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Income Tax Information Form
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Income Tax Information Form
1
GENERAL INFORMATION
2
GENERAL INFO TAX
3
OWN RESIDENCE / ASSETS
1. Initials:
*
2. Full name:
*
3. BSN / Dutch social security number
*
4. Date of birth:
*
5. Phone number:
*
6. Nationality:
*
7. E-mail address:
*
8. Address:
*
9. Postal code:
*
10. City:
*
11: Dutch bank account:
12: Copy ID:
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13. What is your marital status?
*
Single
Married
Divorced
Living together
Other
Name:
Birthdate:
Social security number / BSN:
14. How many children do you have?
*
0
1
2
3
4
5
6
7
8
Initials of youngest child:
*
Date of birth of youngest child:
*
Social security number-BSN of youngest child:
*
Is the youngest child living with you?
*
Yes
No
If applicable, please also provide the information of your partner
If relevant, please also provide the information of your partner via the upload tool
1. Did you live the whole year in the Netherlands?
Yes
No
Exit or entry date:
2. Did you register or deregister with the municipality / town hall?
Yes
No
Date of (de)registration:
3. Do you have the 30%-ruling?
Yes
No
Do not know
Please provide a copy of your 30%-ruling when available:
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4. Did you file a tax return prior to this year?
Yes
No
If available please upload a copy of the tax return unless TTM TAX prepared it for you
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Accepted file types: jpg, gif, png, pdf.
5. Did you receive a preliminary tax assessment (“voorlopige aanslag”)?
Yes
No
Please upload a copy of the tax assessment
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Accepted file types: jpg, gif, png, pdf.
6. Did you have an employer(s) during the year?
Yes
No
Please provide us with copies of the annual year-end statement (“jaaropgave”) you received from your employer(s).
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Accepted file types: jpg, gif, png, pdf.
7. Where you self-employed during the year?
Yes
No
Please provide us with copies of your P&L provided by your accountant.
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Accepted file types: jpg, gif, png, pdf.
8. Did you have other income than (self) employment income?
Yes
No
- Please select:
1. Social Benefit (UWV/SVB)
2. Pension
3. Freelance work
4. Other income
Please provide us with copies of your year end statement(s) or an overview of the payment(s).
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Accepted file types: jpg, gif, png, pdf.
9. Did you receive alimony from your ex-spouse?
Yes
No
1. Total amount received:
2. Name:
3. Address ex-spouse:
10. Did you commute regularly with public transport?
Yes
No
1. Travel allowance received from employer:
2. Please provide us with a copy of your public transport statement (ov -verklaring):
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1. Did you own the property in which you lived (private residence) during the year
Yes
No
If yes, please provide us with copies of:
- WOZ-value-statement from the municipality per January 1 of the prior year
- Annual overview of the mortgage interest payments received from the bank
- Overview of other debt interest payments relating to your house
- Overview of the land lease payments (erfpacht) (if applicable)
File
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Accepted file types: jpg, gif, png, pdf.
2. Did you sell or buy your private residence during the year?
Yes
No
If yes, please provide us with copies of:
- Notary invoice/statement
- Invoices from realtors / appraisers
- Overview of the mortgage with the bank
- Overview expenses relating to home improvement
- Statement |eigen woningreserve| (if applicable)
File
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Accepted file types: jpg, gif, png, pdf.
3. Did you rent out your private residence or was the private residence left empty during the year?
Yes
No
4. Do you own other property in- or outside the Netherlands?
Yes
No
If yes, please provide us with the following
- Address:
- Value of the property per January 1: EUR
- Mortgage debt on the property (if applicable) per January 1 (if applicable):
Attention! In case you are in the possession of the 30%-ruling please do not fill in question 5.
5. Do you have savings and investments (worldwide assets -/- your debts) of more than €21,000 (EUR 42,000 for both fiscal partners)?
Yes
No
If yes, please provide us with copies of the following information • Annual overview of bank accounts in the Netherlands and abroad
• Annual overview of stocks, bonds and other securities
• Overview of any other assets, claims
• Overview of loans and debts
• Overview of policies (kapitaalverzekeringen)
• (WOZ-) value of property located in or outside of the Netherlands, not being your main residence
• All items: value per January 1 of the year is relevant
File
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Accepted file types: jpg, gif, png, pdf.
6. Do you own more than 5% shares (direct/indirect) in a limited company?
Yes
No
If yes, please provide us with the following
- Name company:
- number of shares:
7. Did you pay for educational expenses, e.g. tuition fees, books, etc., for yourself or your partner during this year?
Yes
No
If yes, please provide us with an overview of the costs and copies of the invoices.
File
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Accepted file types: jpg, gif, png, pdf.
8. Did you pay healthcare expenses that were not reimbursed by your medical insurance, e.g. dentist, medication, etc.
Yes
No
If yes, please provide us with an overview of the costs and copies of the invoices.
File
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Accepted file types: jpg, gif, png, pdf.
9. Did you pay alimony to your ex-spouse?
Yes
No
10. Did you donate money to any charities?
Yes
No
If yes, please provide us with an overview of payment(s).
File
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Accepted file types: jpg, gif, png, pdf.
11. Did you support your children that do not live with you?
Yes
No
If yes, please provide us with an overview of payment(s).
File
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Accepted file types: jpg, gif, png, pdf.
Additional information & Comments
Phone
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