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Contact Details

( * - mandatory fields )

Title

First Name*

Middle Name

Surname*

Email address*


Phone number

Line Type*

Country Code*

Area Code*

Mobile code

Phone number*

 

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Date of Birth*

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Marital Status*

Nationality*

State*

City*

For security purposes, please choose a question that we can use to identify you when discussing your tax information*

Answer*


Spouse details

Full name*

Date of Birth*

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Nationality*

Date of marriage*

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Does your spouse hold a "full" medical card?*

Was your spouse resident with you during the tax year?*

Was your spouse in paid employment and/or had income from any other source during the tax year?*


Residency Information

Have you always lived and worked in Ireland?*

Did you leave Ireland other than on a short holiday during the tax year?*

When did you leave Ireland?*

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When did you come back to Ireland?*

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Did you leave to take up a full time contract of employment abroad?*

When did you first arrive in Ireland?*

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Are you still living in Ireland?*

Have you spent anytime outside Ireland since your arrival?*

Please indicate your reason for leaving Ireland*

What date did you return to Ireland*

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When did you leave Ireland?*

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Please indicate your reason for leaving Ireland*

Which tax year would you like to apply for a refund from / file a tax return for?*

Have you applied for this refund / filed a tax return before?*


Sources of Income

Type of employment ? *

What type of self employment income do you have?*

Do you also have PAYE employment income?*

How many employers did you have during the tax year?*

Do you have your P45/P60s?*

What is your job/profession?*

Position*

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Did you have income from any other sources?*


Do you have sources of income from:

Self-employment*

Yes

No

Interest / dividends / capital gains*

Yes

No

Partnerships*

Yes

No

Royalties / Patents*

Yes

No

Social Welfare payments (other than Child benefit)*

Yes

No

Foreign income (rental profit, employment income, dividends, capital gains, interest and any other income from abroad)*

Yes

No

Please provide details of the type and source of foreign income:*

Disposals / Acquisitions of domestic or foreign asset(s) (eg property, equities etc)*

Yes

No

Rental income*

Yes

No

Other income*

Yes

No

Please provide details of the type and source of income:*

Are you a Director of a company*

Yes

No


Your feedback and additional information

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