Tax Return And Self Assessment For The Year 2015 Page 3
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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
Insert T in the box(es) to indicate for 2015 if you and/or your spouse or civil partner were:
10. Permanently Incapacitated
11. A Proprietary Director, i.e. owned/controlled more than 15% of the share capital of a company
12. A holder of a 'full' Medical Card or having entitlement to one under EU Regulations
13. Entitled to an exemption from PRSI
(a) State reason - Self
(b) State reason - Spouse or Civil Partner
14. Entitled to an exemption from Universal Social Charge (USC)
(a) State reason - Self
(b) State reason - Spouse or Civil Partner
15. A farmer
Residence status for the year 2015
[16 - 21]
See Guide to Completing 2015 Pay & File Self-Assessment Returns for more information on the
“Extent of Liability to Income Tax” of individuals who are either not resident or not domiciled in Ireland.
16. If you are a citizen of Ireland, resident but not ordinarily resident in the State, insert T in the box
Remittances
17. If you are resident but not domiciled in Ireland, insert T in the box
You are assessable to tax on your Irish income and foreign employment income attributable to the
performance of the duties of that employment in the State and remittances of other foreign income.
Enter the amount of the remitted income in Panel E - Foreign Income.
Non-resident
18. (a) If you are non-resident, insert T in the box
(b) Enter your country of residence
(c) Enter your Tax Identification Number of that country
(d) Enter your address in that country
19. If you are resident in another Member State of the European Communities, insert T in the box
20. A non-resident is not due any tax credits or reliefs except as provided for in S. 1032(2)
If you wish to claim a portion of the allowances/reliefs under S. 1032(2) state the amount of your:
.
00
(a) Income chargeable in the State
,
,
.
(b) World income (includes income chargeable in the State)
00
,
,
In the case of married persons or civil partners where either or both parties are non-resident, they are both taxed as single
individuals unless the income of both parties is fully chargeable to Irish tax.
21. Insert T in the box if you are married or in a civil partnership and all of your own income and
your spouse's or civil partner's income is chargeable to income tax in Ireland and you
wish to claim the married person's or civil partner's tax credit
(Expression of Doubt: If you have a genuine doubt about the correct application of tax law to any item in the return, provide
details of the point of issue in the entry fields provided on page 34)
PAGE 3
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