Tax Refund Claim Form
* One in three people are due a tax refund * £millions recovered to date
* The largest rebate so far is £9458.65 * The average refund is £196
How much does the Taxman owe you?
1. Personal Details Please use BLOCK CAPITALS
Title (Please ü) Mr Mrs Miss Ms Date of Birth
Flat No. Address
(inc. STD code) E-mail Address
(If you have one)
2. Employment Details
Nature of employer’s business
(State if currently unemployed)
Occupation or job title
National Insurance Number (if known) Other than the above have you Yes No
had any other jobs since 6/4/99?
3. Family details (Date of marriage) (Date of separation)
Are you (please ü ) and Married Separated
enter dates as applicable (not divorced)
Widowed With a Partner Single Divorced
Is your husband/wife/partner Has he/she been in employment
currently in employment? Yes No Yes No
during the last 6 years?
4. Children Full Name Date of Birth
* of age and ALL children ü if not your
5. Additional information
Please ü if you have: Paid subscriptions to a professional body. Received a Self Assessment Tax Return.
Work(ed) from home. Used this service before.
Been required to use your own car for business If you would like us to respond by email
purposes (exclude travel to and from work).
- Telephone helpline available following receipt of this questionnaire -
I understand that should Personal
Taxation Services Limited succeed in
obtaining a rebate for me I will
receive 60p in the £
PLEASE REMEMBER TO SUPPLY US WITH YOUR LATEST PAYSLIP AND/OR P60 AND IF AVAILABLE YOUR
Please return to: LATEST NOTICE OF CODING. (ALL ORIGINALS WILL BE RETURNED AT THE END OF YOUR REVIEW)
The Tax Refund Company, FREEPOST SK1892, Stockport, Cheshire SK1 3XZ