Financial Statement

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Financial Statement

Financial Statement Online Form

This form is an online version of the previous hardcopy form Statement of Income (Receipts) and Expenditure (Payments). All fields are required. If you have any questions or experience problems when completing this form please contact us.

Select facility Facility

Statement completed by Your full name Phone number Email address

Financial period

The financial year is calculated from 01 July to 30 June.

Starting year (e.g. 2013) Ending year (e.g. 2014)

Opening balance

If the balance is negative put a minus sign before the figure, e.g. -2000.

Balance at start of financial year

Upload documents (PDF)

Attach bank statement showing balance at end of financial year (30 June)

Files must be provided in PDF, JPG or PNG format and no larger than 5Mb in size.
To select multiple files, when the file browser opens press the Ctrl key (Command key on Mac) and select your files.

Bank statements (required)

Income

Add GST income Description Amount - including GST

Add GST-free income Description Amount - GST-free

Income totals Total income excluding GST GST collected Total income including GST

Expenses

Add GST expense Description Amount

Add GST-free expense Description Amount

Expense totals Total expense excluding GST GST incurred Total expense including GST

Check balance and submit

Balance Surplus/Deficit (income less expenditure) Closing balance at end of financial year

This closing balance should equal the closing balance seen on your bank statement.

Send a copy of this Financial Statement to the email address provided

Financial Statement

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