Tax Return And Self Assessment For The Year 2015 (Page 15 of 36) in pdf

Tax Return And Self Assessment For The Year 2015 Page 15

ANY PANEL(S) OR SECTION(S) THAT DO NOT REQUIRE AN ENTRY SHOULD BE LEFT BLANK.

2015120

Spouse or

PPS Number

Self

Civil Partner

Directorships

238. If you and/or your spouse or civil partner held proprietary directorships in the year 2015,

state each company's tax number and the percentage shareholding in each company

Insert T in the

box if Spouse

Company Tax Number

or Civil Partner

Convertible Securities

239. Chargeable event in 2015 (S. 128C)

If any part of the chargeable amount was not taxed

under the PAYE system, enter that amount

Share Options

[240 - 241]

240. Share options exercised, released or assigned in 2015

(a) Enter total chargeable amount

(b) Enter amount of Relevant Tax on a Share Option

(RTSO) paid

241. Election under S. 128A(4A) (SO3 Election)

If you or your spouse or your civil partner made a "payment on account" under S. 128A(4A) against the income tax due on share

options and have now disposed of any shares, state:

(a) The balance of tax remaining on the share option(s)

to which the election under S. 128A(4A) was made

(b) The aggregate of the net gain arising on the

disposal of shares in 2015.

Do not include losses in the aggregate net gain

E - FOREIGN INCOME

(enter amounts in €)

[301 - 321]

Foreign tax deducted should only be entered below if it is available as a credit against Irish Tax. If the foreign tax is only allowed as

a deduction, the amount of income returned below should be net of this foreign tax. Where the foreign tax was refunded

(or is refundable) by the foreign jurisdiction the gross amount of income should be returned below and the foreign tax should not be

entered in this return. See Guide to Completing 2015 Pay & File Self-Assessment Returns for more information on the taxation of

foreign income.

301. Great Britain and Northern Ireland Dividends

Net amount received

302. Foreign Pensions

(a) Amount of State Welfare Pension(s)

(b) Amount of all Other Pension(s)

303. EU Deposit Interest

(a) Amount of EU Deposit Interest

(b) Savings Directive withholding tax credit

304. EU ‘Other’ Interest

(a) Amount of EU 'Other' Interest

(b) Savings Directive withholding tax credit

305. Non-EU Deposit Interest

(a) Amount of Non-EU deposit interest

(b) Amount of foreign tax deducted

PAGE 15

FOR OFFICE USE ONLY

Tax Return And Self Assessment For The Year 2015 Page 15

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