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Primary Contact's Information:
Telephone: 9222 9992
E-mail: raymond_Lancelot@AccountEdge .com
Agent Company: Your Payroll Agent
Agent ID: 12345
First name: Andy
Last Name: Brown
Agent Address: 200 High Street
Any Town
London AN1 123

Telephone: 9222 9995
Note: Information for Part 1 boxes 1,2,4 and 5 pertain to split totals arising from the use of continuation sheets when filing on paper, for all employees and directors NICs and Income Tax included in the Return. These boxes are not shown in this report as boxes 3 and 6 (shown below) are the grand totals of boxes 1 and 2 and boxes 4 and 5 respectively shown on the paper form.
1. Have you included a form P14, "End of Year Summary" or completed and retained a
form P38(S), "Student employees", for every person in your paid employment, either
on a casual basis or otherwise, during the tax year reported in this return?


Yes
2. Did you make any 'free of tax' payments to an employee? In other words, did you bear
any of the tax yourself rather than deduct it from the employee?

No
3. So far as you know, did anyone else pay expenses, or in any way provide vouchers or
benefits to any of your employees whilst they were employed by you during the year?

No
4. Did anyone employed by a person or company outside the UK work for you in the UK
for 30 or more days in a row?
If Yes, Have you sent a form P14 for them?

Yes
Yes
5. Have you paid any of an employee's pay to someone other than the employee, for example to a school?
If Yes, Have you included this pay on their form P14?

Yes
Yes
Yes

Yes
I declare and certify that:

Forms P14, "End of Year Summary" for each employee or director for whom I was required to complete a form "P11 7 Deductions Working Sheet", (or equivalent record), during the year, are all enclosed.

Completed form P38A, Employer's Supplementary Return is enclosed / is not due.

Completed forms P11D and P11D(b), Returns of expenses payments, benefits and Class 1A contributions are due / 12 are not due.
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