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: ……..………………………………………………….

………………………………………………………………………………………….

………………………………………………………………………………………….

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

…………………………………………………………………………………………..

………………………………………………………………………………………….

Agent acting: q Yes q No

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

………………………………………………………………………………………

……………………………………………………………………………………….

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: ………….………………………………………………………………………