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Irish Tax Return Application Form

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    Tax Years You Wish To Apply For*

    /multiple choices possible/

You can claim tax back for up to 4 years including the current tax year. Unless you choose otherwise, we'll automatically check for refunds for all tax years.

    Marital Status*

Personal Information

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Please include a copy of your Photo ID (such as Passport, Driving Licence or National ID Card) and information regarding your permission to work in Ireland (please supply copy of visa or work permit, if relevant).

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    Please upload a copy of your Photo ID (such as Passport or Driving Licence)

    Need Help?

    xAllowed file formats are: .doc, docx, .jpg, .pdf, .gif, .ief, .jpe, .jpeg, .pbm, .pgm, .png, .pnm, .ppm, .ras, .rgb, .rtf, .tif, .tiff, .xpm, .xwd
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    Do you pay or receive any legally enforceable maintenance to/from your former Spouse?*

    Please upload your Courd Order or Deed of Separation.

    Need Help?

    xAllowed file formats are: .doc, docx, .jpg, .pdf, .gif, .ief, .jpe, .jpeg, .pbm, .pgm, .png, .pnm, .ppm, .ras, .rgb, .rtf, .tif, .tiff, .xpm, .xwd
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    Please indicate your basis of assessment*

Residency questionnaire

    Have you been outside Ireland for the last 4 years?*

    Have you or your spouse been outside Ireland for the last 4 years?*

Income Section

    What was your main pay frequency?*

    What was your spouse's main pay frequency?*

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    Did you or your spouse receive any Social Welfare payments?*

    Did you receive any Social Welfare payments?*

    Additional Source Income (Dividends, Deposit Interest or any other Irish and Foreign Income, or Exempt Income such as income from Woodlands, Rent-a-Room, Artist Exemption, Childcase Services, Mining Operations etc.)*

Tax Credits And Expenses

IMPORTANT!! Tax credits and expenses may significantly increase your refund or reduce your liability.

Need Help?

xRental Credit: You are only entitled to this credit if you were renting a property on 07/12/2010. If you only started renting after 07/12/2010 you will not be eligible for Rent Tax Credit.
Click here for Live Help

    Have you rented a private accommodation?*

    Have you rented a private accommodation on 7 December 2010?*

Rental Credit:

Please provide details for each tenancy since 7 December 2010

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Rental Credit:

Please provide details for each tenancy since 7 December 2010

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Rental Credit:

Please provide details for each tenancy since 7 December 2010

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Rental Credit:

Please provide details for each tenancy since 7 December 2010

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Rental Credit:

Please provide details for each tenancy since 7 December 2010

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    Were you or your spouse a full medical card holder?*

    Need Help?

    xFull Medical Card is a card issued by the Health Service Executive (HSE) which gives you certain health services free of charge.
    Click here for Live Help

    Were you a full medical card holder?*

    Need Help?

    xFull Medical Card is a card issued by the Health Service Executive (HSE) which gives you certain health services free of charge.
    Click here for Live Help

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    Did you or your spouse pay Tuition fees for third level education for yourself or dependant relative?*

    Did you pay Tuition fees for third level education for yourself or dependant relative?*

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    Was it a full time or part time course?*

    Did you or your spouse pay fees for Foreign language and Information Technology (IT) courses?*

    Did you pay fees for Foreign language and Information Technology (IT) courses?*

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    Did you or your spouse incur any medical expenses during the year?*

    Did you incur any medical/dental expenses?*

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    Did your employer pay your Medical insurance?*

    Did your or your spouse's employer pay your Medical insurance?*

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    Were you a single parent for any tax years?*

    Did you or your spouse/civil partner stay at home to take care for your child(ren) or dependent relative?*

    Please state which years*

    /multiple choices possible/

    Did you take care of a dependent relative or incapacitated child?*

    Need Help?

    xClaimant must have a relative who:
    • Is incapacitated by old age/infirmity from maintaining him/herself
    • Is a widowed father or mother of yourself, your spouse or civil partner or a parent of your civil partner who is himself or herself a surviving civil partner, regardless of age and state of health and
    • Whose income does not exceed a specified amount.
    Click here for Live Help

    Did you or your spouse take care of a dependent relative or incapacitated child?*

    Need Help?

    xClaimant must have a relative who:
    • Is incapacitated by old age/infirmity from maintaining him/herself
    • Is a widowed father or mother of yourself, your spouse or civil partner or a parent of your civil partner who is himself or herself a surviving civil partner, regardless of age and state of health and
    • Whose income does not exceed a specified amount.
    Click here for Live Help

    Please state which years*

    /multiple choices possible/

    Did you pay for a nursing home for yourself or for another person to be there?*

    Did you or your spouse pay for a nursing home for yourselves or for another person to be there?*

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    Did you make personal pension contributions outside the payroll?*

    Did you or your spouse make personal pension contributions outside the payroll?*

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    Did you or your spouse pay personal contributions to an Income Protection Scheme?*

    Did you pay personal contributions to an Income Protection Scheme?*

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Other Reliefs you may be entitled to

    Do you employ a home carer, pay for home nursing, get FILM relief, or Tax Relief Incentive Schemes (BES, EII & SCS/SURE)?*