Form Op1 - Claim For One-Parent Family Tax Credit
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2OP1 - Claim for One-Parent Family Tax Credit
PPS Number
Tax year for which you
Y Y Y Y
are making a claim
The One-Parent Family Tax Credit has been abolished with effect from 31 December 2013. The abolition of
this credit was announced by the Minister for Finance in his 2014 Budget Speech on 15 October 2013.
This tax credit can still be claimed for years up to and including 2013 subject to the 4-year time limit.
Civil Status (select one of the following)
Single
Widowed or Surviving Civil Partner
Married or in a Civil Partnership but living apart
Divorced
Dissolved Civil Partnership
In the year for which this tax credit is claimed are you living with
another person as a couple whether married or in a civil partnership or not?
Yes
No
Number of Dependent Children
Child’s First Name
Child’s Surname
Child’s Date of Birth
Child’s PPS No.
Name of School
or Nature of Incapacity
D D M M Y Y
D D M M Y Y
D D M M Y Y
In the year for which this tax credit is claimed did/do
the child(ren) named above reside with you at any time?
Yes
No
If you are in receipt of a payment from the Department of Social Protection, e.g. One-Parent Family
Payment, (excluding Child Benefit), etc. supply the details below:
Nature of Payment Received
Date Payment Commenced
Weekly Amount
D D M M Y Y
€
,
. 0 0
Refunds
If you wish to have any refund paid directly to your bank account, please supply your bank account details.
Single Euro Payments Area (SEPA)
From 1 February 2014, account numbers and sort codes have been replaced by International Bank Account Numbers
(IBAN) and Bank Identifier Codes (BIC). These numbers are generally available on your bank account statements.
Further information on SEPA can be found on
It is not possible to make a refund directly to a foreign bank account that is not a member of SEPA.
International Bank Account Number (IBAN)
(Maximum 34 characters)
Bank Identifier Code (BIC)
(Maximum 11 characters)
Note: Any subsequent Revenue refunds will be made to this bank account unless otherwise notified.
Declaration which must be signed
I declare that all the particulars in this form are correct to the best of my knowledge and belief.
D D M M Y Y
Signature
Date
Address
Phone Number
E-mail
RPC004175_EN_WB_L_2
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