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Personal Details
PPSN *
Surname *
First Name *
Middle Name (If Applicable)
Date of Birth *
Gender * MaleFemale
Marital Status *
Marital Status*SingleMarriedMarried but living apartWidowedDivorcedCivil PartnershipCivil Partnership but living apartFormer Civil PartnerSurviving Civil Partner
Date of Marriage *
Basis of Assessment * - Select Option -Separate AssessmentJoint AssessmentSeparate Treatment
Spouse Details
Please select if in the tax year your were:
Permanently IncapacitatedProprietry DirectorHolder of Medical CardEntitled to an Exemption from PRSIFarmerIf you are a citizen of Ireland, resident but not ordinarily resident in the State
Residence & Domicile Status
Countries of Nationalities *
Non-Resident in Ireland? YesNo
Country of Residence *
Tax ID
Address
World Income (If you are resident in another Member State of the European Communities)
Not Ordinarily a Resident of Ireland? YesNo
Not Domiciled in Ireland? YesNo
Financials (Income, Expenses, Losses, Profits etc.)
INCOME
Are you Self-Employed?
Self and Spouse
Self-Employed Income (Income from trades, professions or vocations)
Description (Trade, profession or vocation)
Date of Cessation (If this source of income ceased during the tax year)
Losses
Unused Losses
Extracts from Accounts
From
To
More Details (Trade, type of income)
Income
Sales/Receipts/Turnover
Receipts from Govt. Agencies
Others
Trading Account Items
Purchases
Profits
Expenses & Deductions
Salaries/Wages, Staff Costs
Sub-Contractors
Consultancy fee
Motor, Travel and Subsistence
Repairs/Renewals
Depreciation
Provisions
Provisions (If negative state amount here)
Other Expenses
Do you have Capital Accounts & Balance Sheet Item?
Capital Account & Balance Sheet Items
Cash/Capital Introduced
Drawings
Closing Capital Balance
Closing Capital Balance (If negative state amount)
Stock, Work-in-progress, Finished Goods
Debtors & Prepayments
Cash/Bank (Debit)
Cash/Bank (Credit)
Client Account Balances (Debit)
Client Account Balances (Credit)
Creditors & Acctuals
Tax Creditors
Net Assets
Net Assets (If negative state amount)
Extracts from Adjusted Net-Profit/Loss Computation
Net-Profit Per Account
Net-Loss Per Account
SPOUSE DETAILS Self-Employed Income (Income from trades, professions or vocations)
Irish Rental Income
No. of Properties
Gross Rent Receivable
Property Classification —Please choose an option—ResidentialCommercial
Property Type —Please choose an option—Ordinary RentalRent a Room ReliefOther
Expenses
Repairs
Allowable Interest
Pre-Letting Expenditues
Chargeable Income after Expense
PAYE/BIK/Pensions
Please send us your P60, or Details of your salary, or PAYE Income.
Foreign Income
Irish Deposit Income
Other Details or Notes
Please provide details if you are entitle of any tax credits or relief as follows: HOME CARERS / SINGLE PARENT / SURVIVING PARTNER WITH DEPENDENT, CHILDREN / INCAPACITATED CHILD TAX CREDIT, or DEPENDENT RELATIVE TAX CREDIT
Please provide details if you are entitle of any tax credits or relief for the following: COLLEGE FEES or HOME RENOVATION INCENTIVE TAX CREDIT or MEDICAL EXPENSES