Corporation Tax
Company Registration Number
Companys Unique Taxpayer Reference
NOTE: Do not complete this section if you are an
employee. Only tick the box if you are an employer
operating PAYE
Employer PAYE Scheme
Employer PAYE reference
VAT (see notes 2 and 5 overleaf)
VAT Registration Number
Individual*/Partnership*/Trust* Tax Affairs
*delete as appropriate (including National Insurance)
Your National Insurance number (individuals only)
Unique Taxpayer Reference (UTR) (if applicable)
If you are a Self Assessment taxpayer, we will send
your Statement of Account to you, but if you would
like us to send it to your agent instead, please tick here
64-8
HMRC 01/17
Please read the notes on the back before completing this
authority. This authority allows us to exchange and disclose
information about you with your agent and to deal with
them on matters within the responsibility of HM Revenue
and Customs (HMRC), as specified on this form. This overrides
any earlier authority given to HMRC. We will hold this
authority until you tell us that the details have changed.
Give your agent’s details here
Give your personal details or company registered office here
If not yet
registered
tick here
For official use only
SA
NIRS
COP
NTC
COTAX
EBS
VAT
COP link
/
/
/
/
/
/
/
/
Authorising your agent
Please tick the box(es) and provide the reference(s)
requested only for those matters for which you want
HMRC to deal with your agent.
Address
Postcode
Phone number
I, (print your name)
of (name of your business, company or trust if applicable)
authorise HMRC to disclose information to
(agent’s business name)
I agree that the nominated agent has agreed to act on my/our
behalf, and the information is correct and complete.
The authorisation is limited to the matters shown on the
right-hand side of this form.
Signature
see note 1 overleaf before signing
Date
Address
Postcode
Phone number
Agent codes (SA/CT/PAYE)
Client reference
/
/
/
/
/
/
/
/
If UTR not yet
issued tick here
If you are
self employed
tick here
Tax credits
Your National Insurance number (only if not entered above)
If you have a joint tax credit claim and the other claimant
wants HMRC to deal with this agent, they should sign here
Name
Signature
Joint claimant’s National Insurance number
* select
CLEAR FORM
click to sign
signature
click to edit
click to sign
signature
click to edit
dd mmm yyyy
2 What this authority means
For matters other than VAT or tax credits
We will start sending letters and forms to your agent and
give them access to your account information online.
Sometimes we need to correspond with you as well as, or
instead of, your agent.
For example, the latest information on what Self Assessment
forms we send automatically can be found on our website,
go to www.gov.uk/topic/personal-tax/self-assessment or
phone the Self Assessment Helpdesk on 0300 200 3310.
You will not receive your Self Assessment Statements
of Account if you authorise your agent to receive
them instead, but paying any amount due is
your responsibility.
We do not send National Insurance statements and
requests for payment to your agent unless you have
asked us if you can defer payment.
Companies do not receive Statements of Account.
For VAT and tax credits
We will continue to send correspondence to you rather than
to your agent but we can deal with your agent in writing or
by phone on specific matters. If your agent is able to submit
VAT returns online on your behalf, you will need to authorise
them to do so through our website. For joint tax credit claims,
we need both claimants to sign this authority to enable
HM Revenue and Customs to deal with your agent.
3 How we use your information
HM Revenue and Customs is a Data Controller under the
Data Protection Act 1998. We hold information for the
purposes specified in our notification to the Information
Commissioner, including the assessment and collection of
tax and duties, the payment of benefits and the prevention
and detection of crime, and may use this information for
any of them.
We may get information about you from others, or we
may give information to them. If we do, it will only be
as the law permits to:
check the accuracy of information
prevent or detect crime
protect public funds
We may check information we receive about you with
what is already in our records. This can include information
provided by you, as well as by others, such as other
government departments or agencies and overseas tax
and customs authorities. We will not give information
to anyone outside HM Revenue and Customs unless the
law permits us to do so. For more information go to
www.gov.uk/hmrc/information-charter
4 Multiple agents
If you have more than one agent (for example, one acting
for the PAYE scheme and another for Corporation Tax),
please sign one of these forms for each.
5 Where to send this form
When you have completed this form please send it to:
National Insurance Contributions and Employer Office
HM Revenue and Customs
BX9 1AN
There are some exceptions to this to help speed the
handling of your details in certain circumstances.
If this form:
accompanies other correspondence, send it to the
appropriate HM Revenue and Customs (HMRC) office
is solely for Corporation Tax affairs, send it to the
HMRC office that deals with the company
is for a High Net Worth customer, send it to the
appropriate High Net Worth Unit
accompanies a VAT Registration application, send
it to the appropriate VAT Registration Unit
has been specifically requested by an HMRC office,
send it back to that office
1 Who should sign the form
If the authority is for Who signs the form
You, as an individual You, for your personal tax affairs
A company The secretary or other responsible officer of the company
A partnership The partner responsible for the partnership's tax affairs.
It applies only to the partnership. Individual partners need
to sign a separate authority for their own tax affairs
A trust One or more of the trustees
Chrome Web Store
It looks like you haven't installed the Fill Chrome Extension Add to Chrome