Download a sample of this form in Portable Document Format (PDF) if you have the following quarterly obligations:
- goods and services tax (GST)
- pay as you go (PAYG) withholding
- PAYG instalments.
Sample forms are provided for the purpose of information only and cannot be lodged.
Next step:
- Download BAS A - Quarterly business activity statement (PDF, 263 KB)This link will download a file (NAT 4189).
See also:
- Business activity statements (BAS)
- Privacy notice – Business Activity Statement and Revised Business Activity Statement