RPC010458_EN_WB_L_1
Agent Link Notication
Client name
(Block capitals)
Tax Reference number
Agent TAIN
I conrm that with effect from
is to act
as my agent in respect of the following taxes (insert x as appropriate):
Income Tax (incl. PAYE) [See Note 1]
Corporation Tax (CT)
Value Added Tax (VAT)
Employer's PAYE/PRSI - (Financial & Payroll Agent)
Employer's PAYE/PRSI - (Payroll Only Agent)
Capital Gains Tax (CGT)
Relevant Contracts Tax (RCT)
Environmental Levy (E Levy)
Dividend Withholding Tax (DWT)
Other: Specify
Note 1: This includes clients with both PAYE and IT sources of income. If the link applies to both,
they must be selected individually.
This notication may not be used to establish a link to clients who have PAYE income only.
This arrangement will remain in place until changed by either the agent or client and the change is
notied to the Ofce of the Revenue Commissioners.
Details of Revenue’s data protection policy is available on www.revenue.ie
I understand that this does not preclude me from my responsibility to maintain appropriate /
adequate books and records and to produce such documentation as / when requested by the
Ofce of the Revenue Commissioners.
Signed Date
Agent
Signed Date
Client
Agent Contact Details
Name Tel / Email
* Please note that incomplete forms may result in the Cancellation of the Agent Link without notice.
Designed by the Revenue Printing Centre
D D M M Y Y Y Y
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