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SELF
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SPOUSE/PARTNER
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Earned Income(s)
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Gross annual salary/wage/drawings
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N.B. How much of your salary is pensionable?
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Take home (net) amount
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Highest tax rate payable
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Are any of the following earned, and how much
Bonuses
Commissions
Fees
Overtime
Profit Share
Profit related pay
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TOTAL EARNED INCOME
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Other Income from:
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Annuities
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Bank Deposits 1
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Bank Deposits 2
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Bank Deposits 3
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NI Number
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Building Society Account 1
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Building Society Account 2
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Building Society Account 3
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Dividend from shares
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Insurance Bonds
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National Savings
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Pensions in Payment:
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Occupational
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Self-employed
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State pensions
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Rents receivable
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State Benefits
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Trust Income
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Unit Trusts
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Other eg investments abroard
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TOTAL UNEARNED INCOME
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TOTAL EARNED AND UNEARNED
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