Tax Return And Self Assessment For The Year 2015 Page 13

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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
220. Foreign Earnings Deduction
Where you are claiming relief under S. 823A, state the following:
(a)(i) Country
(ii) Number of qualifying days
(b)(i) Country
(ii) Number of qualifying days
. 00
. 00
(c) Amount of relief claimed
,
,
221. Taxable Benefits (not taxed at source under PAYE)
(a) Personal Retirement Savings Account 'PRSA'
.
.
00
00
(Note to include this in Line 508(c) on page 20)
,
,
,
,
.
.
00
00
(b) Other
,
,
,
,
Specify
222. Relief for key employees engaged in research and development activities
(a) Name of employer
(b) Employer's registered number
(c) Amount of emoluments from this employer for 2015
.
.
00
00
,
,
,
,
(Note: this income should also be included with
employment income subject to PAYE and income liable to USC)
(d) Amount of research and development credit
.
.
00
00
claimed under S. 472D for 2015
,
,
,
,
(e) Amount of unused credit carried forward under S. 472D(4)
.
.
00
from previous year
,
,
,
,
(Note: enter the full amount surrendered by your employer to you under S. 766(2A(a)) which is relevant to the employer's
accounting period ending in the year 2014)
Social Welfare Payments, Benefits or Pensions received
[223 - 224]
.
.
00
00
223. Carer’s Allowance paid by Dept. of Social Protection
,
,
,
,
224. Other taxable Social Welfare Payments, Benefits or Pensions received in 2015,
i.e. State Pension/Illness Benefit/Occupational Injury Benefit/
Jobseeker’s Benefit/Carer’s Allowance/
.
.
00
00
,
,
,
,
Pre-Retirement Allowance/Maternity Benefit/
Adoptive Benefit/Health & Safety Benefit, etc.
(See Form 11 Helpsheet for more information)
Social Welfare type payments
.
.
00
00
225. Income in lieu of Social Welfare Payments
,
,
,
,
Irish Pensions received
[226 - 230]
.
.
226. Early Farm Retirement Pension (subject to PAYE)
00
00
,
,
,
,
.
.
00
00
227. Employment pension (subject to PAYE)
,
,
,
,
.
.
00
00
228. Employment pension (not subjected to PAYE)
,
,
,
,
.
.
229. Annuity Pension payable under an RAC or a PRSA
00
00
,
,
,
,
PAGE 13
FOR OFFICE USE ONLY

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