Tax return for wealth and income tax - for wage earners and pensioners etc Original tax return RF-1030

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1 Postboks 4305, 8608 Mo i Rana Original tax return Tax return 0400 for wealth and income tax - for wage earners and pensioners etc Pensjon Per Stredet Skattevig National ID number Tax class 1E Date of birth, spouse Explanations of all the items and information on how to alter items/amounts can be found at skatteetaten.no Guidelines to the tax return, see taxnorway.no Income/Deduction Corrected to Capital/Dept Corrected to 2.2 Employment-related pensions, annuities etc Old-age pension from the NIS, Nav Økonomilinjen Tot. basis f. Nat. Ins. con. (5,1 %) Total basis for step tax /4.3 Housing and other real property Housing cooperative, Skattdal Borettslag owner share 50 % /4.5.3 Share of income/capital in housing cooperative /4.5.3 Share of costs/debt in housing cooperative /4.1/4.5 Interest, deposits, securities, other cap. inc /4.1.1 Interest/deposits in Sparebanken Deductions from employment, etc Minimum standard deduction, own income /4.8 Interest, debt, other capital costs and deductions Grants for scientific research Home contents/movable property, car, MC etc Car etc. list price new NOK , HB /4.9 Total basis for income tax RF-1030 LE

2 Pensjon Per Housing information - Basis for capital value, item Housing/Housing company/jointly owned housing property Correct any errors and/or fill in any missing information. New information may result in the pre-completed capital value changing. If you would like to see the new capital value, you can calculate it using the housing calculator at skatteetaten.no If you have altered the capital value in item because you are able to document that the capital value exceeds 30% (primary dwelling) or 96% (secondary dwelling) of the property`s documented market value? Please answer the questions below. If you own residential properties other than those listed below, see skatteetaten.no (1) Stredet 15 Owner share: 50,00% House no.: H0101 Org no.: Unit no.: 99 Basis Corrected to Housing type (Detached house, Apartment, Small house): Detached house Year of construction 1980 Primary area/living area (in whole m 2 ) 60 m 2 Primary/secundary dwelling primary dwelling I am able to document that the capital value is too high relative to the marked value: Yes Market value NOK

3 Pensjon Per /1.5 Information on personal circumstances etc In 2016, did you receive tax-free winnings from gambling or benefits from events organized by the mass media with a total value of NOK or more? If so, state the amount/value. See skatteetaten.no for more information on tax-free winnings In 2016, did you receive inheritance or gift with a total value of NOK or more? If so, state the amount/value: If you received property through inheritance or a gift, the fields in item 4.3 must be completed. For the input value, you can use the market value or the previous owner s input value. See skatteetaten.no for more information. If you submit the tax return on paper, you must state the municipality, property no. (gnr.), parcel no. (bnr.), organisation no., property address, date of acquisition, input value and how the input value was calculated etc. Have you carried out unpaid assignments for an organisation and received financial support from voluntary contributions? Incomes, deductions, capital and debt abroad must be entered under the appropriate item in the tax return. See skatteetaten.no Are you claiming an allowance for tax paid abroad (credit deduction)? Are you claiming a reduction in tax on wages earned during employment abroad? Are you requesting the termination of tax liability as a resident (emigration)? Put a cross for yes and provide more information under item 5.0. See skatteetaten.no Are you claiming residence under a tax treaty in another country? Put a cross for yes and provide more information under item 5.0. See skatteetaten.no Have you received salary from an international organisation or Malaysia for which you are claiming exemption from taxation in Norway? Put a cross for yes and provide more information under item 5.0. Have you ceased to be a member of the Norwegian National Insurance scheme? NOK NOK (Fill in form RF-1147) (Fill in form RF-1150) Put a cross if you would like your tax return to be sent to you in a different language next year: Bokmål Nynorsk Samisk Would you prefer to receive an English version of the tax return next year? 1.3 Do you claim tax class 2 to provide for a spouse or a notifiable cohabitant? Have you got married since and prefer to be jointly assessed with your spouse? Yes Any amounts that have not been pre-entered must be entered here. Postal no. See skatteetaten.no. Please write clearly! Income/Deduction Wealth/Debt 5.0 Additionel information Please use a separate sheet if you need more space. Postal no. Date Signature Telephone 0 0 0

4 Pensjon Per Provisional calculation of taxes and duties 2016 Wealth tax to: Basis Tax/Duties Central government Municipality Income tax to: Central government, tax equalization fund Municipality and county Central government, step tax on personal income National Insurance contributions: Pension, etc. (5,1%) Total taxes in tax class 1E before tax deductions Tax deductions for pension income Provisionally estimated tax after deductions Withholding tax (deducted by client, etc.) Provisionally est. overpaid tax (not inc. interest) Additional advace tax paid after 1 February 2017 will not be included in the tax calculation, but will be credited to you in the tax assessment. If your tax assessment shows that you are owed money, the amount will be transfered to account **** ** xxxxx. To alter this, see the information further down this page. When will my tax assessment notice arrive? Tax assessments are not sent out on specific dates, but as soon as the tax returns concerned have been processed. This means that you may receive your assessment notice in June, August, September, or October at the latest. If you wish to avoid paying interest on any underpaid tax, you must pay additional advance tax by 31 May This deadline applies even if you have been granted an extension to the deadline for submitting your tax return. Any payment is voluntary. You must use the following information when paying: Account no. : Name : KID - nr.: IBAN : SWIFT/BIC : xxxx xx xxxxx NN skatteoppkreverkontor yyyyyyyyyyyyyyyyyyy NOzz zzzz zzzz zzz NDEANOKK

5 Don`t pay too much tax - check your tax return How do I check my tax return? Is the information given in your tax return correct? Check bank deposits, debts, interest, salary, parental allowance, pension, housing, travel allowance, car/boat, shares and other circumstances that affect your tax. Have there been any important changes in your personal finances since last year? You might for example have got a new job, moved house or taken out a new loan. Perhaps you have to travel further to get to work now, or maybe you have become a commuter or have retired? Is any information concerning income, loans or property abroad missing? You must also declare this information. You may incur surtax if you fail to declare such information. Check whether you are entitled to make additional deductions. Visit skatteetaten.no/fradrag and try the deduction wizard. New this year Item 4.3.2: The capital value for secondary dwellings has been increased from 70% to 80% of the estimated market value. No guidance is available for the items, use skatteetaten.no/finn post How do I submit the tax return? If you have checked all the information and are satisfied that everything is correct, you do not need to submit the tax return. If you need to add or alter an item, doing it online is easy. You will find instruction videos at skatteetaten.no/skattemelding If you add or correct an item in your tax return, you should not write any additional comments. You should keep the necessary documentation in a safe place, so that you can find it again easily if the Norwegian Tax Administration asks to see it. You need only submit documentation or attachments to the tax return (which can be submitted as scanned documents) when you have paid tax abroad for which you are claiming a deduction. If you have to make any changes which mean that you need to submit the tax return, the deadline is 30 April. Become an online user if you haven`t already done so. It`s as easy as using online banking or booking a holiday via the internet. Register at skatteetaten.no/ebruker and follow the link to difi.no: Select Registrer ny bruker i ID-porten (Register new user in the ID portal). Here, you will find information on various ways of logging in. You can then follow the guidance from there.

6 Visit Skatteetaten.no for more information on various topics, e.g. Housing: Has your housing information been included? Read more at: skatteetaten.no/bolig Spouses allocation of income between spouses; read more at: skatteetaten.no/skattemelding Commuters and business travellers; read more at: skatteetaten.no/pendler Inheritance and gifts; read more at: skatteetaten.no/arv The tax assessment Your tax assessment will be sent out as soon as your tax return has been processed. If you are an online user, you will be notified when your assessment notice is ready. If you submit on paper, or attach attachments, you will not receive your tax assessment notice until August at the earliest. Tax in credit If you would like any tax in credit to be paid into an account other than the suggested account or if you prefer to receive it on a payment card, you must tell Tax Administration by 15 May. Read more at skatteetaten.no/skattemelding If you are unable to submit your tax return online, you must send it to: Skatteetaten Postboks Mo i Rana, Norway