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Home › Our services › Personal tax returns › P11D Questionnaire

P11D Questionnaire

Company Name:: *

Company Address::

PAYE Tax Reference::

Individual's Name:: *

Individual's Email Address:: *

National Insurance Number::

Position: (i.e. Director or Employee) :

Motor Vehicles (Company Cars)

Is the individual or his/her family provided with a car (or cars) available for private use? (i.e. private use includes travel f:

Yes

No

Beneficial Loans

Have loans been made to, or arranged for, an individual or his/her family? (includes overdrawn Directors current accounts). If Y:

Yes

No

Relocation Expenses

Has the cost of relocating an individual exceeded £8,000?:

Yes

No

If YES, please provide full details of all expenses.:

Other Expense Payments and Benefits

Are payments made on behalf of the individual for the following expenses and benefits? Where the answer is YES, please provide the details of the VAT inclusive costs incurred and the contribution by the individual (if any).

Type of Expense or benefit

a. Private Medical Insurance::

Yes

No

VAT inclusive costs:

Contribution:

b. Private or home telephone: :

Yes

No

VAT inclusive costs:

Contribution:

c. Travel and subsistence::

Yes

No

VAT inclusive costs:

Contribution:

d. Vans made available for private use:

Yes

No

VAT inclusive costs:

Contribution:

Registration No::

Date first registered::

e. Entertaining::

Yes

No

VAT inclusive costs:

Contribution:

f. Round sum expense allowances::

Yes

No

VAT inclusive costs:

Contribution:

g. Private subscriptions (i.e. golf club, fitness club etc):

Yes

No

VAT inclusive costs:

Contribution:

h. Use of company assets (i.e. house, villa, Yacht, furniture etc). Where computer equipment was provided, identify the cost sep:

Yes

No

VAT inclusive costs:

Contribution:

i. House, flat or other living accommodation::

Yes

No

VAT inclusive costs:

Contribution:

j. Private or other household bills (i.e. newspapers, repairs, gardener, cleaner, nanny etc):

Yes

No

VAT inclusive costs:

Contribution:

k. Any other benefit identified specifically::

Yes

No

VAT inclusive costs:

Contribution:

Appendix 1
Company Cars

Make and model of car: (i.e. Vauxhall Cavalier GLI 5 door Automatic):

Registration Number::

Date first registered::

CO2 Emission figure: (If known) :

Manufacturers list price at date of first registration (If known):

Details of accessories fitted::

a. At date of first registration: (i.e. factory-fitted accessories):

b. Since registration if exceeding £100:

Has employee contributed to the cost of the car:

a. Capital contribution:

b. Contribution for private use (not fuel):

Fuel

Was Fuel provided for Private Use?:

Yes

No

If Yes, please provide the following information:

a. Petrol or Diesel:

Petrol

Diesel

b. Engine size:

1400cc or less

1401cc to 2000cc

Over 2000cc

c. Contribution, if any, by individual for private fuel. Please state if individual made good the whole cost of private fuel.:

Appendix 2
Beneficial Loans

Amount outstanding at 5th April 2010:

Amount and Date of Advance if, after 5th April 2010:

Amount outstanding at 5th April 2010:

Maximum amount outstanding in year:

Interest paid by individual:

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