Personal Information Title
Full Name
Mobile
Home Tel
Work Tel
Home Address
County
Postcode
Country
If your Address has changed when did you move home?
Your Date of Birth
Your National Insurance Number
Scottish and Welsh Taxpayers Has HMRC notified you that you are a Scottish or Welsh Taxpayer for the year.
PAYE Coding Notices If you have received a PAYE coding notice from HMRC, please give details and provide the notices
Reason for Notice
Tax Code provided
UTR (Unique Tax Reference) Number Please provide your UTR number (we must have this in order to process and submit your Self-Assessment. You can find your UTR number here )
UTR Number
Marriage Allowance Transfer Tax Year for Submission Please let us know what year or years you would like to submit for self-assessment
Year(s) for Submission
Income for the year of submission Employment Income (PAYE) (If you had more than one employer during this year, please provided the same information for each employer in the more information box at the end of this section.)
Name of Employer
Self-Employment (If you had more than one Self Employment during this year, please provided the same information for each self-employment in the more information box at the end of this section.)
Name of Business
Description of Business
Partnerships Name of Partnership
Description of Trade
Summary of Property Business Start of property business
Rental Income (If you had more than one rental income during this year, please provided the addressed of each property in the more information box at the end of this section.)
Number of Properties
Dividends from UK Companies (If you had more dividend payments than space allows for below, please include any additional payments in the more information box at the end of this section.)
1. Company Name
2. Company Name
3. Company Name
Untaxed Interest from UK Bank Accounts (If you had more interest than space allows for below, please include any additional payments in the more information box at the end of this section.)
1. Description of Bank Account
2. Description of Bank Account
3.Description of Bank Account
Chargeable Event Gains (If you had more chargeable event gains than space allows for below, please include any additional gains in the more information box at the end of this section.)
1. Description of Event
2. Description of Event
Disposal of Assets Did you:
Child Benefit Payments Number of Children
Other income from the UK or abroad? Please give as many details as possible about any other income you have received during the tax year. This includes: State pension and other state benefits as well as other pensions including overseas pensions. Taxed interest, stock dividends, other dividends including dividends from foreign companies, bonus issues or securities, redeemable shares, share scheme chargeable events and Interest from Gilts. Income from a UK or foreign estate, income chargeable as a settlor of a trust, income from a trust and any income from land or property abroad. Foreign savings income, any accrued income, lump sums from employment e.g. redundancy and any closed company loans which have been written off.
Please give details
Reliefs which may reduce your tax bill Gift Aid Donations (If you have donated more than there is room to list, please include these in the other reliefs box at the end of this section.)
Name of Charity
Name of Charity
Payroll Giving Description of payments made through a payroll giving scheme
Pension Payments Details of scheme
Details of scheme
Details of scheme
Student Loan Repayments What year was the loan awarded to you?
Other reliefs which may reduce your tax bill Please give as many details as possible about any other reliefs which could reduce your tax bill such as: Blind person’s allowance, Gifts to charities, Venture capital Trust Subscriptions, Seed EIS or EIS investments, Community or Social Investment Tax Relief, Interest paid on loans taken out for qualifying purposes, seafarers’ deductions, post-cessation losses, maintenance or alimony payments, payments for death benefits to a trade union, compulsory employer widow/orphan scheme payments, relief on redemption or bonus shares.
Please give details
Submit Self-Assessment