Tax check list unlimited liability

General and personal information
Tax return for the year / years
Name

First nameLast name
Date of birth

DayMonthYear
Date
Nationality
Religious denomination

ProtestantRoman CatholicundenominationalOther
Occupation
Phone number

area codenumber
E-mail office
E-mail private*
Preferred email-adress

officeprivate
Skype user name or e-mail address used for Skype account
Addresses
Actual address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Since // from - to
Address during tax year (if different)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Since // from - to
Additional address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Information on further adress(es)
e.g. postal address, earlier address, further information on different periods

Bank account information
IBAN
BIC
I would like to arrange a SEPA direct debit with the tax office and have the tax payments collected directly from my account. Please send me the necessary form for signature.

YesNo

General and personal information