Form Sa102 - Employment Tax Year 6 April 2016 To 5 April 2017 (2016'-2017)

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Tax Rebate Specialists -
Employment
Tax year 6 April 2016 to 5 April 2017 (2016–17)
Your name
Your Unique Taxpayer Reference (UTR)
Complete an ‘Employment’ page for each employment or directorship
Pay from this employment – the total from your
If you were a company director, put ‘X’ in the box
1
6
P45 or P60 – before tax was taken off
£
0 0
•
If you ceased being a director before 6 April 2017, put the
6.1
UK tax taken off pay in box 1
date the directorship ceased in the box DD MM YYYY
2
£
0 0
•
Tips and other payments not on your P60
And, if the company was a close company, put ‘X’
3
7
– read the
‘Employment
notes’
in the box
£
0 0
•
PAYE tax reference of your employer (on your P45/P60)
If you are a part-time teacher in England or Wales and
4
8
are on the Repayment of Teachers’ Loans Scheme for
/
this employment, put ‘X’ in the box
Your employer’s name
5
Benefits from your employment – use your form P11D (or equivalent information)
Company cars and vans
Goods and other assets provided by your employer
9
13
– the total ‘cash equivalent’ amount
– the total value or amount
£
0 0
£
0 0
•
•
Fuel for company cars and vans
Accommodation provided by your employer
10
14
– the total ‘cash equivalent’ amount
– the total value or amount
£
0 0
£
0 0
•
•
Private medical and dental insurance
Other benefits (including interest-free and low
11
15
interest loans) – the total ‘cash equivalent’ amount
– the total ‘cash equivalent’ amount
£
0 0
£
0 0
•
•
Vouchers, credit cards and excess mileage allowance
Expenses payments received and balancing charges
12
16
£
0 0
£
0 0
•
•
Employment expenses
Business travel and subsistence expenses
Professional fees and subscriptions
17
19
£
0 0
£
0 0
•
•
Fixed deductions for expenses
Other expenses and capital allowances
18
20
£
0 0
£
0 0
•
•
Share schemes, employment lump sums, compensation, deductions and Seafarers’ Earnings Deduction are on the
‘Additional
information’ pages.
SA102 2017
Page E 1
HMRC 12/16

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