Loonbelastingverklaring Engels
Loonbelastingverklaring Engels
Model
Form information for payroll taxes
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.
1f Date of birth – –
1g Phone number
06 008 05 01
LH 008 - 2Z*5FOL
02 of 02
Signature
Date – –
Signature
Write within the box.
0 6 0 0 8 0 5 0 2