Tax Return And Self Assessment For The Year 2015 Page 33

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ANY PANEL(S) OR SECTION(S) THAT DO NOT REQUIRE AN ENTRY SHOULD BE LEFT BLANK.
2015120
PPS Number
.
00
(f) Amount of surcharge due under S. 1084 because of late filing of this return
,
,
(Note: if you are filing this return after the specified return date for the chargeable period, a late filing surcharge is due.
If your return is late the surcharge, which is added on to your tax due, is:
5% of the tax due or €12,695, whichever is the lesser, where the return is submitted within two months
of the due date,
10% of the tax due or €63,485, whichever is the lesser, where the return is more than two months late)
(g) Amount of surcharge due under S. 1084 because of non-compliance with
.
00
,
,
Local Property Tax (LPT) requirements
(Note: if you file this return on time, but at the date of filing, you have failed to submit your LPT return or have failed to
either pay the LPT due or enter into an agreed payment arrangement, a surcharge should be added to the final liability
as if this return was filed late by two months or more. Therefore the amount payable in your Self-Assessment should be
increased by 10% subject to a maximum increased amount of €63,485. Where the LPT is subsequently brought up to
date, the amount of the surcharge will be capped at the amount of the LPT liability payable.)
.
(h) Amount of tax paid directly to the Collector-General for this period
00
,
,
(Note: this is the amount of tax already paid to the Collector-General, i.e. your 2015 Preliminary Tax paid. Do not include
any balancing payments which are now due and will be paid at the time this return is being submitted.)
.
(i) (i) Balance of tax payable for this period
00
,
,
(Note: this is tax payable amount at (d) above, plus the amount of any surcharge due at (f) or (g), less the amount of tax
already paid at (h))
.
(ii) Balance of tax overpaid for this period
00
,
,
(Note: this is tax overpaid amount at (e) above, less the amount of any surcharge due at (f) or (g), plus the amount of tax
already paid at (h))
I DECLARE the above to be my Self-Assessment to Income Tax for the year 2015
(DD/MM/YYYY)
/
/
Signature
Date
Capacity of Signatory
935. Self-Assessment – Capital Gains Tax 2015
.
(a) Amount of chargeable gains arising for this period
00
,
,
(Note: this is the amount of chargeable gains for this period less any reliefs which reduce the chargeable gain)
.
00
(b) Amount of tax chargeable for this period
,
,
(Note: this is the amount of tax chargeable on the chargeable gain after taking account of any deductions, reliefs or
allowances, e.g. personal allowance or transfer of business to a company)
.
(c) Amount of tax payable for this period
00
,
,
(Note: this is the amount of tax due after any Retirement Relief or Credit for Foreign Tax paid have been deducted
from tax chargeable)
.
00
(d) Amount of surcharge due under S. 1084 because of late filing of this return
,
,
(Note: see 934(f))
(e) Amount of surcharge due under S. 1084 because of non-compliance with LPT
.
00
,
,
requirements
(Note: see 934(g))
.
(f) Amount of tax paid directly to the Collector-General for this period
00
,
,
(Note: the amount entered here will be the amount of direct tax paid for the year plus any amounts that may have been
credited to the year from another year or tax type)
.
(g) (i) Balance of tax payable for this period
00
,
,
.
(ii) Balance of tax overpaid for this period
00
,
,
I DECLARE the above to be my Self-Assessment to Capital Gains Tax for the year 2015
(DD/MM/YYYY)
/
/
Signature
Date
Capacity of Signatory
PAGE 33
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