Download a sample of this form in Portable Document Format (PDF) if you have any of the following quarterly reporting obligations:
- goods and services tax (GST)
- pay as you go (PAYG) withholding
- PAYG instalment obligation.
You can also use this form if you have any one or combination of:
- fringe benefit tax (FBT) instalments
- wine equalisation tax
- luxury car tax.
Sample forms are provided for the purpose of information only and cannot be lodged.
Next step:
- Download BAS C – Quarterly business activity statement (PDF, 276KB)This link will download a file (NAT 4195)
See also:
This sample form (NAT 4195) is for taxpayers with a quarterly GST, PAYG withholding and PAYG instalment obligations and any one or combination of fringe benefit tax instalments, wine equalisation tax or luxury car tax.