Form 12A – Fill Out and Use This PDF

The Form 12A is crucial for anyone seeking a Tax Credit Certificate, particularly if they are entering their first employment within the State. It gathers personal details, employment or pension information, and allows individuals to claim various tax credits, allowances, and reliefs. Proper completion and timely submission of this form can streamline the process of obtaining your tax credits, ensuring you're taxed accurately from the get-go. Ready to secure your financial rights? Click the button below to get started on your Form 12A.

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Form 12A PDF Details

Engaging with the Form 12A is a crucial step for individuals starting their first job in the State, aiming to secure their Tax Credit Certificate. This comprehensive document demands particular attention to personal details, employment or pension information, and an array of potential tax credits, allowances, and reliefs. Applicants must accurately fill in sections ranging from basic personal information, such as full name, date of birth, and PPS No., to more detailed queries concerning civil status, residence details, and specifics regarding employment or pension providers. The form also extends its reach to those with incomes from various sources, including Department of Social Protection payments, ensuring that all income is declared for tax purposes. Critical to the correct issuance of a Tax Credit Certificate, the form enables claims for a multitude of tax credits based on individual or spouse circumstances, including but not limited to Single Person's Tax Credit, PAYE Tax Credit, and Home Carer Tax Credit. Moreover, the document serves as a declaration of correctness from the applicant, underscoring the importance of accurate and truthful completion. To facilitate a smoother transition for newcomers or those returning to the workforce, the form is accompanied by guidelines on obtaining a Personal Public Service Number (PPS Number), insights into residence status, and advice on avoiding emergency tax deductions. This ensures individuals are well-informed about the implications of their residency on tax liability and the benefits of securing their tax credit entitlements promptly.

Question	Answer
Form Name	Form 12A
Form Length	4 pages
Fillable?	No
Fillable fields	0
Avg. time to fill out	1 min
Other names	12a registration form pdf download, 12a certificate pdf, 12a certificate download, 12aa certificate download

Form Preview Example

Form 12A

Application for a Tax Credit Certiicate

Please complete relevant sections in BLOCK LETTERS

Personal Details

First Name

Surname

Address

Male

Female

Date of Birth (DD/MM/YY)

PPS No.

Nationality

If you have a PPS No. but cannot provide it, state: Your Birth Surname,

if different

Civil Status - Insert T in the relevant section below: Married or in a Civil Partnership Separated, Divorced or Dissolved Civil Partnership

Your Mother’s Birth Surname

Single, Widowed or Surviving Civil Partner

Insert T in the box(es) if you, your spouse or civil partner hold a ‘full’ medical card
(a ‘GP only’ medical card is not a ‘full’ medical card)	Self	Spouse or Civil Partner

Residence Details

If you lived outside the State during the last 24 months state:

Date you went abroad (DD/MM/YY)	/	/
(if an Irish National)	/	/
(if an Irish National)

Country of residence prior to arrival here

Are you here on a Permanent or Temporary basis? (insert T)

Date of arrival or return to the State

(DD/MM/YY)

Intended duration of your stay

(i.e. number of months)

Permanent

Temporary

Employment or Pension Details

Name of Employer or Pension Company Address of Employer or Pension Company

Occupation (e.g. Carpenter, Nurse, etc.)

Full Time		Part Time

Employer’s or Pension Company’s

PAYE Registered No.

Staff or Personnel No. (if any)

Date employment	/	/
commenced (DD/MM/YY)	/	/
commenced (DD/MM/YY)

Is this your irst job in Ireland?	Yes
Are you related to your employer by marriage, civil partnership or otherwise?	Yes

If ‘yes’, state relationship (e.g. spouse, civil partner, etc.)

Declaration

I declare that, to the best of my knowledge and belief, all the particulars given in this form are stated correctly

Signature

Date (DD/MM/YY)

Telephone or E-mail

1	RPC002052_EN_WB_L_2

Income from 1 January last to date

If you and/or your spouse or civil partner are/were in receipt of income from the Dept. of Social Protection state:

Type of payment	Weekly amount	€

(e.g. State Pension, Illness Beneit, Jobseeker’s Beneit, One-Parent family payment, etc.)

Date payment commenced (DD/MM/YY)

If previously employed, state: Name & Address of last employer

Date this employment ceased (DD/MM/YY)

Details of any other income

Date payment ceased, if ceased (DD/MM/YY)

Income derived from all sources must be declared (e.g. Maintenance payments where tax was not deducted, Irish Rental Income, Investment Income, Foreign Income or Foreign Pensions received, etc.)

Description of Income

Annual Amount €

(Self)

Annual Amount €

(Spouse or Civil Partner)

Claim for Tax Credits, Allowances & Reliefs

Insert T in the box(es) below to claim tax credits you are entitled to:

Single Person’s Tax Credit

PAYE Tax Credit

*Home Carer Tax Credit

Married or Civil Partner Tax Credit	*One-Parent Family Tax Credit	*Dependent Relative Tax Credit
Married or Civil Partner Tax Credit	*One-Parent Family Tax Credit	*Dependent Relative Tax Credit


Widowed Person or	*Incapacitated Child Tax Credit	*Blind Person’s Tax Credit
Widowed Person or
Surviving Civil Partner Tax Credit



Age Tax Credit (if either you,	*Widowed Person or	*Incapacitated Person -
your spouse or civil partner is	Surviving Civil Partner with	Relief for Employing
aged over 65)	qualifying child Tax Credit	a Carer

Credits marked with * may require more detailed information and you will be contacted in relation to your claim

Civil Status

If married or in a civil partnership and you are claiming Married Person or Civil Partner Tax Credit state your spouse’s or civil partner’s:

Name

Date of Birth	/	/
(DD/MM/YY)	/	/
(DD/MM/YY)

Date of marriage or

civil partnership registration (DD/MM/YY)

Name and Address of Spouse’s or Civil Partner’s Employer

or Pension Company

Nationality

Country of Residence

/Spouse’s or

Civil Partner’s PPS No.

If widowed or surviving civil partner and this is your irst claim for Widowed Person or Surviving Civil

Partner Tax Credit state:

Spouse’s or Civil Partner’s date of death (DD/MM/YY)

Spouse’s or

Civil Partner’s PPS No.

If married but living apart, in a civil partnership but living apart, divorced or a former civil partner, and this is your irst tax claim since your civil status changed state:

Date your civil status changed	/	/
(DD/MM/YY)	/	/

(attach a copy of any legal documents covering same)

Spouse’s or

Civil Partner’s PPS No. (if known)

If you need further information on any point, please call your local Revenue ofice, the number for which is listed

on the attached Helpsheet.

Application for a Tax Credit Certiicate

You will need to complete Form 12A to apply for your Tax Credit Certiicate if you are starting your irst employment in the State.

What is a Tax Credit Certiicate?

A Tax Credit Certiicate is a notice which issues to you that shows your tax credits and rate bands.

How do I apply for my Tax Credit Certiicate?

Complete the appropriate sections on Form 12A. Your claim will be processed promptly if you quote your Personal Public Service (PPS) Number, your Employer’s or Pension Company’s PAYE

Registration Number, and you complete all relevant sections of the form. Send the completed form to your local Revenue ofice or call in person with the completed form. Both you and your employer will be notiied of your tax credits and ratebands. Your employer will then make the necessary Tax

and Universal Social Charge (USC) deductions from your salary.

For further information see Lealet IT1 - Tax Credits, Reliefs and Rates.

How do I obtain my Personal Public Service Number (PPS Number)?

Personal Public Service (PPS) numbers are allocated by the Department of Social Protection. If you do not have a PPS number, you must register with a Dept. of Social Protection local ofice before you apply for your Tax Credit Certiicate.

Lealet SW100 - Personal Public Service Number, issued by the Department of Social

Protection gives further information on how to register for your PPS No. The lealet is available from your local Dept. of Social Protection ofice or at www.welfare.ie.

General Information for individuals coming to live in Ireland.

Residence status and Domicile inluence the extent to which you are liable to tax in Ireland and your entitlement to tax credits. It is important to tell your local Revenue ofice what your intentions

are with regard to residing in Ireland.

Irish nationals returning to work in Ireland and nationals from other countries coming to work in Ireland, must answer the residence questions on Form 12A. In the Residence Details section, state if you have moved or returned to live here on a permanent or temporary basis. If you are

living here for a temporary period or for temporary holiday work, state the expected duration of your stay. This information will assist your local Revenue ofice in determining your tax credit

entitlements.

For further information see Lealet RES 1 at www.revenue.ie, which is a guide for individuals (a) going to live and/or work abroad, or (b) coming to live and/or work in the State.

What is Emergency Basis?

If your employer does not hold a Tax Credit Certiicate for you, tax and USC will be deducted on the Emergency Basis.

For further information, see Revenue’s guide to Emergency Basis and Universal Social Charge FAQ’s at www.revenue.ie.

It is very important that you obtain your Tax Credit Certiicate as quickly as possible to avoid Emergency Tax and/or Emergency USC deductions.

PAYE Anytime

PAYE Anytime is a secure internet service that allows you to conduct business with Revenue

electronically 365 days a year. It is the quickest and easiest way to keep your tax affairs up to date. Once you receive your Tax Credit Certiicate you can register for PAYE Anytime.

Further Information

For further information, including the address of your local Revenue ofice, visit www.revenue.ie or phone your Regional Revenue LoCall Service whose number is listed below.

Border Midlands West Region	1890 777 425
Cavan, Monaghan, Donegal, Mayo,
Galway, Leitrim, Louth, Offaly, Longford,
Roscommon, Sligo, Westmeath
Dublin Region	1890 333 425
Dublin (City and County)
East & South East Region	1890 444 425
Carlow, Kildare, Kilkenny, Laois,
Meath, Tipperary, Waterford,
Wexford, Wicklow
South West Region	1890 222 425
Clare, Cork, Kerry, Limerick

Please note that the rates charged for the use of the 1890 (LoCall) numbers may vary among different service providers. If calling from outside the Republic of Ireland phone +353 1 702 3011.

To obtain Revenue information lealets, visit www.revenue.ie or phone

LoCall 1890 306 706, (if calling from outside the Republic of Ireland, phone +353 1 702 3050).

Accessibility

If you are a person with a disability and require this form in an alternative format, the Revenue

Access Oficer can be contacted at accessoficer@revenue.ie.

How to Edit Form 12A Online for Free

You are able to fill out form 12a pdf instantly with the help of our PDFinity® online PDF tool. FormsPal development team is continuously endeavoring to improve the tool and insure that it is even better for people with its handy features. Take your experience to a higher level with constantly improving and great options we provide! With some easy steps, you'll be able to begin your PDF editing:

Step 1: Access the PDF form in our editor by hitting the "Get Form Button" in the top area of this webpage.

Step 2: As you access the PDF editor, you'll see the document prepared to be completed. Aside from filling in various blanks, it's also possible to perform some other actions with the file, including adding custom words, editing the original textual content, adding images, placing your signature to the PDF, and much more.

For you to complete this PDF document, make sure you enter the necessary details in each area:

1. To start with, while completing the form 12a pdf, begin with the part containing following fields:

2. Once your current task is complete, take the next step – fill out all of these fields - Insert T in the boxes if you your, a GP only medical card is not a, Self, Spouse or Civil Partner, Residence Details, If you lived outside the State, DDMMYY, Country of residence prior to, Employment or Pension Details, Name of Employer or Pension Company, Address of Employer or Pension, Date of arrival or return to the, Intended duration of your stay ie, Permanent, and Temporary with their corresponding information. Make sure to double check that everything has been entered correctly before continuing!

a GP only medical card is not a, Intended duration of your stay ie, and Spouse or Civil Partner of form 12 a

People frequently make mistakes while completing a GP only medical card is not a in this part. Be sure to go over what you enter right here.

3. Through this part, review Full Time Is this your irst job in, Part Time, Yes, Yes, If yes state relationship eg, Declaration, I declare that to the best of my, Signature, Telephone or Email, Date DDMMYY, and RPCENWBL. All of these have to be taken care of with utmost attention to detail.

form 12 a completion process explained (stage 3)

4. It is time to begin working on this next part! Here you will get all of these If you andor your spouse or civil, Type of payment, Weekly amount, eg State Pension Illness Beneit, Date payment commenced DDMMYY If, Details of any other income, Date payment ceased if ceased, Income derived from all sources, Description of Income, Annual Amount, Self, Annual Amount, Spouse or Civil Partner, Claim for Tax Credits Allowances, and Insert T in the boxes below to form blanks to complete.

5. As you come close to the finalization of your file, you'll notice just a few extra requirements that need to be met. Mainly, Married or Civil Partner Tax Credit, OneParent Family Tax Credit, Dependent Relative Tax Credit, Widowed Person or Surviving Civil, Age Tax Credit if either you your, Incapacitated Child Tax Credit, Blind Persons Tax Credit, Widowed Person or Surviving Civil, Incapacitated Person Relief for, Credits marked with may require, Civil Status, If married or in a civil, Name, Date of Birth DDMMYY, and Country of Residence must be filled in.

Step 3: Make sure that your information is accurate and then press "Done" to conclude the task. Join FormsPal now and immediately access form 12a pdf, all set for downloading. Every edit you make is conveniently saved , so that you can customize the file at a later point anytime. Here at FormsPal.com, we endeavor to make certain that your information is kept protected.

Form 12A – Fill Out and Use This PDF

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