Tax Return And Self Assessment For The Year 2015 Page 19
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36ANY PANEL(S) OR SECTION(S) THAT DO NOT REQUIRE AN ENTRY SHOULD BE LEFT BLANK.
2015120
Spouse or
PPS Number
Self
Civil Partner
406. Patent Royalty income where tax was deducted at source
(a) Gross amount of Irish Patent Royalty income previously
.
.
00
00
exempted under S. 234
,
,
,
,
.
.
00
00
(b) Gross amount of other Irish Patent Royalty income
,
,
,
,
407. Gross amount of Other Income received where Irish
.
.
00
00
,
,
,
,
Standard Rate Tax was deducted at source, e.g. Annuities
408. Investment Undertakings (S. 739G(2A))
(a) Gain on deemed disposal taxable at 41%
.
.
00
00
,
,
,
,
(S. 739E(1)(b)(ii))
(b) Gain on deemed disposal taxable at 60%
.
.
00
00
,
,
,
,
(S. 739E(1)(ba))
(c) Name & Address of the Investment Undertaking
(S. 739E(2A)(b)), include Eircode (if known)
409. Income chargeable under S. 811B
.
.
00
00
Enter amount of income chargeable under S. 811B
,
,
,
,
INCOME FROM SOURCES NOT SHOWN ELSEWHERE
.
.
00
00
410.
(a) Gross amount of the income
,
,
,
,
.
.
(b) Amount of tax deducted
,
,
,
,
(c) Source(s) of income received
G - EXEMPT INCOME
[411 - 416]
411. Profit disregarded by virtue of Artists Exemption
.
.
00
00
,
,
,
,
granted under S. 195
412. (a) Profit or gains from Woodlands
.
.
00
00
,
,
,
,
.
.
(b) If a loss, enter the amount of the loss
00
00
,
,
,
,
(c) Distributions out of exempt profit or gains
.
.
00
00
,
,
,
,
from Woodlands
.
.
413. (a) Income received under Rent-a-Room Relief Scheme
00
00
,
,
(b) If you do not wish to avail of Rent-a-Room Relief, insert T in the box and
include details at Panel C and / or Line 401, as appropriate
414. Childcare Services
I confirm that I have notified the relevant person recognised by the Health
Service Executive that I am providing Childcare Services and elect to
.
.
00
00
have the gross income, before expenses, in respect of these services
,
,
exempted from income tax (to elect enter the gross income received)
415. Income not chargeable to tax but which is part
.
.
00
00
,
,
,
,
of total income for the purposes of S. 188(1)
.
.
416. (a) Other Exempt Income
00
00
,
,
,
,
(b) Details of income sources, e.g. exempt investment income
received under S. 189
PAGE 19
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