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Get Form 1 F. D.. Dividends Arising Outside The Republic Of Ireland And The United Kingdom - Revenue

And and the United Kingdom, where exemption from Irish tax is claimed on the grounds of non-residence in the Republic of Ireland. I hereby declare that I am not resident in the Republic of Ireland for the purposes of Income Tax or Corporation Tax (in the case of a company) for any year or period to which my claim relates. I undertake to inform you if I become so resident for any year. Signature of owner Name (in block letters) Address Date RPC004718 EN WB L 1 DD/MM/YYYY Form 1 F.D. Resid.

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