1. PAYG payment summary - individual non-business
Payment summary for the year ending 30 June 2014
Payee details
Luay AL-LOOS
Unit 14 24-28 Briens Road
Northmead
NSW 2152
NOTICE TO PAYEE
lf this payment summary shows an amount in the total
tax withheld box you must lodge a tax return. lf no tax
was withheld you may still have to lodge a tax return.
For more information on whether you have to lodge, or
about this payment and how it is t'axed, you can:
a visit www.ato,gov.au
w relerlo TaxPack
w phone 13 28 61 between 8.00am and 6.00pm (EST)
Monday to Friday
Day/MonthfYear
To 3010612014
TOTAL TAX WITHHELD 4180
A$
B$
D$
E$
Day/Month^/ear
11t11t2013Period of payment
Payee's tax file number 377 718 939
Gross Payments
CDEP Payments
Reportable fringe benefits amounl
FBT year 1 April to 31 March
Reportable Employer
Superannuation Contributions
Total Allowances
27043
Type
T
Total allowances are not included in Gross payments abovE
This amount needs to be shown separately in your tax return.
Lump sum payments
Payer details
Payer's ABN or withholding payer number
Payer's name B Stress PT Pty Ltd
93 140 649 814 Branch number 001
Signature of authorised person Kais Shasha Date 810712014