Hm Revenue And Customs Tax Relief For Expenses Of Employment Page 4

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5
General expense allowances received
If you received general expense allowances, rather than separate amounts for individual expenses,
enter the total amounts received and the types of expenses they covered.
Type of expense covered
Amount received
£
£
£
Please continue on a separate sheet if necessary
13
£
Total
Copy this figure to box 13 below
6
Total expenses and declaration
Please calculate your expenses by transferring the amounts from sections 2 to 5. Enter the total amounts
in boxes 14 and 15, then fill in the declaration. If you give false information you could be prosecuted.
Vehicle expenses in your own vehicle
8
£
Total mileage allowance relief copy 8 from page 2
Hotel and meal expenses
Amount you spent on allowable items
9
£
copy 9 from page 3
10
£
Amount repaid to you copy 10 from page 3
Other expenses
Amount you spent on allowable items
11
£
copy 11 from page 3
12
£
Amount repaid to you copy 12 from page 3
General expense allowances received
13
£
copy 13 from section 5 above
Total expenses
14
£
boxes 8 plus 9 plus 11
Total of the amounts repaid to you and allowances received
15
£
boxes 10 plus 12 plus 13
If relief is due you will receive a repayment of the tax paid on the net allowable expenses.
The information I have given on this form is correct and complete to the best of my knowledge and belief.
Signature
Date DD MM YYYY
Before you send this form to us, we recommend that you take a copy of your completed form in case we
contact you for further information.
Please return the completed form to your HM Revenue & Customs office.
Page 4

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