<PAGE=1 1>
<-X10><Y0>
<B(0,0,800,90)W5C6F>
<X0><B(10,30,110,21)C15F0>
<X10><Y31><S4>Australian
Taxation
Office
<X35><Y20><S24>A<Y25><X55><S18>T<Y18><X70><S28>O
<X10><Y10>
<C15><CENTER><S14><B>Application to vary provisional tax
<C9><S10><X125>This form includes references to <I>Tax Pack 97</I>. Use this and your 1997 tax return to make it
<C9>easier for you to estimate your 1997-98 income accurately.     <C15> PLEASE USE BLOCK LETTERS<.><X0><.><+Y10>

<S8>This form requires you to estimate your income for the 1997-98 income year so that your revised <X580><^AFY M1 TI L8 A1 W100><X0>
provisional tax debt can be worked out. If you are using it for any other year, write that year here. <X0>
<+Y5><S10><B>Your tax file number</B><S6><+Y6><X265> See the privacy message in your declaration on the back page.<-Y6><.><X580><^AAD M1 TI L9 A2 W150><X760><B>F</B><X0><+Y2></P>
<X0><-(0,10,770,0)W2C0>
<S10><B>Your Name</B><ALIGN="RIGHT"X275><S6><+Y2>Title-for example<.><X280><^ABE TR L15 A3 W200>
<X0><S10><B>or name of trust<.><+Y5><P><ALIGN="RIGHT"X275><-Y10><S6>Mr, Mrs, Ms, Miss<.><X0></P>
<P><ALIGN="RIGHT"X275><S6>Surname or<.><X280><^ABF TR L30 A4 W450><X0></P>
<P><ALIGN="RIGHT"X275><-Y6><S6>family name<.><X0><.><+Y4></P>
<P><-Y3><ALIGN="RIGHT"X275><S6>Given names or<.><X280><^ABG TR L15 A5 W450><X0></P>
<P><ALIGN="RIGHT"X275><-Y6><S6>name of trust<.><X0><-Y6></P>
<X0><-(0,10,770,0)W2C0>
<S10><B>Current postal address</B><X280><^ABH1 M1 TA L38 A6 W450 ><X0><L15>
<S6><X30>Print address where you<X280><^ABH2 M1 TA L38 A7 W450 ><X0><-Y8>
<X30>want your mail sent<L13>
<ALIGN="RIGHT"X275>Suburb or town<X280><^AME M1 TA L27 A8 W350><X619><^AMF TA L3 A9 W61><X659><^APE TI L4 A10 W71><X0><L11>
<X628>State<X680>Postcode
<ALIGN="RIGHT"X275>Country <X280><^AMG TA L20 A11 W270><X549><^BOC TT L4 A12 W41><X589><^BOD TI L15 A13 W141><X0>
<ALIGN="RIGHT"X275>-if not Australia
<X560>Daytime telephone number<-Y10><.><X0>
<X0><-(0,10,770,0)W2C0>
<S8><ALIGN="RIGHT"X235>Is the address shown above different     <S9><B>NO</B><S8><X255><^AQI1 TX L1 A14 W25><X330>If <B>YES</B>, is this a   <S9><B>NO</B><S8><X452>  <^AQJ1 TX L1 A15 W25><ALIGN="RIGHT"X620>Due Date of
<ALIGN="RIGHT"X235>from that on your provisional tax or     <X297>permanent change of  <ALIGN="RIGHT"X620>provisional tax<X620><^AUO M1 TD L8 A16 W110><X0>
<ALIGN="RIGHT"X228>instalment notice?   <S9><B>YES</B><S8><X255><^AQI2 TX L1 A14 W25><X325>postal address?  <S9><B>YES</B><S8><X452>  <^AQJ2 TX L1 A15 W25><ALIGN="RIGHT"X620>or instalment notice.<-Y7>
<X635><S6>Day Month     Year
<X0><-(0,10,770,0)W2C0>
<ALIGN="RIGHT"X350><B><+Y3><S9>NO<S8><-Y3></B><+Y4><X346><^AQQ1 M1 TX L1 A17 W25><X0><-Y4><-Y3>
<S10><B>1</B><S8><X20>Are you paying your provisional tax by instalments?
<S6><X30>-see Note 1<S8><X390><-Y2>If <B>YES</B>, please insert the instalment number 1, 2, 3 or 4<X705> <^AIH TI L1 A18 W25> <X0>
<ALIGN="RIGHT"X350><-Y3><B><-Y3><S9>YES<S8><+Y3></B><-Y6><X346><^AQQ2 M1 TX L1 A17 W25><+Y6><S8><X442>shown on your most recent instalment notice.<X0><X760><S10><B>F</B><X0>
<S10><B>2</B><S8><X20>Complete this item <B>only</B> if your spouse receives an Australian government pension.<X0>
<X185>Your spouse's estimated notional taxable income for 1997-98--see Note 2.<X615><S10><E1>Z</E1><X635> <^AEA T$ L11 A19 W95><X0>
<X0><-(0,10,770,0)W2C0>
<S10><B>Income</B><S8><+Y2>
<X20>Estimated net income for items 3 to 9 is your gross income less any allowable expenses incurred in earning that income.
<B>Do not</B> deduct any amount which has been or will be taken out of your gross income as pay-as-you-earn (PAYE) tax instalments or under
the prescribed payments or reportable payments arrangements.<S8><X0>

<S10><B>3</B><S8><X20>Estimated net income from an Australian government pension or benefit, social security or repatriation pension
<X20>or benefit subject to tax, other than Newstart, Sickness or Special Benefit-see Note 3.  <X740><S6>CODE<S8><X0>
<X20>See question 2, page 15 of <I>Tax Pack 97</I>, to find out the code you need to write in the code box. <X615><-Y3><S10><E1>P</E1><X635> <^AEN T$ L11 A20 W95><S10><X736>/<X740><^AWC TT L1 A21 W20 *><X0><S8>

<S10><B>4</B><X20><S8>Estimated net salary or wage income-see Note 4-from:
<X20><+Y4><B>*</B><-Y4> <S8>salary or wages, superannuation pension or benefits <-Y9><S6><X370>Type of income<X475> Source country<+Y9><S8><X0>
<X20><+Y4><B>*</B><-Y4> foreign employment income or pension taxable in Australia.<X370><-Y6><^AEX TT L35 A22 W100 #><S10><X475><^AOM TA L20 A23 W100><+Y6><X615><-Y5><E1>A</E1><S8><X635> <^BKR T$ L11 A24 W95>

<X0>
<S10><B>5</B><X20><S8>Estimated Newstart or Sickness Allowance, AUSTUDY, other allowances  and other income of
<X20>this nature. <S10><X615><-Y9><E1>E</E1><S8><X635> <^ACY T$ L11 A25 W95><+Y9><X0>

<S10><B>6</B><S8><X20>Estimate eligible taxable income under the income averaging scheme if you are an artist,
<X20>composer, inventor, performer, production associate, active sportperson or writer-see Note 6. <S10><X615><-Y9><E1>Y</E1><S8><X635> <^AEQ T$/L L13 A29 W95><S10><X736>/<^AEQ2 TT L1 A211 W20 *><S8><X0>

<S10><B>7</B><S8><X20>Estimated net income from a business of primary production including that subject to prescribed
<X20>payments or reportable payments-see Note 7. <S10><X615><-Y9><E1>U</E1><S8><X635> <^AER T$/L L13 A28 W95><S10><X736>/<S8><X740><^AER2 TT L1 A211 W20 *><X0>

<S10><B>8</B><S8><X20>Estimated net income from business, interest or other sources-excluding rental income or loss.
<X20>Include prescribed payments or reportable payments-see the paragraph on <B>Family partnership
and family trust</B> on page 2 of this form and Notes 8 and 18. <S10><X615><-Y9><E1>C</E1><S8><X635> <^AES T$/L L13 A30 W95><S10><X736>/<X740><^AES2 TT L1 A212 W20 *><X0><S8>

<X140>Show exempt foreign emplyment income here- <X0>
<X73>question 15, page 39 of <I>Tax Pack 97</I> tells you what this is <S10><X430><-Y5><E1>H</E1><S8><X450> <^AWH T$ L11 A32 W150><+Y5><X0>

<S10><B>9</B><S8><X20>Estimated net rental income or loss-see Note 9. <S10><X615><-Y5><E1>I</E1><S8><X635> <^BKS T$/L L13 A33 W95><S10><X736>/<S8><X740><^BKS2 TT L1 A213 W20 *><X0>

<S10><B>10</B><S8><X20>Estimated taxable income-total of items 3 to 9.
<X20>Do not include exempt foreign employment income shown at label H or capital gains.
<X20>If the total of items 3 to 9 is a loss, write <B>0</B> here. <S10><X615><-Y5><E1>F</E1><S8><X635> <^ASZ M1 T$ L11 A35 W95 *><+Y5><X0><+Y2>
<X0><-(0,10,770,0)W2C0><X0>
<S10><B>Tax agent use only</B><X0><S6>

<X0>Agent's name<X295>Agent's telephone number<X475>Agent's reference number<X625>Client's reference<S8><X0>
<X0><-X10><^ACR1 M1 TR L25 A36 W295><X295><^BLI M1 TI L4 A38 W40><X334><^BLJ M1 TI L15 A38 W135><X475><^AAE M1 TI L8 A39 W140><X625><^AWB TT L10 A40 W120 *><X0>
<L18>

<-X10><^ACR2 M1 TR L25 A37 W295><X0>
<X450>IN-CONFIDENCE-when completed<X0>
NAT 540-11.97
<PAGE=2 2>

<S10><B>11</B><S8><X20>Increase in tax free threshold from Family Tax Assistance. You will require the <I>1998 Application</I><S10><X615><E1>N</E1><S8><X635> <^BKT T$ L4 A41 W95><X0><I>
<X20>to vary provisional tax Family Tax Assistance worksheet and notes</I> to work out the increase in
your tax-free threshold-see Note 11.<X0>

<S10><B>12</B><S8><X20>If you will be under 18 years of age at 30 June 1998, show the estimated eligible income included in <S10><X615><E1>T</E1><S8><X635> <^AET T$ L11 A42 W95><X0>
<X20>your estimated taxable income-see Note 12.
<@>
<@><X20>Details why special provisions will not apply for 'excepted person'. <INPUT TYPE=SUBMIT NAME="AJW"><X0>
<@>
<X0><-(0,10,770,0)W2C0><X0>
<S10><B>Offsets*</B><+Y5>
<S10><B>13</B><S8><X20>Low income aged person offset-see Note 13.<ALIGN="RIGHT"X615><S6><+Y4>Code<-Y4><S10><X615><E1>R</E1><S8><X635> <^BNC  TT L1 A43 W50 #><X0>
<X20>We will work out this offset based on information at this item.<-Y5>
<ALIGN="RIGHT"X615><S6>Estimated 1997-98 taxable<S10><X615><E1>D</E1><S6><X635> <^BND T$ L8 A44 W95><X0>
<-Y3><ALIGN="RIGHT"X615>income of spouse<S8><X0>

<S10><T1>14<.><S8><X20><S8>Total of other offsets-see Note 14.<S10><X615><E1>G</E1><S8><X635> <^BVR  T$ L8 A45 W95><X0>
<X20><B>Do not</B> include any pension offset here. We will work this out for you</P>
<X20>from the information you give us on page 1 of this form.
<X0><-(0,10,770,0)W2C0>
<S10><B>Credits</B><+Y5>
<S10><B>15</B><S8><X20>Imputation credit-see Note 15.<S10><X615><E1>K</E1><S8><X635> <^AGH  T$ L8 A46 W95><X0>

<S10><B>16</B><S8><X20>Credit for tax paid by a trustee-see Note 16.<S10><X615><E1>Q</E1><S8><X635> <^BVS  T$ L8 A47 W95><X0>

<@><X20>Additional information in support of PTV estimates <INPUT TYPE=SUBMIT NAME="AAO"><X0>
<@>
<S10><B>17</B><S8><X20>Estimated amount of tax  instalments-even if it is nil- that will be deducted from income at items<S10><X615><E1>J</E1><S8><X635> <^BKU  T$ L8 A48 W95><X0>
<X20>3, 4, 5 and 6, including income tax credit vouchers purchased. <B>Do not</B> include voluntary deductions
<X20>made from investment property, business or partnership income-see Notes 4 and 17<X0>

<S10><B>18</B><S8><X20>Other credits-see Note 18. Estimated amount of tax to be deducted from interest, dividends,<S10><X615><E1>L</E1><S8><X635> <^BKV  T$ L8 A49 W95><X0>
<X20>prescribed payments and reportable payments income included at items 7 and 8, and credits for
<X20>foreign tax paid.
<X0><-(0,10,770,0)W2C0>
<S10><B>Medicare levy reduction or exemption</B><S8>

<S10><B>19</B><S8><X20>Complete this item only if you are eligible for a Medicare levy reduction or exemption-see Note 19.

<S8><X135>Estimated 1997-98 taxable income of spouse-<I>Tax Pack 97</I>, question 48, label X<S10><X615><E1>B</E1><S8><X635> <^ASY  T$ L11 A50 W95><X0>

<S8><X143>Number of dependent children and students-<I>Tax Pack 97</I>, question 48, label Y<S10><X615><E1>M</E1><S8><X635> <^ASS  TI L2 A51 W60><X0>

<S8><X77>Full levy exemption - estimated number of days-<I>Tax Pack 97</I>, question 48, labels V and P<S10><X615><E1>O</E1><S8><X635> <^ASH  TI L3 A52 W60><X0>

<S8><X70>Half levy exemption - estimated number of days-<I>Tax Pack 97</I>, question 48, labels W and Q<S10><X615><E1>S</E1><S8><X635> <^ASN  TI L3 A53 W60><X0>
<X760><B>F</B><X0>
<X0><-(0,10,770,0)W2C0>
<S10><B>Family partnership and family trust</B><S8><X0><+Y5>
Complete this itemif you received, or are eligible to receive, any income through a<+Y4><ALIGN="RIGHT"X630>Estimated distribution<S8><X635> <^AFM  T$ L11 A54 W95><X0><-Y4>
family partnership or family trust. Also add your estimated distribution to item 8.
Do not include any salary and wages paid by a partnership-see Note 4.<ALIGN="RIGHT"X630>Total estimated income<S8><X0>
If you belong to more than one family partnership or family trust, attach a note<-Y4><ALIGN="RIGHT"X630>available for distribution<S8><X635> <^AFL  T$ L11 A55 W95><X0><+Y4>
showing the relevant information for each.<+Y8>
<S6>Partnership or trust name<+Y2>
<X0><-X10><^AFJ1 TN L76 A56 W330><L18><X360>Tax file number<S8><X0>
<X0><-X10><+Y2><^AFJ2 TN L76 A57 W330><X350><^AFK  TI L8 A58 W100><+Y2><X0>

<X0><-(0,10,770,0)W2C0><L10>

<S10><B>Declaration<X580>Your checklist</B><X0><S8><+Y5>
The above information and estimates for the year ending 30 June 1998 are provided so that my<S6><+Y3><X580>* Is your tax file number (TFN) correct?<X0><-Y2><S8>
provisional tax can be recalculated. I have read the penalty warning on page 1 of this instructions.<S6><+Y3><X580>* Have you included a code if you<X0><S8>
<B>The income tax law provides severe penalties for giving false or misleading information</B><S6><-Y4><X580>  completed item 3? <X0><L15>
<S6>Signature<X360>Date<X580>* Have you filled in item 17 if you put a<X0><L10>
<-X10><+Y4><^AA1 TT W350><X350><^AA2 TT W100><-Y4><X585>amount at item 3, 4, 5 or 6<X0>
<X580>* Have you initialled any alternations?<S8><+Y4>
<X0><-(0,10,770,0)W2C0>
<S10><B>Privacy</B><S8><L15>
It is not an offence not to quote your TFN. However, if you do not quote it, the recalculation of your provisional tax may be delayed while we identify your TFN.
The Australian Taxation Office is authorised by the Income Tax Assesment Act 1936 and 1997 to ask for information in this application. We need<L10>
this information to help us to administer the tax laws. We may give some of this information to other government agencies authorised by law to 
receive it, including Centrelink and departments of Social Security, Veterans' Affairs and Employment, Education, Training and Youth Affairs.<S8>
<X0><-(0,10,770,0)W2C0><+Y6>
<S10><B>Office use only</B><S6><ALIGN="RIGHT"X200>Adj. prov.<S10><X205><E1>R</E1><S6><X230><^AA3 TT W80><X360>Assmt.<S10><X400><E1>V</E1><S6><X430><^AA4 TT W80><X560>Indics.<S10><X601><E1>X</E1><X630><^AA5 TT W80><S10><X760><B>F</B><X0><S6>
<S6><ALIGN="RIGHT"X200>and levy<ALIGN="RIGHT"X400>calc. Indics.

<S6><ALIGN="RIGHT"X200>Variation<S10><X205><E1>D</E1><X230><^AA6 TT W80><S6><ALIGN="RIGHT"X400>Man. calc.<S10><X400><E1>W</E1><S6><X430><^AA7 TT W80><ALIGN="RIGHT"X600>Checksum<S10><X601><E1>$</E1><X630><^AA8 TT W80><S10><X760><B>R</B><X0><S6>
<S6><ALIGN="RIGHT"X200>lodg. date<ALIGN="RIGHT"X400>of I.O.P.<ALIGN="RIGHT"X600>(N to X)

<X5><S8>*<X20>The word 'offset' in this form means the same as the word 'rebate' in <I>Tax Pack 97</I>. We used 'offset' to be consistent with rewritter
tax law that applies from 1 July 1997.<X0>
<ALIGN="RIGHT"X780>Page 2
<PAGE=3 3>

<S10><B>Family Partnership and Family Trust</B><X560><^AA9 TT L11 A56 W150 #><X5>

<S10><ALIGN="RIGHT" X555>Estimated income available for distribution</B><X560><^TAFL T$ L11 A57 W150><X5>

<S10><ALIGN="RIGHT" X555>Estimated distribution</B><X560><^TAFM T$ L11 A58 W150><X0>

<ALIGN="RIGHT" X555>Do you elect to withdraw from the tax averaging scheme? <X560><^AKV TQ L1 W40><X0>

<S10><B>Other offsets</B>

<ALIGN="RIGHT" X555>Child-housekeeper/housekeeper with no dependants offset  <X560><^AUP  T$ L4 A59 W150><X0>

<ALIGN="RIGHT" X555>Child-housekeeper/housekeeper with dependants offset <X560><^AUQ  T$ L4 A60 W150><X0>

<ALIGN="RIGHT" X555>Spouse with no dependants offset <X560><^AFT  T$ L4 A61 W150><X0>

<ALIGN="RIGHT" X555>Spouse with dependants offset <X560><^BVV  T$ L4 A62 W150><X0>

<ALIGN="RIGHT" X555>Sole parent offset <X560><^ABX  T$ L4 A63 W150><X0>

<ALIGN="RIGHT" X555>Zone or overseas forces offset <X560><^ATS  T$ L4 A64 W150><X0>

<ALIGN="RIGHT" X555>Superannuation offset <X560><^ATE  T$ L4 A65 W150><X0>

<ALIGN="RIGHT" X555>Parent or parent-in-law offset <X560><^AFW  T$ L4 A66 W150><X0>

<ALIGN="RIGHT" X555>Invalid relative offset <X560><^AFV  T$ L3 A67 W150><X0>

<ALIGN="RIGHT" X555>Net medical expenses over $1250 x 20 % offset <X560><^AKQ  T$ L8 A68 W150><X0>

<ALIGN="RIGHT" X555>Heritage conservation over $5000 x 20 % offset <X560><^ACV  T$ L8 A69 W150><X0>

<ALIGN="RIGHT" X555>Interest from government securities <X560><^BVT  T$ L8 A70 W150><X0>

<ALIGN="RIGHT" X555>Infrastructure borrowings offset <X560><^BVU  T$ L8 A71 W150><X0>

<ALIGN="RIGHT" X555>Life assurance bonuses offset <X560><^AKO  T$ L8 A72 W150><X0>

<S10><B>Other Credit</B>

<ALIGN="RIGHT" X555>Share of credit for tax paid by trustee <X560><^AFN  T$c L11 A73 W150><X0>

<ALIGN="RIGHT" X555>Share of credit for prov tax paid by trustee <X560><^AFO  T$c L11 A74 W150><X0>
<S8><ALIGN="RIGHT"X780>Page 3
