P11D Questionnaire 2015

Name:

Company Name:

Company Ref.:

National Insurance no:

1. Please list any amounts of personal home or telephone bills Total £ 0.00
which the company pays or reimburses.
Business £0.00
2. If the company pays the full bill please confirm the full
amount paid and the amount which relates to business calls

3. Please detail (including the description and amount) any

PERSONAL expenses that have been paid by your company
on your behalf*

*(this does not include reimbursed expenses which are incurred for
business purposes in relation to your limited company)

4. Please confirm whether your company account is up to date

for the tax year to 5th April 2015 with details of out of pocket
expenses and bank transactions.

5. Does your company provide you with any benefits in kind,

e.g. private health care, gym membership etc?
6. If yes, are the contracts in the company name?
7. If you answered yes to the above, please provide details of
amounts and dates payments were made.

8. Please confirm exact details of any, and all, cars or vans

owned by the company during the period from 6 April 2014
to 5 April 2015:

Vehicle 1

9. Make and Model Details:

i.e. BMW 328 Ci 2d Coupe
10. Fuel Type Petrol/Diesel/Other

11. If other, please give details

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12. CO2 Emissions figure

13. Date when the company acquired the vehicle

14. Date when company disposed of the vehicle (if applicable)

15. Original manufacturer’s LIST price of the vehicle, not the

amount

16. you paid for the vehicle

17. Any contribution you made to the purchase price

18. Does the company pay for fuel you use personally?

Vehicle 2

19. Make and Model Details:

20. Fuel Type Petrol/Diesel/Other

21. If other, please give details

22. CO2 Emissions figure

23. Date when the company acquired the vehicle

24. Date when company disposed of the vehicle (if applicable)

25. Original manufacturer’s LIST price of the vehicle, not the

amount

26. you paid for the vehicle

27. Any contribution you made to the purchase price

28. Does the company pay for fuel you use personally?

29. Does your company provide any assets for personal use?

E.g. a company motor cycle.

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 30. If so please confirm the initial cost for the assets plus any
associated costs within the tax year.

31. During the year to 5 April 2015 have you drawn funds from
the company as a loan (for yourself or a family member)

32. If yes, please confirm the amount of the loan

33. If the loan is being repaid with interest, please provide

details of the annual percentage rate applied to the loan.

Have any of your contracts been caught by the 24 Month rule for the tax year ended 5th April 2015?

If so could you please provide the dates from which contracts were caught? No

Please use this space to record any further information that you believe will be needed to complete
your 2015 P11D Return.

Terms:

Type here the Terms and conditions

Declaration:

I confirm the information supplied is accurate to the best of my knowledge; I have read and
understand the terms and I authorize Your Company Name to use this information to complete my
P11D.

Name……………………………………………………….

Date………………………………………………………….

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