Sample Payg Payment Summary
PAYG payment summary – individual non-business
All sections of this form must be completed. For help, refer to How to complete the PAYG payment summary – individual non-business (NAT 3388).
00460211
Payment summary for year ending 30 June Section A: Payee details
Payee’s surname or family name Payee’s given name/s Payee’s residential address Suburb/town/locality
Day Month Year
If you are amending a payment summary you have already sent, place X in this box.
State/territory
Postcode
Date of birth (if known)
Section B: Payment details
Period during which payments were made Payee’s tax file number If the information on this payment summary relates to payments of a pension or annuity, place X in this box. GROSS PAYMENTS (do not include amounts shown under ‘Allowances’, ‘Lump sum payments’, ‘CDEP payments’ and ‘Exempt foreign employment income’)
Day
Month
Year
Day
Month
Year
to TOTAL TAX WITHHELD
$
,
,
.00
Total tax withheld - whole dollars only in words
$ $ $ $ $
, , , , ,
, , , , ,
.00 .00 .00 .00 .00
Lump sum Lump sum Lump sum Lump sum
A$ B$ D$ E$
, , , ,
, , , ,
.00 .00 .00 .00
Type
Community Development Employment Projects (CDEP) payments Reportable fringe benefits amount
FBT year 1 April to 31 March
Reportable employer superannuation contributions (do not include compulsory super guarantee amounts. For more information see the back page of this form.)
Deductible amount of the undeducted purchase price of an annuity Exempt foreign employment income Allowances (provide details)
Amount
$ $ $
Total allowances
, , , , $ $
, , , ,
Amount
.00
Tax Office original
.00 .00 .00 .00 .00 .00
$
Union/Professional association fees – Name of organisation
, , ,
Workplace giving – Name of organisation
$
Section C: Payer details You must also complete this section
NAT 0046-02.2011 JS 19166
Payer’s Australian business number (ABN) or
All sections of this form must be completed. For help, refer to How to complete the PAYG payment summary – individual non-business (NAT 3388).
00460211
Payment summary for year ending 30 June Section A: Payee details
Payee’s surname or family name Payee’s given name/s Payee’s residential address Suburb/town/locality
Day Month Year
If you are amending a payment summary you have already sent, place X in this box.
State/territory
Postcode
Date of birth (if known)
Section B: Payment details
Period during which payments were made Payee’s tax file number If the information on this payment summary relates to payments of a pension or annuity, place X in this box. GROSS PAYMENTS (do not include amounts shown under ‘Allowances’, ‘Lump sum payments’, ‘CDEP payments’ and ‘Exempt foreign employment income’)
Day
Month
Year
Day
Month
Year
to TOTAL TAX WITHHELD
$
,
,
.00
Total tax withheld - whole dollars only in words
$ $ $ $ $
, , , , ,
, , , , ,
.00 .00 .00 .00 .00
Lump sum Lump sum Lump sum Lump sum
A$ B$ D$ E$
, , , ,
, , , ,
.00 .00 .00 .00
Type
Community Development Employment Projects (CDEP) payments Reportable fringe benefits amount
FBT year 1 April to 31 March
Reportable employer superannuation contributions (do not include compulsory super guarantee amounts. For more information see the back page of this form.)
Deductible amount of the undeducted purchase price of an annuity Exempt foreign employment income Allowances (provide details)
Amount
$ $ $
Total allowances
, , , , $ $
, , , ,
Amount
.00
Tax Office original
.00 .00 .00 .00 .00 .00
$
Union/Professional association fees – Name of organisation
, , ,
Workplace giving – Name of organisation
$
Section C: Payer details You must also complete this section
NAT 0046-02.2011 JS 19166
Payer’s Australian business number (ABN) or