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UTR 2189851202 Mark Wesley Fowler NINO JN403870C Employer reference Date
29 Panton Close Deeping St James Peterborough Lincolnshire PE6 8ET
Telephone
y l n o y p C o R C M H o t d n e s t o n Do
Finishing your tax return
Tax refunded or set off
1
Calculating your tax if we receive your tax return by 31 October 2011, or if you file online, we will do the calculation for you and tell you how much you have to pay (or what your repayment will be) before 31 January 2012. But if you want to calculate your tax ask us for the Tax calculation summary pages and notes. The notes will help you work out any tax due or repayable, and if payments on account are necessary.
Income
If you have had any 201011 Income Tax refunded or set off by us or Jobcentre Plus, enter the amount 1 Taxed UK interest etc. the net amount after tax has been taken off (see notes) 0
0 0
Untaxed etc. amounts which have not been Use the payslip at the foot of your next statement (or reminder)2from us to UK payinterest any tax due. taxed (see notes)
2
Fo a a
If you owe tax for 201011 and have a PAYE tax code, we will try to collect the tax due (if less than 2,000) through your tax code for 201213, unless you put X in the box read page TRG 22 of the guide
Most people file online. To do this go to hmrc.gov.uk/online 0 0 To file on paper, please fill in this form using the rules below. If you have paid too much tax
If you are likely to owe tax for 201112 on income other 0 0 than employed earnings or pensions, and you do not want us to use your 201112 PAYE tax code to collect that tax during Dividends fromput UK X companies do not include the year, in the box read page TRGthe 22 of the guide tax credit (see notes)
Ta
Deadlines
We must receive your tax return by these dates: if you are using a paper return by 31 October 2013, (or 3 months after the date of this notice if thats later), or if you are filing a return online by 31 January 2014, (or 3 months after the date of this notice if thats later). If your return is late you will be charged a 100 penalty. If your return is more than 3 months late, you will be charged daily penalties of 10 a day. If you pay late you will be charged interest and a late payment penalty.
Cross out any mistakes 11 7 State Pension the amount due for the year (see notes) If you would like us to send some, or all, of your repayment to charity please use the Giving your tax repayment to charity form in Use black ink and capital letters and write the correct your tax return pack. 0 0 information below
4
pensions, annuities and other state benefits We will repay direct to your bank or building society accountUK this is the safest and quickest method. Tell us where you would likerece any repayment to be made by filling in boxes 4 to 14.
Ta
ANY BANK
9 5 Name of account holder (or nominee) Please round up tax paid, for example, 4,700.21 would be 4701
10 If you have entered a nominee's name in box 5, put X' State Pension lump sum in the box
12
Tax taken off box 8 11 If your nominee is your tax adviser, put X' in the box
2 4 3 5 0 4 9
0 0
Ta Em
13
4 7 0 1
0 0
Ta
14
10
Pensions (other than State Pension), retirement annuities 12 Nominee's address and taxable triviality payments give details of the payers, amounts paid and tax deducted in box 19 on page TR 6
Jo
0 0 sort code Enter Branch your figures in whole pounds ignore the pence. To Round down income and round up expenses and tax paid number it is Account to your benefit. and postcode Other UK income not included on supplementary pa If a box does not apply, please leave it blank do not strike Do not use this section for income that should be returned on supple Building society reference number life insurance gains and certain other kinds of income go on the Addi through empty boxes or write anything else. To authorise your nominee to receive any repayment,
6 15 7 13 8 14 16 9
you must sign in box. A photocopy of your signature Other taxable income the before expenses and tax will not do taken off
19
Be
If you do not have a bank or building society account, or if you want a cheque to be sent to you or to your nominee, put X' in the box
17
0 0
20
the guide Before you start to fill it in, look through your tax return to make sure there is a section for all your income and claims 0 0 return: Page TR 5 help please read you may need some separate supplementary pages (see page TR 2 and the tax return guide). If Tax you need Any tax taken off box 16 the guide, phone the number shown above or 0845 900 0444, or go to hmrc.gov.uk/sa
18
De en in
HMRC 12/10
0 0
22/06/1979
2
07712711927
our National Insurance number leave blank if the Y correct number is shown above
our name and address if it is different from what is on Y the front of this form. Please write the correct details underneath the wrong ones, and put X in the box
JN403870C
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SA100 2013
Page TR 1
HMRC 12/12
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If you were an employee, director, office holder or agency worker in the year to 5 April 2013, do you need to complete Employment pages? Please read the guide before answering. Did you receive, or are you treated as having received, income from a trust, settlement or the residue of a deceased persons estate? Yes No Fill in a separate Employment page for each employment, directorship, etc. On each Employment page you complete, enter any other payments, expenses or benefits related to that employment. Say how many Employment pages you are completing in the Number box below. Yes No
7
Employment
Trusts etc.
Number
S elf-employment
If you sold or disposed of any assets (including, for example, stocks, shares, land and property, a business), or had any chargeable gains, read the guide to decide if you have to fill in the Capital gains summary page. If you do, you must also provide separate computations. Do you need to fill in the Capital gains summary page and provide computations? Yes No Computation(s) provided
Did you work for yourself (on your own account or in self-employment) in the year to 5 April 2013? (Answer Yes if you were a Name at Lloyds.)
Fill in a separate Self-employment page for each business. On each Self-employment page you complete, enter any payments or expenses related to that business. Say how many businesses you had in the Number box below. Yes
No
Number
Partnership
Were you in partnership? Fill in a separate Partnership page for each partnership you were a partner in and say how many partnerships you had in the Number box below. Yes No
Yes
No
S upplementary pages
If you answered Yes to any of questions 1 to 8, please check to see if within this return, there is a page dealing with that kind of income etc. If there is not, you will need separate supplementary pages. Do you need to get and fill in separate supplementary pages?
Number
U K property
Did you receive any income from UK property (including rents and other UK income from land you own or lease out)? read the guide if you have furnished holiday lettings. Yes No
Yes
No
If Yes, you can go to hmrc.gov.uk to download them, or phone 0845 900 0404 and ask us for the relevant pages. Some less common kinds of income and tax reliefs (not covered by questions 1 to 8), and details of disclosed tax avoidance schemes, should be returned on the Additional information pages enclosed in the tax return pack. Do you need to fill in the Additional information pages? Yes No
F oreign
If you: were entitled to any foreign income, or income gains have, or could have, received (directly or indirectly) income, or a capital payment or benefit from a person abroad as a result of any transfer of assets want to claim relief for foreign tax paid read the guide to decide if you have to fill in the Foreign pages. Do you need to fill in the Foreign pages? Yes No
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Income
Interest and dividends from UK banks, building societies etc.
1
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5
axed UK interest etc. the net amount after tax has T been taken off. See the guide
Other dividends do not include the tax credit. See the guide
ntaxed UK interest etc. amounts which have not had U tax taken off. See the guide
oreign dividends (up to 300) the amount in sterling F after foreign tax was taken off. Do not include this amount in the Foreign pages
Dividends from UKcompanies do not include the tax credit. See the guide
State Pension the gross amount shown on your pension statement. See the guide
11
12 8
axable Incapacity Benefit and contribution-based T Employment and Support Allowance see the guide
13
10
ensions (other than State Pension), retirement P annuities and taxable triviality payments give details of the payers, amounts paid and tax deducted in the Any other information box, box 19, on page TR 7
14
Jobseekers Allowance
15
19
20 17
Description of income in boxes 16 and 19 if there is not enough space here please give details in the Any other information box, box 19, on page TR 7
18
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Tax reliefs
Paying into registered pension schemes and overseas pension schemes
Do not include payments you make to your employers pension scheme which are deducted from your pay before tax or payments made by your employer.
1
Charitable giving
5
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ayments to registered pension schemes where basic P rate tax relief will be claimed by your pension provider (called relief at source). Enter the payments and basic rate tax
3
ayments to your employers scheme which were not P deducted from your pay before tax
Payments to a retirement annuity contract where basic rate tax relief will not be claimed by your provider
Payments to an overseas pension scheme which is not UK-registered which are eligible for tax relief and were not deducted from your pay before tax
10
ift Aid payments made in the year to 5 April 2013 G but treated as if made in the year to 5 April 2012
11
Gift Aid payments made after 5 April 2013 but to be treated as if made in the year to 5 April 2013
12
f you are registered blind on a local authority or other I register, put X in the box
15
f you want your spouses, or civil partners, surplus I allowance, put X in the box
14
16
f you want your spouse, or civil partner, to have your I surplus allowance, put X in the box
Other less common reliefs are on the Additional information pages enclosed in the tax return pack.
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Only fill in this section if: your income was over 50,000, and you or your partner (if you have one) received Child Benefit on or after 7 January 2013 (this also applies if someone else claims Child Benefit for a child who lives with you and pays you or your partner for the childs upkeep), and couples only your income was higher than your partners. Please read the guide. If you have to pay this charge for the 201314 tax year and you do not want us to use your 201314 PAYE tax code to collect that tax during the year, put X in box 3 on page TR 6
1
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f your employer has deducted Student Loan I repayments enter the amount deducted nter the total amount of Child Benefit you and your E partner received for the period from 7 January 2013 to 5 April 2013
2
f you have received notification from the Student I Loans Company that repayment of an Income Contingent Student Loan began before 6 April 2013, put X in the box
f you think your loan may be fully repaid within I the next two years, put X in the box
nter the number of children you and your partner E received Child Benefit for during the period from 7 January 2013 to 5 April 2013
Service companies
1
f you provided your services through a service company (a company which provides your personal services to third I parties), enter the total of the dividends (including the tax credit) and salary (before tax was taken off) you withdrew from the company in the tax year see the guide
If you have had any 201213 Income Tax refunded or set off by us or Jobcentre Plus, enter the amount
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If you fill in your bank or building society account details we can make any repayment due straight into your account. This is the safest and quickest method. But, if you do not have a suitable account, put X in box 9 and we will send you or your nominee a cheque.
4
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X
Name of bank or building society
11
roviding you send us your tax return by 30 December, P if you owe tax for 201213 and have a PAYE tax code, we will try to collect the tax due (if less than 3,000) through your tax code for 201415, unless you put X in the box see the guide
f for 201314, you are likely to owe tax on the I high income Child Benefit charge or on income other than employed earnings or pensions, and you do not want us to use your 201314 PAYE tax code to collect that tax during the year, put X in the box see the guide
Barclays
12
Nominees address
Mark Fowler
13
and postcode
209069
7
Account number
14
30688118
8
o authorise your nominee to receive any repayment, T you must sign in the box. A photocopy of your signature will not do
you do not have a bank or building society account, If or if you want us to send a cheque to you or to your nominee, put X in the box
10
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17
16
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Their phone number
18
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f this tax return contains provisional or estimated I figures, put X in the box
23
f you have signed on behalf of someone else, enter I the capacity. For example, executor, receiver
21
22
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f you are enclosing separate supplementary pages, I put X in the box
24
Declaration
declare that the information I have given on this tax I return and any supplementary pages is correct and complete to the best of my knowledge and belief.
25
I understand that I may have to pay financial penalties and face prosecution if I give false information. Signature
26
Date DD MM YYYYY
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Additional information
Tax year 6 April 2012 to 5 April 2013 These pages:
are for less common types of income, deductions and tax reliefs, and for other information if completed, are to be sent back with your tax return (please do not send these pages back if you have made no entries on them). If you think that you need to complete these pages, go to hmrc.gov.uk or phone 0845 9000 404 and ask us for the Additional information notes.
Other UK income
Interest from gilt-edged and other UK securities, deeply discounted securities and accrued income profits
1
UKlife insurance policy etc. gains on which tax was treated as paid the amount of the gain
9 5
Number of years the policy has been held or since the last gain whichever is less
10
UKlife insurance policy etc. gains where no tax was treated as paid the amount of the gain
11
Number of years the policy has been held or since the last gain whichever is less
Stock dividends the appropriate amount in cash/ cash equivalent of the share capital without any tax
13
15
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SA101 2013
Page Ai 1
HMRC 12/12
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Share schemes and employment lump sums, compensation and deductions and certain post-employment income
1
Share schemes the taxable amount excluding amounts included on your P60 or P45
9 2
Taxable lump sums and certain income after the end of your job excluding redundancy and compensation for loss of your job
10
11 4
Lump sums or benefits received from an Employer Financed Retirement Benefits Scheme excluding pensions
12
Seafarers Earnings Deduction the total amount (and give the names of the ships in the Additional information box on page Ai 4)
13
14
If you have left box 6 blank because the tax is included in box 2 on the Employment page, put X in the box
Subscriptions for Venture Capital Trust shares the amount on which relief is claimed
Maintenance payments (maximum 2,960) only if you or your former spouse or civil partner were born before 6 April 1935
Subscriptions for shares under the Enterprise Investment Scheme the amount on which relief is claimed (and provide more information on page Ai 4)
Payments to a trade union etc. for death benefits half the amount paid (maximum 100)
Relief claimed for employers compulsory widows, widowers or orphans benefit scheme (maximum 20)
10
SA101 2013
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If you have already agreed that half of the minimum allowance is to be given to you, put X in the box
7 2
Their date of birth if older than you (and at least one of you was born before 6 April 1935) DD MM YYYY
If you have already agreed that all of the minimum allowance is to be given to you, put X in the box
8 3
If you have already agreed that half the minimum allowance is to go to your spouse or civil partner, put X in the box If you were married or formed a civil partnership after 5 April 2012, enter the date of marriage or civil partnership DDMMYYYY
9 4
If you have already agreed that all of the minimum allowance is to go to your spouse or civil partner, put X in the box
10 5
If, in the year to 5 April 2013, you lived with any previous spouse or civil partner, enter their date of birth
If you want to have your spouses or civil partners surplus allowance, put X in the box
11
If you want your spouse or civil partner to have your surplus allowance, put X in the box
Other information
Income Tax losses
Other income losses
1
Earlier years losses which can be set against certain other income in 201213 Total unused losses carried forward
Relief now for 201314 income or certain capital losses Read the notes and specify the source of loss in the additional information box 19 on page Ai4
Tax year for which you are claiming relief in box 3, for example, 201112 YYYY YY
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Pension savings tax charges and taxable lump sums from overseas pension schemes
5
11
Value of pension benefits in excess of your Available Lifetime Allowance, not taken as a lump sum
12
13
Amount saved towards your pension, in the period covered by this tax return, in excess of the Annual Allowance
14
15
10
16
18
The tax year in which the expected advantage arises, for example, 201112 YYYY YY
Additional information
19
Personal details
20
Your name
21
SA101 2013
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Self-employment (short)
Tax year 6 April 2012 to 5 April 2013
Your name
2189851202
Please read the Self-employment (short) notes to check if you should use this page or the Self-employment (full) page.
Business details
1
Description of business
Pianist
If you are a foster carer or shared lives carer, put X in the box read the notes
If your business started after 5 April 2012, enter the start date DDMMYYYY
26/05/2012
6
PE68ET
3
If your business ceased before 6 April 2013, enter the final date of trading DDMMYYYY
If your business name, description, address or postcode have changed in the last 12 months, put X in the box and give details in the Any other information box of your tax return
05/04/2013
Your turnover the takings, fees, sales or money earned by your business
Any other business income not included in box 8 excluding Business Start-up Allowance
8409.00
15
11
16
2280.00
17 12
18 13
Other allowable business expenses client entertaining costs are not an allowable expense
14
19
2280.00
SA103S 2013
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Net profit if your business income is more than your expenses (if box 8 + box 9 minus box 19 is positive)
21
Or, net loss if your expenses exceed your business income (if box 19 minus (box 8 + box 9) is positive)
6129.00
24
23
25
Total balancing charges where you have disposed of items for more than their value
Goods and/or services for your own use read the notes
28
Loss brought forward from earlier years set off against this years profits up to the amount in box 27
27
Net business profit for tax purposes (if box 20 + box 25 + box 26 minus (boxes 21 to 24) is positive)
29
Any other business income not included in box 8 or box 9 for example, Business Start-up Allowance
6129.00
Total taxable profits from this business (if box 27 + box 29 minus box 28 is positive)
31
Net business loss for tax purposes (if boxes 21 to 24 minus (box 20 + box 25 + box 26) is positive)
6129.00
Loss from this tax year set off against other income for 201213
35
If you are exempt from paying Class 4 NICs, put X in the box read the notes
33
Loss to be carried back to previous year(s) and set off against income (or capital gains)
36
If you have been given a 201213 Class 4 NICs deferment certificate, put X in the box read the notes
34
Total loss to carry forward after all other set-offs including unused losses brought forward
37
Deductions on payment and deduction statements from contractors construction industry subcontractors only
SA103S 2013
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Your name
2189851202
Self Assessment
You can use the Working Sheet in the Tax calculation summary notes to work out the total tax, Student Loan repayment and Class 4 NICs due or overpaid for 201213. If the result is a positive amount, enter it in box 1; if it is negative, enter it in box 2.
1
Total tax (this may include Student Loan repayment) and Class 4 NICs due before any payments on account
0.00
5
0.00
Capital Gains Tax due
2
Total tax (this may include Student Loan repayment) and Class 4 NICs overpaid
0.00
6
0.00
Student Loan repayment due
0.00
0.00
Underpaid tax for earlier years included in your tax code for 201213 enter the amount shown as amount of underpaid tax for earlier years from your P2 PAYE Coding Notice
Outstanding debt included in your tax code for 201213 enter the amount from your P2 PAYE Coding Notice
0.00
0.00
8
Underpaid tax for 201213 included in your tax code for 201314 enter the amount shown as estimated underpayment for 201112 from your P2 PAYE Coding Notice
0.00
Payments on account
Please read the notes in Section 12 of the Tax calculation summary notes to see if you need to make any payments on account for 201314.
10
If you are claiming to reduce your 201314 payments on account, put X in the box enter the reduced amount of your first payment in box 11 and say why you are making the claim in box 17 overleaf
11
Your first payment on account for 201314 enter the amount (including pence)
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SA110 2013
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HMRC 12/12
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13
If you or your spouse or civil partner were born before 6 April 1935, the amount of married couples surplus allowance you can have
15
16
SA110 2013
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