Approved form name Date of Payment Approved form number In submitting this return I declare that the information is correct Declaration type Address Usage Address Usage - Address Usage Code = POS (Postal Address) Client Name DGE Name Group Member Name Administrator Name Excess Deduction Group Member Name Client Name - The legal name by which the entity is registered. DGE Name - The legal name by which the entity is registered. Group Member Name - The legal name by which the entity is registered. Administrator Name - The legal name by which the entity is registered. Excess Deduction Group Member Name - The legal name by which the entity is registered. House No. / Street / PO Box Address Line1 House No. / Street / PO Box - House No. / Street / PO Box Unit/Flat/Building Address Line2 Suburb Postcode State Name Type Name Type - Name Type = MN (Main Name) Payee Details Payee Details - Commissioner of State Revenue Adddress Details Country Name Country Code Country Code - Must be a valid ISO 3166 two character code Address Details Line 3 Address Details Line 4 Address Details Overseas Address Indicator Telephone Area Code Telephone number Electronic Contact Service Line Telephone Usage Code Telephone Usage Code - Telephone usage code = 03 (contact) Contact Name Contact Name - For personal certificates this value should match the person name on the authentication token. Name Use Code Name Use Code - Name use code = Contact Group status for next return Group status for next return - Identifies employer status for the Next period. It is one of the three values defined below. * Designated group employer (DGE) - the one member of a group chosen by the members or nominated by the Commissioner of State Revenue under the Payroll Tax Act 1971 who can claim the deduction. * Group member - a member of a group of employers, but is not the DGE of the group * Non-grouped employer - an employer who is not a member of a group. Have you ceased to employ? Cease date Cease date - Appears only if the answer to will you cease to employ from the next period is yes. Must be the day after the period end date specified for the return which for an Annual will be 30 June. Any other date should prompt a change to a final return form. Has an administrator been appointed? Has an administrator been appointed? - For example, Receivers and Managers, Liquidators and Administrators. Administrator appointed date Has an administrator ceased? Administrator cease date Allowances Bonuses Commissions Wages for apprentices Fringe benefits Annual Liability Annual Liability - The Payroll tax amount is the taxable amount multiplied by the current Payroll tax rate Payroll Tax liability/credit Total (liability/credit) Part Period Before Change of Status Part Period After Change of Status Total liability Part Period Before Change of Status - Amount of assessed liability for the part period that started at the beginning of the periodic period and ended on the day the change of status occured. Part Period After Change of Status - Amount of assessed liability for the part period that started on the day after the change of startus occured and ended on the last day of the period. Total liability - E. less Total periodic amounts Total Queensland taxable wages Other non taxable wages Total Queensland non taxable wages Did you pay wages that are taxable in other states or territories of Australia? Did you pay wages that are taxable in other states or territories of Australia? - Exists to allow the form to dynamically display relevant interstate wage fields. Total interstate wages Total interstate wages - Displays only when indicator for interstate wages is checked. Used to calculation the annual deduction. Total Queensland taxable wages for all group members Total Queensland taxable wages for all group members - Displays only for DGE type employers Used to calculate the annual deduction. Total interstate wages for all group members Total interstate wages for all group members - Displays only for DGE type employers Used to calculate the annual deduction. Excess Deduction Seq No Excess deduction indicator Excess Deduction Deduction Periodic Paid or Payable Taxable Amount Taxable Amount - The taxable amount is the total Queensland Taxable wages less the Deduction Have you changed your employer status? Payroll Tax Amount Unpaid Tax Interest (UTI) Unpaid Tax Interest (UTI) - Unpaid Tax Interest is a penalty for late payment of returns. It is the daily UTI amount, multiplied by the number of UTI days applicable. UTI Days UTI Days - The number of days between Unpaid Tax Interest (UTI) start date and the expected payment date inclusive of both dates. SBR report code Gross Salary and Wages Gross Salary and Wages - Queensland taxable wages are wages that are taxable under the Payroll Tax Act 1971, and have not been included in other fields within this section (except for the total field), or have been included in the non taxable wages section Contractors Directors Fees Termination payments Shares and Options Apprentice and trainee wages Wages for trainees Employer Superannuation Contributions Total group Australian wages Total group Australian wages - Displays only for DGE type employers Used to calculate the annual deduction Less Deduction Does the group pay more than $5 million in annual taxable wages throughout Australia? Does the group pay more than $5 million in annual taxable wages throughout Australia? - Does the group pay more than $5 million in annual taxable wages throughout Australia? Calculated rebate Calculated rebate - SBR AU guidance needs review PTARQLD Lodge Request [Abstract]