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Confidential Tax Questionair

In completing the online questionnaire below you are confirming that you wish to sign up and check if you are entitled to a tax rebate.

If www.easier1.com can help you further we will contact you as soon as possible.

Alternatively print and post the form to: easier1.com, 22 Claremont Place, Church Road, Claygate, Surrey KT10 0JD

Personal Details:

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Title:

First Name:

Last Name:



Address:
Post Code:      

Telephone No:  (day) (eve)

Email :           

Marital Status:   

Number of children under 16:  

Employment Details:

Job Title:  

Job Benefits (please tick): Company Car: Health Scheme Job Expenses (please tick): Use of Own Car Professional Fees Job History (please tick if appropriate): Gap Year: Job Loss / Change:

Current Tax Code:  

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We’ll contact you by email to inform you of your eligibility and how to pursue claming your rebate.