Personal information of the taxpayer Your Full name Home Address Email Adress Contact Number Date Of Birth Basic Tax Return information National Insurance number Unique Tax Reference Number (UTR) Tax Year 20162017 Personal Bank account detail YesNo Did you file a tax return last year? If yes, please attached a copy of it YesNo Do you have any student loan payable? YesNo Did you receive any child benefit during the year? YesNo Did you make any personal pension contribution? YesNo Did you make any gift aid payments? YesNo Are you a Scottish taxpayer? YesNo Did you make any payment on account for the tax year? YesNo Do you need to declare information relating to your residency ? YesNo Your income during the tax year Do you have any employment income? YesNo Did you earn any personal bank interest income during this tax year? YesNo Did you receive any dividend income during the tax year? YesNo Was any property let out in this tax year? YesNo Social Security Income YesNo Sole trader/Self employment Income YesNo Capital gains on the disposal of asset YesNo Any Other Information Declaration I confirm that the above questionnaire is complete to the best of my knowledge Note : You may be contacted for further information if required Δ
