ISSUING OFFICE ADDRESS LINE 1-----X ISSUING OFFICE ADDRESS LINE 2-----X ISSUING OFFICE ADDRESS LINE 3-----X ISSUING OFFICE ADDRESS LINE 4-----X ISSUING OFFICE ADDRESS LINE 5-----X ISSUING OFFICE ADDRESS LINE 6-----X POSTCODE X
REPRINT-REFERENCE--X  
999
Unique tax reference (UTR) 
99999 99999
RECIPIENT NAME LINE 1 ------------X 
RECIPIENT NAME LINE 2 ------------X ADDRESS LINE 1 -------------------X ADDRESS LINE 2 -------------------X ADDRESS LINE 3 -------------------X ADDRESS LINE 4 -------------------X ADDRESS LINE 5 -------------------X POSTCODE X
Accounts Office reference
999PA99999999
CIS Unit telephone
99999 999999
Date
99 XXXXXXXXX 9999

## 99/99/9999 Construction Industry Scheme Contractor'S Monthly Return For Period Ending

We have received your Contractor's monthly return for the above period. Unfortunately some of the information you have supplied about payments you have made to subcontractors is unclear. Please call the above number so that we can clarify the information.