TAIN Form CT1 Pay and File Corporation Tax Return 2004 (for accounting periods ending in 2004) Please quote this number in all correspondence or when calling at your Revenue office Tax Reference Number GCD According to our records your Company Accounting Period end date is Return Address Office of the Revenue Commissioners, Collector-General s Division, PO Box 354, Limerick. Your Corporation Tax affairs are dealt with by: RETURN OF PROFITS, CHARGEABLE GAINS, CHARGEABLE ASSETS ACQUIRED AND OTHER PARTICULARS FOR THE ACCOUNTING PERIOD INDICATED HEREUNDER This Tax Return should be completed and returned to the address shown above within 9 months after the end of the accounting period or by the 21st day of the ninth month if earlier. Expression of Doubt - If you are unsure about the tax treatment of any item in the return, you should tick this box and attach a covering letter setting out clearly the point at issue. Revenue On-Line Service (ROS) provides you with the facility to file your tax return and pay your tax electronically. You can access ROS through Revenue s website www.revenue.ie. Penalties - The law provides for penalties for failure to make a return, or the making of a false return, or helping to make a false return, or claiming allowances or reliefs which are not due. These penalties include fines up to 126,970, up to double the tax in question, and/or imprisonment. State Company Accounting Period FROM A1 TO A2 If this company is a member of a group, state: (i) Name of parent and (ii) Country of residence of parent If the company is trading in the State through a branch or agency, tick box and state number of associated companies, A4 If the company or group of companies is party to a Tonnage Tax election under Section 697D TCA 1997, tick this box Nature of Trade, Business or Activity Business Address Address of Registered Office Company s Telephone and Fax Numbers TELEPHONE FAX THIS DECLARATION MUST BE SIGNED I DECLARE that, to the best of my knowledge and belief, this return is correct and complete Signature of Secretary Dated this day of 200 (or other authorised person) Capacity of Signatory Name of Tax Adviser (if any) Client s Ref. No. Adviser s Telephone No. Tax Adviser Identification No. (TAIN)
1 - TRADING RESULTS Trade Profits chargeable at Standard Rate of 12.5% Non-Manufacturing Trade Profits and Manufacturing Trade Profits where the company commenced trading on or after 23 July 1998.* Profits (where a loss occurs, enter Nil ) D1 (Apportion profit between manufacturing and non-manufacturing when the company is engaged in both activities) Balancing Charges B1 Capital Allowances Machinery and Plant (including motor vehicles) S1 Industrial Buildings S2 Other - specify S3 Trading Losses Forward S6 Losses appropriate to this trade H1 Charges (Enter non-trade charges in Panel 9 at code H8) H6 Group Relief H7 *Excluding manufacturing companies which entered into a grant agreement with an industrial development agency (as defined) before 31 July 1998 but did not commence trading until after that date, deemed manufacturing activities carried on in the Shannon Airport area approved on or before 31 May 1998, and deemed manufacturing activities carried on in the Customs House Docks Area approved on or before 31 July 1998. Trade Profits chargeable at Manufacturing Rate of 10% Manufacturing Trade Profits where the company commenced trading before 23 July 1998.** Profits (where a loss occurs, enter Nil ) M1 (Apportion profit between manufacturing and non-manufacturing when the company is engaged in both activities) Balancing Charges M2 Capital Allowances Machinery and Plant (including motor vehicles) M7 Industrial Buildings M8 Other - specify M9 Trading Losses Forward M3 Losses appropriate to this trade M4 Charges M5 Group Relief M6 (Note: manufacturing relief will be calculated automatically and will be shown as a credit on the notice of assessment) **Including manufacturing companies which entered into a grant agreement with an industrial development agency (as defined) before 31 July 1998 and who may not have commenced trading until after that date, deemed manufacturing activities carried on in the Shannon Airport area approved on or before 31 May 1998, and deemed manufacturing activities carried on in the Customs House Docks Area approved on or before 31 July 1998. Excepted Trade Profits per accounts (net after related Losses, Charges, Group Relief, Capital Allowances and Balancing Charges.) Profits (where a loss occurs, enter NIL ) D2 Where this includes profits from sale of residential land ensure that Residential Land Relief is entered in Panel 10 at code R9 Qualifying Shipping Activities D7 Balancing Charges BO Capital Allowances Specified Capital Allowances SA Machinery and Plant (including motor vehicles) SB Industrial Buildings SC Other - specify SD Trading Losses Forward SE Losses appropriate to this trade HA Charges HB Group Relief HC Tonnage Tax Profits (Form CT1 Supplement Tonnage Tax Profits should accompany this return) E7 If you are making an election under Section 284(2)(ab) TCA 1997, tick this box If you are making an election under Section 80A TCA 1997, tick this box Page 2
EXTRACTS FROM ACCOUNTS for a Limited Company with a turnover less than 13,000,000 Reference Number Accounts period From To These pages must be completed in all cases except in the following limited circumstances: - If you have previously submitted accounts information relating to this From To accounting period, state the Corporation Tax Return with which accounts were submitted. - Where the turnover is in excess of 13 million, tick the box and submit a copy of the accounts with this form. Income 1. Sales / Receipts / Turnover 1 2. Receipts from Government Agencies (GMS, etc.) 2 3. Other Income 3 Trading Account Items 4. Purchases 4 5. Gross Trading Profits 5 Expenses and Deductions 6. Salaries / Wages, Staff costs 6 7. Directors' remuneration including fees, bonuses, etc. 7 8. Sub-contractors 8 9. Consultancy, Professional fees 9 10. Motor, Travel and Subsistence 10 11. Repairs / Renewals 11 12. Interest Payable 12 13. Depreciation, Goodwill, Capital write-off 13 14. Provisions including Bad Debts - if negative, enter a minus (-) in box provided* 14 * 15. Other expenses [Total] 15 Balance Sheet and Capital and Reserve Items 16. Balance of Directors' current and loan accounts - if negative, enter a minus (-) in box provided* 16 * 17. Stock, Work in Progress, Finished goods 17 18. Debtors and Prepayments 18 19. Cash / Bank (Debit) 19 20. Bank / Loans / Overdraft (Credit) 20 21. Creditors and Accruals 21 22. Client Account Balances (Debit) 22 23. Client Account Balances (Credit) 23 24. Tax Creditors 24 25. Shareholders' Funds 25 Page 3
Extracts from Adjusted Profit Computation Profit / Loss 26. Profit on ordinary activities before taxation 26 27. Loss on ordinary activities before taxation 27 Adjustments 28. Motor Expenses Restriction 28 29. Subscriptions and Donations 29 30. Entertainment Expenses 30 31. Disallowable Legal and Professional Expenses 31 32. Section 130 Loan Interest 32 33. Light, Heat and Phone 33 34. Net gain on sale of fixed / chargeable assets 34 35. Net loss on sale of fixed / chargeable assets 35 Notes to the Accounts Tick appropriate box(es) below and give additional information, if appropriate, in the space provided under Additional Notes below. Reservations in the Auditor s Certificate / Report Indicate any qualifications in the audit report. 36. Transactions with parent or group company 37. Acceptance of management assurances 38. Accounting breakdown 39. Unable to substantiate cash transactions 40. Other 36 37 38 39 40 Change of Accounting policies Indicate any change in the accounting policy in relation to: 41. Depreciation of fixed assets 42. Stocks and work in progress 43. Property Development transactions 44. Other 41 42 43 44 Prior Year Adjustments 45. Indicate if there are prior year adjustments arising from changes in accounting policies or from correction of fundamental errors 45 Change in nature of Company s / business activities 46. Indicate if there was a change in the nature of the company s / business activities during the accounting period. 46 Exceptional Items arising during the year 47. Have exceptional items, as defined in the Financial Reporting Standards, occurred during the year? 47 Additional Notes - If you wish to expand on any item listed 36-47 above use this notes panel. Page 4
2 - RENTAL INCOME Rental Income D5 Balancing Charges B2 Capital Allowances J4 Losses carried forward from preceding accounting periods S5 3 - INTEREST ARISING IN THE STATE Gross Interest received or credited (without deduction of Irish tax) D3 Gross Interest received or credited (under deduction of Irish tax)* D6 *Ensure that the appropriate credit is entered in Panel 16 at code T6 4 - FOREIGN INCOME (excluding Foreign Life Policies and Offshore Funds) All amounts should be in Euro Source(s) of Income TOTAL F5 5 - FOREIGN LIFE POLICIES (PART 26 CH 6 TCA 1997) All amounts should be in Euro Give the following details in respect of a policy issued in the accounting period ending in the year 2004 from any Member State of the EU or EEA, or from a Member State of the OECD with which Ireland has a double taxation agreement. (a) Name & address of person who commenced the foreign life policy (b) Terms of the policy (c) Annual premiums payable (d) Name & address of the person through whom the foreign life policy was acquired (e) Payment taxable Case III Sch. D (Section 730J(b) TCA 1997) F3 (f) Gain taxable Case IV Sch. D (Section 730K(1) TCA 1997) F4 6 - OFFSHORE FUNDS (PART 27 CH 4 TCA 1997) All amounts should be in Euro Give the following details in respect of any material interest in offshore fund(s) in the EU or EEA, or in a Member State of the OECD with which Ireland has a double taxation agreement. (a) Income taxable Case III Sch. D (Section 747D(b) TCA 1997) F6 Where the payment is not taken into account in computing the profits or gains of a trade carried on by the company (b) Gain taxable @ 23% Case IV Sch. D (Section 747E(1)(a) TCA 1997) F7 And in respect of any such material interest acquired in the accounting period ending in the year 2004 give the following additional details: (c) Name & address of offshore fund(s) (d) Date material interest was acquired / / (e) Amount of capital invested in acquiring the material interest (f) Name & address of intermediary (if any) through whom the material interest was acquired 7 - OTHER INCOME Other Income received under deduction of Irish tax D8 Other Income received without deduction of Irish tax D4 Page 5
8 - CAPITAL GAINS (other than on land with Development Value) Description Indicate Disposals between Acreage Consideration* connected persons Agricultural Land / Buildings Shares / Securities - Quoted Unquoted Commercial Premises *(Substitute market value where disposal not made at arms length) Residential Premises Other assets Incidental cost(s) of disposal(s) Aggregate net consideration (after incidental costs of disposals) Cost of acquisition (If assets acquired prior to 6/4/1974 or acquired otherwise not at arms length substitute market value for cost indexed where appropriate) Indicate if not at arms length Amount of enhancement expenditure claimed (indexed where appropriate) Amount of net gain Amount of net loss Previous gains rolled-over (now chargeable) Losses brought forward Amount of Gain chargeable @ 20% (Enter the amount of the gain and not the amount of the tax payable) G8 Amount of Gain chargeable @ 40% (Enter the amount of the gain and not the amount of the tax payable) 9 - DEDUCTIONS Management Expenses H2 Excess Capital Allowances - Section 308(4) TCA 1997 H3 Other deductions - specify H8 10 - RELIEFS Double Taxation Relief R2 Other Reliefs - specify R9 Relief on Value Basis (Note: Enter amounts of gross Loss/Charge/Group Relief to be offset) Manufacturing Losses L1 Manufacturing Charges L2 Manufacturing Group Relief L3 Trading Losses L4 Trading Charges L5 Trading Group Relief L6 11 - SURCHARGES (Section 440 and Section 441 TCA 1997) Surcharges in respect of Accounting Periods ended in the 12 months preceding this Accounting Period Section 440 TCA 1997 V1 Section 441 TCA 1997 V2 12 - RESEARCH AND DEVELOPMENT TAX CREDIT Amount of credit claimed under Section 766 TCA 1997 Amount of credit claimed on the construction or refurbishment on a building under Section 766A TCA 1997 Amount of Group Relief claimed under Section 766A TCA 1997 (excess credit claimed) Total credit claimed LA Amount of Group Relief surrendered under Section 766A(4)(b) TCA 1997 (excess credit surrendered) Page 6
13 - AMOUNTS PAYABLE UNDER DEDUCTION OF INCOME TAX Payments in respect of which the company is liable to account for Income Tax - Section 239 TCA 1997 Description Date of Payment Gross Amount ( ) Tax Deducted/Deductible ( ) 14 - AMENDMENT TO PRIOR YEAR RETURNS If an adjustment is required to a prior year assessment in respect of: TOTAL V9 Repayment of Directors Loans, state Accounting period(s) originally assessed Amount of loan repaid Amount of refund due Claim for relief under Section 396A(3) TCA 1997 (carry-back of losses) State amount of loss (restricted by Section 1085 TCA 1997 where necessary) to be set back 15 - CLAWBACK OF EMPLOYER S TAX RELIEF AT SOURCE (TRS) Enter here the amount of tax relief at source in respect of medical insurance premiums paid to an authorised insurer as a perquisite for employees. Amount of Tax Relief at Source granted V3 16 - OTHER CREDITS Gross Professional Services Withholding Tax on fees included at Panel 1 T5 (include any amount already refunded as part of an interim refund claim) Other income tax borne on income received T6 If this includes tax borne on exempt profits (as listed at Panel 22), tick this box 17 - DISTRIBUTIONS RECEIVED FROM COMPANIES RESIDENT IN THE STATE All distributions should be entered 18 - OPTIONAL STATEMENT OF LIABILITY Under Pay and File, in addition to filing your tax return by the specified date, you must pay any balance of Corporation Tax due for the relevant period. If you wish you may indicate, in the space provided below, your figure for tax payable / repayable. Amount (before credit for Preliminary Tax) Payable P8 Repayable R8 When you complete this Panel and at the time of making the assessment the Inspector (1) accepts your calculation, the notice of assessment will show the figure you have calculated, or (2) does not accept your calculation, a notice of assessment showing the Inspector s calculation will issue to you. 19 - CAPITAL GAINS ON LAND WITH DEVELOPMENT VALUE Description Indicate Disposals between Acreage Consideration* connected persons Development Land / Buildings Shares / Securities Commercial Premises *(Substitute market value where disposal not made at arms length) Residential Premises Other assets Incidental cost(s) of disposal(s) Aggregate net consideration (after incidental costs of disposals) Cost of acquisition (If assets acquired prior to 6/4/1974 or acquired otherwise not at arms length substitute market value for cost indexed where appropriate) Indicate if not at arms length Current use value (indexed where appropriate) Cost less current use value (no indexation) Amount of enhancement expenditure claimed (no indexation) Amount of net gain Amount of net loss Losses brought forward (loss on sale of development land only) Amount of chargeable gain (initial period) chargeable @ 20%, tax due = Amount of chargeable gain (later period) chargeable @ 20%, tax due = The completion of this Panel will satisfy the return filing requirement under Section 951(1)(a) TCA 1997. Alternatively, you may complete Form CG1 which is available from your Revenue office. Page 7
20 - RETURN OF DIRECTORS EMOLUMENTS, BENEFITS, ETC. ACCOUNTING PERIOD From To EMPLOYER S REGISTRATION NUMBER NAME OF COMPANY Name PPS. No. Salary, fees Expenses Amounts paid to other Assets Assets Other benefits of of and other payments made persons to defray expenses transferred provided for or facilities for Director Director remuneration ( ) to Director ( ) incurred by Director ( ) to Director Director s use Director s use Page 8
21 - CAPITAL GAINS - PARTICULARS OF ASSETS ACQUIRED Description Dates Acquired Cost of Acquisition ( ) 22 - EXEMPT PROFITS Profits in respect of which the company has a statutory entitlement to exemption (other than amounts entered at Panel 17) Patent Income (Section 234 TCA 1997) Other (specify) The following is required where the accounting period commenced on or after 1 Januray 2004. Net profit or gains from Stallion Fees (Section 231 TCA 1997). If a loss, enter the amount of the loss in brackets. Net profit or gains from Woodlands (Section 232 TCA 1997). If a loss, enter the amount of the loss in brackets. Net profit or gains from Greyhound Stud Fees (Section 233 TCA 1997). If a loss, enter the amount of the loss in brackets. 23 - CURRENT AND LOAN ACCOUNTS OF DIRECTORS AND PARTICIPATORS Name of Director Opening Balance Debits, Credits, Closing Balance or Participator State whether Dr. or Cr. ( ) Advances ( ) Repayments ( ) Dr. or Cr. ( ) 24 - CLOSE COMPANIES ONLY: SHAREHOLDERS AND OTHER PARTICIPATORS In the case of close companies, enter - (a) details of the beneficial ownership of the issued shares and loan stock (including debentures) during the accounting period Name Address Holding of Shares etc. (b) the names and addresses of all other persons who were participators in the company at any time during the accounting period Name Address 25 - GROUPS In the case of a company which has subsidiaries, state Name(s) of Subsidiary(ies) Reference Number(s) Country(ies) of Residence 26 - GROUP RELIEF Surrender of losses, etc. Name of company to which loss surrendered Reference Number Nature of Relief* Amount Surrendered ( ) Claim to losses, etc. Name of company from which loss claimed Reference Number Nature of Relief* Amount Claimed ( ) *Nature of Relief: State whether surrender of Losses, Capital Allowances, Management Expenses, Charges, Research and Development Expenditure Has each company all the qualifications for entitlement as set out in Sections 411-418 TCA 1997 inclusive? Tick appropriate box YES NO Page 9
27 - ASSOCIATED COMPANIES In the case of a company which has associated companies, state Name of associated company Reference Number Shareholders and their % shareholding 28 - FOREIGN DEPOSIT ACCOUNTS (SECTION 895 TCA 1997) All amounts should be in Euro Give the following details for each foreign deposit account opened during the accounting period ending in the year 2004, of which the company was the beneficial owner Name and address of Date account Amount (in ) Name and address of intermediary, if any, deposit holder (bank etc.) was opened deposited on opening through whom account was opened [Include details of interest received from these accounts in panel 4] 29 - OTHER OFFSHORE PRODUCTS All amounts should be in Euro Give the following details for each material interest in offshore products acquired in the accounting period ending in the year 2004 outside the EU or EEA, or outside any Member State of the OECD with which Ireland has a double taxation agreement. (a) Name & address of offshore products (b) Date material interest was acquired / / (c) Amount of payment made in acquiring the material interest (d) Name & address of intermediary (if any) through whom the material interest was acquired 30 - DIVIDEND WITHHOLDING TAX (DWT) Has the company made a distribution in the accounting period? Tick appropriate box YES NO If the answer is YES, please provide the following details in relation to the distribution:- Date of Distribution Gross Value of Distribution Value of DWT deducted, if any ( ) 31 - STAPLED STOCK ARRANGEMENTS If the company entered into a stapled stock arrangement, under Section 172L TCA 1997, with a non-resident company and the non-resident company made any distribution in the accounting period, provide the following details: Name of non-resident company Name and address of recipient of distribution Date of distribution Amount of the distribution ( ) Page 10