Form R43 - Claim To Personal Allowances And Tax Repayment By An Individual Not Resident In The Uk Page 2
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1
2
3
4C
Income from the UK
With joint accounts, only enter your share.
C1
Dividends
Dividend paid
Tax credit
Give details of any dividends from shares in UK companies, distributions
C1.1
C1.2
£
£
from UK authorised unit trusts and open-ended investment companies
C2
Interest
Interest from National Savings & Investments (NS&I)
C2.1
£
• where no tax has been taken off
Interest before tax
Interest after tax
Income Tax taken off
C2.2
C2.3
C2.4
£
£
£
• where tax has been taken off
Interest and alternative finance receipts from building societies, banks and other deposit takers (including interest
distributions from UK authorised unit trusts and open-ended investment companies)
C2.5
£
• where no tax has been taken off
Interest before tax
Interest after tax
Income Tax taken off
C2.6
C2.7
C2.8
£
£
£
• where tax has been taken off
Other interest from the UK
C2.9
£
• where no tax has been taken off
Income Tax taken off
Interest before tax
Interest after tax
C2.10
C2.11
C2.12
£
£
£
• where tax has been taken off
Expenses and allowances
C3
Property in the UK
Gross income including premiums
(enclose a statement)
C3.1
C3.2
£
£
Rent received where no tax has been taken off
Income after expenses
C3.3
£
Enter our approval number if you have received
have
NRL
approval from us for the rent to be paid gross
Expenses and allowances
Gross income including premiums
(enclose a statement)
C3.4
C3.5
£
£
Rent received where tax has been taken off
Income after expenses
Income Tax taken off
C3.6
C3.7
£
£
Address of property (
continue on a separate sheet if necessary)
If there is a UK letting agent, give their details
Agent's name
Address
Agent's address
Postcode
Postcode
UK State Pension and benefits from the Department for Work and Pensions
C4
(Read the guidance notes for form R43(2016))
Taxable amount
State Pension
C4.1
£
Amount before tax
Tax taken off
State Pension lump sum
C4.1A
C4.1B
£
£
Amount before tax
Tax taken off
Taxable Incapacity Benefit
C4.3
C4.2
£
£
Taxable amount
Other state benefits (
enter type of benefit)
C4.4
£
If you have reached State Pension age but you don’t receive payments of the State Pension, please tick here
C5
Work pensions and retirement annuities
Amount before tax
Tax taken off
Name of payer
C5.1
C5.2
£
£
If you have received a ‘trivial pension commutation payment',
please read the note
or a payment under the Pension Flexibility rules,
in the ‘Guidance notes for form R43(2016)’.
2
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