PAYG payment summary - individual non-business

Payment Summary for year ending 30 June 2018

Payee details NOTICE TO PAYEE

If this payment summary shows an amount in the total tax
withheld box, you must lodge a tax return. If no tax was
withheld, you may still have to lodge a tax return.

Nickolas Anastasios Lavidis For more information on whether you have to lodge, or about
this payment and how it is taxed, you can:
13 Nelson Street
. visit www.ato.gov.au
DUTTON PARK QLD 4102
. phone 13 28 61 between 8.00am and 6.00pm, Monday to
Friday.

Day/Month/Year Day/Month/Year

Period of payment 01/07/2017 to 30/06/2018

Payee’s tax file number 136 978 763 TOTAL TAX WITHHELD $ 31416

Type Lump sum payments Type

Gross payments $ 118095 S A $ 0

CDEP payments $ 0 B $ 0

Reportable employer $ 5807 D $ 0

superannuation contributions

Reportable fringe benefits amount $ 0 E $ 0

FBT year 1 April to 31 March

Is the employer exempt from FBT No Yes

under section 57A of the FBTAA 1986?

Total allowances Total allowances are not included in Gross payments above.
$ 0 This amount needs to be shown separately in your tax return.

Deductions:
Workplace Giving:
UQ Staff Giving - Other purposes $8400

Payer details
Payer’s ABN or withholding payer number 63 942 912 684 Branch number

Payer’s name THE UNIVERSITY OF QUEENSLAND

Privacy - For information about your privacy, go to ato.gov.au/privacy

Signature of authorised person AL JURY Date 25/06/2018

FACMBS 1436845