P85 София
P85 София
P85 София
Help
If you need help with this form:
• follow the link above
• phone our helpline on 0300 200 3300
• if you are calling from outside the UK Phone +44 135 535 9022
Yr Iaith Gymraeg
Ffoniwch 0300 200 1900 i dderbyn fersiynau Cymraeg o ffurflenni a chanllawiau.
About you
Surname or family name
Mebuke
Line 1
22 Mauretania Way,Brooklands
Line 2
Milton Keynes,England
Line 3 (optional)
Postcode
MK10 7HL
Telephone number
+447460700044
Date of birth
07 04 2004
Nationality
Ukrainian
From the 6 April in the tax year you left the UK up to the date you left, were you resident in the UK?
For example: Your date of leaving the UK was 10 August 2013, use tax year 6 April 2013 to 5 April 2014
Yes
No
Were you a resident in the UK in the tax year before the tax year you left?
Yes
No
How many days do you expect to spend in the UK between your date of leaving the UK and the following 5 April?
0 Days
How many days do you expect to spend in the UK in each of the next three tax years? (From 6 April one year to 5 April the
next)
For example, 81 days between 6 April 2014 and 5 April 2015
Year 1
0 Days
Year 2
0 Days
Year 3
0 Days
Line 2
Burbank,California
Line 3 (optional)
Country
United States of America
Will you continue to have your salary paid from the UK?
Yes
No
If you have a property in the UK that you get income from you may have to pay UK income tax. For further information
follow the link below.
Non-resident landlord scheme
Will you get any other income from the UK after you leave?
Yes
No
Repayment instructions
If you are due a refund, we can either pay it to you or someone else on your behalf - they are known as the nominee.
We will send you a cheque direct to your address or to your nominee at their address. The cheque can only be paid into an account held in
your name or your nominee’s. It sometimes is not possible to cash a British pounds payment overseas.
Name of nominee
Kseniia Fedorenko
Line 1
12 Harmans Cross,Broughton
Line 2
Milton Keynes,England
Line 3 (optional)
Postcode
MK10 7BL
Declaration
You must sign this declaration.
If you give information which you know is not correct or complete, action may be taken against you.
I declare that:
✔ - the information I have given on this form is correct and complete to the best of my knowledge.
- I claim repayment of any tax due back to me.
Signature
Date
DD MM YYYY
What to do now
Please send this form to:
Pay As You Earn
HM Revenue and Customs
BX9 1AS
We will let you know the outcome of this claim as soon as we can.