4. How you want to be paid any money due back to you
Not everyone gets a refund. It is not always possible to issue a payment to a non-UK bank account. If you are due a
refund, we can either pay it to you or someone else on your behalf – they are known as a ‘nominee’. Please choose one of the
following two options:
Option one
Option two
– Pay into a UK bank or building
– Pay by cheque direct to me or
society account
my nominee
Bank sort code
Put ‘X’ in one box
—
—
Make the cheque payable to me
Account number
I authorise the cheque to be payable to my nominee
Name of nominee
Account holder’s name
Address to send cheque to
Bank or building society name and address
Name
Address
Postcode
Put ‘X’ in one box
This is my account
This is my nominee’s account
Declaration
You must sign this declaration.
If you give information which you know is not correct or complete, action may be taken against you.
I declare that:
• the information I have given on this form is correct and complete to the best of my knowledge.
• I claim repayment of any tax due back to me.
Signature
Date DD MM YYYY
What to do now
Put an ‘X’ in relevant box
I have enclosed parts 2 and 3 of my form P45 Details of employee leaving work
Do not send photocopies. If you have not yet received your P45 from your employer please get it before you return this form.
I can’t get a form P45
Please tell us why in the box below, for example because you are retired or a UK Crown servant employed abroad.
If you have a form P45 and don’t send it to us, any repayment due to you cannot be made.
Please send this form to your tax office. You can find your tax office address by:
• going to selecting Contact us and choosing Income Tax
• asking your employer.
We will let you know the outcome of this claim as soon as we can.
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