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| Tax Back Form |
 |
download
or print this frame |
| UNISON Tax Refund Claim Form |
UNISON Guarantee
No refund, no fee |
- One in three UNISON members are
due to a tax refund
- The largest rebate so far is
�9458.65
- Over �1.5 million already
recovered for UNISON members
- The average refund for UNISON
members is �167
|
FREE Confidential Assessment Form |
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| 1.
Personal Details (Please use BLOCK CAPITALS) |
Title
(Please tick) |
Mr. |
|
Mrs. |
|
Miss |
|
Ms. |
|
Date
of Birth |
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| Full Name |
Surname: |
First
Name(s): |
Address |
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| |
| |
| |
| Postcode: |
Telephone
No. (inc.STD code) |
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| 2.
Employment Details |
Employer's
Name |
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Nature
of Employers Business |
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Occupation/Job
title |
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National
Insurance Number |
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| |
Have you
had any other employment apart from your current job since 6/4/95 |
Yes |
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No |
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| 3.
Family Details |
| Are you (Please
tick) |
Single |
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Married |
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With a partner |
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Separated |
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Divorced |
|
Widowed
|
|
| Please
enter dates (if applicable) |
Marriage |
|
Separation |
|
Widowed |
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| Is your
husband/wife/partner currently in employment? |
Yes |
|
No |
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| Has he/she
been in employment during the last 6 year period? |
Yes |
|
No |
|
|
| 4.
Children please indicate with (brackets) if not your natural child |
Full
Name |
Date
of Birth |
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| 5.
Additional Information please tick if you have... |
| Pay/paid
professional subscriptions |
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| Been
required to use your own car for business purposes (excludes travel to and from work) |
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| Work(ed)
from home |
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| Received
a Self Assessment Tax Return |
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| Previously
completed one of our questionnaires |
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| I understand that
should Personal Taxation Services Limited succeed in obtaining a rebate for me I will
receive 60p in the � |
Signed: |
Date: |
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| PLEASE REMEMBER TO SUPPLY
US WITH YOUR LATEST PAYSLIP AND OR/ P60 AND IF AVAILABLE YOUR LATEST NOTICE OF CODING.
(ALL ORIGINALS WILL BE RETURNED) |
| Please return to : Personal
Taxation Services Ltd, FREEPOST SK1892, Stockport, Cheshire, SK4 2YD |
| This service is operated on behalf
of UNISON by Personal Taxation Services Ltd, Regent House, Heaton Lane, Stockport, SK4 1BS |
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