You can download a sample of this form in Portable Document Format (PDF) if you have the following quarterly obligations:
- pay as you go (PAYG) instalments
- PAYG withholding
- fringe benefit tax (FBT).
Sample forms are provided for the purpose of information only and cannot be lodged.
Next step:
- Download BAS J - Quarterly instalment activity statement (PDF, 280KB) This link will download a file (NAT 4197)
See also:
This sample form (NAT 4197) is for taxpayers with PAYG instalments, PAYG withholding and FBT obligations. Use this document for your record keeping purposes.