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Gender*MaleFemale
Marital Status*SingleMarriedMarried but living apartWidowedDivorcedCivil PartnershipCivil Partnership but living apartFormer Civil PartnerSurviving Civil Partner
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
Non-Resident in Ireland?*NoYesNot Sure
Not Ordinarily a Resident of Ireland?*NoYesNot Sure
Not Domiciled in Ireland?*NoYesNot Sure
County*CarlowCavanClareCorkDonegalDublinGalwayKerryKildareKilkennyLaoisLeitrimLimerickLongfordLouthMayoMeathMonaghanOffalyRoscommonSligoTipperaryWaterfordWestmeathWexfordWicklow
Please select Income detail:
Are you Self-Employed?Self and SpouseIrish Rental IncomePAYE/BIK/PensionsForeign IncomeIrish Deposit Income
Do You Have a Medical Card?YesNo
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Select Financial Year*31 December 202531 December 202431 December 202331 December 202231 December 202131 December 2020
Please provide details if you are entitled to 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 entitled to any tax credits or relief for the following: COLLEGE FEES or HOME RENOVATION INCENTIVE TAX CREDIT or MEDICAL EXPENSES
Other Details or Notes
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