Fringe benefit tax (FBT)
Fringe benefit shareholder/employee income year tax return IR421
(published September 2010)
About this return
The return for companies with shareholder-employees covering the same period as the company's accounting year.
Adobe Acrobat PDF | 134kb | 1 page
This form can be completed on-screen by typing content directly into the PDF document. Once you have completed the form it is important that you print it out as you will not be able to save the information you enter into the form.
When to use this return
Use this form if you haven't received your return for the period.
What you will need
- The value of the fringe benefits you have provided to your employees.
- Your IRD number. If you do not have this call us on 0800 377 772.
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After you finish
Please print and sign the completed form and post it to your nearest Inland Revenue office.
You may wish keep a copy of this form for your personal records.