Before you fill in this form, please read these notes carefully To check whether you are entitled to receive interest without tax being taken off, you must read R85 Helpsheet for the current tax year first.

Is your income below your annual tax-free allowance?

If completing this form on behalf of the saver, refer to their income If Yes, please complete this form. If No, please do not complete this form as you are not eligible to receive interest in this way.

If you are not sure, please read the Helpsheet again or phone the Helpline on **0845 980 0645**.

By completing this form R85 you are telling your bank or building society that you do not have to pay tax on the interest paid to you.

If your income goes up, above your annual tax-free allowance, you must tell your bank or building society. It is not their responsibility to check that the information you have given on this form is true or up-to-date. Please note that we may check the information you have given.  
You must complete a separate form for each bank or building society with whom you have an account. If you open a new account you will need to complete another form R85. 

Name of bank or building society

You can make this declaration on behalf of the saver if: 
- you are the parent or guardian of the saver and the saver is
under 16 at the beginning of the tax year in which the
payment of interest is made
- you hold a power of attorney to administer the financial
affairs of the saver
- you are the parent, guardian, spouse or a child aged 16 or
over, of the saver where the saver is mentally incapacitated
- you are the receiver or other person appointed by any court
in the UK to handle the affairs of the saver where the saver
is mentally incapacitated
- you have been appointed by the Department for Work and
Pensions (DWP) to claim or receive benefits on behalf of the
saver where the saver is mentally incapacitated.
If you have difficulties signing or making a mark, please phone the Helpline. 

## Declaration

on their behalf) is below my annual tax-free allowance  and
- if it increases above the annual limit I will tell the bank or
building society straightaway.
information given on this form.

Please give or send your completed form to your bank or building society.