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FORM FOR AN INDIVIDUAL

FORM FOR AN ANNUAL DECLARATION

Personal data for an individual

10 min – 23 questions

Form for an individual

Date of filling

Basic personal data

1. First name (in Latin characters, as stated in the passport)

2. Last name (in Latin characters, as stated in your passport)

3. Date of birth

Month

Year

4. BSN (a personal tax identification number)

5. Residential address (registration) *

5. Residential address

Number

Postcode

City

Country

6. Contact telephone number

7. Email

8. Country of birth

9. Nationality

10. Since what year you have been registered in the Netherlands? (please enter the date of your first registration with the local municipality aka gemeente)

10. Since what year you have been registered in the Netherlands?

Month

Year

Relationship status

11. Do you have a tax partner?

YES

NOTE:
*Definition of tax partnership
You are tax partners if you are:

married
or in a registered partnership (in gemeente).

If you are registered at the same address and meet one of the following conditions:
1) You have signed a notarial cohabitation agreement,
2) You have a child together,
3) One of you acknowledged the partner’s child,
4) You have joined the same pension fund,
5) You both own the property you live in,
6) One of you have a child who lives with you,
7) You were tax partners in the previous year;

Did your relationship status change in the tax year? (marriage, divorce, etc.)

Partner’s first and last names (in Latin characters, as stated in the passport)

Partner’s date of birth

Month

Year

Partner’s BSN (tax identification number)

Partner’s Nationality

Date of marriage registration

Month

Year

12. Do you have children?

YES

First and last names of child (in Latin characters, as stated in the passport)

Child's date of birth

Month

Year

Child’s BSN (tax identification number)

Who does the child live with?

WITH MOM AND DAD

WITH MOM

WITH DAD

OTHER

ADD A CHILD DELETE

13. Additional comments

client signature

Clear

client’s partner signature

Clear

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FILL OUT THE FORM FOR AN ANNUAL DECLARATION

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Personal data for an individual

Basic personal data

Relationship status

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