Tax Return And Self Assessment For The Year 2015 (Page 32 of 36) in pdf

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

2015120

PPS Number

O - SELF-ASSESSMENT MADE UNDER CHAPTER 4 OF PART 41A

[934 - 935]

This return must include a Self-Assessment by the chargeable person to whom the return relates. An individual who fails to make a

Self-Assessment may be liable to a penalty of €250

REMEMBER

You do not have to complete the Self-Assessment panel if you submit this return to Revenue

on or before 31 August 2016

934. Self-Assessment – Income Tax 2015

(a) Amount of income or profits arising for this period

(Note: this is the amount of your total income for this year before taking account of any deductions, reliefs, or allowances.

Total income includes sources of income from employments, pensions, Dept. of Social Protection payments, rental and

investment income, as well as self employed income. Where you are in receipt of trading or professional income, it is the

adjusted net profit after taking account of business expenses, but before losses forward or capital allowances.)

(b) Amount of tax chargeable for this period

(i) Amount of income tax chargeable for this period

(Note: this is the amount of income tax charged on the above income, after taking account of deductions, reliefs, and

allowances, but before any tax credits such as personal tax credit, medical expenses, tax deducted per P60, etc.)

(ii) Amount of USC chargeable for this period - self

(iii) Amount of USC chargeable for this period - spouse or civil partner

(Note: this is the amount of USC chargeable on all of your income (including employment and pension income where USC

has been deducted at source))

(iv) Amount of PRSI chargeable for this period - self

(v) Amount of PRSI chargeable for this period - spouse or civil partner

(Note: this is the amount of PRSI chargeable on your trading and investment income only. Do not include PRSI due on

your Irish employment income.)

(vi) Total amount of tax chargeable for this period

(Note: this is the sum of income tax, USC, and PRSI chargeable)

(ii) Amount of tax overpaid for this period before refund/offset at (c)(iii) below

(Note: this is the amount of tax payable or tax overpaid for the period, which is computed by reducing the amount of tax

chargeable ((b)(vi) above) by the amount of any tax credits due. Credits include obvious items such as the personal tax

credit or employee tax credit, but also less obvious items such as Dividend Withholding Tax (DWT) withheld/deducted,

DIRT withheld at source, PAYE operated on Schedule E income and Professional Services Withholding Tax (PSWT). This

is the amount of PSWT withheld/deducted, before any interim refunds already made by Revenue.)

(iii) Amount of refund (or offset) of tax withheld at source

(Note: the amount of any tax withheld at source, refunded (e.g. interim refund of PSWT) or offset, should be entered here)

(d) Amount of tax payable for this period

. 00

(e) Amount of tax overpaid for this period

(Note: this is the amount of tax payable or tax overpaid, adjusted for any refund or offset of tax withheld at source already

made by Revenue. Where there is no refund or offset made, the amount will be the same as (c)(i) or (c)(ii) above.)

PAGE 32

FOR OFFICE USE ONLY

Tax Return And Self Assessment For The Year 2015 Page 32

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