Form R43 - Claim To Personal Allowances And Tax Repayment By An Individual Not Resident In The Uk Page 4

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Claim for UK tax allowances continued
F
F2
Married Couple's Allowance (MCA)
This is only available if either spouse or civil partner was born
before 6 April 1935. Please refer to note F2 of the guidance notes if claiming this allowance.
Tick here if you wish to claim this allowance and give the details below.
Spouse's or civil partner's full name
/
/
Date of marriage or formation of civil partnership
Your spouse's or civil partner's date of birth (if born before 6 April 1935
/
/
and if they are older than you)
Any unused MCA may be transferred from one spouse or civil partner to the other.
Tick here if you want us to send you a form 575 to do this, or you can download it from
F3
Blind Person's Allowance (BPA)
Tick here if you wish to claim Blind Person's Allowance (BPA). Please refer to note F3 of the ‘Guidance notes for
form R43(2016)’ if claiming this allowance.
Any unused BPA may be transferred from one spouse or civil partner to the other.
Tick here if you want us to send you a form 575 to do this, or you can download it from
F4
If you are not entitled to allowances, but wish to claim a repayment
I do not satisfy any of the conditions set out in section 3 of the ‘Guidance notes for form R43(2016)’. I am not
entitled to UK tax allowances but I claim repayment of the UK tax taken off in excess of my liability to tax in the UK.
G
Payment details and authority
Please make sure you fully complete part G1 or G2, as appropriate, if you want us to:
• make the repayment to a nominee
• send the repayment to you at an address other than the residential address you have shown in part B
Payment to a nominee
G1
I authorise the person or organisation named below to receive the amount due on my behalf.
Name of nominee
Account number
Address
Account holder's name
–
–
Country
Postcode
Branch sort code
Payment made to you at another address
Address
Please send the repayment to me at the address
shown opposite, not to my residential address
(as shown in part B on page 1).
Country
Postcode
H
Declaration
please make sure you have read the R43 Notes at section H before signing
Please sign and date this form, then write your full name (in capitals) in the space provided. The information I have given on
this form is correct and complete to the best of my knowledge.
/
/
Claimant’s signature
Date
Name and title in
capital letters
If you have signed on
behalf of someone else,
enter the capacity, for example,
parent, executor, receiver,
attorney.
We may later ask for evidence of your authority to claim, such as a birth certificate or court order.
4

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