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

Text left aligned at: X = 120.5mm Y = 55mm

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

These data items to  be 10 pt  Arial -
helpline number to be emboldened

Top of recipient address data:  X = 34mm, Y = 36mm

Accounts Office reference 999PA99999999

CIS Helpline

9999 999 9999

Date

99 XXXXXXXXX 9999

Heading 18pt Arial bold.  X = 16mm, Y = 115mm

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

Sub-heading 14pt  Arial bold.  X = 16mm Data item to be 14 pt Arial bold We have received your Contractor's monthly return for the above period and note that you have included amounts in some of the boxes, but have also completed the nil declaration box on page 4. We have treated this monthly return as one which reports payments to subcontractors and/or deductions from subcontractors. If you disagree, please call the CIS Helpline to let us know what the correct entry should be. You also ticked the box on page 4 indicating that you will not be paying any subcontractors for the foreseeable future. We would normally suspend issue of any further monthly returns for a period of six months. Before we can treat you as inactive, please phone the CIS Helpline immediately in order to clarify the correct inactivity periods you require.

Overlay body text left aligned at:   X = 16mm . Overlay body text 11pt Arial, emboldened where shown.