Tax Return And Self Assessment For The Year 2015 Page 12

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ANY PANEL(S) OR SECTION(S) THAT DO NOT REQUIRE AN ENTRY SHOULD BE LEFT BLANK.
2015120
Spouse or
PPS Number
Self
Civil Partner
213. (a) Gross amount of income from Irish employments,
offices and non-Proprietary Directorships subject
.
.
00
00
to PAYE (other than income at lines 213(b), 214(a),
,
,
,
,
215(a), 216 & 217)
(b) Gross amount of income from Irish Proprietary
.
.
00
00
,
,
,
,
Directorships subject to PAYE
214. (a) Income attributable to the performance in the
State of the duties of foreign offices and foreign
.
.
00
00
,
,
,
,
employments subjected to PAYE deduction
(b) (i) If you are resident and non-domiciled, and wish to apply to have tax
computed in accordance with S. 825B include the amount on which
you are liable to tax at (a) above and insert T in the box
(ii) Enter the year in which you were first entitled to this relief (YYYY)
(c) Income attributable to the performance in the State of the
.
.
00
00
duties of foreign offices and foreign employments not
,
,
,
,
subjected to PAYE deduction
215. Special Assignee Relief Programme (SARP)
If you are entitled to relief under S. 825C, state:
(a) Gross income from the employment before deduction of
.
.
SARP relief (less amounts contributed to pension and
00
00
,
,
,
,
amounts not assessed to tax in the State)
(b) Amount of SARP relief claimed through payroll or now
.
.
00
00
,
,
,
,
claimed on this Form 11
(c) Amount of income from employment after deduction of
.
.
00
00
,
,
,
,
SARP relief claimed
(d) Has SARP relief been granted through payroll by your
Yes
Yes
No
No
employer?
If you have not been granted SARP relief through payroll by your employer, and if you have not already done so, you must
submit a Form SARP 1A in support of your claim
216. Gross amount of income from Public Sector employment
.
.
00
00
,
,
,
,
where PRSI was paid under Class B, C, or D
217. Gross amount of income from certain Public Sector
.
.
00
00
,
,
,
,
employment (Members of the Oireachtas, Judiciary, etc.)
218. Income from Irish employment not subjected to PAYE
(include payments received on commencement/cessation of employment, restrictive covenants, etc.)
.
.
00
00
(a) Amount chargeable to tax
,
,
,
,
(b) Nature of payment(s)
219. Allowable Deductions incurred in Employment
(a) Nature of employment(s)
.
.
(b) Expenses
00
00
,
,
,
,
(c) Superannuation Contributions/AVC
.
.
00
00
,
,
,
,
(where not deducted by Employer)
.
.
(d) Capital Allowances
00
00
,
,
,
,
.
.
00
00
(e) Total of (b), (c) and (d) above
,
,
,
,
(f) Amount of total at (e) referring to
.
.
00
00
,
,
,
,
Proprietary Directorship income/salary
(g) Amount of total at (e) referring to
.
.
00
00
,
,
,
,
Employment income/salary
PAGE 12
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