e-form

Tax Deduction on Fees paid for cultural and creative courses

Details of person paying the fees

Name and Surname

Identity Card Number





Address

Telephone/ Mobile No.

E-mail

Details of participant (under 16 years of age)

Name and Surname





Date of Birth





Details of the Entity/Individual providing the course

Name

Income Tax Number





School Leaving Certificate (SLC) No.





Select one

Cultural





Creative







Fees paid (Amount should cover a yearly period that is from January to December)

Year in which fees were paid

Total Amount in € (Covering January - December)

I confirm that the information in this document is, to the best of my knowledge, true and correct. (Signed by the person or official from the entity providing the course)

Name and Surname





Signature





Date







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