Tax Deduction Card - Weekly - Revenue

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Tax Deduction CardEMPLOYEE’S DETAILSPRSI CLASSEmployee’s NameTotal Tax CreditIf PRSI Class changed during this employment complete these boxesEmployee’s AddressTotal Cut-Off PointInitial PRSIClassWorks Payroll No.Date of ChangePPS NumberTax Rate 1Tax Rate 2D DM M YOther ClassYWeeks at Other ClassN.B. If more than two classes please furnish details on Form PRC1If employment began (a) in Week 1 or later or (b) before Week 1 but thefirst pay day was in Week 1 or later, enter date of commencement.If employment ceased during the tax year enter date of cessation.Tax YearEMPLOYER’S DETAILSDate of CommencementEmployer’s NameCalculateDate ofGross Pay(LessPayment(DD/MM/YY) Superannuation)this periodD DEmployer’s NumberCumulativeGross Payto DateCumulativeCut-OffPointCumulativeTax Due atTax Rate 1CumulativeTax Due atTax Rate 2CumulativeGross TaxClick here if Week 1 BasisCalculate Week 1CumulativeTax CreditWeeklyNewSave AsTaxDeductedthis PeriodCumulativeTax(Cannot beless than 0)TaxRefundedthis PeriodUSCDeductedthis PeriodUSCRefundedthis PeriodPRSI Weekly RecordInsurableEmployment12345CalculateClick here if Week 1 BasisCalculate Week 1NewSave AsYD DM M YYPrintWeekRPC001608W EN WB L 2M M YDate of CessationPrintPRSIClassPRSIEmployee’sShareTotal PRSINet Pay

CalculateDate ofGross Pay(LessPayment(DD/MM/YY) Superannuation)this periodCumulativeGross Payto DateCumulativeCut-OffPointCumulativeTax Due atTax Rate 1CumulativeTax Due atTax Rate 2CumulativeGross TaxClick here if Week 1 BasisCalculate Week 1CumulativeTax CreditWeeklyNewSave AsTaxDeductedthis PeriodCumulativeTax(Cannot beless than 0)TaxRefundedthis PeriodPrintUSCDeductedthis PeriodWeekUSCRefundedthis PeriodPRSI Weekly 0CalculateClick here if Week 1 BasisCalculate Week 1NewSave AsPrintPRSIClassPRSIEmployee’sShareTotal PRSINet Pay

CalculateDate ofGross Pay(LessPayment(DD/MM/YY) Superannuation)this periodCumulativeGross Payto DateCumulativeCut-OffPointCumulativeTax Due atTax Rate 1CumulativeTax Due atTax Rate 2CumulativeGross TaxClick here if Week 1 BasisCalculate Week 1CumulativeTax CreditWeeklyNewSave AsTaxDeductedthis PeriodCumulativeTax(Cannot beless than 0)TaxRefundedthis PeriodPrintUSCDeductedthis PeriodWeekUSCRefundedthis PeriodPRSI Weekly 33435CalculateClick here if Week 1 BasisCalculate Week 1NewSave AsPrintPRSIClassPRSIEmployee’sShareTotal PRSINet Pay

CalculateDate ofGross Pay(LessPayment(DD/MM/YY) Superannuation)this periodCumulativeGross Payto DateCumulativeCut-OffPointCumulativeTax Due atTax Rate 1CumulativeTax Due atTax Rate 2CumulativeGross TaxClick here if Week 1 BasisCalculate Week 1CumulativeTax CreditWeeklyNewSave AsTaxDeductedthis PeriodCumulativeTax(Cannot beless than 0)TaxRefundedthis PeriodPrintUSCDeductedthis PeriodWeekUSCRefundedthis PeriodPRSI Weekly 84950CalculateClick here if Week 1 BasisCalculate Week 1NewSave AsPrintPRSIClassPRSIEmployee’sShareTotal PRSINet Pay

Click here if Week 1 BasisCalculate Week 1CalculateDate ofGross Pay(LessPayment(DD/MM/YY) Superannuation)this periodCumulativeGross Payto DateCumulativeCut-OffPointCumulativeTax Due atTax Rate 1CumulativeTax Due atTax Rate 2CumulativeGross TaxCumulativeTax CreditWeeklyNewSave AsTaxDeductedthis PeriodCumulativeTax(Cannot beless than 0)TaxRefundedthis PeriodPrintUSCDeductedthis PeriodUSCRefundedthis PeriodInsurableEmploymentWeek515253Previous Employment DEDUCTTotal Gross Cumulative PayPay Relating toPrevious EmploymentPRSI Weekly RecordPayTotal Number of Insurable WeeksTaxThis Employment Net Tax DeductedTotal PRSI Employee ShareOr Tax RefundedTotal PRSI for the YearCalculateClick here if Week 1 BasisCalculate Week 1NewSave AsPrintPRSIClassPRSIEmployee’sShareTotal PRSINet Pay

Tax Deduction Card EMPLOYEE’S DETAILS Employee’s Name Employee’s Address PPS Number EMPLOYER’S DETAILS Total Tax Credit Total Cut-Off Point Works Payroll No. Tax Rate 1 Tax Year Tax Rate 2 Employer’s Name Employer’s Number PRSI CLASS If PRSI

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