1. About you
continued
How long had you lived in the UK before the date you
Which country are you going to?
10
15
left (or the date you intend to leave)?
What is your full address in that country?
16
From the 6 April in the tax year you left the UK up to
11
the date you left, were you resident in the UK?
Yes
No
Were you resident in the UK in the tax year before the
12
tax year you left? see example below
Will you (or your spouse, civil partner or someone
17
Example
you are living with as a spouse or civil partner) have
Your date of leaving the UK was 10 August 2013
a home in the UK while you are abroad?
For question
use tax year 6 April 2013 to
11
Yes
No
5 April 2014
For question
use tax year 6 April 2012 to
12
If Yes, what is the UK home address
5 April 2013
Yes
No
How many days do you expect to spend in the UK
13
Postcode
between your date of leaving the UK and the following
5 April?
Will you be working full-time outside the UK?
18
days
Yes
No
How many days do you expect to spend in the UK in
14
each of the next three tax years?
Will you continue to have your salary paid from
19
(From 6 April one year to 5 April the next)
the UK?
For example, 81 days between 6 April 2014 and
5 April 2015
Yes
No
Year 1
days
Year 2
days
Year 3
days
2. Income you get from the UK after you leave
Fill in this section if you will get any income from the UK after you leave the UK.
Income includes income from property, earnings you get from UK work, a one-off bonus payment, pensions,
bank or building society interest or profits from stocks and shares.
Will you get any income from a property in the UK?
If you have a property in the UK that you get income
20
For example, rent, property fees, interest premiums
from you may have to pay UK income tax.
For more information go to and look
Yes
No
for The Non-Resident Landlords (NRL) Scheme within the
If Yes, tell us the date from which you first started to
Search facility.
receive rental income, if appropriate DD MM YYYY
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