Instructions for the worksheet

Last updated 12 February 2019

If you have more than one dividend or distribution statement, follow these steps to fill in the worksheet and calculate the amounts to show at item 10 on your application.

Step 1

Collect all the statements for dividends you received and for distributions you were entitled to for the period 1 July 2016 to 30 June 2017. Using steps 2 to 4, transfer the information from each statement to the appropriate columns in the worksheet.

Step 2

Print the company or fund name shown on your statement under Company or fund.

Step 3

Write the amount of any unfranked (or supplementary), franked or franking credit amounts in the appropriate columns.

If your dividend is from a New Zealand company, and

you paid New Zealand non-resident withholding tax on that dividend, and
that company paid you a supplementary dividend
then you must subtract the amount of that supplementary dividend from the amount of franking credits that you include in the worksheet.

Do not include New Zealand imputation credits in column 4 (only include Australian franking credits).

If your statement does not show the franked and unfranked portions of the dividend, include the total dividend amount in column 3 Franked amount.

Step 4

Write any TFN amounts withheld (or deducted) from dividends in column 5.

Step 5

Add up the amounts in columns 2, 3, 4 and 5 and write the total for each column at Total: S, T, U and V respectively on the worksheet.

Step 6

Print X at the YES box at item 10 on your application, if you have received:

any dividend distributions from a managed fund, or
Australian franking credits from a dividend paid by a New Zealand company.

Step 7

Transfer the amounts at S, T and U on your worksheet to S, T and U at item 10 on your application. Do not show cents.

Step 8

Transfer the amount at V on your worksheet to V at item 10 on your application. Show cents.

Worksheet

This worksheet will help you if you have more than one dividend or distribution statement.
Column 1 Company or fund	Column 2 Unfranked amount S $ cents	Column 3 Franked amount T $ cents	Column 4 Franking credit U $ cents	Column 5 TFN amount withheld V $ cents






Total	S	T	U	V

Transfer the totals for S, T and U to your application. Do not show cents.

Transfer the total for V to your application. Show cents.

This worksheet is to help you work out the amounts you need to put on your application. You do not need to send this worksheet to us.

Example

Steven received a dividend statement from Teleco Ltd. His statement showed a franked amount of $42.00 and a franking credit of $18.00.

The statement below is just an example. There are many different formats of statements.

Steven’s dividend statement from Telco Limited displaying his name, address and reference number. It also displays the date paid, number of shares as 600, dividend rate per ordinary share as 7 cents, franking credit as $18.00 and the dividend of $42.00 paid. The description on the statement reads “fully franked final dividend for the period 30 June 2016. Franked at 30% tax rate.”

Steven also received three other statements:

JT Corporate Unit Trust Steven's dividend statement showed $120.73 unfranked amount.

Koles Bier Pty Ltd Steven did not give the company his TFN so his entitlement of $180 unfranked amount had $88.20 tax withheld (therefore he actually received $91.80).

SDW Managed Investment Fund Steven's distribution statement showed a franked dividend amount of $131 and a franking credit of $56.14.

Steven would complete the worksheet like this:
Column 1 Company or fund	Column 2 Unfranked amount S $	Column 3 Franked amount T $	Column 4 Franking credit U $	Column 5 TFN amount withheld V $
Teleco Ltd		42.00	18.00
JT Corp Unit Trust	120.73
Koles Bier Pty Ltd	180.00			88.20
SDW Fund		131.00	56.14
Total	S 300.73	T 173.00	U 74.14	V 88.20

Transfer the totals for S, T and U to your application. Do not show cents.

Transfer the total for V to your application. Show cents.

Note: This amount includes both the amount received by Steven and the TFN amount withheld ($91.80 + $88.20).

Steven completes the dividend details at item 10 on his application like this:

Example of item 10 in the application. Steven says yes to the question: Did you receive any dividend distributions from a managed fund or Australian franking credits from a New Zealand company? Item S Unfranked amount shows $300.00. Item T franked amount shows $173.00. Item U franking credit shows $74.00. Item V TFN amounts withheld from dividend shows $88.20.

Steven will receive a refund of $162.20 if he has no outstanding tax debts. This is made up of the amount withheld because he didn’t provide his TFN ($88.20) plus his franking credit ($74).

End of example

QC51262