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How do I fill this out?

To fill out this form, make sure you meet the eligibility conditions. Enter your personal details accurately, including your Citizen Service Number and income information. Attach necessary documents and send the form to the indicated address.

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How to fill out the Application for Tax Exemption for Non-Residents?

  1. 1

    Determine if you meet the eligibility criteria.

  2. 2

    Complete your personal details accurately.

  3. 3

    Attach all required documents.

  4. 4

    Send the form to the provided address.

  5. 5

    Wait for a response within 8 weeks.

Who needs the Application for Tax Exemption for Non-Residents?

  1. 1

    Non-residents earning income from the Netherlands and seeking tax exemption.

  2. 2

    Individuals with a Citizen Service Number (bsn) looking to avoid double taxation.

  3. 3

    People receiving benefits or pensions from the Netherlands.

  4. 4

    Employees working for Dutch employers while residing in another country.

  5. 5

    Individuals required to submit evidence of tax liability in their country of residence.

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What are the instructions for submitting this form?

Complete the form with accurate personal and income details. Attach all required documents and send the form to: Belastingdienst/Kennis- en Expertisecentrum Buitenland, Team Loonheffing Buitenland, Postbus 2865, 6401 DJ Heerlen, the Netherlands. Ensure the envelope has proper postage. For questions, call the Tax Information Line for Non-resident Tax Issues at +31 555 385 385.

What are the important dates for this form in 2024 and 2025?

Ensure your exemption application is within the current year or the following year. For example, if applying for income starting January 1, submit after October 1 of the previous year.

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What is the purpose of this form?

The purpose of this form is to allow non-residents with income from the Netherlands to apply for an exemption from wage tax and/or national insurance contributions. This exemption ensures that individuals do not have to pay taxes or contributions in the Netherlands while residing in another country. By submitting this form, eligible applicants can prevent double taxation and manage their financial obligations effectively.

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Tell me about this form and its components and fields line-by-line.

This form contains various fields to capture essential information for assessing the applicant's eligibility for tax exemption.
fields
  • 1. Citizen Service Number (bsn): A unique identifier required for processing the tax exemption application.
  • 2. Personal Details: Includes initial(s), surname, date of birth, address, phone number, and email address.
  • 3. Country of Residence: Indicates whether the applicant is a domiciled resident of the specified countries.
  • 4. Income Details: Information about the income for which the exemption is being applied, including IBAN number.
  • 5. Partner Details: If applicable, includes personal details of the applicant's partner.
  • 6. Living Accommodation: Details of any living accommodation the applicant or partner has in the Netherlands.
  • 7. Family Members in the Netherlands: Information regarding any family members who stayed behind in the Netherlands.

What happens if I fail to submit this form?

Failure to submit this form may result in continued withholding of wage tax and national insurance contributions on your Dutch income. This could lead to double taxation and decreased net income.

  • Double Taxation: You may pay taxes both in your country of residence and the Netherlands.
  • Reduced Net Income: Withholding of contributions can lower your overall income.
  • Compliance Issues: Failure to comply with tax regulations can lead to legal and financial complications.

How do I know when to use this form?

Use this form if you are a non-resident with income from the Netherlands and seek exemption from wage tax and national insurance contributions.
fields
  • 1. Employment Income: If you earn a salary from a Dutch employer while residing abroad.
  • 2. Pension Income: If you receive a pension from the Netherlands and live in another country.
  • 3. Benefit Income: If you receive social security or other benefits from Dutch agencies.
  • 4. Ownership of Dutch Property: If you own property in the Netherlands but live elsewhere.
  • 5. Tax Residency Documentation: If you need to provide evidence of tax liability in your country of residence.

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Application for Tax Exemption for Non-Residents

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