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Free Tax Rebates Enquiry Form
for UK Citizens Leaving the UK

If you are a UK citizen leaving the UK and wish a free check to see if you are due any tax rebates, please complete the form below and press the submit button. Alternatively, print (click here to print) and post or fax the form to us.

Our simple procedure for obtaining any refund due is set out on our Tax Rebates page.

[Please note: fields marked with *** in this form are required]

YEAR TO BE REVIEWED TO 5 APRIL »
PLEASE ENTER: ***	Please choose: 2004/2005 2005/2006 2006/2007 2007/2008 2008/2009 2009/2010 2010/2011 [REQUIRED]
	PLEASE CHOOSE THE YEAR (BETWEEN 2004/2005 AND 2010/2011) THAT YOU WISH TO BE REVIEWED e.g. if you enter 2004/2005 - we will review the tax year to 5 April 2005.
PERSONAL DETAILS »
TITLE: ***
FULL NAME: ***
FULL ADDRESS: ***
TELEPHONE No.:
EMAIL ADDRESS: ***
DATE YOU LEFT / INTEND TO LEAVE THE UK: ***
HOW LONG DO YOU INTEND TO BE AWAY?: ***
REASON FOR LEAVING?:***
EMPLOYMENT DETAILS »
	Employer 1 »	Employer 2 »
EMPLOYER(S): ***
OCCUPATION(S): ***
TAX CODE: ***
	The final tax code for a past year will be on your P60 for that year or on your P45.
TOTAL PAY FOR YEAR: ***
TOTAL TAX DEDUCTED FOR YEAR: ***
	Please be sure to enter the totals for the year from your P60(s) or P45(s) (not "in this employment").
POST DEPARTURE »
WILL YOU HAVE ANY INCOME ARISING IN THE UK (e.g. pensions, interest, rents)? ***
	YES NO
IF YES, DETAILS PLEASE:
	Or print and post or fax to PAYECHECK LIMITED, 5 BRUCE STREET, ANNAN, DUMFRIESSHIRE DG12 5AB, FAX: 01461 202579

Should you need any assistance in the completion of this Leaving UK Tax Rebate application, please telephone Mrs Jean Steele on 01461 204121 or email.