Self Assessment Questionnaire

    INCOME

    During the tax year period as selected above please confirm if you have received personal income from the following sources:

    Other Employment within the tax year outside of your own Ltd Company

    Dividends received from your own Ltd Company

    Other UK Dividend Income

    Personal Bank/Building Society gross interest received

    Social Security Income

    Rental Income

    Capital Gains

    Business Income

    Child Benefit

    RELIEFS AND DEDUCTIONS

    During the tax year period as selected above please confirm details for any relief or deductions and claims from the following sources:

    Student Loans

    If Yes, Please provide further information below.

    Personal Pension Payments

    If Yes, Please provide further information below.

    Gift Aid

    If Yes, Please provide further information below.

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    Additional Information

    DECLARATION *

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