## Year To 5 April 2002

Notes: 1
For guidance on earnings, National Insurance and completing columns 1a to 1i , see **Employer's Help Cards**.
For guidance on Statutory Sick Pay figures, see booklet **CA30** ; and for **Statutory Maternity Pay** figures, see booklet CA29.
For guidance on Student Loan Deductions, see Card 22 of Employer's Help Cards.
If you need further assistance, please contact the Employer's Helpline on **0845 7 143 143**.

2
In the NI Tables, a letter is shown at the top of each section, for example **A, B, C, D or E.**  Copy the **Table Letter** you use
to the Table Letter box in the **'End of Year Summary'** overleaf.  If the employee's circumstances change part way through
a year, the Table Letter may change as well.  Record all Table Letters used and enter separate totals for each one.

## National Insurance Contributions Note:   Lel = Lower Earnings Limit,    Uel = Upper Earnings Limit Paye Income Tax And Tax Credits

Earnings details
Contribution details
Rebate details
(for contracted-out employee only)
Student Loan Deductions
For Employer's use
Earnings at the LEL (where earnings are equal to or exceed the LEL)
Earnings above the LEL, up to and including the Earnings Threshold
Earnings above the Earnings Threshold, up to and including the UEL
Total of employee's and employer's contributions payable
Statutory Sick Pay
paid to employee in the week or month included in column 2
Statutory Maternity Pay
paid to employee in the week or month included in column 2
Employer's NIC rebate due on earnings in 1b
and any balance of
employee's NIC rebate
due but not shown
in 1f
Employee's NIC rebate due on earnings in 1b (to be deducted from contributions in 1e)
Employee's contributions payable on earnings in 1c (*before* deducting employee's NIC rebate in 1f)
Week no
Month no
1g             £             p
1f          £      p
1a       ****          £
1b        ****          £
1c       ****          £
1d       ****           £          p
1e     ****          £        p
1h       £          p
1i        £          p
1j     ****      £       p

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2 3 4 5 6 7 8 9
10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30
7

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## Turn Over Page For Weeks 31–52 (Months 8–12) And End Of Year Summary Boxes

Please keep this form for at least 3 years after the end of the year to which it relates, or longer if you are asked to do so.

Note 3:
For guidance on PAYE Income Tax, Tax Credits and completing columns 2 to 9, see Employer's Help Cards

-  **Card 8** is for general completion -  **Card 9** has an example of a suffix tax code in use
-  **Card 10** is specifically for K codes, and includes an example
-  **Card 23** is for Tax Credits.

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| K codes only     | K codes only      |
|------------------|-------------------|
| Tax Credits      |                   |
| Tax due          |                   |
| at end of        |                   |
| current period   |                   |
| Mark refunds 'R' |                   |
| Tax deducted     |                   |
| or refunded      |                   |
| in the week      |                   |
| or month         |                   |
| Mark refunds 'R' |                   |
| Pay in the       |                   |
| week or month    |                   |
| including        |                   |
| Statutory Sick   |                   |
| Pay/ Statutory   |                   |
| Maternity Pay    | Total pay to date |
| Total            |                   |
| 'additional pay' |                   |
| to date          |                   |
| (Table A)        |                   |
| Total tax due    |                   |
| to date          |                   |
| as shown by      |                   |
| Taxable Pay      |                   |
| Tables           |                   |
| Regulatory       |                   |
| limit            |                   |
| i.e. 50% of      |                   |
| column 2         |                   |
| entry            |                   |
| Tax not          |                   |
| deducted         |                   |
| owing to the     |                   |
| Regulatory       |                   |
| limit            |                   |
| Total free pay   |                   |
| to date          |                   |
| *                |                   |
| Total taxable    |                   |
| pay to date i.e. |                   |
| column 3         | minus             |
| column 4a        |                   |
| or               |                   |
| column 3         | plus              |
| column 4b        |                   |
| *                |                   |
2        ****         £        p
3        ****           £            p
4a       ****        £           p
4b       ****        £         p
5       ****          £         p
6        ****        £          p
6a      £         p
6b      £       p
7        £        p
8        £       p
9      £       p
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l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l

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10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30
7

* If in any week/month the amount in column 4a is more than the amount in column 3, leave column 5 blank.

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## Year To 5 April 2002

Please keep this form for at least 3 years after the end of the year to which it relates, or longer if you are asked to do so.

## Paye Income Tax And Tax Credits Note:   Lel = Lower Earnings Limit,    Uel = Upper Earnings Limit National Insurance Contributions

1g             £             p
1f          £      p
1a       ****          £
1b        ****          £
1c       ****          £
1d       ****           £          p
1e     ****          £        p
1h       £          p
1i        £          p
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9
  39
  40
  41
  42
  43
  44
  45
  46
  47
  48
  49
  50
  51
  52
  §

§ Complete this line if pay day falls on 5 April.

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1f total
1g total

1b        ****       £
1c        ****         £
1a        ****       £
1d        ****        £           p
1e       ****       £          p
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2        ****         £        p
3        ****           £            p
4a       ****        £           p
4b       ****        £         p
5       ****          £         p
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*

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If in any week/month the amount in column 4a is more than the amount in column 3, leave column 5 blank.

  9        £       p
£         p

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