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Signature Date Capacity of signatory if signing for a company trust partnership etc. For official use only Form R185 NOTES 4 year time limit A claim for tax relief must be made within 4 years after the end of the tax year to which the claim relates. Certificate of Income Tax Deducted This certificate should be completed by a person making a payment under deduction of tax. When completed it should be given to the person receiving the payment for submission to his or her Revenue office. Details of Payer person making the payment Name of Payer Address PPS No* Telephone No* PPS No* if known Details of Deed / Agreement Type of Deed or Agreement tick 3 as appropriate Deed of Covenant Annual Payment Rent Agreement Other If you tick Other give details e*g* yearly interest such as interest paid under Prompt Payment of Accounts Act 1997 deed of annuity. Date Deed or Agreement was drawn up D D / M M / Y Y Y Y Gross Amount Tax Deducted Net Payment Period covered by Payment or Date s Payment s made Tax should be deducted at the standard rate of income tax. This rate is given in Information Leaflet IT1 Tax Credits Reliefs and Rates available on www. revenue. ie or by contacting any Revenue office. Declaration I certify that the particulars above are true in every respect. I further certify that I have deducted the amount of income tax shown and that this amount has been or will be accounted for by me to the Revenue Commissioners. Rents payable to Landlords living outside the state If your landlord resides outside the state and you pay rent directly to him or her or into his or her bank account either in the state or abroad your must deduct tax at the standard rate of tax currently 20 from the gross rent payable and this form must be completed and given to him or her. Accessibility If you are a person with a disability and require this form in an alternative format the Revenue Access Officer can be contacted at accessofficer revenue. Certificate of Income Tax Deducted This certificate should be completed by a person making a payment under deduction of tax. When completed it should be given to the person receiving the payment for submission to his or her Revenue office. When completed it should be given to the person receiving the payment for submission to his or her Revenue office. Details of Payer person making the payment Name of Payer Address PPS No* Telephone No* PPS No* if known Details of Deed / Agreement Type of Deed or Agreement tick 3 as appropriate Deed of Covenant Annual Payment Rent Agreement Other If you tick Other give details e*g* yearly interest such as interest paid under Prompt Payment of Accounts Act 1997 deed of annuity. Details of Payer person making the payment Name of Payer Address PPS No* Telephone No* PPS No* if known Details of Deed / Agreement Type of Deed or Agreement tick 3 as appropriate Deed of Covenant Annual Payment Rent Agreement Other If you tick Other give details e*g* yearly interest such as interest paid under Prompt Payment of Accounts Act 1997 deed of annuity. Date Deed or Agreement was drawn up D D / M M / Y Y Y Y Gross Amount Tax Deducted Net Payment Period covered by Payment or Date s Payment s made Tax should be deducted at the standard rate of income tax.

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