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Personell Form - Payroll Tax Form: Alejandro Zamora 47300485L 323845630

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- PERSONELL FORM 

- PAYROLL TAX FORM 

Why this form?


As your employer we have to withhold “loonbelasting” (wage tax and premium national
insurance) from your income. Therefore we need your personal details. By filling out this form,
you provide us the data we need. Moreover, you can indicate whether you want us to apply for a
deduction on the “loonbelasting”.

Personal details

Name : ​Alejandro ID- Details


and surname : ​Zamora ID- Card or Passport? ​47300485L
Name partner : (no driver’s license)
(if it needs to be added to the payslip)  Doc. Number:
Mail address : ​itsalexzeta@gmail.com  BSN number : ​323845630

Address
Street name : ​Hamerstraat Date of Birth : ​12/02/1986
Number : ​2-4 Nationality : ​Spanish
Postal code : ​ 1021JV Gender : ​Male
City : ​Amsterdam Marital Condition: ​Single

Tel. Number(s) Bank account Number


Home : ---- IBAN ​NL45 INGB 0795 5235 64
Mobile/cell : 0 638919445
Emergency nr : ​+34 665771864 To Clock in
+ relationship ​(wife, brother, neighbour, etc.)
o Fingerscan ​X
o Clock-in-card

 
 
 
 
Applying the wage tax deduction 
The  wage  tax  deduction  is  a  discount  on  the  wage  tax/premium  national  insurance.  Your  employer 
automatically applies for the deduction. However, the deduction can only be applied for by one employer 
at  a  time  (normally  this  is  the  employer  at  which  you  earn  most)  and  it  can  only  be  applied  ​per month. 
Tick  “Yes”  and  fill  out  the  date  if  you  want  us to apply the deduction. If your situation changes, you can 
submit a written request by filling out a new form.  
Always  fill  out  the 
date!  
Do you want us to apply the wage tax deduction? ​ □ ​Yes, as of 
​X​ ​No, as of 
Signed by employee 
Date: Signature: 

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