Form Sa102 - Employment Tax Year 6 April 2016 To 5 April 2017 (2016'-2017) Page 2

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Share schemes, employment lump sums, compensation, deductions and Seafarers’ Earnings Deduction are on the
‘Additional
information’ pages.
Second employment
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
date the directorship ceased in the box DD MM YYYY
UK tax taken off pay in box 1
2
£
0 0
•
And, if the company was a close company, put ‘X’
7
Tips and other payments not on your P60
3
in the box
– read the
‘Employment
notes’
£
0 0
•
If you are a part-time teacher in England or Wales and
8
PAYE tax reference of your employer (on your P45/P60)
4
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
– the total ‘cash equivalent’ amount
interest loans) – the total ‘cash equivalent’ amount
£
0 0
£
0 0
•
•
Expenses payments received and balancing charges
16
Vouchers, credit cards and excess mileage allowance
12
£
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
•
•
To get notes and helpsheets that will help you fill in this form, go to
SA102 2017
Page E 2

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