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Important information to include on your tax return before sending it to us.

Please make sure you


include your:
• 10-digit Unique Taxpayer
Reference (UTR) Please make sure you
• National Insurance include your full name and
number (NINO) Tax Return 2017 address before printing your
Tax return – page TR 1 Tax year 6 April 2016 to 5 April 2017 (2016–17)
• employer reference (if you tax return.
Tax Return 2017
have one) UTR Tax year 6 April 2016 to 5 April 2017 (2016–17)
Tax Return 2017
NINO Issue address
before printing your Employer reference
UTR
tax return. Date
Tax year 6 April 2016 to 5 April 2017 (2016–17)
NINO Issue address
HM Revenue and Customs office address Employer reference

Date
UTR HM Revenue and Customs office address
NINO Issue address
Employer reference

Date
For
Telephone
HM Revenue and Customs office address Reference

Your tax return Tax Retur


For
This notice requires you, by law, to make a return of your Most people file online
taxable income and capital gains, and any documents
Telephone
It’s quick and easy to file online. Get started by going
Tax year 6 April 2016 to 5 April 2017
Reference
requested, for the year from 6 April 2016 to 5 April 2017. directly to our official website by typing
Your tax return
www.tax.service.gov.uk/account/sign-in into your internet
If you don’t, we may have to Deadlines UTRThis notice
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address bar.by law, to make a return of your Most people file online
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send your tax return back to requested, for the year from 6 April 2016 to 5 April 2017. Issue address
haven’t sent a tax return online before, why not join the 85% of directly to our official website by typing
• if you are using a paper return – by 31 October 2017 Employer reference
(or 3 months after the date of this notice if that’s later), or people who already do it online? It’s easy, secure and available www.tax.service.gov.uk/account/sign-in into your internet
you, and any repayment due Date Deadlines
24-hours a day and you can also sign up for email alerts and browser address bar.
• if you are filing a return online – by 31 January 2018
(or 3 months after the date of this notice if that’s later) We must online messages to help you manage your tax affairs. To find the address of the
Do not use a search website to find HMRC services online. If you
will take longer. receive your tax return by these dates:
If your return is late you will be charged a £100 penalty. • if To
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2018
If you pay late you will be charged interest and a late it is to your benefit
(or 3 months after the date of this notice if that’s later) online messages to help you manage your tax affairs.
Please fill in this section and sign and date the declaration at box 22. penalty.
payment • if a box does not apply, please leave it blank – do not strike
recent correspondence
Your tax return If yourthrough
return empty
is late you will be charged a £100 penalty.
boxes or write anything else
If your return is more than 3 months late, you will be
To file on paper, please fill in this form using the following rules:
• enter your figures in whole pounds – ignore the pence
20 If this tax return contains provisional or estimated 23 If you have signed on behalf of someonecharged else, enter daily penalties of £10 a day. from us. If you don’t have
• round down income and round up expenses and tax paid,
This notice requires
figures, put ‘X’ in the box
you, by law, to make a return of your Most people file online
the capacity. For example, executor, receiver
Starting your tax return If you pay late you will be charged interest and a late it is to your benefit
any recent correspondence
taxable income and capital gains, and any documents It’s quick and easy to
payment file online.
penalty. Get started by going • if a box does not apply, please leave it blank – do not strike
Please make sure you sign
requested, for the year from 6 April 2016 –to
Before you start to fill it in, look through your tax return to make
5 April 2017. directly to
you may need some separate supplementary pagesour(seeofficial
sure there
page TR 2website
and the Taxby
is a section for all your income and claims
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Return notes). To get notes and helpsheets from us then send your
through empty boxes or write anything else

and date the declaration on


21 If you are enclosing separate supplementary pages,
that will help you fill in this form, go to www.gov.uk/self-assessment-forms-and-helpsheets
www.tax.service.gov.uk/account/sign-in into your internet
completed return to:
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pageputTR 8theofboxyour completed
‘X’ in
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If your return is late you will be charged a £100 below DD MM YYYY To file on paper, please fill in this form using the following rules:
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26 and your address We mustonreceive your tax return by these dates:
the front of this form, please write the correct details
Signature it isit to yourPage
Signing your
SA100
If you pay late you will be charged interest and a2017 late form and sending back •benefit
if youTR are 1usingthe
underneath a paper return
wrong ones – by
and put HMRC
the31 October
date 12/162017
you changed haven’t sent a tax return online before, why n
payment penalty. • if a box does (or not3apply,
Please fill in this section and sign and date the declaration at box 22.
address please
months below leave
afterDDthe YYYYitof
MMdate blank – do ifnot
this notice strike
that’s later), or people who already do it online? It’s easy, secu
20 If this tax return contains provisionalthrough
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• if you you or
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signed on behalf online else
of someone – else,
by 31enterJanuary 2018 24-hours a day and you can also sign up for e
figures, put ‘X’ in the box the capacity. For example, executor, receiver
(or 3 months after the date of this notice if that’s later) online messages to help you manage your tax
Date DD MM YYYY Postcode
If your return2017
SA100 is late you will be charged a £100 penalty.
Page TR 1 To file on paper, please fill in this form
HMRC 12/16using th
Starting your tax return 21 If you are enclosing separate supplementary pages, If your return is more than 3 months late, you will be • enter your figures in whole pounds – igno
put ‘X’ in the box
charged daily
24 Enter the penalties of £10
name of the person a day.
you have signed for • round down income and round up expens
Before you start to fill it in, look through your tax return to make sure there is a section for all your income and claims
If you pay late you To
willget
be charged interest and a late it is to your benefit
– you may need some separate supplementary pages (see page TR 2 and the Tax Return notes). notes and helpsheets • if a box does not apply, please leave it bla
22 Declaration payment penalty.
that will help you fill in this form, go to www.gov.uk/self-assessment-forms-and-helpsheets through empty boxes or write anything el
I declare that the information I have given on this tax 25 If you filled in boxes 23 and 24 enter your name
return and any supplementary pages is correct and
Your personal details complete to the best of my knowledge and belief.

Starting your tax return


I understand that I may have to pay financial penalties
and face prosecution if I give false information.
1 Your date of birth – it helps get your tax right
Signature
3 Your phone number
Before 26
youand your address
start to fill it in, look through your tax return to make sure there is a section for all your income an
DD MM YYYY – you may need some separate supplementary pages (see page TR 2 and the Tax Return notes). To get notes a
that will help you fill in this form, go to www.gov.uk/self-assessment-forms-and-helpsheets

Date DD MM YYYY
4
Your personal details
Postcode

Your National Insurance number – leave blank if the


2 Your name and address – if it is different from what is correct number is shown above
1 Your date of birth – it helps get your tax right 3 Your phone number
on the front of this form, please write the correct details
Tax return – page TR 8 DD MM YYYY
underneath the wrong ones and put the date you changed
address below DD MM YYYY
4 Your National Insurance number – leav

Please do not include this information sheet with your tax return.
Your name and address – if it is different from what is
on the front of this form, please write the correct details
2 correct number is shown above

underneath the wrong ones and put the date you changed
SA100 2017 Page TR 1 address below DD MM YYYYHMRC 12/16

SA100 2017 Tax return: Information sheet HMRC 12/16


Tax Return 2017
Tax year 6 April 2016 to 5 April 2017 (2016–17)

UTR
NINO Issue address
Employer reference

Date

HM Revenue and Customs office address

For
Telephone Reference

Your tax return


This notice requires you, by law, to make a return of your Most people file online
taxable income and capital gains, and any documents It’s quick and easy to file online. Get started by going
requested, for the year from 6 April 2016 to 5 April 2017. directly to our official website by typing
www.tax.service.gov.uk/account/sign-in into your internet
Deadlines browser address bar.
We must receive your tax return by these dates: Do not use a search website to find HMRC services online. If you
• if you are using a paper return – by 31 October 2017 haven’t sent a tax return online before, why not join the 85% of
(or 3 months after the date of this notice if that’s later), or people who already do it online? It’s easy, secure and available
• if you are filing a return online – by 31 January 2018 24-hours a day and you can also sign up for email alerts and
(or 3 months after the date of this notice if that’s later) online messages to help you manage your tax affairs.
If your return is late you will be charged a £100 penalty. To file on paper, please fill in this form using the following rules:
If your return is more than 3 months late, you will be • enter your figures in whole pounds – ignore the pence
charged daily penalties of £10 a day. • round down income and round up expenses and tax paid,
If you pay late you will be charged interest and a late it is to your benefit
payment penalty. • if a box does not apply, please leave it blank – do not strike
through empty boxes or write anything else

Starting your tax return


Before you start to fill it in, look through your tax return to make sure there is a section for all your income and claims
– you may need some separate supplementary pages (see page TR 2 and the Tax Return notes). To get notes and helpsheets
that will help you fill in this form, go to www.gov.uk/self-assessment-forms-and-helpsheets

Your personal details


1 Y
 our date of birth – it helps get your tax right 3 Your phone number
DD MM YYYY

4 Y
 our National Insurance number – leave blank if the
2 Y
 our name and address – if it is different from what is correct number is shown above
on the front of this form, please write the correct details
underneath the wrong ones and put the date you changed
address below DD MM YYYY

SA100 2017 Page TR 1 HMRC 12/16


What makes up your tax return
To make a complete return of your taxable income and gains for the year to 5 April 2017 you may need to complete some
separate supplementary pages. Answer the following questions by putting ‘X’ in the ‘Yes’ or ‘No’ box.

1 Employment 6 Trusts etc


Were you an employee, director, office holder or agency Did you receive, or are you treated as having received,
worker in the year to 5 April 2017? Please read the notes income from a trust, settlement or the residue of
before answering. a deceased person’s estate? This does not include cash
Fill in a separate ‘Employment’ page for each employment, lump sums/transfer of assets, otherwise known as capital
directorship, etc. On each ‘Employment’ page you complete, distributions, received under a will.
enter any other payments, expenses or benefits related to
that employment. Say how many ‘Employment’ pages you Yes No
are completing in the ‘Number’ box below.
7 C
 apital gains summary
Yes No Number If you sold or disposed of any assets (including, for
example, stocks, shares, land and property, a business),
or had any chargeable gains, read the notes to decide
2 S
 elf-employment
if you have to fill in the ‘Capital gains summary’ page.
Did you work for yourself (on your ‘own account’ or
If you do, you must also provide separate computations.
in self-employment) in the year to 5 April 2017?
(Answer ‘Yes’ if you were a ‘Name’ at Lloyd’s.) Do you need to fill in the ‘Capital gains summary’ page
and provide computations?
Fill in a separate ‘Self-employment’ page for each business.
On each ‘Self-employment’ page you complete, enter any
Yes No Computation(s) provided
payments or expenses related to that business. Say how
many businesses you had in the ‘Number’
box below. 8 R
 esidence, remittance basis etc
Were you, for all or part of the year to 5 April 2017,
Yes No Number one or more of the following:
• not resident
• not domiciled in the UK and claiming the
3 Partnership remittance basis
Were you in partnership? Fill in a separate ‘Partnership’
• dual resident in the UK and another country?
page for each partnership you were a partner in and say
how many partnerships you had in the ‘Number’ box below.
Yes No

Yes No Number
9 A
 dditional information
Some less common kinds of income and tax reliefs, for
4 U
 K property
example Married Couple’s Allowance, Life insurance gains,
Did you receive any income from UK property (including
chargeable event gains, Seafarer’s Earnings Deduction
rents and other UK income from land you own or
and details of disclosed tax avoidance schemes, should
lease out)? Read the notes if you have furnished
be returned on the ‘Additional information’ pages. Do you
holiday lettings.
need to fill in the ‘Additional information’ pages?

Yes No
Yes No

5 F
 oreign
If you:
If you need more pages
If you answered ‘Yes’ to any of questions 1 to 9, please
• were entitled to any foreign income, or income gains
check to see if within this return, there is a page dealing
• have, or could have, received (directly or indirectly)
with that kind of income etc. If there is not, you will need
income, or a capital payment or benefit from a
separate supplementary pages. Do you need to get and
person abroad as a result of any transfer of assets
fill in separate supplementary pages?
• want to claim relief for foreign tax paid
read the notes to decide if you have to fill in the
Yes No
‘Foreign’ pages. Do you need to fill in the ‘Foreign’ pages?
If ‘Yes’, go to
Yes No www.gov.uk/self-assessment-forms-and-helpsheets
to download them.

SA100 2017 Page TR 2


Income
Interest and dividends from UK banks, building societies etc

1 T
 axed UK interest etc – the net amount after tax has been 5 Other dividends – the amount received - read the notes
taken off - read the notes
£ • 0 0
£ • 0 0
6 F
 oreign dividends (up to £300) – the amount in sterling
2 U
 ntaxed UK interest etc – amounts which have not had after foreign tax was taken off. Do not include this
tax taken off - read the notes amount in the ‘Foreign’ pages

£ • 0 0 £ • 0 0

3 Untaxed
 foreign interest (up to £2,000) – amounts which 7 Tax taken off foreign dividends – the sterling equivalent
have not had tax taken off - read the notes
£ • 0 0
£ • 0 0

4 D
 ividends from UK companies – the amount received
- read the notes


£ • 0 0

UK pensions, annuities and other state benefits received

8 State
 Pension – amount you were entitled to receive in the 12 Tax taken off box 11
year, not the weekly or 4-weekly amount - read the notes
£ • 0 0
£ • 0 0
13 T
 axable Incapacity Benefit and contribution-based
9 State
 Pension lump sum – the gross amount of any Employment and Support Allowance - read the notes
lump sum - read the notes
£ • 0 0
£ • 0 0
14 Tax taken off Incapacity Benefit in box 13
10 Tax taken off box 9
£ • 0 0
£ • 0 0
15 Jobseeker’s Allowance
11 P
 ensions (other than State Pension), retirement
annuities and taxable lump sums treated as pensions
£ • 0 0
– the gross amount. Tax taken off goes in box 12
16 Total of any other taxable State Pensions and benefits
£ • 0 0
£ • 0 0

Other UK income not included on supplementary pages


Do not use this section for income that should be returned on supplementary pages. Share schemes, gilts, stock dividends,
life insurance gains and certain other kinds of income go on the ‘Additional information’ pages.

17 O
 ther taxable income – before expenses and tax 20 Benefit from pre-owned assets - read the notes
taken off
£ • 0 0
£ • 0 0
21 Description
 of income in boxes 17 and 20 – if there
18 Total amount of allowable expenses – read the notes is not enough space here please give details in the
‘Any other information’ box, box 19, on page TR 7
£ • 0 0

19 Any tax taken off box 17

£ • 0 0

SA100 2017 Page TR 3


Tax reliefs
Paying into registered pension schemes and overseas pension schemes
Do not include payments you make to your employer’s pension scheme which are deducted from your pay before
tax or payments made by your employer. If your contributions and other pension inputs are more than the Annual Allowance,
you should also fill in boxes 10 to 12 on page Ai 4 of the ‘Additional information’ pages.

1 P
 ayments to registered pension schemes where basic 3 P
 ayments to your employer’s scheme which were not
rate tax relief will be claimed by your pension provider deducted from your pay before tax – this will be
(called ‘relief at source’). Enter the payments and basic unusual – read the notes
rate tax
£ • 0 0
£ • 0 0
4 Payments
 to an overseas pension scheme, which is not
2 Payments
 to a retirement annuity contract where basic UK-registered, which are eligible for tax relief and were
rate tax relief will not be claimed by your provider not deducted from your pay before tax

£ • 0 0 £ • 0 0

Charitable giving
5 Gift Aid payments made in the year to 5 April 2017 9 Value of qualifying shares or securities gifted to charity

£ • 0 0 £ • 0 0

6 Total of any ‘one-off’ payments in box 5 10 Value of qualifying land and buildings gifted to charity

£ • 0 0 £ • 0 0

7 G
 ift Aid payments made in the year to 5 April 2017 11 V
 alue of qualifying investments gifted to non-UK
but treated as if made in the year to 5 April 2016 charities in boxes 9 and 10

£ • 0 0 £ • 0 0

8 Gift
 Aid payments made after 5 April 2017 but to be 12 Gift Aid payments to non-UK charities in box 5
treated as if made in the year to 5 April 2017
£ • 0 0
£ • 0 0

Blind Person’s Allowance


13 If you are registered blind, or severely sight impaired, 15 If you want your spouse’s, or civil partner’s, surplus
and your name is on a local authority or other register, allowance, put ‘X’ in the box
put ‘X’ in the box

16 If you want your spouse, or civil partner, to have your


14 Enter the name of the local authority or other register surplus allowance, put ‘X’ in the box

Other less common reliefs are on the ‘Additional information’ pages.

SA100 2017 Page TR 4


Student Loan repayments
Please read the notes before filling in boxes 1 to 3.

1 If you have received notification from the 2 If your employer has deducted Student Loan
Student Loans Company that repayment of an Income repayments enter the amount deducted
Contingent Student Loan began before 6 April 2017,
put ‘X’ in the box and we will use your plan type to
£ • 0 0
calculate the amount due
3 If you think your loan may be fully repaid within
the next 2 years, put ‘X’ in the box

High Income Child Benefit Charge


Fill in this section if all of the following apply:
• your income was over £50,000
• you or your partner (if you have one) got Child Benefit (this also applies if someone else claims Child Benefit for a child who
lives with you and pays you or your partner for the child’s upkeep)
• couples only – your income was higher than your partner’s.
Please read the notes. Use the calculator at www.gov.uk/child-benefit-tax-calculator to help you work out the Child Benefit
payments you received.
If you have to pay this charge for the 2017–18 tax year and you do not want us to use your 2017–18 PAYE tax code
to collect that tax during the year, put ‘X’ in box 3 on page TR 6.

1 E
 nter the total amount of Child Benefit you and your 3 E
 nter the date that you and your partner
partner got for the year to 5 April 2017 stopped getting all Child Benefit payments
if this was before 6 April 2017
£ • 0 0 DD MM YYYY

2 E
 nter the number of children you and your partner
got Child Benefit for on 5 April 2017

Marriage Allowance
Please read the notes. If your income for the year ended 5 April 2017 was less than £11,000 you can transfer £1,100 of your
Personal Allowance to your spouse or civil partner to reduce the amount of tax they pay if all of the following apply:
• you were married to, or in a civil partnership with, the same person for all or part of the tax year
• you were both born on or after 6 April 1935
• your spouse or civil partner’s income was less than £43,000
Fill in this section if you want to make the transfer:

1 Your spouse or civil partner’s first name 4 Your spouse or civil partner’s date of birth DD MM YYYY

2 Your spouse or civil partner’s last name 5 Date of marriage or civil partnership DD MM YYYY

3 Your spouse or civil partner’s National Insurance number

SA100 2017 Page TR 5


Finishing your tax return
C
 alculating your tax – if we receive this paper tax return by 31 October 2017 or if you file online, we will do the
calculation for you and tell you how much you have to pay (or what your repayment will be) before 31 January 2018.
We will add the amount due to your Self Assessment Statement, together with any other amounts due. Do not enter
payments on account, or other payments you have made towards the amounts due, on your tax return. We will deduct
these on your Self Assessment Statement. If you want to calculate your tax, ask us for the ‘Tax calculation summary’
pages and notes. The notes will help you work out any tax due or repayable, and if payments on account are necessary.

Tax refunded or set off


1 If you have had any 2016–17 Income Tax refunded or set off by us or Jobcentre Plus, enter the amount

£ • 0 0

If you have not paid enough tax


We recommend you pay any tax due electronically. Read the notes.

2 Y
 ou can pay the amount you owe, excluding Class 2 3 W
 e will try to collect tax due for the current tax year
National Insurance contributions, through your wages (ended 5 April 2018) through your wages or pension
or pension in the year starting 6 April 2018 if you owe during this tax year. We will do this for tax on savings,
less than £3,000 for the tax year ended 5 April 2017 casual earnings and/or the High Income Child Benefit
and send us your paper tax return by 31 October or Charge to reduce the amount you have to pay at the
30 December 2017 if you file online. If you want us to end of the year. If you do not want us to do this then
try to collect what you owe this way you don’t need to put ‘X’ in the box - read the notes
do anything more. But if you do not want us to do this
then put ‘X’ in the box - read the notes

If you have paid too much tax


To claim a repayment, fill in boxes 4 to 14 below. If you paid your tax by credit or debit card, we will always try to repay back
to your card first before making any repayment as requested by you below. Please allow up to 4 weeks for any repayment to
reach you before contacting HMRC.

4 Name of bank or building society 10 If


 you have entered a nominee’s name in box 5,
put ‘X’ in the box

5 Name of account holder (or nominee)


11 If your nominee is your tax adviser, put ‘X’ in the box

12 Nominee’s address
6 Branch sort code

— —

7 Account number

13 and postcode
8 Building society reference number

14 T
 o authorise your nominee to receive any repayment,
9 If
 you do not have a bank or building society account, you must sign in the box. A photocopy of your
or if you want us to send a cheque to you or to your signature will not do
nominee, put ‘X’ in the box

SA100 2017 Page TR 6


Your tax adviser, if you have one
This section is optional. Please read the notes about authorising your tax adviser.

15 Your tax adviser’s name 17 The first line of their address including the postcode

16 Their phone number Postcode

18 The reference your adviser uses for you

Any other information

19 Please give any other information in this space

SA100 2017 Page TR 7


Signing your form and sending it back
Please fill in this section and sign and date the declaration at box 22.

20 If this tax return contains provisional or estimated 23 If you have signed on behalf of someone else, enter
figures, put ‘X’ in the box the capacity. For example, executor, receiver

21 If you are enclosing separate supplementary pages,


put ‘X’ in the box
24 Enter the name of the person you have signed for

22 Declaration
I declare that the information I have given on this tax 25 If you filled in boxes 23 and 24 enter your name
return and any supplementary pages is correct and
complete to the best of my knowledge and belief.
I understand that I may have to pay financial penalties
and face prosecution if I give false information.
26 and your address
Signature

Date DD MM YYYY Postcode

SA100 2017 Page TR 8