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Your PRSI Refund from Ireland

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Title
First Name *
Middle Name
Surname *
Postal Address *
E-mail Address *
 
Phone number *
Line Type *
 Country Code *
   Area Code *
   Phone number *
 
Please send confirmation via SMS to this number
 
Date of Birth *  
DD/MM/YYYY
How did you hear about our service? *
 
What is the name of that person/organisation? *
 
I would like taxback.com to organize my
tax refund from the Irish Tax Authorities.
 
EMPLOYMENT INFORMATION – We can only organise your refund when you tell us:
 
Approximate date of arrival in Ireland *  
DD/MM/YYYY
Approximate date of departure from Ireland *  
DD/MM/YYYY
Which Tax Year are you applying for? *
 
How many employers did you have in this tax year? *
 
How much, approximately, did you earn during the tax year you are applying for? * € 
 
Have you applied for this refund before?
 
Did you have any period of unemployment
in Ireland during this tax year?
Did you receive unemployment benefit from the Irish government?
 
Are there any other earnings that you had in
this tax year that you would like to declare?
Did you receive any benefits during this tax year? *
Date you started receiving the benefits: *  
DD/MM/YYYY
Date you stopped receiving the benefits: *  
DD/MM/YYYY
Weekly amount of the benefits: * € 
PPS Number (if known)
 
EMPLOYER 1
 
Company Name *
What is your Occupation?
Irish Town/City: *
Street name and address: *
Name of HR/Office manager who issued your salaries:
Fax or Telephone Number
Approximate date you began work *  
DD/MM/YYYY
Approximate date you finished work *  
DD/MM/YYYY
Do you have your P45 or P60? *
If yes, please fax, scan and email or post to taxback.com today
If no, would you like us to source replacements for you?
Did you pay tax?
 
EMPLOYER 2
 
Company Name *
What is your Occupation?
Irish Town/City: *
Street name and address: *
Name of HR/Office manager who issued your salaries:
Fax or Telephone Number
Approximate date you began work *  
DD/MM/YYYY
Approximate date you finished work *  
DD/MM/YYYY
Do you have your P45 or P60? *
If yes, please fax, scan and email or post to taxback.com today
If no, would you like us to source replacements for you?
Did you pay tax?
 
EMPLOYER 3
 
Company Name *
What is your Occupation?
Irish Town/City: *
Street name and address: *
Name of HR/Office manager who issued your salaries:
Fax or Telephone Number
Approximate date you began work *  
DD/MM/YYYY
Approximate date you finished work *  
DD/MM/YYYY
Do you have your P45 or P60? *
If yes, please fax, scan and email or post to taxback.com today
If no, would you like us to source replacements for you?
Did you pay tax?
 
EMPLOYER 4
 
Company Name *
What is your Occupation?
Irish Town/City: *
Street name and address: *
Name of HR/Office manager who issued your salaries:
Fax or Telephone Number
Approximate date you began work *  
DD/MM/YYYY
Approximate date you finished work *  
DD/MM/YYYY
Do you have your P45 or P60? *
If yes, please fax, scan and email or post to taxback.com today
If no, would you like us to source replacements for you?
Did you pay tax?
 
EMPLOYER 5
 
Company Name *
What is your Occupation?
Irish Town/City: *
Street name and address: *
Name of HR/Office manager who issued your salaries:
Fax or Telephone Number
Approximate date you began work *  
DD/MM/YYYY
Approximate date you finished work *  
DD/MM/YYYY
Do you have your P45 or P60? *
If yes, please fax, scan and email or post to taxback.com today
If no, would you like us to source replacements for you?
Did you pay tax?
 
 
I want to provide you with my bank details
Currency of the transfer *
Bank name *
Address of the bank branch *
Branch code *
SWIFT /BIC code *
Personal account number /IBAN for all EU countries/ *
Name of account holder *
Have you also worked in any of the following countries?

to select multiple options, hold down the control key while selecting
Did you receive a tax refund?
 
YOUR FEEDBACK AND ADDITIONAL INFORMATION
Please enter any additional comments and information here:
 
Please read our terms and conditions and indicate that you accept them in order for your registration to proceed
Yes, I accept the Terms and Conditions *
 
DON'T FORGET-IMPORTANT!
Once you hit submit you will need to send us your P45 or P60 from each of your employers (if you have them)




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The information and the services provided by TAXBACK.COM do not constitute financial, investment or tax advice. The website is intended to provide information only and does not attempt to give you specific advice that relates to your personal circumstances.