Phased Payment Arrangement with Revenue: preparation sheet
Name: [NAME] · PPSN: [PPSN] · Tax: [INCOME TAX / FORM 11 BALANCE, OTHER]
1. Can I apply?
- ☐ Total debt, including interest and penalties, is more than €500: [AMOUNT]
- ☐ All tax returns due to Revenue are filed (Form 11 for [YEAR] filed on [DATE])
- ☐ I do not have an existing Phased Payment Arrangement
- ☐ I can pay my current taxes as they fall due
2. What I will propose
| Item | My figure |
|---|---|
| Total debt | [AMOUNT] |
| Down-payment I can make now | [AMOUNT] |
| Repayment period | [NUMBER] months |
| Monthly instalment | [AMOUNT] |
| Preferred repayment date | [DAY OF THE MONTH] |
| Bank account for direct debit | [BANK, IBAN LAST 4 DIGITS] |
3. Six-month cash flow (Revenue may ask for it)
| Month | Money in | Money out | Left for tax |
|---|---|---|---|
| [MONTH 1] | [AMOUNT] | [AMOUNT] | [AMOUNT] |
| [MONTH 2] | [AMOUNT] | [AMOUNT] | [AMOUNT] |
| [MONTH 3] | [AMOUNT] | [AMOUNT] | [AMOUNT] |
| [MONTH 4] | [AMOUNT] | [AMOUNT] | [AMOUNT] |
| [MONTH 5] | [AMOUNT] | [AMOUNT] | [AMOUNT] |
| [MONTH 6] | [AMOUNT] | [AMOUNT] | [AMOUNT] |
4. Apply and follow up
- ☐ Applied in ROS with the ePPA1 form on [DATE]
- ☐ Bank statements ready, if asked
- ☐ Revenue reply expected within ten days: by [DATE]
- ☐ Extra information requested? Replied on [DATE] (if not answered in time, the application is cancelled)