Agent Link Notification Form

Transcript

1 Agent Link Notification Client name lock c apitals ) (B Tax Reference number Agent TAIN D D M M Y Y Y Y I confirm that with effect from is to act as appropriate): as my agent in respect of the following taxes (insert x Income Tax (incl. PAYE) [See Note 1] Corporation Tax (CT) Value Added Tax (VAT) Employer's PAYE/PRSI - (Financial & Payroll Agent) Employer's PAYE/PRSI - (Payroll Only Agent) Capital Gains Tax (CGT) Relevant Contracts Tax (RCT) Environmental Levy (E Levy) Dividend Withholding Tax (DWT) Other: Specify Note 1: This includes clients with both PAYE and IT sources of income. If the link applies to both, they must be selected individually. AYE income only. This notification may not be used to establish a link to clients who have P This arrangement will remain in place until changed by either the agent or client and the change is notified to the Office of the Revenue Commissioners. data protection policy is available on Details of Revenue’s www.revenue.ie I understand that this does not preclude me from my responsibility to maintain appropriate / adequate books and records and to produce such documentation as / when requested by the Office of the Revenue Commissioners. D D M M Y Y Y Y Signed Date Agent D D M M Y Y Y Y Signed Date Client Agent Contact Details Name Tel / Email e forms may result in the Cancellation of the Agent Link without notice. * Please note that incomplet Designed by the Revenue Printing Centre RPC010458_EN_WB_L_1

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