1-1189770039, Nowy folder
Leaving the United Kingdom
Tax reference
National Insurance number
Please use these references if you write or call.
It will help to avoid delay.
Issued by
Telephone
Income Tax claim when you have left
or are about to leave
the UK
To claim tax relief, or repayment of UK income tax, please
• answer all the questions in order, passing over those questions where you are directed to another section
• complete Section 6
if appropriate,
and Section 7 in all cases, making sure that you sign and date the sections
• take a copy of the completed form
in case we need to refer you to it
, and return the original to the above office.
Section 1 Residence details
Complete ALL parts of this Section
What is your nationality?
On what grounds do you claim this
nationality?
Which country are you going to?
Give your address abroad
if you know it
When did you leave,
or
when are you leaving, the UK?
Enter
Day, Month, Year
/
/
How long were you living in the UK before the date you left
or date you intend to leave
?
Yes
No
Do you intend to live outside the UK permanently?
• If ‘No’, do you intend to live outside the UK for a full tax year starting on 6 April after your departure?
– if also ‘No’ to the above, when do you expect to return to the UK?
/
/
Yes
No
Will you be visiting the UK while you are living abroad?
• If ‘Yes’, what periods do you expect to
spend in the UK over the next 3 years?
Yes
No
Are you leaving the UK to work?
• If ‘Yes’ go to
Section 2
•
If ‘No’ give your reason for leaving the
UK in the box, and go to
Section 3
.
P85
HMRC 03/06
Section 2 Employment details
Complete ALL parts IF you are leaving the UK to work
What type of job is it?
• Enter your employer’s name and
address
Postcode
– enter the name of your
department
if
you are employed by the UK Government.
Yes
No
Will you be working full-time?
Do you have a separate contract for your work abroad?
• If ‘Yes’ how long is the contract for?
Yes
No
Will any of your work be carried out in the UK?
•
If ‘Yes’ give details of the work you will
be doing in the UK.
Yes
No
Is your work abroad done on a days on/days off rota?
•
If ‘Yes’ give details, including where
you expect to spend the days off.
Enter
the name of the town or city, and country
.
In what currency will you be paid for your work
abroad?
Country
Currency
Country where (Bank) Account held
Currency
Where will you receive your earnings?
If any part of your pay is to be paid
through an office or agent in the UK,
give the full name and address of
the payer.
Name
Address
Postcode
Section 3 Accommodation details
Complete ALL parts unless you are directed to another Section
Yes
No
Will you
,
or your spouse or civil partner, have any accommodation in the UK while you are away?
• If ‘No’ go to
Section 4
Description
•
If ‘Yes’
– give details of the kind of
accommodation it is
for example
house, flat,
etc.
, and
– enter its address.
Address
Postcode
If you left the United Kingdom
after 5 April 2000
, go to
Section 4.
Do you own or have you ever owned the accommodation described above?
Yes
No
• If ‘No’ go to
Section 4
•
If ‘Yes’ please tick one box to show whether the property is solely owned
or
jointly owned
Do you intend to return to the property as your sole or main residence within four years of the date of
your departure?
Yes
No
Section 4 Further property details
Complete ALL parts unless you are directed to another Section
Will you be receiving rents, premiums, or other income from any property in the UK?
Yes
No
• If ‘No’ go to
Section 5
•
If ‘Yes’ please tick one box to show whether the property is solely owned
or
jointly owned
How much income from letting will you receive each year?
Give an
estimate
if you do not know the precise amount
.
In the year of your departure
£
l
l
l
In the following year
£
l
l
l
Yes
No
Will you be receiving the income direct
either into your UK bank account or overseas
?
Name
• If ‘Yes’ give details of the person who
will be paying you.
Address
Postcode
Yes
No
Will you be receiving the income through an agent who manages the property for you?
• If ‘Yes’ give details of the agent
or
if
the agent lives
outside the UK
details
of the payer
.
Agent/
Payer
Address
Date agent began managing
the property
/
/
Postcode
Section 5 Other details
Answer ALL the questions in this Section
Yes
No
Will you have any other source of income in the United Kingdom after you have left?
• If ‘Yes’
give
details
Do you have life insurance policies that were taken out before 14 March 1984?
Any entitlement to pay premiums net of tax relief may be affected when you move abroad.
• If ‘Yes’ give
details of the
policy,
and
all
premiums you
will continue
to pay
after
leaving the UK
• Did you notify your insurance companies of your date of departure from the UK?
Yes
No
Name of the insurer
Policy number
Premiums
payable in the year to 5.4.
£
l
l
l
l
l
l
l
l
l
£
£
Yes
No
Do you have a personal pension?
• If ‘Yes’ give
details of
all
contributions
you will
continue to
pay
after
leaving the UK
Yes
No
Name of personal pension scheme
Contract number
Contributions
payable in the year to 5.4.
l
l
l
l
l
l
l
l
l
£
£
£
Yes
No
• Did you notify your personal pension provider of your date of departure from the UK?
Section 6 Repayment claim and payment authority
Complete unless directed to Section 7
If you are being sent abroad by your present employer, any repayment of tax you are due will be dealt with through
your employer’s HM Revenue & Customs office, go to
Section 7
.
I claim repayment of tax that I may be entitled to for the year ending on 5 April ,
and enclose Parts 2 and 3 of my
P45
Details of employee leaving work.
Please enter your address in the box below.
Any repayment will be made direct to you at that address unless you tell us otherwise.
If you want your repayment made to a nominee, complete the remaining boxes in this Section
as well
.
Your
address
Name of
nominee
Address
Postcode
Postcode
Enter the account details where the nominee is
a bank or building society
Branch
Sort Code
––
Account
number
I authorise repayment to be made to the person, bank or building society shown above.
Signature
Date
/
/
Section 7 Declaration
You can be prosecuted if you give false information
The information I have given on this form is correct and complete to the best of my knowledge and belief.
Signature
Date
/
/
Print your
full name
Please enter here a telephone number
including dialling code
at which we can contact you with any questions.
Notes
The HMRC website contains information on residence and tax issues that you may find helpful: www.hmrc.gov.uk/cnr
If you are leaving the UK to work abroad, and you or your employer require advice about your
National Insurance liability
contact:
Centre for Non-Residents, Employers Team, Benton Park View, Newcastle Upon Tyne, NE98 1ZZ.
For use in HM Revenue & Customs office
Date
Initials
Notice to S/M
/
/
Personal pensions
Notice to S/A
Notice
to P.H.
/
/
Life Assurance
Paragraph 14
/
/
Notice
to L.O.
/
/
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