COMPANY INCOME TAX RETURN TAXPAYER IDENTIFICATION NO. (TIN) : Name of Company Postal Address : Derived during the year ended 31st December or the substituted year ended Exact Location : Nature of Business : COMPANY REGISTERED OFFICE Name : Postal Address : Telephone No. : AUTHORISED OFFICER Postal Address : Nature of Company's Structure : Public Private Resident Non-resident (Tick the appropriate box) If you would like your refund to be deposited in your bank account please complete the details below NOTE: The bank account nominated must belong to the Company Bank Name : Bank Branch : Account No. : 0 1 Email Address: 2 OFFICE USE ONLY ASSESSOR : CHECKER : BATCH NO. : RETURN NO. : DATA ENTRY : Stamp Here FSIC : IRS204 [Revised: 05-Nov-2019] C Is the Company engaged in FAVP: Yes No If yes please complete the supplementary form IRS 204A. Is the Company a non-resident company claiming Film Tax Rebate: Yes No If yes please complete the supplementary Tax Rebate IRS 222. Tick if it is a resident m utual or non-mutual insurance company ? Do you have any investments and/or assets overseas? Yes No If Yes complete line 107 on page 5
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COMPANY INCOME TAX RETURN
TAXPAYER IDENTIFICATION NO. (TIN) :
Name of Company
Postal Address :
Derived during the year ended 31st December or the substituted year ended
Exact Location :
Nature of Business :
COMPANY
REGISTERED OFFICE
Name :
Postal Address :
Telephone No. :
AUTHORISED OFFICER
Postal Address :
Nature of Company's Structure : Public
Private
Resident
Non-resident (Tick the appropriate box)
If you would like your refund to be deposited in your bank account please complete the details below
NOTE: The bank account nominated must belong to the Company
Bank Name :
Bank Branch :
Account No. :
0
1
Email Address:
2
OFFICE USE ONLY
ASSESSOR :
CHECKER :
BATCH NO. :
RETURN NO. :
DATA ENTRY :
Stamp Here
FSIC :
IRS204 [Revised: 05-Nov-2019]
C
Is the Company engaged in FAVP:
Yes No
If yes please complete the supplementary
form IRS 204A.
Is the Company a non-resident company
claiming Film Tax Rebate:
Yes No
If yes please complete the supplementary
Tax Rebate IRS 222.Tick if it is a resident mutual or non-mutual insurance company ?
Do you have any investments and/or assets overseas?
Yes NoIf Yes complete line 107 on page 5
a
NET PROFIT as shown in Profit and Loss Account 1
Office Use Only
Add: Items not allowable as deductions (attach details)
Less: Deductions/Concessions
Depreciation Allowable (Legal Notice 1)
19
Net Exempt Income (being gross income less expenses incurred) (LN2)
21
Maritime Vessel Investment Allowance (Legal Notice 7)
Decrease in Provisions
Amortization of Deferred Grant Revenue
Unrealized Exchange Gain
Share of Gain from Investment in Associates
Losses on Disposal of Assets for Tax purposes
Sub Total
Depreciation charged in Accounts
Capital Expenditure
Income Taxes , SRT, CGT, FBT (Section 22(h))
Donations and Subscriptions
Legal Expenses
Fines and Penalties
Preliminary Expenses
Audio Visual Production Income (Legal Notice 8)
4
5
6
7
14
15
2
3
2
Medical Investment Incentives (Legal Notice 4)
Residential Housing Development Incentive (Legal Notice 6)
F 1 - Contribution to Audio Visual Production(150% of expenditure)(LN8)
F 2 - Contribution to Audio Visual Production (125% of expenditure)(LN8)
TFF/TFZ/TFR Concession (Legal Notice 10)
Accelerated Depreciation
20
Reversal of Impairment loss
Unrealized Exchange Loss
Impairment Loss
Fair Value Losses on Assets and Liabilities
Additions to Provisions and Reserves
Losses on Disposal of Assets for accounting purposes
Gain on Disposal of fixed assets for Tax purposes
10
11
12
13
8
9
IRS204 [Revised: 05-Nov-2019]
Commercial Agriculture & Agro- Processing-Vanua Levu(LN 2 Part 9 (2))
22
17
16
28
39
40
41
42
37
35
36
29
30
32
33
34
38
31
Film Making & Audio Visual Production - exempt income(Legal Notice 8)
23
24 Tax Concession- Small & Micro Enterprises (Legal Notice 2 Part 9 (4))
Bio Fuel Production (10 year tax holiday) (Legal Notice 2 Part 9 (7))
Dividend Deduction (Legal Notice 2 Part 5 (5))
Renewable Energy Projects(5 year tax holiday)(Legal Notice 2 Part 9 (8))
Hotel Aid Investment Allowance (Legal Notice 3)
Nausori to Ba Tax Free Region Exemption (Legal Notice 2 Part 9 (10))
25
26
27
18 Other Items
Debt Forgiveness
Forfeited Deposits
3
Taxable Business Income/Loss for Current Year
67
Donation-Poverty Relief Fund for Education (Section 24(5))
Donation of Computers to Schools (Section 24 (6) & (7))
Disaster Rehabilitation Fund (Section 24 (8))
44
Donation to Farmers Emergency Fund Acc (Section 24 (11))
45
Vanua Levu Incentive- 40% Deduction on capital expenditure(Section 25 (4)&(5)
46
150% Deduction - Rural Banking Programming (Section 25 (6))
47
Commercial Agriculture & Agro-Processing (Section 25 (7))
48
49
Export Profit (Section 25 (8))
50
ICT Development - 150% Deductions (Section 25 (12))
51
52
ICT Training Institutions 150% Deductions (Section 25 (13))
54
53
55
OFFICE USE ONLY
IRS204 [Revised: 05-Nov-2019]
Investment Allowances
Donation to Fiji Heritage Foundation (Section 24 (4))
57
Fuel Concession
Donation to Sports fund (Section 24 (3))
Employee Share Scheme (Section 16)
Cash Donations to Approved Organisations/Charities (Section 24 (1) & (2))
56
58
66
60
59
Cyclone Reserve Fund (Section 28)
ETS 200% Deductions for First Full Time Employees, Student Employees65
62
Losses brought forward from prior years
Film Tax Rebate
78
79
CHARGEABLE INCOME/LOSS
77
ETS 300% Deduction for employment of Disabled People
Electric Vehicle Charging Station
61 Uniform made in Fiji 50% Deductions (Section 25 (14))
Gain on Disposal of Assets for accounting purposes 43
Amortization of Business Intangibles (Section 35)63
ETS (Section 143 (3)) 150% Deductions for Professional Qualification Fees64
Listing on Stock Exchange 150% Deduction (Section 25 (2))
70
69
68 125% Renovation & Redevelopment (Modernisation)
25% Extension Or Redevelopment (Modernisation)
73
72
250% For R&D in ICT & Renewable Energy Industries
71 55% Tax Deduction for Investments in Electric Buses
150% Staff training cost – Accredited training providers
Sub Total
76
75
CGT & Income Tax Exemption for SPSE Listing
74 150% Deduction – Paternity & Family Care Leave
Other Items (attach details)
80
81
82838485
Incentive for Renovation of Buildings
Development of Housing for Public Rental
Incentive for Retirement villages and aged care facilities
Waste management at Naboro Tax Free Zone
Construction of warehouses
Package for pharmaceutical manufacturing
Office use Only
DETAILS OF DIRECTOR’S/MANAGEMENT FEES PAID
Continue on a separate sheet if necessary $ Total Fees:
Total Tax Deducted:
Tax Deducted
$ c
T.I.N. of DirectorName of Director
Director's/Mgt
Fees
$ c
100 Total Liabilities
No. of Employees
Total Sales
ICT Incentives Current Year Previous Year
INFORMATION REQUIRED… continued4
DETAILS OF DIVIDEND PAID (Include Directors Advance/Deemed Dividend)
Tax Deducted
$ c
Gross
Dividends
$ c
Total Dividends:
T.I.N. of Recipient
Total Tax Deducted:
Name of Recipient
Continue on a separate sheet if necessary
IRS204 [Revised: 05-Nov-2019]
101
103 Gross Wages and Salaries paid for the year
Net Income
Total Assets
9899
Interest Expenses97
Total Expenses96
102
104
105
= TOTAL GROSS INCOME
= COST OF GOODS SOLD
= GROSS TRADING INCOME
Opening Stock
plus: Purchases
less: Closing Stock
86
87
88
89
90
Total Sales
less: Cost of Goods Sold
plus: Interest Income
plus: Dividend Income
plus: Other Income
Gross Trading Income
94
91
92
93
95
DETAILS OF CONTRACTUAL PAYMENTS RECEIVED
Tax Deducted
$ c
Gross Payment
$ c
Total Payments:
T.I.N. of Contractor
Total Tax Deducted:
Office use
Only
NOTE: Continue on a separate sheet if necessary
5
Name of Contractor
OVERSEAS INCOME
Total Gross Income:
Gross Income
$ c
W/Tax Deducted
$ c
Total W/Tax Deducted
Name of Company
SHARE OF JOINT VENTURE/TRUST/PARTNERSHIP INCOME RECEIVED
Income
$ c
Total Income:
109
T.I.N.Name of Joint Venture/Trust/Partnership
NOTE: Continue on a separate sheet if necessary
INFORMATION REQUIRED… continued
IRS204 [Revised: 05-Nov-2019]
108
107
Total Interest Income:
Total Tax Deducted:
NOTE: Continue on a separate sheet if necessary
Gross Interest
$ c
Tax Deducted
$ c
Name of Financial Institution
INTEREST INCOME106
IRS204 [Revised: 05-Nov-2019]
Tax Deducted
$ c
Gross
Payment
$ c
T.I.N. Name of Director
DIRECTOR'S FEES RECEIVED
Total Payments:
Total Tax Deducted:
DECLARATION BY AUTHORISED OFFICER
I, declare that this tax return is true and complete.
Date:Signature:
Tax Agent's No.:
DECLARATION BY TAX AGENT
I, declare that this tax return has been prepared
in accordance with information supplied by the taxpayer.
Signature: Date:
NOTE: All attachments to this return must be signed by the person authorised to make the return.
IT IS A SERIOUS OFFENCE TO MAKE A FALSE INCOME TAX RETURN
6 INFORMATION REQUIRED… continued
Office Use
Only
111
Tax Deducted
$ c
Gross
Payment
$ c
T.I.N. Name of Paying Company
110 DETAILS OF MANAGEMENT FEES RECEIVED
Total Payments
Total Tax Deducted:
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