In all correspondence please quote: Pat Murphy

PPS No.: 1990267MA Personal Division

PAYE Services
Notice No.: 11990267-00007R P.O. Box 327, PAYE Mail Centre
Church field, Co. Cork
yurl1 v602 ??SEQSTRING??
Enquiries: 01 7383636
ULISSES OLIVEIRA
8 UPPER O'CONNELL STREET 22 August 2019
DUBLIN 1
NEWMARKET
DUBLIN 1

Claim for Repayment of Income Tax and Universal Social Charge (USC) during Unemployment
Dear ULISSES,
Your application for a repayment due to unemployment has been processed and the refund due to you up to 22/08/2019
is €40.21. A refund for this amount will issue to you shortly. A further refund may be due to you if you are still
unemployed in 8 weeks time. To claim this refund you must first be registered for myAccount. When registered you can
claim by using ‘PAYE Services’. Further information about myAccount is available at ww.revenue.ie/myaccount.
Alternatively, you can complete Section (A) and return this form to the above address. Claims made in writing may take
a minimum of 20 days to process.
Section A

Amount of income received by you, since 22/08/2019, excluding Jobseekers / Illness Benefit.

Description of Income Amount

€
€

I declare that all the particulars in this form are correct to the best of my knowledge

Signature: Telephone:

Address: Date:

If you resume employment, you should register your job using the ’Update jobs and pensions’ link which is on the PAYE
Services card, in myAccount. You will need to provide the following information:

- your new employer's tax registration number

- the date the job starts and how often you will be paid
- an estimate of your overall incomes
- if you have recently moved to Ireland, you will need to provide some additional details such as arrival
date

Yours sincerely,
Pat Murphy
District Inspector