Locuri de munca legale in Marea Britanie intre 2006 si 2012 in ordine cronologica:

Nume + Prenume Data nasterii ZZ/LL/19AA

Adresa Completa
Str. Nr. Bl. Sc. Ap.
Sat/Loc. Com.
Jud./Sec.
Telefon Mobil |0|7| | | | | | | | | Email
De unde ati aflat de GTR? De ex. fluturas, internet, recomandare (se va trece doar numele de familie)
Intentionati sa mai mergeti in
UK in urmatorii 3 ani?

Daca da, pe ce data plecati (cu aproximatie)? ZZ/LL/201A
V-ati inregistrat vreodata ca Self-Employed (cardul galben)? * Daca da, in ce data? ZZ/LL/20AA
Cand ati plecat in si din
Marea Britanie ultima data?

ZZ/LL/20AA|ZZ/LL/20AA
National Insurance Number:
Nr. Telefon Ruda: |0|7| | | | | | | | |
Ati mai fost in UK? Daca da,
treceti data intrarii si iesirii
pentru fiecare plecare!



1. ZZ/LL/20AA ZZ/LL/20AA | 4. ZZ/LL/20AA ZZ/LL/20AA
2. ZZ/LL/20AA ZZ/LL/20AA | 5. ZZ/LL/20AA ZZ/LL/20AA
3. ZZ/LL/20AA ZZ/LL/20AA | 6. ZZ/LL/20AA ZZ/LL/20AA

Unde ati prefera sa va trans-
feram impozitului platit? **
Cont in LEI la orice banca din Romania (poate fi contul altei persoane)
Codul IBAN |_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|
Titular cont __________________________________________________
Cont in LIRE la orice banca din Marea Britanie (poate fi contul altei persoane)
Branch Sort Code _ _ _ _ _ _ | Account Number |_|_|_|_|_|_|_|_|
Titular cont __________________________________________________
1. Numele Companiei:

4. Numele Companiei:
Adresa:

Adresa:



Ati lucrat din ZZ/LL/20AA pana in ZZ/LL/20AA

Ati lucrat din ZZ/LL/20AA pana in ZZ/LL/20AA
Ati platit taxe? DA NU Ati reusit sa le recuperati? DA NU

Ati platit taxe? DA NU Ati reusit sa le recuperati? DA NU

2. Numele Companiei:

5. Numele Companiei:

Adresa:

Adresa:



Ati lucrat din ZZ/LL/20AA pana in ZZ/LL/20AA

Ati lucrat din ZZ/LL/20AA pana in ZZ/LL/20AA
Ati platit taxe? DA NU Ati reusit sa le recuperati? DA NU

Ati platit taxe? DA NU Ati reusit sa le recuperati? DA NU

3. Numele Companiei:

6. Numele Companiei:
Adresa:

Adresa:



Ati lucrat din ZZ/LL/20AA pana in ZZ/LL/20AA

Ati lucrat din ZZ/LL/20AA pana in ZZ/LL/20AA
Ati platit taxe? DA NU Ati reusit sa le recuperati? DA NU Ati platit taxe? DA NU Ati reusit sa le recuperati? DA NU





Semnand acest formular declar ca toate informatiile furnizate de mine sunt complete si corecte.
Sunt de acord cu toti termenii si conditiile listate la www.GlobalTaxRefund.CO
Nume in clar:
Semnatura: ! Data:


Formular de aplicare pentru
returnarea impozitului pe venit
platit in Marea Britanie







Atentie! Toate campurile sunt obligatorii! Omiterea anumitor informatii atrage riscul de a nu putea recupera taxele platite.


Calea Serban Voda, Nr 213-217, Sc 2
Ap 28, Sector 4, Bucuresti, Romania
Tel.: 004.0765.377.678
Fax: 004.0317.107.484
Email: office@GlobalTaxRefund.CO
Web: www.GlobalTaxRefund.CO
www.facebook.com/globaltaxrefund
(*) Daca v-ati inregistrat ca Self-Employed, trebuie sa cereti formularul de aplicare specific Self-Employed.
(**) Transferul la orice banca din Romania inafara de Raiffeisen Bank va genera un cost suplimentar de 5, pentru a acoperi
comisioanele bancare de transfer.
Daca ati avut mai mult de 6 locuri de munca, va rog sa continuati pe verso.
-1-
GLOBAL TAX REFUND LTD.

PAYE: HO6420 | SA: 1016JL

CAL. SERBAN VODA, NR. 213-217
SC. 2, AP. 28, SECTOR 4
BUCURESTI, ROMANIA
004.0765.377.678
-3-
SA: 1016JL | VAT: AE5978 | CT: KT6917A
Please complete, sign, then send this form to your
HM Revenue & Customs office. Use CAPITAL letters
Date received by HM Revenue & Customs
/ /
/ /

Claimants
signature
Branch Sort Code
Details of Claimant
Full name
Address
Postcode
Claim
I claim repayment of the amount overpaid by me, (for non SA claims the period
or year ended must be entered in the box aside).
Date
If you complete a Self Assessment Return your repayment will usually be sent direct to you or your nominees bank
or building society account. Please include the branch sort code, the account number and if appropriate, the name
and address of the nominee in the authority below. If you or your nominee does not have a bank account, we can
arrange for repayment to be made in the form of a payable order but you or your nominee will need to open a bank
or building society account in order to cash it. If the repayment is to be sent to your nominee by payable order, the
nominees name and address must be entered in the authority below.
If you do not complete a Self Assessment Return your repayment will be made in the form of a payable order,
which must be paid into a bank or building society account. If you do not have a bank or building society account
you should nominate someone who does to receive the order for you. If the repayment is to be sent to a nominee
or posted direct to your bank or building society by payable order, the name and address must be entered in the
authority below. Also include your account number and sort code if the payable order is to be posted direct to your
bank or building society.
Authority
of (full address)
Postcode
to receive on my behalf the amount due.
Claimants
signature Date
*enter the name of the account holder or the person who will receive the payable order.
Agents reference (if applicable)
/ /
I authorise nominee/agent (delete as appropriate)*
Your/your nominees bank or building society
account number (delete as appropriate)

GLOBAL TAX REFUND LTD.

UNIT 7 G8, FORUM HOUSE
EMPIRE WAY
WEMBLEY
HA9 0AB
-4-
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-5-














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