Assessable Spouse Election Form

[Form to be sent to the Revenue office dealing with the individual who is to be the assessable spouse]

Own Name:

Own PPS Number:

Spouses Name:

Spouses PPS Number:

Address:

D D M M Y Y Y Y

Date of Marriage:

Eircode:
Self

Estimated income for the current tax year

Spouse

.0 0

.0 0

(a) We hereby jointly elect that ............................................... is to be the assessable spouse for the tax year (enter tax year)

Y Y Y Y e.g. 2015 and later years.

(b) We request that our tax credits and standard rate band be allocated as follows:
Assessable Spouse

Tax Credits

.0 0

Standard Rate Band

Assessable Spouse

Spouse

.0 0

.0 0

Spouse

.0 0

or
If you are already being taxed as a married couple and wish to have your tax credits and standard rate band allocated as at present, please tick this box
or
If you wish to have your tax credits and standard rate band divided equally between you, please tick this box
or

Signed:
Date:

(Self)

Signed:

(Spouse)

D D M M Y Y Y Y

Designed by the Revenue Printing Centre

RPC007327_EN_WB_L_1

If you wish to have transferable tax credits and standard rate band allocated to the assessable spouse, please tick this box;