INTM620620 - Offshore Receipts in respect of Intangible Property (ORIP): Process and procedures: Suggested Notification Template

Notification of liability to UK income tax arising from the application of Chapter 2A ITTOIA05

Type of entity: q Company q Partnership q Trust

q Individual q Other

If other, please provide details: …………………………………………………�.

Entity name: ………………………………………………………………………�.

Registered office address: …�..………………………………………………�.

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Correspondence address (if different to above): ………………………�.

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Agent acting: q Yes q No

If yes, please provide details including SA agent identified code:

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Form 64-8 submitted: q Yes q No

Large Business customer: q Yes q No

Do you have a UTR: q Yes q No

If yes, please provide UTR: ………………………………………………�

Date income chargeable to tax was received from: …………………………�

Signed: …………………�.…………………………………………………………�

Name in full: ………………………………………………………………………�

Capacity in which you are signing: ……………………………………………�..

Date: ………�.……………………………………………………………………�