TC1

Application for a Tax Clearance Certificate

This application form is only to be used by the following applicants:
1. Applicants who require Tax Clearance but are non e-Enabled, see Note 1.
2. Applicants who are not resident and not tax registered in this State, see Note 2.
PPSN:(Personal Public ServiceNumber) Not applicable toNon-Resident applicantsApplicant Name:
Applicant Address:

Reason for Tax Clearance Application:
Additional Information for Contract, Licence or Grant applications
Type of Contract, Licence or Grant:
Where will the work be carried out:
If Applicant is Non-Registered and Non-Resident
Tax Registration in Country of Residence:
Country of Residence:
Tick relevant Box:
Supply of Goods

Supply of Services

Have you previously applied for Tax Clearance?

Yes

Supply of Goods & Services
No

If Yes, please provide your Registration Number.
If Applicant is or was a member of a Partnership:
Name of Partnership:
Applicant’s period of Membership:
Tax Reference of Partnership:

The information provided in this form is true and correct to the best of my knowledge andbelief. I have included all information relevant to this application.
Signature:___________________________

Date:____________________

Name:______________________________(Block Letters)

Telephone Number:____________________

Email Address: ______________________________

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Any other connected parties:(See Note 3)

Notes for Completion of an Application for Tax Clearance
Note 1:

Non e-Enabled

Applicants who have no access to electronic systems can apply for a Tax Clearance Certificate bycompleting this application. Completed forms must be submitted to Customer Services,Collector General’s Division, Sarsfield House, Francis Street, Limerick, V94 R972.
Note 2:
Non-Residents
Non-Resident applicants, who have neither an Irish tax registration nor a permanent established (PE)place of business in the State, must apply for tax clearance using this application form:
Please complete, scan and email to: nonrestaxclearance@revenue.ie
Or
Post to:Non-Residents Tax Clearance Unit
Collector General’s Division
Sarsfield House
Francis StreetLimerick
V94 R972
Telephone: + 353 1 738 3663
Note 3:Connected PartiesTax clearance processing assesses both the applicant’s tax affairs and those of any connected parties.
Potential connected parties which will also be assessed include:• Properties• Partners• Partnerships• Employer (Small Public Service Vehicles Drivers and Criminal Legal Aid Panel applicants)• Directors / Shareholders• Previous Business Entity (Liquor Licence applicants)• VAT Group Remitter (Applicants who are part of a VAT Group); as relevant.
In order to complete the application the applicant will require the Tax Reference Number or Property ID oftheir relevant connected parties.
The Revenue Commissioners collect taxes and duties and implement customs controls. Revenue requires customers
to provide certain personal data for these purposes and certain other statutory functions as assigned by the Oireachtas.
Your personal data may be exchanged with other Government Departments and agencies in certain circumstanceswhere this is provided for by law. Full details of Revenue’s data protection policy setting out how we will use yourpersonal data as well as information regarding your rights as a data subject are available on our Privacy page on
www.revenue.ie. Details of this policy are also available in hard copy upon request.
The information in this document is provided as a guide only and is not professional advice, including legal advice. It
should not be assumed that the guidance is comprehensive or that it provides a definitive answer in every case.

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