Business Financial Statements Questionnaire

Schedule 1
– Accounts Receivable (Debtors)

Download Word Document Download PDF

Schedule 2
– Accounts Payable (Creditors)

Download Word Document Download PDF

Are you human?
Leave this empty if you are a human. This is to prevent spam.

Client Name

Please check your email address for errors

Phone (Business or Home)

Phone (Mobile)

Fax

Balance Date

Client Name 1

IRD Number 1

Client Name 2

IRD Number 2

Client Name 3

IRD Number 3

Client Name 4

IRD Number 4

Client Name 5

IRD Number 5

ONLY APPLICABLE FOR COMPANIES

Under the Companies Amendment Act 2014 there is now a requirement for all directors to provide their place of birth and date of birth AND in addition, there must be at least one director that either lives in New Zealand; or lives in Australia and is a director of a company incorporated in Australia:

Director Name 1

Date of Birth

City/Town of Birth

Country of Birth

Current Residential Address

Director Name 2

Date of Birth

City/Town of Birth

Country of Birth

Current Residential Address

Director Name 3

Date of Birth

City/Town of Birth

Country of Birth

Current Residential Address

Director Name 4

Date of Birth

City/Town of Birth

Country of Birth

Current Residential Address

Director Name 5

Date of Birth

City/Town of Birth

Country of Birth

Current Residential Address

Convenient time to call you is

Alternative phone number/s

When do you want your accounts completed by?

Would you like a copy supplied to your bank? Yes No

If yes, please provide the name of your current bank manager

Has your address changed during the year? Yes No

If yes, please provide new address

Records Required

Employer – Wages paid to Employees

Please attach a month by month summary of gross wages and PAYE deductions as returned to the IRD – OR – Send a copy of your Employer Monthly Deduction Schedules (IR 348).

Covid-19 Wage Subsidy and Small Business Loan

Have you received the Wage Subsidy?

Date received

Amount

Have you received the Government Small Business Loan?

Date received

Amount

Fringe Benefit Tax (FBT) Returns

Please attach copies of Fringe Benefit Tax (FBT) returns and workpapers

Final Bank Statement

Please attach a copy of your bank statement including any savings, call or term deposit accounts dated with your Balance Date or spanning that date.

Loan Statements

Please attach a copy of any loan transaction statements for the financial year up to your balance date.

Interest and Dividend Certificates

Please attach copies of your interest certificate/s

Please attach copies of your dividend certificate/s

Accounts Receivable (Debtors)

All accounts or amounts owing to you at balance date should be scheduled. Exclude bad debts. To enable bad debts to be excluded from income, these must be written off prior to balance date.

Accounts Receivable (Debtors) Yes No

Total at Balance Date

GST Included Excluded

Schedule 1 completed (see top of page for template)

Accounts Payable (Creditors)

All accounts or amounts owing by you at balance date should be scheduled indicating name of creditor, amount and what the debt is for. Alternatively, mark on cheque butts or highlight in cash book those items in the month following your balance date, which should be included. Holiday pay or bonuses paid within 63 days of your balance date may be included.

Accounts Payable (Creditors) Yes No

Total at Balance Date

GST Included Excluded

Schedule 2 completed (see top of page for template)

Cash on Hand

*Cash on Hand

Date banked

Petty Cash

Till Floats/Cash Floats

*Incl cash sales prior to balance date but not banked until after balance date

Stock on Hand

Stock should be physically counted at balance date and adequate records retained to substantiate the dollar value arrived at. Please note that if you estimate your stock to be less than $ 10,000 at the end of your income year, you may have the option of not physically counting your stock. In these circumstances we will assume that your closing stock is the same as your opening stock. Please indicate if you would like to use this option. (Please note that if your annual turnover is more than $ 1.3million, you are not able to use this option)

Valued at lower of: Cost Net realisable value Market value

Amount

GST Included Excluded

Work in Progress – Include material costs, labour costs and overhead costs. Briefly, how was this calculated?

Amount

GST Included Excluded

Prepayments Made – Balance of any payments made before balance date for goods or services not received or used by balance date.

Amount

GST Included Excluded

Capital Expenditure

Attach details of assets purchased or sold during the year such as motor vehicles, plant and equipment and properties. Where applicable please provide the following details:

Hire purchase or loan agreements

Lease agreements

All legal statements and agreements

Trade-in details

Lost, stolen or scrapped items

Tax invoices

Transactions Not Through the Business

Were all sales banked into your business trading bank account? Yes No

If No, list amounts not banked and when they were lodged:

Personal

Business

Other

Other Non-Taxable Income

Did you receive non-taxable income from any other sources? Yes No

If Yes, please provide details.

Legal and Loan Documents

Please attach any solicitor's statements and Sale and Purchase Agreements relating to any legal transactions during the year. Please also include Statements and Agreements relating to any mortgages, hire purchase, leases or loans. Please include a copy of your latest Rateable Valuation for any properties you own.

Business Expenses

There are a number of invoices that we specifically require. Please ensure the records you provide us with include all paid accounts for:

Insurance premiums

Legal fees

ACC payments and arrangements

Other

Private Use

Value of goods taken for private use at their cost price

GST Included Excluded

Expenses paid in Cash or from Personal Funds

Please provide a list if applicable.

Residential Land Withholding Tax

Have you sold residential property in New Zealand where Residential Land Withholding Tax has been deducted and paid to the IRD? Yes No

if Yes, please provide details.

IR1100 Residential land withholding tax return

Residential Property Sales

Have you sold any residential property during the year (not otherwise detailed on the information provided)? Yes No

If Yes, when was the property purchased?

If it was purchased with 5 years of the sale date,

What was the original purchase price?

What was the sale price?

Research and Development

If this entity is a company, have you spent significant amounts on research and development during the income year? Yes No

If Yes, please provide ledger accounts and details of expenditure

Motor Vehicles

The proportion of motor vehicle business use as established by your vehicle log book(s) is/are:

Vehicle Description

Business (km)

Total (km)

Percentage Business (%)

Vehicle Description

Business (km)

Total (km)

Percentage Business (%)

• Please note that a detailed and accurate log book must be completed for a three month period every three years or vehicle expense claims will be limited to a maximum of 25% of expenses incurred.

If you are operating as a Company, please indicate which vehicles you are currently paying Fringe Benefit tax for:

Home Office Expenses

If part of your home is set aside principally for use as an office/workshop/storage area, please provide the following details.

Area used for Business (m²)

Total Area of House & Workshop (m²)

Power ($)

Insurance – Building & Contents ($)

Interest – House Mortgage ($)

Rates – including regional council ($)

Repairs and Maintenance ($)

Other ($)

Total ($)

Cost of House & Section ($)

Cost of Section ($)

Construction materials (timber, brick, etc)

Mixed Use Holiday Home

Does this entity have a property (such as a holiday home or a bach) that is used privately and also to derive income? Yes No

If Yes, please provide details of property

Was the property empty for 62 days in the income year? Yes No

If yes, please complete the following section so we can determine the amount of allowable deductions.

The number of days the property was empty during the income year

The number of days the property was used by family or associated persons* during the income year OR where income from any person received was less than 80% of market rate (*associated persons include close relatives, or if owned by an entity, persons associated with the entity owning the property)

If there is more than one tenant who used the property through the year, please provide details.

Name of tenant

Relationship to owner (if any)

Amount of rent they paid ($)

Dates rented (from - to)

Expenses incurred in respect of the property (the list below is not exhaustive – details of all expenses will be required):

Cost of advertising for tenants ($)

Cost of repairing damages caused by tenants ($)

Number of days spent in the property while repairing damages caused by tenants

Mortgage interest ($)

Rates ($)

Insurance ($)

Repairs/maintenance for general wear and tear ($)

Other ($) – please give details

Mixed Use Boat or Plane

Does this entity have a boat or plane (with a market value of ,000 or greater), that is used privately and also to derive income? Yes No

It yes, please provide a description

Market value

Was the asset unused for 62 days in the income year? Yes No

If yes, please complete the following section so we can determine the amount of allowable deductions.

The number of days the asset was NOT used during the income year

The number of days the asset was used by family or associated persons* during the income year OR where income from any person received was less than 80% of market rate (*associated persons include close relatives, or if owned by an entity, persons associated with the entity owning the asset)

For non-associated persons where payment received is at least 80% of market value:

Number of days the asset was used

Income received

Expenses incurred in respect of the property (the list below is not exhaustive – details of all expenses will be required):

Cost of advertising for hireage ($)

Cost of repairing damages caused by hireage ($)

Operating costs / supplies ($)

Insurance ($)

Repairs/maintenance for general wear and tear ($)

Other ($) – please give details

Cryptoassets

Have you received or traded in cryptoassets during the income year? Yes No

If yes, please provide the following information.

Type of cryptoasset

Transactions (please include the date, type of transaction, i.e. received or disposed of, number of units, value in NZD)

Total units of each cryptoasset held at the beginning and end of the year

Exchange records

Bank statements

Wallet adresses

Terms of Engagement

I have read and accept the Terms of Engagement

Error: You have already have an account in our system. If you need to generate a new password you can do this from the login page.

* Please fill out all required fields

Error: Please check the reCAPTCHA

Submit

Sending, please wait.

Business Financial Statements Questionnaire

Schedule 1– Accounts Receivable (Debtors)

Schedule 2– Accounts Payable (Creditors)

ONLY APPLICABLE FOR COMPANIES

Records Required

Employer – Wages paid to Employees

Covid-19 Wage Subsidy and Small Business Loan

Fringe Benefit Tax (FBT) Returns

Final Bank Statement

Loan Statements

Interest and Dividend Certificates

Accounts Receivable (Debtors)

Accounts Payable (Creditors)

Cash on Hand

Stock on Hand

Capital Expenditure

Transactions Not Through the Business

Other Non-Taxable Income

Legal and Loan Documents

Business Expenses

Private Use

Expenses paid in Cash or from Personal Funds

Residential Land Withholding Tax

Residential Property Sales

Research and Development

Motor Vehicles

Home Office Expenses

Mixed Use Holiday Home

Mixed Use Boat or Plane

Cryptoassets

Terms of Engagement

Contact Us

Schedule 1
– Accounts Receivable (Debtors)

Schedule 2
– Accounts Payable (Creditors)