PAYG withholding variation application - ATO Publication ...
←
→
Page content transcription
If your browser does not render page correctly, please read the page content below
Form for taxpayers
PAYG withholding
variation application
Complete this application to vary or reduce the amount of pay We process your application based on the information you
as you go (PAYG) tax withheld from payments made to you in provide. It is your responsibility to make sure this information
the application year. is adequate to allow us to calculate a withholding rate to meet
your end‑of‑year tax liability.
The main purpose of varying or reducing the amount of
withholding is to make sure that the amount withheld during If you are granted a variation, this does not mean we have
the income year best meets your end-of-year tax liability. For accepted the tax treatment of the income and deductions on
example, you may want to apply for a variation if the normal your application. Your actual tax liability will be determined after
rate of withholding leads to a large credit at the end of the you lodge your tax return.
income year because your tax-deductible expenses are higher
than normal. Starting and finishing dates
You can lodge your application during the year. The last date for If your application is approved, the varied or reduced amount of
lodgment is 30 April of the application year. withholding will start from the next available payday after your
pay office receives the notice of withholding variation from us.
This application is valid for one financial year. If you apply in
May or June, the variation will apply to the financial year starting Your variation finishes on the date shown on the letter you
from 1 July. receive from us. To continue to have varied or reduced tax
withheld from payments after this date, you must lodge another
If you have business income or non-commercial business variation application – at least six weeks before the expiry date.
or partnership losses you will also need to complete the
PAYG withholding variation supplement (NAT 5423). Find out more
For information to help you complete this form:
Important information ■ visit ato.gov.au/variationinstructions
We will process your application only if you: ■ phone 1300 360 221
■ have lodged all required tax returns and activity statements, ■ if you are a tax agent, phone 13 72 86 Fast Key
or notified us in writing if you were not required to lodge tax Code 1 2 3
returns in prior years Our phone services are available from 8:00am to 6:00pm
■ did not receive a debit assessment on your last tax Monday to Friday
assessment (if you also had an approved withholding
variation for that year)
■ do not have any outstanding tax debt owing to the Australian
Government
■ do not have any outstanding debts under any other Acts
administered by us.
We may seek more information from you before or after
your application is processed. If you fail to provide this, your
application may not be approved.
NAT 2036-03.2021Section A: Your details (A10 reason codes)
Reason Must complete
Main category code Sub‑category sections
Mobile certificate 05A0 General A, B12–B13
05B0 Film and television only, E and F
05C0 Hospitality industry
Negative gearing 08A0 Real estate, that is, property investment A, B, C, E and F
Do not use if your property is controlled by a trust.
Other negative 09A0 Bonds – infrastructure A, B, D, E and F
gearing 09A1 Bonds – linked bonds and notes (including returns linked to shares,
– investments bank bill rates, exchange rates)
or financial 09A2 Bonds – other
products 09B0 Futures/forwards
09C0 Managed funds/trusts – annuities
09C1 Managed funds/trusts – equity, income, growth and multi-sector
09C2 Managed funds/trusts – friendly society bonds
09C3 Managed funds/trusts – insurance bonds
09C4 Managed funds/trusts – super
09D0 Options
09E0 Trust – Real estate, that is, if owned by a trust and not rented to a beneficiary
or unit holder by the trust
09E1 Trust – Real estate, that is, owned by a trust and rented to a beneficiary
or unit holder by the trust
09F0 Securities lending arrangements
09G0 Shares – capital protected loan products
09G1 Shares – other
09H0 Stapled securities
09I0 Warrants
09J0 Other financial products not otherwise specified (deferred purchase
agreements, swaps)
Taxable income 10A0 General A, B, E and F
is below 10A1 Senior Australian
the tax‑free
threshold
Two or more 11A0 General A, B, E and F
payers 11B0 Higher Education Loan Program (HELP), Trade Support Loan (TSL),
Student Start-up Loan (SSL), VET Student Loan (VSL) or Financial Supplement
withholding required
Other reasons 12A0 Entitled to foreign income tax offset A, B, E and F
12A1 Entitled to franking credit
12A2 Excess withholding
12A3 Below annual HELP/TSL/SSL/VSL/Financial Supplement threshold
Commission 13A0 Real estate A, B, E and F
sales 13A1 General
Allowable 14A0 General A, B, E and F
deductions
If your reason for completing this application relates to allowances only
(such as, car allowance) and the allowances are shown separately on your
payslip, use PAYG withholding variation short application (NAT 5425).
14A1 Business loss current year
14A2 Primary production loss current year
14A3 Partnership or trust
Earlier year 15A0 Primary production A, B, E and F
losses 15A1 Non-primary production
15A2 Deferred non-commercial losses recouped
Other 16A0 Cattle A, B, D, E and F
investments 16A1 Viticulture
16A2 Afforestation
16B2 Olive oil
16C0 Mining
16D0 Franchise
16F0 Book publishing
16G0 Miscellaneous
16H0 Other horticulture (including aquaculture, nuts or orchards)
Super 17A0 Controlling interest super A, B, D, E and F
17A1 Other
2 PAYG withholding variation applicationPAYG withholding variation application
Application year 1 July to 30 June
Refer to ato.gov.au/variationinstructions to help you complete this application
Complete the PAYG withholding variation supplement (NAT 5423) if you have
business income or non-commercial business or partnership losses.
■ Use a black or blue pen and print clearly in BLOCK LETTERS.
■ Print X in all applicable boxes.
Section A: Your details We are authorised by the Taxation Administration Act 1953
(TAA 1953) to ask for your TFN. It is not an offence not to provide
A1 Tax file number (TFN) your TFN. However, your application may be delayed if you do not
provide your TFN.
Day Month Year
A2 Date of birth
A3 Name Title: Mr Mrs Miss Ms Other
Surname or family name
First given name Other given names
A4 Postal address
Suburb/town State/territory Postcode
Country if other than Australia (Australia only) (Australia only)
A5 Business hours phone number
A6 Email address
Print X if you consent to receive
email correspondence
A7 Authorised contact person
By completing this item you are authorising us to deal with this person as the first point of contact.
Phone number Contact name
A8 Are you an Australian resident for tax purposes? Yes No
A9 Reason for your application
A10 Reason codes
For more information, see page 2.
NAT 2036-03.2021 OFFICIAL: Sensitive (when completed) Page 3Section B: Payer details
If your reason code at A10 begins in the range 05, you need to only complete B12 and B13. If your reason code at A10
begins in the range 08 to 17, you need to complete all applicable fields in B1 to B13.
B1 PAYER 1 – Variation will apply to this payer Select the income type you receive from this payer at (i) (ii) or (iii)
(i) Income paid as an employee or contractor Select the payment types at (i) that the variation will apply to
Salary and wages Employment
including overtime Allowances Bonuses Commission termination payment
Unused leave Director’s fees Labour hire Personal services Foreign employment
Other Specify details
(ii) Superannuation income (iii) Compensation or insurance income
B2 Australian business number (ABN)
or withholding payer number (WPN)
B3 Payer name
B4 Will you be receiving payments from this payer for the full year?
Yes Go to B5 Day Month Year Day Month Year
No Provide dates: Starting date Finishing date
B5 Pay office postal address
Suburb/town State/territory Postcode
B6 Pay office direct phone number
B7 Payroll ID, payee ID or policy number
The details for B8 to B13 are on your most recent payslip.
.00 Do not include reportable fringe benefits or non‑assessable
B8 Gross per pay $ amounts; for example, salary sacrifice amounts.
B9 Tax withheld per pay $ .00
B10 Pay frequency
Weekly Fortnightly Monthly Half‑monthly 4‑weekly 6‑weekly
2‑monthly 3‑monthly 4‑monthly 6‑monthly Yearly
B11 Dates of last pay and next pay
Day Month Year Day Month Year
Last pay Next pay
If your last pay date shown above at B11 is before 1 July of the application year, you do not need to
complete B12 and B13 below.
B12 Gross pay received since 1 July
Include any bonus payments received at this item. $ .00 Also include at B12 and
B13 the total of your gross
B13 Tax withheld since 1 July assessable payments received
and tax withheld since 1 July
Include tax withheld from any bonus payments at this
$ .00 for any previous payers.
item. Do not include foreign tax paid at this item.
Page 4 OFFICIAL: Sensitive (when completed)Section B: Payer details – continued
Is this variation to apply to this payer?
Yes Go to B1
Annual gross income Annual tax
No Provide an estimate of the annual gross .00 .00
income and annual tax for this payer. $ $
You do not need to complete the remainder of this section.
B1 PAYER 2 – Variation will apply to this payer Select the income type you receive from this payer at (i) (ii) or (iii)
(i) Income paid as an employee or contractor Select the payment types at (i) that the variation will apply to
Salary and wages Employment
including overtime Allowances Bonuses Commission termination payment
Unused leave Director’s fees Labour hire Personal services Foreign employment
Other Specify details
(ii) Superannuation income (iii) Compensation or insurance income
B2 Australian business number (ABN)
or withholding payer number (WPN)
B3 Payer name
B4 Will you be receiving payments from this payer for the full year?
Yes Go to B5 Day Month Year Day Month Year
No Provide dates: Starting date Finishing date
B5 Pay office postal address
Suburb/town State/territory Postcode
B6 Pay office direct phone number
B7 Payroll ID, payee ID or policy number
The details for B8 to B13 are on your most recent payslip.
B8 Gross per pay $ .00 Do not include reportable fringe benefits or non‑assessable
amounts; for example, salary sacrifice amounts.
B9 Tax withheld per pay $ .00
B10 Pay frequency
Weekly Fortnightly Monthly Half‑monthly 4‑weekly 6‑weekly
2‑monthly 3‑monthly 4‑monthly 6‑monthly Yearly
B11 Dates of last pay and next pay
Day Month Year Day Month Year
Last pay Next pay
If your last pay date shown above at B11 is before 1 July of the application year, you do not need to
complete B12 and B13 below.
B12 Gross pay received since 1 July
Include any bonus payments received at this item. $ .00 Also include at B12 and
B13 the total of your gross
B13 Tax withheld since 1 July assessable payments received
Include tax withheld from any bonus payments at this
$ .00 and tax withheld since 1 July
item. Do not include foreign tax paid at this item. for any previous payers.
OFFICIAL: Sensitive (when completed) Page 5Section C: Rental details
You must complete this section for all rental properties.
If you have more than three properties, attach a separate page with the required details.
PROPERTY 1
Full name/s appearing on title deed
Address of rental property
Suburb/town State/territory Postcode
Day Month Year
Date you purchased Is the property Percentage
the property under construction? Yes No owned %
Day Month Year Day Month Year
Dates available Year building
for rent to constructed
PROPERTY 2
Full name/s appearing on title deed
Address of rental property
Suburb/town State/territory Postcode
Day Month Year
Date you purchased Is the property Percentage
the property under construction? Yes No owned %
Day Month Year Day Month Year
Dates available Year building
for rent to constructed
PROPERTY 3
Full name/s appearing on title deed
Address of rental property
Suburb/town State/territory Postcode
Day Month Year
Date you purchased Is the property Percentage
the property under construction? Yes No owned %
Day Month Year Day Month Year
Dates available Year building
for rent to constructed
Page 6 OFFICIAL: Sensitive (when completed)Section D: Investment details
If your investment is related to shares in publicly listed companies, do not list each company. Just write ‘OWN SHARE PORTFOLIO’
at D1 and the total amount of deductions at D4. For all other investments, provide full details for each investment.
If you have more than four investments, attach a separate page with the required details D1 to D4.
Product rulings were introduced to enable the Commissioner to rule publicly on the availability of claimed tax benefits from
products. A ‘product’ refers to an arrangement in which a number of taxpayers individually enter into substantially the same
transactions with a common entity or a group of entities. A product ruling provides participants with a binding ruling on the
tax consequences of the particular product, but can provide no guarantee as to the commercial viability of the product.
INVESTMENT 1
D1 Name of investment (Provide the full name, including any project numbers or specific year details.)
D2 Product ruling number or private binding ruling number (if applicable)
Day Month Year
D3 Date you initially entered into this investment
D4 Amount of deduction relating to this investment to be included at F2 $ .00
INVESTMENT 2
D1 Name of investment (Provide the full name, including any project numbers or specific year details.)
D2 Product ruling number or private binding ruling number (if applicable)
Day Month Year
D3 Date you initially entered into this investment
D4 Amount of deduction relating to this investment to be included at F2 $ .00
INVESTMENT 3
D1 Name of investment (Provide the full name, including any project numbers or specific year details.)
D2 Product ruling number or private binding ruling number (if applicable)
Day Month Year
D3 Date you initially entered into this investment
D4 Amount of deduction relating to this investment to be included at F2 $ .00
INVESTMENT 4
D1 Name of investment (Provide the full name, including any project numbers or specific year details.)
D2 Product ruling number or private binding ruling number (if applicable)
Day Month Year
D3 Date you initially entered into this investment
D4 Amount of deduction relating to this investment to be included at F2 $ .00
OFFICIAL: Sensitive (when completed) Page 7Section E: Annual income and tax offsets
The estimates you provide on your application should be the amounts you expect to provide on your tax return.
E1 Payments for work and services
(a) Payments to you as an employee or contractor:
(i) total gross annual salary or wages
Do not include reportable $ .00
including overtime
fringe benefits or
(ii) allowances non‑assessable amounts; $ .00
for example, salary
.00
(iii) bonuses sacrifice amounts. $
How do you want Normal tax to be Varied rate to
your bonuses taxed? taken out of bonuses. apply to bonuses.
Before completing, see ‘Bonus payments’ at ato.gov.au/variationinstructions
(iv) commission $ .00
(b) Payment to a company director (director’s fees) $ .00
(c) Payment under a labour hire arrangement $ .00
(d) Personal services attributed income $ .00
(e) Foreign employment income (Enter any foreign income
$ .00
tax offset at E13)
(f) Other PAYGW payments not listed above $ .00
Specify details
E2 Australian government pensions and allowances
(a) Pensions $ .00 Pension
Code
(b) Education or training payment or other allowance
$ .00
(for example, Jobseeker, Austudy payments )
E3 Compensation and insurance payments $ .00
E4 Australian annuities and superannuation income
Do you receive more than $100,000 from your combined superannuation
income streams?
Yes
What is the total of the tax-free component plus
$ .00
the taxed element from all your income streams?
No Proceed to E4(a)
(a) Australian superannuation income streams (taxed element) $ .00
(b) Australian superannuation income streams (untaxed element) $ .00
(c) Superannuation lump sums (taxed element) $ .00
(d) Superannuation lump sums (untaxed element) $ .00
(e) Australian annuities $ .00
E5 Employment related payments
(a) (i) Employment termination payments (ETP). Attach an estimated
$ .00
summary from your payer. Include an ETP tax offset at E13.
(ii) Is this ETP in addition to a redundancy payment received
in a previous income year for the same termination? Yes No
(b) Payment for unused annual leave or unused long service leave. If this is a
$ .00
termination payment, attach an estimated summary from your payer.
Page 8 OFFICIAL: Sensitive (when completed)Section E: Annual income and tax offsets – continued
For E6 and E7: Do not include any losses from investments or trusts. Include investment income at E8, E10 or E11,
and investment deductions at F2(a) to F2(c).
E6 Partnership/trust income or partnership loss .00
If the amount is a loss, write ‘L’ in the LOSS box. $ LOSS
Attach an estimated profit and loss statement.
If either amount is a loss, you must complete Section H on NAT 5423.
Refer to Non-commercial losses at ato.gov.au. Search by QC21681.
E7 Net income or loss from business
To calculate this amount, you must complete section G .00
on NAT 5423. If the amount is a loss, write ‘L’ in the LOSS box. $ LOSS
E8 Interest $ .00
E9 Gross rent
Only include your portion of the rental income Do not put a negative
$ .00
amount. Only include gross rent and claim the deductions at F3.
E10 Dividends
(a) Unfranked amount $ .00
(b) Franked amount $ .00
(c) Franking credit $ .00
E11 Other income
Specify the details for other income (including net capital gains). Do not include amounts for business income or
payments covered by a voluntary agreement. These must be included above at E7 and G4 on NAT 5423.
Specify details.
$ .00
E12 Total income
Calculate by adding all the amounts for E1 to E11.
$ .00 LOSS
If the amount is a loss, write ‘L’ in the LOSS box.
E13 Tax offsets
For example, employment termination payment tax offset, foreign income tax offset and zone or overseas forces tax offsets.
Do not include franking credits, the private health insurance rebate or the low income tax offset.
Specify details
$ .00
E14 Income tests
(a) Reportable fringe benefits $ .00
(b) Reportable employer superannuation contributions
$ .00
(Do not include your payer’s compulsory contribution.)
(c) Exempt foreign employment income $ .00
E15 Spouse’s adjusted taxable income / rebate income $ .00
E16 Medicare
You can claim an exemption from the Medicare levy only in the following circumstances:
Medicare levy exemption categories Category
Medical: You are a blind pensioner or you receive the sickness allowance from Centrelink or you are entitled to full free medical 1
treatment for all conditions under Defence Force arrangements or Veterans’ Affairs Repatriation Health Card (Gold Card).
Foreign resident: You are not an Australian resident for tax purposes. 2
Not entitled to Medicare benefits: You are a member of a diplomatic mission or consular post in Australia – or a member of such a 3
person’s family and you are living with them – and you are not an Australian citizen and you do not ordinarily live in Australia.
For more information about full or half exemption, refer to ato.gov.au Category
Only use the category from the above list.
(a) Full exemption: estimated number of days
(b) Half exemption: estimated number of days
OFFICIAL: Sensitive (when completed) Page 9Section F: Annual deductions
Provide details of deductions for expenses incurred in earning your assessable income. For more information refer to
ato.gov.au/deductions
F1 Work‑related expenses
(a) Car $ .00 For more information, refer to ato.gov.au/carexpenses
(b) Travel $ .00 Travel expenses, for example, costs of overnight accommodation,
meals not reimbursed by payer.
(c) Home office $ .00 If the home office is used in connection with your income producing
activities, but does not constitute a ‘place of business’, only a proportion
of the running expenses can be claimed.
(d) Self‑education $ .00
Specify details.
(e) Other $ .00
F2 Investment deductions (Do not include expenses related to rental property)
If you are claiming investment deductions, you must complete the investment details in section D. Income from the investment is
to be provided at E6, E10 or E11.
(a) Investment interest $ .00
(b) Management fees $ .00
Specify details.
(c) Other $ .00
F3 Expenses related to rental property
For more information, refer to ato.gov.au/rentalexpenses
Expenses of a capital or private nature are not deductible.
(a) Interest $ .00
(b) Rates and insurance $ .00
(c) Agents commission and
$ .00
management fees
(d) Repairs $ .00
(e) Capital works $ .00
(f) Decline in value of
$ .00
depreciating asset Specify details.
(g) Other $ .00
F4 Tax losses of earlier income years claimed this income year $ .00
You cannot claim a tax loss from an earlier income year if your taxable income for last year was more than zero.
F5 Personal superannuation contributions (deductible) $ .00
Do not include salary sacrifice amount or your employer contributions.
F6 Other deductions Specify details.
Include any donations, tax agent fees, deductible amount of .00
a non‑superannuation annuity or foreign pension or annuity. $
F7 TOTAL DEDUCTIONS $ .00 Calculate by adding deductions at F1 to F6.
LOSS Calculate by taking your Total deductions ( F7 ) away
F8 TAXABLE INCOME $ .00 from your Total income ( E12 ). If the amount is a loss,
write ‘L’ in the LOSS box.
Page 10 OFFICIAL: Sensitive (when completed)Taxpayer’s declaration
Privacy
We are authorised by tax laws to collect the information requested on this form. For information about your privacy, refer to
ato.gov.au/privacy
The tax law imposes heavy penalties for giving false or misleading information. You are responsible for the information provided
and you must sign the declaration, even though someone else may have helped you complete your application.
I declare that:
■ all the information I have given on this application, including any attachments, is true and correct.
■ I have shown all my income (including net capital gains) for tax purposes.
SIGNATURE (applicant’s signature only)
Date
Day Month Year
Lodging your application
Attach your completed NAT 5423 if required.
Send your completed application to:
Australian Taxation Office
PO Box 3010
PENRITH NSW 2740
OFFICIAL: Sensitive (when completed) Page 11OFFICIAL: Sensitive (when completed) Page 12
You can also read
