays a third party in satisfaction of the
expense incurred by an employee.
Is such fringe benefit provided to your employees?
Yes/No*
If No to the above question, please go to next page.
If Yes, please provide details of any expenses (see examples below) paid on behalf of
the employees. Indicate whether the amounts were GST-free, GST-inclusive or inputtaxed.
Name of Employee
Amount paid on
behalf of employee
(GST-inclusive, if
applicable)
Description of expenses
paid
Private use
percentage, if
applicable
Notes
 Examples of common expense payments are school fees, home office equipment
(other than notebook computers & PDA etc), private telephone charges, rates &
land taxes, heat and power, medical & health benefits, private insurance premium,
rent, travel, credit card expenses, mortgage repayments, personal car expenses
etc). Please note that the list is not exhaustive and you should contact your Client
Manager if you have any query on this issue.
 An employer is taken to have made a taxable acquisition from the employee when
they reimburse a GST-taxable expense paid by the employee. Similarly, employee
contributions, if received, will reduce the amount of input tax credit entitlement the
employer has. Please contact your Client Manager if this is the case.
DECLARATION
I DECLARE THAT I HOLD THE RELEVANT RECORDS AND VALID TAX INVOICES
OF ALL THE ABOVE EXPENSES AND THE ABOVE INFORMATION IS TRUE &
CORRECT FOR THE YEAR ENDING 31ST MARCH 2005.
Signed by
-----------------------------------
Name (please print) ----------------------------------Capacity
Director/Trustee/Partner*
Name of Employer ---------------------------------(please print)
* - delete where inapplicable.
4.
HOUSING FRINGE BENEFITS
A housing fringe benefit arises when an employer provides an employee the right to
occupy or use a unit of accommodation as the usual place of residence of the
employee. A housing fringe benefit does not include expense payment fringe benefit,
e.g. reimbursement of rents, heat and power paid by the employee, or benefit in
respect of accommodation that is not used as the employee’s usual place of residence,
e.g. hotel accommodation to an employee while traveling in the course of performing
the duties of employment.
Were any employees provided with any form of accommodation?
Yes / No
If No to the above question, please go to next page.
If yes to the above question, please provide the following details (amounts should be
GST-inclusive, if applicable):
Name of
Employee
provided with
benefit
Type of
Number of
accommodation days benefit
provided in the
FBT year
Market value of
the benefit
Employee
contribution, if
any
If the accommodation is in a remote area or as a result of relocation, please contact
your Client Manager as the benefit may be an exempt benefit and not subject to FBT.
Please list different types of accommodation provided to each employee as the type of
accommodation provided, e.g. residential accommodation, hotel etc., will attract
different gross-up rates, and hence different taxable values of the benefit.
DECLARATION
I DECLARE THAT I HOLD THE RELEVANT RECORDS AND VALID TAX INVOICES
OF ALL THE ABOVE EXPENSES AND THE ABOVE INFORMATION IS TRUE &
CORRECT FOR THE YEAR ENDING 31ST MARCH 2005.
Signed by
-----------------------------------
Name (please print) ----------------------------------Capacity
Director/Trustee/Partner*
Name of Employer ---------------------------------(please print)
* - delete where inapplicable.
5. BOARDING (MEAL) FRINGE BENEFITS
The provision of a meal to an employee is generally a board fringe benefit if the
employee is entitled to the provision of accommodation and the following conditions
are satisfied:
 there is an entitlement to be provided with at least two meals a day under
an employment arrangement;
 the meals are supplied by the employer;
 the meals are cooked on the employer’s premises; and
 the meals are supplied on the employer’s premises.
The taxable value of a board fringe benefit is $2.00 per meal per adult, $1.00 per
child under 12, reduced by the amount paid for the meals by the employee.
Is the employee being provided with board fringe benefits?
If No to the above question, please go to next page.
If Yes, please provide the following information:
Location where
meals were
provided
No. of
meals
(adult)
No. of meals
(children below
12)
Yes/No
Employee contribution,
if any
DECLARATION
I DECLARE THAT I HOLD THE RELEVANT RECORDS OF ALL THE ABOVE
EXPENSES AND THE ABOVE INFORMATION IS TRUE & CORRECT FOR THE
YEAR ENDING 31ST MARCH 2005.
Signed by
-----------------------------------
Name (please print) ----------------------------------Capacity
Director/Trustee/Partner*
Name of Employer ---------------------------------(please print)
* - delete where inapplicable.
6.
AIRLINE TRANSPORT FRINGE BENEFITS
An airline transport fringe benefit arises if
 an airline operator provides free or discount private air travel to:
 its employees or associates
 the employees or associates of other airline operator
 the employees or associates of travel agents.
 the transport is provided in respect of the employment of the employee;
 the transport provided is subject to the stand-by restriction.
As this benefit is rarely provided, please check with your Client Manager if you need
more information on this benefit.
7.
ENTERTAINMENT PROVIDED BY A TAX-EXEMPT ENTITY
A tax-exempt body entertainment fringe benefit may arise from entertainment
expenses incurred by a tax-exempt employer who provides “non-deductible
entertainment expenditure” to an employee (or associate) in respect of the employee’s
employment.
As this benefit is only available to tax-exempt employer, e.g. local governing bodies,
charities and clubs etc, please check with your Client Manager if you need more
information on this benefit.
8
LIVING AWAY FROM HOME ALLOWANCE (LAFHA) FRINGE
BENEFITS
A LAFHA fringe benefit arises when an employer pays an allowance to an employee to
cover additional expenses incurred in respect of accommodation, meals and living
disadvantages while the employee is required to live away from his/her usual place of
residence for employment reasons. What is the reasonable compensation for the cost
of accommodation depends on the circumstances. Additional food cost is $42 per adult
(or children over 12 as at 1 April 2003) per week and $21 per child under 12 per week.
Are any employees or their associates provided with an allowance to enable them to
cover additional expenses in respect of accommodation and living costs while the
employees are living away from their usual place of residence for employment reason
Yes/No
If No to the above question, please go to next page.
If Yes, to the above question, please provide the following details:
Name of
Employee
Number of
family
members
LAFHA paid for
accommodation
LAFHA paid
for food
Duration of
LAFHA paid
(weeks)
Please note that different rules apply for oil or gas rig employees and for
expatriates. You should contact your Client Manager if this is the case.
DECLARATION
I DECLARE THAT I HOLD THE RELEVANT RECORDS AND VALID TAX INVOICES
OF ALL THE ABOVE EXPENSES AND THE ABOVE INFORMATION IS TRUE &
CORRECT FOR THE YEAR ENDING 31ST MARCH 2005.
Signed by
-----------------------------------
Name (please print) ----------------------------------Capacity
Director/Trustee/Partner*
Name of Employer ---------------------------------(please print)
* - delete where inapplicable.
9.
MEAL ENTERTAINMENT FRINGE BENEFITS
(All amounts should be GST-inclusive, where applicable)
Entertainment provided by an employer may give rise to a fringe benefit tax liability.
However, only that part of the meal entertainment provided to an employee (or an
associate) will be taxable. An employer’s meal entertainment expenses include:


entertainment by way of food or drink with or without clients outside business
premises;
accommodation or travel in connection with the provision of entertainment by
way of food or drink.
Expenses incurred by an employer in providing entertainment to its clients are not
subject to FBT but such expenses are not deductible.
Is such fringe benefit provided to your employees?
Yes/No*
If No to the above question, please go to next page.
If Yes, please provide details of the entertainment costs (GST-INCLUSIVE)
TOTAL ENTERTAINMENT EXPENSE (A + B) $_______________
Please break down the total entertainment expenses into the following categories:
EMPLOYEES’ ENTERTAINMENT (A) $_____________
No. of Employees
or associates
Date of benefit
provided
Amount paid on
Amount refunded
behalf of employees by employees, if
any
TOTAL PAID
Less: Employer-provided staff amenities
_______________
_______________
Morning & afternoon tea items
_______________
Meals consumed while on overnight business travel
_______________
Recreation expenses exempted under minor benefits
_______________
Meal consumed in an eligible dining facility
_______________
Meal consumed at a professional development seminar
_______________
Net Entertainment Expense (after deducting the above from A)
_______________
CLIENTS’ ENTERTAINMENT (B) $____________
No. of Clients or nonemployees’ associates
Date of benefit provided
Amount paid for clients
Note - If the meal entertainment expenses could not be broken down into the above
components, the 50/50 split method, i.e. 50% of the expense is subject to FBT and
deductible, and will be used to calculate the FBT. The remaining 50% will be nondeductible but is not subject to FBT. Where more than half of the expenditure relates to
employees and associates, it may be better to adopt the 50/50 split method as it is less
complicated, having less compliance costs and reducing the FBT liability when
compared with the actual method.
DECLARATION
I DECLARE THAT I HOLD THE RELEVANT RECORDS AND VALID TAX INVOICES
OF ALL THE ABOVE EXPENSES AND THE ABOVE INFORMATION IS TRUE &
CORRECT FOR THE YEAR ENDING 31ST MARCH 2005.
I ELECT TO ADOPT THE 50/50 SPLIT METHOD OF VALUING MEAL
ENTERTAINMENT PROVIDED DURING 2005 FBT YEAR. WITH SUCH SELECTION,
I ACKNOWLEDGE THE TAX IMPLICATION ON THE TAX DEDUCTIBILITY OF
SUCH EXPENSES.*
Signed by
-----------------------------------
Name (please print) ----------------------------------Capacity
Director/Trustee/Partner*
Name of Employer ---------------------------------(please print)
* - delete where inapplicable.
10.
CAR PARKING FRINGE BENEFITS
(All amounts should be GST-inclusive, where applicable)
A car parking fringe benefit arises where an employer provides car parking benefit to
an employee, either at the business premises of the employer or at a commercial car
park. Generally, parking at the employer’s business premises is an exempt fringe
benefit unless the employer is a public company or the assessable income of the
employer is over $10 million per year.
Are car parking spaces provided to employees at a commercial car park that are
owned or leased by the employer for more than 4 hours (not necessarily continuous)
between 7 a.m. and 7 p.m.?
Yes/No
Is there a commercial car park located within one kilometer radius of the premises
where the car is parked?
Yes/No
Is there a commercial car park that charges more than $6.28 per day for all-day
parking?
Yes/No
If Yes to the above questions, please provide the following details:
Name of
Employee
Value of
benefit
provided per
FBT Year ($)
No. of days park
space not used,
e.g. sick, annual
leave etc per year
Lowest price of all-day
parking in a commercial
car park within 1Km (per
day)
You may wish to adopt the Statutory Formula Method where each car park is taken to
have given rise to 228 car parking fringe benefits each year. Using this option, the
employer is not required to determine if each car park gives rise to a car parking fringe
benefit on any particular day, allowing for a lower compliance burden when compared
to the Actual method or 12-week register method.
DECLARATION
I DECLARE THAT I HOLD THE RELEVANT RECORDS AND VALID TAX INVOICES
OF ALL THE ABOVE EXPENSES/OPT FOR THE STATUTORY FORMULA
METHOD* AND THE ABOVE INFORMATION IS TRUE & CORRECT FOR THE
YEAR ENDING 31ST MARCH 2005.
Signed by
-----------------------------------
Name (please print) ----------------------------------Capacity
Director/Trustee/Partner*
Name of Employer ---------------------------------(please print)
* - delete where inapplicable.
11.
PROPERTY FRINGE BENEFITS
A property fringe benefit arises where an employee is provided with property, free or at
a discount. Property includes all goods of the employer, real property or a chose in
action, other than an exempt fringe benefit (e.g. laptop computer, mobile phone etc).
Is the property fringe benefit provided an in-house property fringe benefit? Yes/No
(An in-house property is generally goods that the employer or its associate sells in the
ordinary course of business. The first $500 of the taxable value for each recipient
employee each FBT year is generally exempted.)
If so, please complete the following table (all amounts for property manufactured or
assembled by the employer are GST-exclusive)
Date
Description of
GSTImputed
% of benefit
Employee
benefit
Benefit
inclusive tax credit
subject to
contribution,
provided
amount entitlement “otherwise
if any
deductible” rule
Is the property fringe provided an external property fringe?
Yes/No
If so, please complete the following table (all amounts should be GST-inclusive)
Date
Description of
GSTImputed
% of benefit
Employee
benefit
Benefit
inclusive tax credit
subject to
contribution,
provided
amount entitlement “otherwise
if any
deductible” rule
Please note that an employer may be subject to GST payable where an employee
contribution is received (cash/set-off arrangement under MT2050) and the property
fringe benefit reimbursed is subject to GST (i.e. not GST-free or input-taxed). If you
have any query, please contact your Client Manager.
DECLARATION
I DECLARE THAT I HOLD THE RELEVANT RECORDS AND VALID TAX INVOICES
OF ALL THE ABOVE EXPENSES AND THE ABOVE INFORMATION IS TRUE &
CORRECT FOR THE YEAR ENDING 31ST MARCH 2005.
Signed by
-----------------------------------
Name (please print) ----------------------------------Capacity
Director/Trustee/Partner*
Name of Employer ---------------------------------(please print)
* - delete where inapplicable.
12.
OTHER BENEFITS (RESIDUAL)
Any benefit that is not subject to other specific fringe benefit rules is called a residual
fringe benefit. This is a catch-all for all benefits unless they fall within the exempt
residual fringe benefits which includes: (the list is not exhaustive)
 free or discounted transport provided to current employees in the course of the
employer’s business of providing such transport to the public;
 “work-related” use, and other minor, infrequent and irregular private use, of
vehicles other than cars;
 living-away-from-home accommodation provided to employees who are required
for work purposes to live away from their usual place of residence.
Were any employees or their associates provided with any non-cash benefits not
covered elsewhere in this questionnaire?
Yes / No
If yes to the above question, please provide the following details:
Name of
Employee
Type of Benefit
Provided
Cost of benefit
(GST-inclusive
where GST is
payable)
Employee
contribution or
“otherwise
deductible”
amount
Is the benefit
an in-house
residual fringe
benefit*
(Yes/No)
* - an in-house residual fringe benefit is defined as a benefit provided by the employer
which is identical or similar in rights, services, facilities etc provided to the public in the
ordinary course of its business. The first $500 taxable value of the benefit provided to
an employee is excluded from FBT.
Note – If you are an income tax-exempt body, please contact us so that we can advise
you what information we need to have to work out your FBT liability of these benefits.
DECLARATION
I DECLARE THAT I HOLD THE RELEVANT RECORDS AND VALID TAX INVOICES
OF ALL THE ABOVE EXPENSES AND THE ABOVE INFORMATION IS TRUE &
CORRECT FOR THE YEAR ENDING 31ST MARCH 2005.
Signed by
-----------------------------------
Name (please print) ----------------------------------Capacity
Director/Trustee/Partner*
Name of Employer ---------------------------------(please print)
* - delete where inapplicable.