R38
Tax claim
If your address is not shown complete the box below
Issued by
HM Revenue & Customs
PAYE
PO Box 1970
LIVERPOOL
L75 1WX
Please complete the reference numbers in the boxes below.
SA reference
Employer PAYE reference (if applicable)
/
National Insurance number
Date DD MM YYYY
D D
M M
Y
Y
Y
Y
Phone number
For our opening hours go to www.hmrc.gov.uk
Please turn over
R38
Page 1
HMRC 08/13
Date received by HM Revenue & Customs
What to do now
Please:
• complete and sign this form using capital letters, and
• return it to the adress shown at the top right of page one.
Details of claimant
Address
Surname
First name(s)
Postcode
Claim
Claimant’s signature
I claim repayment of the amount overpaid by me.
For non-SA claims please state below the period the claim relates to. From DD MM YYYY
2
Date DD MM YYYY
0
2
To DD MM YYYY
2
0
If you complete a Self Assessment tax return
• We will usually send your repayment direct to you or your nominee’s bank or building society account. Please include in the Authority below:
— the name and address of the nominee
— the account name and number (if appropriate), and
— the branch sort code.
• If you or your nominee does not have a bank account, we can arrange repayment in the form of a payable order but you or your nominee will need to open a bank or building society account in order to cash it. If the repayment is to go to your nominee by payable order, enter the nominee’s name and address in the Authority below.
0
If you do not complete a Self Assessment tax return
• We will make your repayment in the form of a payable order, which must be paid into a bank or building society account. If you do not have a bank or building society account you should nominate someone who does to receive the order for you.
• If you want the repayment sent to a nominee or posted direct to your bank or building society by payable order, enter the name and address in the Authority below.
Also include your account number
If your address is not shown complete the box below
Issued by
HM Revenue & Customs
PAYE
PO Box 1970
LIVERPOOL
L75 1WX
Please complete the reference numbers in the boxes below.
SA reference
Employer PAYE reference (if applicable)
/
National Insurance number
Date DD MM YYYY
D D
M M
Y
Y
Y
Y
Phone number
For our opening hours go to www.hmrc.gov.uk
Please turn over
R38
Page 1
HMRC 08/13
Date received by HM Revenue & Customs
What to do now
Please:
• complete and sign this form using capital letters, and
• return it to the adress shown at the top right of page one.
Details of claimant
Address
Surname
First name(s)
Postcode
Claim
Claimant’s signature
I claim repayment of the amount overpaid by me.
For non-SA claims please state below the period the claim relates to. From DD MM YYYY
2
Date DD MM YYYY
0
2
To DD MM YYYY
2
0
If you complete a Self Assessment tax return
• We will usually send your repayment direct to you or your nominee’s bank or building society account. Please include in the Authority below:
— the name and address of the nominee
— the account name and number (if appropriate), and
— the branch sort code.
• If you or your nominee does not have a bank account, we can arrange repayment in the form of a payable order but you or your nominee will need to open a bank or building society account in order to cash it. If the repayment is to go to your nominee by payable order, enter the nominee’s name and address in the Authority below.
0
If you do not complete a Self Assessment tax return
• We will make your repayment in the form of a payable order, which must be paid into a bank or building society account. If you do not have a bank or building society account you should nominate someone who does to receive the order for you.
• If you want the repayment sent to a nominee or posted direct to your bank or building society by payable order, enter the name and address in the Authority below.
Also include your account number