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Raynes Gibson & Matthews Accountants Ltd - Financial Statements Questionnaire for Business
Please ensure that all records as requested throughout this questionnaire, are included.
If you are unable to provide certain information, please include your notes about this in the field provided below each question.
We look forward to seeing you in the office when you bring them in.
Client Name:
*
Balance Date:
*
Please indicate which financial year end the data in this questionnaire relates to
DD slash MM slash YYYY
Phone:
*
Mobile:
*
Email:
*
Terms of Engagement
To Raynes Gibson & Matthews Accountants Ltd
I/We hereby instruct you to prepare my/our Financial Statements and Taxation Returns for this year from the information and records I/We have supplied to you.
I/We accept responsibility for the accuracy and completeness of all records and information supplied to you.
You are hereby authorised to communicate with my/our bankers, solicitors, finance companies, and any other business that I/We deal with to obtain such information as you require in order to complete the above duties.
Signature
*
Date
*
DD slash MM slash YYYY
A convenient time to call you is:
Alternative phone numbers:
When do you want your accounts completed by?
Has the nature of your business changed in any way during the past 12 months?
Yes
No
Please provide brief details:
Bank Statements, Cheque butts, Cash Books etc
Do you use BankLink, Xero or MYOB?
Yes (Please move to Loan Statements section)
No
Please indicate which situation applies to you:
I do not have a cashbook to supply
I supply a written cashbook
I supply a computerised cashbook
If no cashbook is supplied, please provide the following details up to Balance Date, or send us a note in the field below
• Bank statements including any savings account or term deposit
• Detail what each transaction is for
• Cheque & Deposit butts showing the nature of each payment/deposit
• Receipt books. Make sure any items not for business sales are clearly marked
Drop files here or
Select files
Max. file size: 128 MB.
I am unable to supply the above information at this time because
(please send us a note as to why this information cannot be supplied at this time).
If a written cashbook is supplied, please provide the following details up to Balance Date, or send us a note in the field below
• Suppliers’ invoices filed in cheque number order
• Cashbook, written up, analysed and reconciled to the bank statements monthly
Drop files here or
Select files
Max. file size: 128 MB.
I am unable to supply the above information at this time because
(please send us a note as to why this information cannot be supplied at this time).
If a computerised cashbook is supplied, please provide the following details up to Balance Date, or send us a note in the field below
• Backup disk as at the end of financial year or email files to us
• Copy of Bank Reconciliation as at balance date for all bank accounts
• Final Bank Statement for year for all bank accounts
• Transaction Listing for Accounts Payable and Accounts Receivable as at balance date
Note: Please make sure to include a copy of your bank statements including any savings, call or term deposit account dated 31 March, or spanning balance date.
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Max. file size: 128 MB.
I am unable to supply the above information at this time because
(please send us a note as to why this information cannot be supplied at this time).
Loan Statements
All loans need to be reconciled for Interest and Principal repayments
(Please contact your lender for all paperwork).
Do you have any loans?
Yes
No
Please provide a copy of all transaction statements for the financial year up to balance date to support any loan balances or interest, or send us a note in the field below
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Select files
Max. file size: 128 MB.
I am unable to supply the above information at this time because
(please send us a note as to why this information cannot be supplied at this time).
Employers
Wages paid to Employees
Have your returns been prepared by us?
Yes
No
N/A
Please upload the following documents:
- Please send a month-by-month summary of Gross Wages and PAYE deductions as returned to the IRD. We need to reconcile these with IRD
OR
- Send a copy of your Employer Monthly Deduction Schedule (IR 348).
Or send us a note in the field below
Drop files here or
Select files
Max. file size: 128 MB.
I am unable to supply the above information at this time because
(please send us a note as to why this information cannot be supplied at this time).
Fringe Benefit Tax (FBT) Returns
Have your FBT Returns been prepared by us?
Yes
No
N/A
Please supply copies of Fringe Benefit Tax (FBT) Returns and Workpapers, or send us a note in the field below
Drop files here or
Select files
Max. file size: 128 MB.
I am unable to supply the above information at this time because
(please send us a note as to why this information cannot be supplied at this time).
Goods & Services Tax (GST) Returns
Have your GST Returns been prepared by us?
Yes
No
N/A
Please supply copies of Goods & Services Tax (GST) returns and work papers, or send us a note in the field below
Drop files here or
Select files
Max. file size: 128 MB.
I am unable to supply the above information at this time because
(please send us a note as to why this information cannot be supplied at this time).
Interest and Dividend Certificates
Did you receive any interest or dividends?
*
Yes
No
Please supply copies of certificates of any interest and dividends received, or send us a note in the field below
Drop files here or
Select files
Max. file size: 128 MB.
I am unable to supply the above information at this time because
(please send us a note as to why this information cannot be supplied at this time).
Accounts Receivable (Debtors)
- All accounts or amounts owed to you at balance date should be scheduled.
- Exclude any bad debts.
- Bad debts must be written off prior to balance date.
Did you have any outstanding Debtors at Balance Date?
Yes
No
Total amount of Accounts Receivable at Balance Date:
Accounts Receivable (Debtors)
Amounts owed to you at Balance Date.
Name of Debtor
Description of Sale (specify and zero rated sales)
Invoice Date
Total Amount
GST applies? Y/N
Date Payment Received
Accounts Payable (Creditors)
- All accounts or amounts owed by you at balance date should be scheduled indicating name of creditor, amount and what the debt is for.
- Alternatively, mark on cheque butts or highlight in cash book those items in the month following your balance date, which should be included. - Holiday pay or bonuses paid within 63 days of your balance date may be included.
Did you have any outstanding Creditors at Balance Date?
Yes
No
Total Amount of Accounts Payable at Balance Date:
Total Amount of Accounts Payable at Balance Date:
Name of Creditor
Description of Purchases (specify any exempt purchases)
Invoice Date
Total Amount
GST Applies? Y/N
Date Payment Made
Unpresented Cheques
Cheques that are written prior to and yet to be presented after balance date should be scheduled indicating name of Payee, amount and what the cheque is for.
Did you have any Unpresented Cheques at Balance Date?
Yes
No
Total Unpresented Cheques at Balance Date:
Unpresented Cheques
Name of Payee
Description of Cheque (specify any GST exempt cheques)
Chq Ref
Chq Date
Total Amount
GST Applies? Y/N
Date Cheque Presented
Records Required
Cash on Hand
Please tick those that apply to you:
Cash on Hand
Petty Cash
Till/Cash Floats
None of the Above
Cash on Hand
- Please record total amount of Cash on Hand and the date it was banked. - Include cash sales prior to balance date but not banked until after balance date.
Petty Cash
Please record total amount of Petty Cash.
Till/Cash Floats
Please record total amount of Till/Cash floats.
Stock on Hand and Work in Progress
Stock should be physically counted at balance date and adequate records retained to substantiate the dollar value arrived at.
Stock Valuation
Please note that if you estimate your stock to be less than $10,000 at the end of your income year, you may have the option of not physically counting your stock.
In these circumstances we will assume that your closing stock is the same as your opening stock.
Please indicate if you would like to use this option. (Please note that if your annual turnover is more than $1.3million, you are not able to use this option).
Please assume my closing stock is the same as my opening stock
I will provide the value of my stock
N/A
My stock is valued at the lower of:
Cost
Net Realisable Value
Market Value
Total value of Stock
Total value of Stock
My figure includes GST - Y/N
Work in Progress
I had Work in Progress at Balance Date
I did NOT have any Work in Progress at Balance Date
Value of Work in Progress
- Include material costs, labour costs and overhead costs. - Please do not include stock above.
Total value of Work In Progress
My figure includes GST - Y/N
Payments / Deposits Received from Customers
I had received deposits from Customers at Balance Date
I had NOT received deposits from Customers at Balance Date
Value of Payments / Deposits Received from Customers
Total Value of Payments / Deposits Received from Customers
My figure Includes GST - Y/N
Payments / Deposits paid to Suppliers
I had made payments / deposits to Suppliers at Balance Date
I had NOT made payments / deposits to Suppliers at Balance Date
Value of Payments / Deposits made to Suppliers
Total Value of Payments / Deposits made to Suppliers
My figure Includes GST - Y/N
Capital Expenditure
If you have engaged in any of the following activities/arrangements, please tick any/all of the following that apply to you:
Hire Purchase or Loan Agreements
Lease Agreements
Other Legal Statements and Agreements
Trade-ins
Lost, stolen, scrapped items
None of the above
Please upload details of any Hire Purchase or Loan Agreements
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Max. file size: 128 MB.
I am unable to supply the above information at this time because
(please send us a note as to why this information cannot be supplied at this time).
Please upload details of any Lease Agreements
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Select files
Max. file size: 128 MB.
I am unable to supply the above information at this time because
(please send us a note as to why this information cannot be supplied at this time).
Please upload details of any Other Legal Statements and Agreements
Drop files here or
Select files
Max. file size: 128 MB.
I am unable to supply the above information at this time because
(please send us a note as to why this information cannot be supplied at this time).
Please upload details of any Trade-ins
Drop files here or
Select files
Max. file size: 128 MB.
I am unable to supply the above information at this time because
(please send us a note as to why this information cannot be supplied at this time).
Please upload details of any Lost, Stolen or Scrapped items
Drop files here or
Select files
Max. file size: 128 MB.
I am unable to supply the above information at this time because
(please send us a note as to why this information cannot be supplied at this time).
Did you Purchase any Assets in this Financial Year?
*
Yes
No
Asset Purchases
Please provide details for any Assets Purchased
Date
Asset Description (eg iPhone 6)
New/Used?
Price (incl GST)
Paid for by (eg Cash, Hire Purchase)
Please upload copies of Hire Purchase Agreements, Finance Forms, and or Asset Invoices
Drop files here or
Select files
Max. file size: 128 MB.
I am unable to supply the above information at this time because
(please send us a note as to why this information cannot be supplied at this time).
Assets that no longer exist
Please review your Asset and Depreciation Schedule from last year's financial statements and indicate any assets that no longer exist
Transactions not through the Business
Were all sales banked into your business trading bank account?
Yes
No
List the amounts not banked and when they were lodged
Amount not Banked
When Lodged
Taken for Personal?
Taken for Business?
Banked into Other Account?
Legal and Loan Documents
Please attach:
- Any solicitor's statements and Sale and Purchase Agreements relating to any legal transactions during the year.
- Please also include Statements and Agreements relating to any mortgages, hire purchase, leases or loans.
- Please include a copy of your latest Rateable Valuation for any properties you own.
Or send us a note in the field below
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Select files
Max. file size: 128 MB.
I am unable to supply the above information at this time because
(please send us a note as to why this information cannot be supplied at this time).
Private Use
If you have taken goods from the business for private use, please indicate value below:
Value of Goods taken for Private Use
My figure includes GST - Y/N
Expenses paid in Cash from Personal Funds
If you have paid any Business Expenses from Personal Funds, please indicate below
Description
Value
My figure includes GST - Y/N
Business Expenses
There are a number of invoices that we specifically require.
Please indicate any of the below expenses you have paid
Insurance premiums claimed as a business expense
Legal Fees
ACC payments and arrangements
Invoices relating to importing (Clearing Customs)
None of the Above
Please upload invoices for Insurance premiums claimed as a business expense, or send us a note in the field below
Drop files here or
Select files
Max. file size: 128 MB.
I am unable to supply the above information at this time because
(please send us a note as to why this information cannot be supplied at this time).
Please upload invoices for legal fees claimed as a business expense, or send us a note in the field below
*
Drop files here or
Select files
Max. file size: 128 MB.
I am unable to supply the above information at this time because
(please send us a note as to why this information cannot be supplied at this time).
Please upload invoices for ACC payments and arrangements, or send us a note in the field below
*
Drop files here or
Select files
Max. file size: 128 MB.
I am unable to supply the above information at this time because
(please send us a note as to why this information cannot be supplied at this time).
Please upload invoices related to Importing (Clearing Customs), or send us a note in the field below
*
Drop files here or
Select files
Max. file size: 128 MB.
I am unable to supply the above information at this time because
(please send us a note as to why this information cannot be supplied at this time).
Motor Vehicles
I use my Private Motor Vehicle for Business
Yes
No
Motor Vehicle Business Use
- Please note that a detailed and accurate log book must be completed for a three month period every three years or vehicle expense claims will be limited to a maximum of 25% of expenses incurred.
The proportion of motor vehicle business use as established by my vehicle log book(s) is/are the same as last year
I have updated my log book
My vehicle logbook was last updated
DD slash MM slash YYYY
Vehicle Description
Registration
Make/Model
Business KM
Total KM
Percentage Business %
Company Vehicles
If you are operating as a company, please indicate which vehicles you are currently paying Fringe Benefit Tax for:
Home Office Expenses
Part of my home is set aside principally for use as an office/workshop/storage area
Yes
No
N/A
The area set aside principally for use as an office/workshop/storage area
Is the same as last year
Has changed since last year
New Home Office Area
Business Area (m2)
Total Area (m2)
Power
Total Paid for the Year
Includes GST - Y/N
Insurance (Building & Contents)
Total Paid for the Year
Includes GST - Y/N
Interest (House Mortgage)
Total Paid for the Year
Includes GST - Y/N
Rates
Total Paid for the Year
Includes GST - Y/N
Water Rates
Total Paid for the Year
Includes GST - Y/N
Repairs & Maintenance
Total Paid for the Year
Includes GST - Y/N
Other
Total Paid for the Year
Includes GST - Y/N
Total Home Office Expenses paid for the year
Total Paid for the Year
Includes GST - Y/N
Home Telephone Expense
-You can claim up to 50% of the landline (more if justified) and 100% toll calls if business related. -Please separate toll calls from landline.
Landline
Percentage Use
Total Landline for year
Total Business related Tolls for year
Includes GST - Y/N
Thank you for completing this questionnaire.
Your time and effort is appreciated.
**Please ensure you have provided all the information required to complete your Financials & Tax Returns.
Lack of complete information may mean an increase in fees as we need to follow up for more information.
Please select the staff member you would like to email your questionnaire to
*
Mark Raynes
Roger Matthews
Grace Wang
Sandy Chaplin
Mohammad Mohammadi
Alice Kongjinda
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