Assessable Spouse Election Form

[Form to be sent to the local Revenue office dealing with the individual who is to be the assessable spouse]

Own Name: Spouses Name: Address:

Own PPS Number: Spouses PPS Number: Date of Marriage:

D D M M Y Y Y Y

Self Estimated income for the current tax year

Spouse

.0 0

.0 0
Y Y Y Y e.g. 2011 and later years.

(a) We hereby jointly elect that ............................................................... is to be the assessable spouse for the tax year (enter tax year) (b) We request that our tax credits and standard rate band be allocated as follows: Assessable Spouse Tax Credits Spouse Assessable Spouse

Standard Rate Band

Spouse

or

.0 0

.0 0

.0 0

.0 0

If you are already being taxed as a married couple and wish to have your tax credits and standard rate band allocated as at present, please tick this box or If you wish to have your tax credits and standard rate band divided equally between you, please tick this box or If you wish to have transferable tax credits and standard rate band allocated to the assessable spouse, please tick this box;

Signed Date:

(Self)

Signed

(Spouse)

D D M M Y Y Y Y

RPC001113_EN_WB_D3