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P11d Word Template Form 2017
You should submit this form or visit www.revenue.ie and enter your Employer’s Registration
Number into Revenue’s contact locator.
Please read the Notes section before completing this form.
Return by employer of benefits, non-cash emoluments and payments not subjected to
PAYE/Universal Social Charge (USC) provided to directors and certain employees
(Section 897, Taxes Consolidation Act 1997)
You are hereby required to prepare and deliver to me a return, for the period 1 January 2017 to 31...
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