## Ct Loss Reform: Template For The Group Allowance Allocation Statement

Nominated company 
Nominated company name 
 
Nominated company UTR Start date 
 
Accounting period of the nominated company to which this statement relates 
End Date 
 
 
Start date 
 
Dates in the accounting period for which the nomination had effect 
End Date 
 
 
Group deductions allowance available for allocation 
 
 
Details of group deductions allowance allocation 
Yes
The accounting periods for all group companies listed overleaf are concurrent: 
 
 
Yes
The accounting periods for all group companies listed overleaf are 12 months: 
Yes
The companies listed overleaf were members of the group for the whole of the nominated company's accounting period: 

For any of the companies listed overleaf that left or joined the group during the nominated company's accounting period, please provide the company name, UTR, and the dates in the nominated company's accounting period during which the listed company was a member of the group. Please provide this information in the box below or, if necessary, on an additional sheet attached to this form. 

 

## 

Please provide details of group deductions allowance allocation: 

| Company name        | UTR    | AP start date    | AP end date    |
|---------------------|--------|------------------|----------------|
| Group deductions    |        |                  |                |
| allowance allocated |        |                  |                |
|                     |        |                  |                |
| £                   |        |                  |                |
|                     |        |                  |                |
|                     |        |                  |                |
| £                   |        |                  |                |
|                     |        |                  |                |
|                     |        |                  |                |
| £                   |        |                  |                |
|                     |        |                  |                |
|                     |        |                  |                |
|                     |        |                  |                |
|                     |        |                  |                |
| £                   |        |                  |                |
|                     |        |                  |                |
|                     |        |                  |                |
|                     |        |                  |                |
|                     |        |                  |                |
| £                   |        |                  |                |
|                     |        |                  |                |
|                     |        |                  |                |
| £                   |        |                  |                |
|                     |        |                  |                |
|                     |        |                  |                |
| £                   |        |                  |                |
|                     |        |                  |                |
|                     |        |                  |                |
|                     |        |                  |                |
|                     |        |                  |                |
| £                   |        |                  |                |
|                     |        |                  |                |
|                     |        |                  |                |
|                     |        |                  |                |
|                     |        |                  |                |
| £                   |        |                  |                |
|                     |        |                  |                |
|                     |        |                  |                |
| £                   |        |                  |                |
|                     |        |                  |                |
|                     |        |                  |                |
| £                   |        |                  |                |
|                     |        |                  |                |
|                     |        |                  |                |
| £                   |        |                  |                |
|                     |        |                  |                |
|                     |        |                  |                |
| £                   |        |                  |                |
|                     |        |                  |                |
|                     | Total  | £                |                |
|                     |        |                  |                |
|                     |        |                  |                |

If there are more companies in this list, please attach this information in a sheet with a similar format to the above. Please provide any further information necessary to identify the group to which this statement relates: 

## Declaration

This should be signed by the appropriate person in relation to the nominated company (CTA10/S269ZV(2)) ('Groups', above). 

To the best of my knowledge the information given in this form, including information given on any attached sheets, is correct and complete. 

Signature: 
 
Date: 
 
State in what capacity you complete this form: Each individual company in the group should state the amount of that company's deductions allowance in its tax return (CTA10/S269ZZ). This should include the amounts of the trading profits deductions allowance and the non-trading profits deductions allowance where relevant. If a company claims a deductions allowance in excess of the amount to which it is entitled in accordance with CTA10/S269ZR, that company may be subject to penalties for an incorrect return.