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Application Form : Printable Version

To apply, complete the form below, print it off and post to:

The Tax Refund Company

Confidential Questionnaire
1. Personal Details (fields marked * are required)
Title* First Name(s)* Surname* Date of Birth


Post code*
Telephone Number

2. Employment Details
Employer's Name
Nature of Employer's Business

State if currently unemployed
Occupation / Job Title
National Insurance No.
How many different employers have you had since 5/4/2015?
Please enter the tax code shown on your latest payslip
Please enter the date of pay slip used above

3. Family Details
What is your marital status?
Please enter any relevant dates
Date of Marriage
Date Separated
Date Widowed

4. Additional Information
Since 6 April 2015
have you...
paid professional subscriptions? No Yes
been required to use your own car for business purposes? No Yes
worked from home? No Yes
received income greater than £41,865 per annum? No Yes

I understand that should Personal Taxation Services Limited succeed in obtaining a rebate for me I will receive 61p in the £




For PTS USE : 1601000026

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This confidential service is provided by Personal Taxation Services Ltd, a national company
based at Grosvenor House, St Thomas Place, Stockport, SK1 3TZ. Reg. in England, No 2906172.