First name*
Last name*
Address Line 1*
Address Line 2*
City*
County *
Country*
Postcode
Date of Birth
Email *
Telephone *
How would you prefer us to contact you?
EmailTelephoneOther
PPS Number
Job Description
Employment Status
EmployedSelf-EmployedA combination of both
Are you registered as a self-employed person in Ireland?
YesNoDon't Know
What is the last year you paid Irish tax?
In the current year, Where were you working outside of Ireland? List the description of each job, location of each job and the duration of time (in days) you spent working there
In each of the sections, can you insert the total days you were completely outside of Ireland for each of the listed years.
What were you doing before you started working outside of Ireland?
Self-EmployedPAYE EarnerOther
What is the name of your current employer or the company who pays your current income?
Where is this individual/company based?
How often do you get paid?
What payment method is used? —Please choose an option—payment methodpayment
Do you receive proof of earnings from your employer, such as a payslip?
YesNo
Is there tax deducted from your earnings?
Is there National Insurance or PRS! deducted from your earnings?
At a guess, how much do you expect to earn in the following year —Please choose an option—payment methodpayment
Do you have a log or discharge book for your trips outside ireland for the company or individual you work for?
Are you married *
Have you an accountant at present? *
If you were living outside Ireland when working, what address did you stay at in each particular tax year?
Do you have a Foreign Tax Number in any other country?
Please prove you are human by selecting the Car.
Please prove you are human by selecting the Plane.
Please prove you are human by selecting the Tree.
Please prove you are human by selecting the House.
