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 Helpline
9999 999 9999
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 which is too far in advance for us to accept at this time. If you have entered the period incorrectly, please call the CIS Helpline on the above number so that we can correct it. If not, you will need to send in another Contractor's monthly return for this period at the right time.