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Form 11 2012 - Revenue Commissioners

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<strong>2012</strong>120 ANY PANEL(S) OR SECTION(S) THAT DO NOT REQUIRE AN ENTRY SHOULD BE LEFT BLANK.<br />

PPS Number<br />

Spouse or<br />

Self<br />

Civil Partner<br />

8<strong>11</strong>. Personal Exemption<br />

(max €1,270 per spouse or civil partner & not transferable)<br />

.00 .00<br />

,<br />

,<br />

Note: losses, including losses forward, must be used first<br />

812. Net Chargeable Gain (excluding Foreign Life Policies)<br />

, ,<br />

. 00<br />

, ,<br />

. 00<br />

813. Chargeable Gain on Foreign Life Policies<br />

, ,<br />

. 00<br />

, ,<br />

. 00<br />

814. Unused Loss(es) for carry forward to 2013 .<br />

.<br />

, ,<br />

00<br />

, ,<br />

00<br />

If you have an overall CGT loss in <strong>2012</strong> there is no need to complete Lines 815 or 816.<br />

815. In respect of net chargeable gains that arose in the period 1 January <strong>2012</strong> - 30 November <strong>2012</strong><br />

(a) Enter amount of net gain to be charged at 30%<br />

, ,<br />

. 00<br />

, ,<br />

. 00<br />

(b) Enter amount of net gain to be charged at 40%<br />

(excluding Foreign Life Policies)<br />

, ,<br />

. 00<br />

, ,<br />

. 00<br />

(c) Enter amount of net gain on Foreign Life Policies<br />

.<br />

to be charged at 40%<br />

, ,<br />

00<br />

, ,<br />

. 00<br />

(d) Enter amount of net gain in respect of Venture<br />

Fund Capital to be charged at 15%<br />

, ,<br />

. 00<br />

, ,<br />

. 00<br />

(e) (i) Enter amount of net gain in respect of a disposal<br />

of land under Compulsory Purchase Order (CPO)<br />

.<br />

.<br />

, ,<br />

00<br />

, ,<br />

00<br />

which has accrued in <strong>2012</strong> by virtue of S. 542(1)(d)<br />

(ii) Date of disposal (DD/MM/YYYY) / / / /<br />

(f) Enter the amount of net gain on windfall gains<br />

attributable to rezoning/relevant planning decisions<br />

.<br />

.<br />

, ,<br />

00<br />

, ,<br />

00<br />

to be charged at 80% (S. 649B)<br />

816. In respect of net chargeable gains that arose in the period 1 December <strong>2012</strong> - 31 December <strong>2012</strong><br />

(a) (i) Enter amount of net gain to be charged at 30%<br />

- disposal between 1/12/<strong>2012</strong> and 5/12/<strong>2012</strong><br />

, ,<br />

. 00<br />

, ,<br />

. 00<br />

(ii) Enter amount of net gain to be charged at 33%<br />

- disposal between 6/12/<strong>2012</strong> and 31/12/<strong>2012</strong><br />

, ,<br />

. 00<br />

, ,<br />

. 00<br />

(b) Enter amount of net gain to be charged at 40%<br />

(excluding Foreign Life Policies)<br />

, ,<br />

. 00<br />

, ,<br />

. 00<br />

(c) Enter amount of net gain on Foreign Life Policies<br />

to be charged at 40%<br />

, ,<br />

. 00<br />

, ,<br />

. 00<br />

(d) Enter amount of net gain in respect of Venture<br />

Fund Capital to be charged at 15%<br />

, ,<br />

. 00<br />

, ,<br />

. 00<br />

(e) (i) Enter amount of net gain in respect of a disposal<br />

of land under Compulsory Purchase Order (CPO)<br />

.<br />

.<br />

, ,<br />

00<br />

, ,<br />

00<br />

which has accrued in <strong>2012</strong> by virtue of S. 542(1)(d)<br />

(ii) Date of disposal (DD/MM/YYYY) / / / /<br />

(f) Enter the amount of net gain on windfall gains<br />

attributable to rezoning/relevant planning decisions<br />

.<br />

.<br />

, ,<br />

00<br />

, ,<br />

00<br />

to be charged at 80% (S. 649B)<br />

N - CHARGEABLE ASSETS ACQUIRED IN <strong>2012</strong><br />

817. Enter the number of assets acquired and the consideration given<br />

Self Spouse or<br />

Description of Assets<br />

Civil Partner<br />

Number of Assets<br />

(a) Shares (quoted and unquoted)<br />

(b) Residential Premises<br />

(c) Commercial Premises<br />

(d) Agricultural Land<br />

(e) Development Land<br />

(f) Business Assets<br />

(g) Antiques/Works of Art<br />

(h) Other<br />

PAGE 21<br />

Self<br />

Consideration<br />

,<br />

,<br />

,<br />

,<br />

,<br />

,<br />

,<br />

,<br />

,<br />

,<br />

,<br />

,<br />

,<br />

,<br />

,<br />

,<br />

. 00<br />

. 00<br />

. 00<br />

. 00<br />

. 00<br />

. 00<br />

. 00<br />

. 00<br />

Spouse or<br />

Civil Partner<br />

Consideration<br />

,<br />

,<br />

,<br />

,<br />

,<br />

,<br />

,<br />

,<br />

FOR OFFICE USE ONLY<br />

,<br />

,<br />

,<br />

,<br />

,<br />

,<br />

,<br />

,<br />

. 00<br />

. 00<br />

. 00<br />

. 00<br />

. 00<br />

. 00<br />

. 00<br />

. 00

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