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Loonbelastingverklaring Engels

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0% found this document useful (0 votes)
58 views2 pages

Loonbelastingverklaring Engels

Uploaded by

PaulaBaqRod
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Dutch tax authorities

Model
Form information for payroll taxes

Why this form?

Your employer or benefits agency withholds payroll taxes on Fill in and return
your wages or benefits. Payroll tax is the collective name for You must submit this form completed and signed before your
wage tax / national insurance contributions, employee first working day with your employer. Are you going to work on
insurance premiums and the income-related Health the same day your employer takes you? Then you must submit
Insurance Act contribution. For the deduction, your this statement before you start working. If you receive a
employer or benefits agency must register your personal benefit, you must submit this declaration for the 1st payment.
details.
You must provide proof of identity when submitting this
Use this form to enter this information. You also indicate
declaration. So take a valid proof of identity.
whether you want your employer or benefits agency to
apply the payroll tax credit. Your employer or benefits
Attention!
agency will then deduct less wage tax / national insurance
If something changes in your data after you have submitted
contributions from your wages or benefits.
this form, you must notify your employer or benefits agency
in writing. Then submit a new form 'Information for payroll
If you do not enter any data
taxes' to your employer or benefits agency.
If you do not provide your personal information - or provide
incorrect information - your employer or benefits agency
More information
must withhold 52% wage tax / national insurance
For more information, visit www.belastingdienst.nl and search
contributions. This is the highest tax rate. In addition, your
for 'heffingskortingen’ (tax credits).
employer must pay the premiums for your entire wage
employee insurance and the income-related contribution to
the Healthcare Insurance Act. This also applies if you do not
identify yourself.

Your data
Did your employer or benefits agency already fill in your details? Check them for correctness and adjust if they are wrong.

1a Surname and initial(s)

1b Dutch civil service number (BSN)

1c Street and number

1d Zip code and Place

1e Country and region


Only complete if you
live abroad

1f Date of birth – –

1g Phone number
06 008 05 01
LH 008 - 2Z*5FOL
02 of 02

Applying payroll tax credit

2a Do you want your employer or benefits agency to take into


account the payroll tax credit? You can only have the wage Yes, as of – –
tax credit applied by 1 employer or benefit agency at the
same time. See also the explanation below. No, as of – –

Signature

After signing this form, hand it in to your employer or benefits agency.

Date – –

Signature
Write within the box.

Explanation of the questions

Question 2 Payroll tax credit and AOW benefit


Every employee and benefit recipient is entitled to a If you receive an AOW benefit as a single or single parent, you
discount on the tax, the so-called payroll tax credit. Your may be entitled to the single-person discount. You can then
employer or benefits agency automatically calculates the have the wage tax credit applied best by the Sociale
discount that applies to you. You receive this discount only Verzekeringsbank (SVB).
with 1 employer or benefits agency at the same time.
Indicate whether you want the wage tax credit to be applied
Payroll tax credit and social assistance benefit
by this employer or benefits agency.
Are you going to work next to your social security benefit? Then
ask your employer to apply the payroll tax credit. The
Attention!
municipality then takes into account the payroll tax credit that
Are you receiving 2 or more benefits from the same
your employer applies.
benefits agency? Then ask your benefits agency which
benefit you can best apply the tax credit.
Attention!
If you do not make use of the payroll tax credit now, you
Payroll tax credit and provisional assessment can reclaim the possibly overpaid tax after the end of the
Do you start working and do you receive the general tax calendar year via your Dutch income tax return.
credit on a monthly basis from us in the form of a
provisional assessment? And do you have the wage tax
credit applied by your employer? In that case you must
immediately change or stop this provisional assessment.
Otherwise, you may receive too much tax credit, because
your employer also already deducts (part of) the general tax
credit with your wages. If you have received too much, you
must refund this amount to us.
06 008 05 02

0 6 0 0 8 0 5 0 2

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