Reply to request for information on amount of income - special non-contributory cash benefits

M051 - Reply to request for information on amount of income - special non-contributory cash benefits
Article 70 of Regulation (EC) No 883/2004

SED API version: 0.15.2 build 3
Model version: 4.1.0

1. Person Income Received * [ SED ]

1.1. Person * [ SC ]

1.1.1. Person Identification * [ CC ]

1.1.1.1. Family name(s) *

[ BDT ] {{metaSection.familyName.$$error}} {{metaSection.familyName.$$warning}}

1.1.1.2. Forename(s) *

[ BDT ] {{metaSection.forename.$$error}} {{metaSection.forename.$$warning}}

1.1.1.3. Date of birth *

[ BDT ] {{metaSection.dateBirth.$$error}} {{metaSection.dateBirth.$$warning}}

1.1.1.4. Sex *

[ ENUM ] {{metaSection.sex.$$error}} {{metaSection.sex.$$warning}}

1.1.1.5. Family name(s) at birth

[ BDT ] {{metaSection.familyNameAtBirth.$$error}} {{metaSection.familyNameAtBirth.$$warning}}

1.1.1.6. Forename(s) at birth

[ BDT ] {{metaSection.forenameAtBirth.$$error}} {{metaSection.forenameAtBirth.$$warning}}

1.1.1.7. PIN of the person in each institution

[ CC ]

1.1.1.7.1. Personal Identification Number(s) * [ CC ]

1.1.1.7.1.1. Country *

[ ENUM ] {{metaSection.country.$$error}} {{metaSection.country.$$warning}}

1.1.1.7.1.2. Personal Identification Number (PIN) *

[ BDT ] {{metaSection.personalIdentificationNumber.$$error}} {{metaSection.personalIdentificationNumber.$$warning}}

1.1.1.7.1.3. Sector

[ ENUM ] {{metaSection.sector.$$error}} {{metaSection.sector.$$warning}}

1.1.1.7.1.4. Institution

[ CC ]

1.1.1.7.1.4.1. Institution ID *

[ BDT ] {{metaSection.institutionID.$$error}} {{metaSection.institutionID.$$warning}}

1.1.1.7.1.4.2. Institution Name *

[ CDT ] {{metaSection.institutionName.$$error}} {{metaSection.institutionName.$$warning}}

1.1.1.7.1.Personal Identification Number(s)

1.1.1.8. If PIN not provided for every institution, please provide

[ CC ]

1.1.1.8.1. Place of birth

[ CC ]

1.1.1.8.1.1. Town *

[ CDT ] {{metaSection.town.$$error}} {{metaSection.town.$$warning}}

1.1.1.8.1.2. Region

[ CDT ] {{metaSection.region.$$error}} {{metaSection.region.$$warning}}

1.1.1.8.1.3. Country *

[ ENUM ] {{metaSection.country.$$error}} {{metaSection.country.$$warning}}

1.1.1.8.2. Father's family name at birth

[ BDT ] {{metaSection.fatherFamilyNameAtBirth.$$error}} {{metaSection.fatherFamilyNameAtBirth.$$warning}}

1.1.1.8.3. Forename of father

[ BDT ] {{metaSection.forenameFather.$$error}} {{metaSection.forenameFather.$$warning}}

1.1.1.8.4. Mother's family name at birth

[ BDT ] {{metaSection.motherFamilyNameAtBirth.$$error}} {{metaSection.motherFamilyNameAtBirth.$$warning}}

1.1.1.8.5. Forename of mother

[ BDT ] {{metaSection.forenameMother.$$error}} {{metaSection.forenameMother.$$warning}}

1.1.2. Additional information on the person [ SC ]

1.1.2.1. Nationality

[ ENUM ] {{metaSection.nationality.$$error}} {{metaSection.nationality.$$warning}}

1.1.2.2. Status of the person

[ ENUM ] {{metaSection.statusPerson.$$error}} {{metaSection.statusPerson.$$warning}}

1.1.2.3. Please fill in the following if "Status of the person" = "Other" : [ SC ]

1.1.2.3.1. Other status

[ CDT ] {{metaSection.otherStatus.$$error}} {{metaSection.otherStatus.$$warning}}

1.1.2.4. Address of the person [ SC ]

1.1.2.4.1. Type of address

[ ENUM ] {{metaSection.typeAddress.$$error}} {{metaSection.typeAddress.$$warning}}

1.1.2.4.2. Address

[ CC ]

1.1.2.4.2.1. Street

[ CDT ] {{metaSection.street.$$error}} {{metaSection.street.$$warning}}

1.1.2.4.2.2. Building Name

[ CDT ] {{metaSection.buildingName.$$error}} {{metaSection.buildingName.$$warning}}

1.1.2.4.2.3. Town *

[ CDT ] {{metaSection.town.$$error}} {{metaSection.town.$$warning}}

1.1.2.4.2.4. Postal Code

[ CDT ] {{metaSection.postalCode.$$error}} {{metaSection.postalCode.$$warning}}

1.1.2.4.2.5. Region

[ CDT ] {{metaSection.region.$$error}} {{metaSection.region.$$warning}}

1.1.2.4.2.6. Country *

[ ENUM ] {{metaSection.country.$$error}} {{metaSection.country.$$warning}}

1.1.2.5. Pursues a professional or trade activity

[ ENUM ] {{metaSection.pursuesAProfessionalOrTradeActivityIndicator.$$error}} {{metaSection.pursuesAProfessionalOrTradeActivityIndicator.$$warning}}

1.2. Income received during the period in respect of which information is requested [ SED ]

1.2.1. Type of income received: *

[ ENUM ] {{metaSection.typeIncomeReceived.$$error}} {{metaSection.typeIncomeReceived.$$warning}}

1.2.2. Please fill in the following if "Type of income received" = "Social security benefits": [ SED ]

1.2.2.1. Social security benefit

[ ENUM ] {{metaSection.socialSecurityBenefit.$$error}} {{metaSection.socialSecurityBenefit.$$warning}}

1.2.3. Income received during the period in respect of which information is requested * [ SED ]

1.2.3.1. Start date

[ BDT ] {{metaSection.startDate.$$error}} {{metaSection.startDate.$$warning}}

1.2.3.2. End date

[ BDT ] {{metaSection.endDate.$$error}} {{metaSection.endDate.$$warning}}

1.2.3.3. Amount

[ PRIM ] {{metaSection.amount.$$error}} {{metaSection.amount.$$warning}}

1.2.3.4. Currency

[ ENUM ] {{metaSection.currency.$$error}} {{metaSection.currency.$$warning}}

1.2.Income received during the period in respect of which information is requested

1.3. Information on fixed assets during the period in respect of which information is requested [ SED ]

1.3.1. Property in respect of which the person is either the owner or the holder of a beneficial interest [ SED ]

1.3.1.1. Type of ownership

[ ENUM ] {{metaSection.typeOwnership.$$error}} {{metaSection.typeOwnership.$$warning}}

1.3.1.2. Type of property

[ ENUM ] {{metaSection.typeProperty.$$error}} {{metaSection.typeProperty.$$warning}}

1.3.1.3. Taxable income from each of these properties (fixed assets) [ CC ]

1.3.1.3.1. Amount *

[ BDT ] {{metaSection.amount.$$error}} {{metaSection.amount.$$warning}}

1.3.1.3.2. Currency *

[ ENUM ] {{metaSection.currency.$$error}} {{metaSection.currency.$$warning}}

1.3.1.4. Present value of these properties (fixed assets) [ CC ]

1.3.1.4.1. Amount *

[ BDT ] {{metaSection.amount.$$error}} {{metaSection.amount.$$warning}}

1.3.1.4.2. Currency *

[ ENUM ] {{metaSection.currency.$$error}} {{metaSection.currency.$$warning}}

1.3.1.5. Address in the country where these properties (fixed assets) are

[ CC ]

1.3.1.5.1. Street

[ CDT ] {{metaSection.street.$$error}} {{metaSection.street.$$warning}}

1.3.1.5.2. Building Name

[ CDT ] {{metaSection.buildingName.$$error}} {{metaSection.buildingName.$$warning}}

1.3.1.5.3. Town *

[ CDT ] {{metaSection.town.$$error}} {{metaSection.town.$$warning}}

1.3.1.5.4. Postal Code

[ CDT ] {{metaSection.postalCode.$$error}} {{metaSection.postalCode.$$warning}}

1.3.1.5.5. Region

[ CDT ] {{metaSection.region.$$error}} {{metaSection.region.$$warning}}

1.3.1.5.6. Country *

[ ENUM ] {{metaSection.country.$$error}} {{metaSection.country.$$warning}}

1.3.1.5.Address in the country where these properties (fixed assets) are

1.3.1.6. The Person occupies a dwelling in respect of which he/she, his/her spouse/partner or his/her member of the family is either the owner or the holder of a beneficial life interest?

[ ENUM ] {{metaSection.thePersonOccupiesADwellingIsOwnerABeneficialLifeIndicator.$$error}} {{metaSection.thePersonOccupiesADwellingIsOwnerABeneficialLifeIndicator.$$warning}}

1.3.1.7. Please fill in the following if "The person named in this section occupy a dwelling in respect of which he/she is either the owner or the holder of a beneficial life interest" = "Yes" : [ SED ]

1.3.1.7.1. Taxable income of the dwelling occupied [ CC ]

1.3.1.7.1.1. Amount *

[ BDT ] {{metaSection.amount.$$error}} {{metaSection.amount.$$warning}}

1.3.1.7.1.2. Currency *

[ ENUM ] {{metaSection.currency.$$error}} {{metaSection.currency.$$warning}}

1.3.Information on fixed assets during the period in respect of which information is requested

1.4. Information on transferred property during the period in respect of which information is requested [ SED ]

1.4.1. Property has been transferred either in return for payment or free of charge within the period in respect of which information is requested by the person named [ SED ]

1.4.1.1. Type of property

[ ENUM ] {{metaSection.typeProperty.$$error}} {{metaSection.typeProperty.$$warning}}

1.4.1.2. Date of transfer

[ BDT ] {{metaSection.dateTransfer.$$error}} {{metaSection.dateTransfer.$$warning}}

1.4.1.3. Value of property at the time of transfer [ CC ]

1.4.1.3.1. Amount *

[ BDT ] {{metaSection.amount.$$error}} {{metaSection.amount.$$warning}}

1.4.1.3.2. Currency *

[ ENUM ] {{metaSection.currency.$$error}} {{metaSection.currency.$$warning}}

1.4.2. Is the person named in this section in possession of the proceeds from the transferred property? [ SED ]

1.4.2.1. Answer

[ ENUM ] {{metaSection.answerIndicator.$$error}} {{metaSection.answerIndicator.$$warning}}

1.4.2.2. Please fill in the following if "Answer" = "Yes" : [ SED ]

1.4.2.2.1. Details [ SED ]

1.4.2.2.1.1. What is the nature of these proceeds?

[ CDT ] {{metaSection.whatNatureTheseProceeds.$$error}} {{metaSection.whatNatureTheseProceeds.$$warning}}

1.4.2.2.1.2. What is the amount involved? [ CC ]

1.4.2.2.1.2.1. Amount *

[ BDT ] {{metaSection.amount.$$error}} {{metaSection.amount.$$warning}}

1.4.2.2.1.2.2. Currency *

[ ENUM ] {{metaSection.currency.$$error}} {{metaSection.currency.$$warning}}

1.4.2.Is the person named in this section in possession of the proceeds from the transferred property?

1.4.Information on transferred property during the period in respect of which information is requested

1.5. Information on enclosed "Statement(s) of income" if you fail to provide information about income or its part [ SED ]

1.5.1. The person submitted a "Statement(s) of Income" that can replace the information requested, related to the following type of income *

[ ENUM ] {{metaSection.personSubmittedAStatementIncomeCanReplaceRelatedTypeIncome.$$error}} {{metaSection.personSubmittedAStatementIncomeCanReplaceRelatedTypeIncome.$$warning}}

1.5.2. Please fill in the following if "The person submitted a "Statement(s) of Income" that can replace the information referred to the following income" = "Other type of income": [ SED ]

1.5.2.1. Other type of income

[ CDT ] {{metaSection.otherIncome.$$error}} {{metaSection.otherIncome.$$warning}}

1.5.Information on enclosed "Statement(s) of income" if you fail to provide information about income or its part

2. Spouse / Partner Income Received [ SED ]

2.1. Spouse/Partner [ SC ]

2.1.1. Person Identification * [ CC ]

2.1.1.1. Family name(s) *

[ BDT ] {{metaSection.familyName.$$error}} {{metaSection.familyName.$$warning}}

2.1.1.2. Forename(s) *

[ BDT ] {{metaSection.forename.$$error}} {{metaSection.forename.$$warning}}

2.1.1.3. Date of birth *

[ BDT ] {{metaSection.dateBirth.$$error}} {{metaSection.dateBirth.$$warning}}

2.1.1.4. Sex *

[ ENUM ] {{metaSection.sex.$$error}} {{metaSection.sex.$$warning}}

2.1.1.5. Family name(s) at birth

[ BDT ] {{metaSection.familyNameAtBirth.$$error}} {{metaSection.familyNameAtBirth.$$warning}}

2.1.1.6. Forename(s) at birth

[ BDT ] {{metaSection.forenameAtBirth.$$error}} {{metaSection.forenameAtBirth.$$warning}}

2.1.1.7. PIN of the person in each institution

[ CC ]

2.1.1.7.1. Personal Identification Number(s) * [ CC ]

2.1.1.7.1.1. Country *

[ ENUM ] {{metaSection.country.$$error}} {{metaSection.country.$$warning}}

2.1.1.7.1.2. Personal Identification Number (PIN) *

[ BDT ] {{metaSection.personalIdentificationNumber.$$error}} {{metaSection.personalIdentificationNumber.$$warning}}

2.1.1.7.1.3. Sector

[ ENUM ] {{metaSection.sector.$$error}} {{metaSection.sector.$$warning}}

2.1.1.7.1.4. Institution

[ CC ]

2.1.1.7.1.4.1. Institution ID *

[ BDT ] {{metaSection.institutionID.$$error}} {{metaSection.institutionID.$$warning}}

2.1.1.7.1.4.2. Institution Name *

[ CDT ] {{metaSection.institutionName.$$error}} {{metaSection.institutionName.$$warning}}

2.1.1.7.1.Personal Identification Number(s)

2.1.1.8. If PIN not provided for every institution, please provide

[ CC ]

2.1.1.8.1. Place of birth

[ CC ]

2.1.1.8.1.1. Town *

[ CDT ] {{metaSection.town.$$error}} {{metaSection.town.$$warning}}

2.1.1.8.1.2. Region

[ CDT ] {{metaSection.region.$$error}} {{metaSection.region.$$warning}}

2.1.1.8.1.3. Country *

[ ENUM ] {{metaSection.country.$$error}} {{metaSection.country.$$warning}}

2.1.1.8.2. Father's family name at birth

[ BDT ] {{metaSection.fatherFamilyNameAtBirth.$$error}} {{metaSection.fatherFamilyNameAtBirth.$$warning}}

2.1.1.8.3. Forename of father

[ BDT ] {{metaSection.forenameFather.$$error}} {{metaSection.forenameFather.$$warning}}

2.1.1.8.4. Mother's family name at birth

[ BDT ] {{metaSection.motherFamilyNameAtBirth.$$error}} {{metaSection.motherFamilyNameAtBirth.$$warning}}

2.1.1.8.5. Forename of mother

[ BDT ] {{metaSection.forenameMother.$$error}} {{metaSection.forenameMother.$$warning}}

2.1.2. Additional information on the person [ SC ]

2.1.2.1. Nationality

[ ENUM ] {{metaSection.nationality.$$error}} {{metaSection.nationality.$$warning}}

2.1.2.2. Relationship to the person named in section 1

[ ENUM ] {{metaSection.relationshipPersonNamedInSection1.$$error}} {{metaSection.relationshipPersonNamedInSection1.$$warning}}

2.1.2.3. Please fill in the following if "Relationship to the person named in section 1" = "Other" : [ SC ]

2.1.2.3.1. Other

[ CDT ] {{metaSection.other.$$error}} {{metaSection.other.$$warning}}

2.1.2.4. Address of the person [ SC ]

2.1.2.4.1. Type of address

[ ENUM ] {{metaSection.typeAddress.$$error}} {{metaSection.typeAddress.$$warning}}

2.1.2.4.2. Address

[ CC ]

2.1.2.4.2.1. Street

[ CDT ] {{metaSection.street.$$error}} {{metaSection.street.$$warning}}

2.1.2.4.2.2. Building Name

[ CDT ] {{metaSection.buildingName.$$error}} {{metaSection.buildingName.$$warning}}

2.1.2.4.2.3. Town *

[ CDT ] {{metaSection.town.$$error}} {{metaSection.town.$$warning}}

2.1.2.4.2.4. Postal Code

[ CDT ] {{metaSection.postalCode.$$error}} {{metaSection.postalCode.$$warning}}

2.1.2.4.2.5. Region

[ CDT ] {{metaSection.region.$$error}} {{metaSection.region.$$warning}}

2.1.2.4.2.6. Country *

[ ENUM ] {{metaSection.country.$$error}} {{metaSection.country.$$warning}}

2.1.2.4.Address of the person

2.1.2.5. Pursues a professional or trade activity

[ ENUM ] {{metaSection.pursuesAProfessionalOrTradeActivityIndicator.$$error}} {{metaSection.pursuesAProfessionalOrTradeActivityIndicator.$$warning}}

2.2. Income received during the period in respect of which information is requested [ SED ]

2.2.1. Type of income received: *

[ ENUM ] {{metaSection.typeIncomeReceived.$$error}} {{metaSection.typeIncomeReceived.$$warning}}

2.2.2. Please fill in the following if "Type of income received" = "Social security benefits": [ SED ]

2.2.2.1. Social security benefit

[ ENUM ] {{metaSection.socialSecurityBenefit.$$error}} {{metaSection.socialSecurityBenefit.$$warning}}

2.2.3. Income received during the period in respect of which information is requested * [ SED ]

2.2.3.1. Start date

[ BDT ] {{metaSection.startDate.$$error}} {{metaSection.startDate.$$warning}}

2.2.3.2. End date

[ BDT ] {{metaSection.endDate.$$error}} {{metaSection.endDate.$$warning}}

2.2.3.3. Amount

[ PRIM ] {{metaSection.amount.$$error}} {{metaSection.amount.$$warning}}

2.2.3.4. Currency

[ ENUM ] {{metaSection.currency.$$error}} {{metaSection.currency.$$warning}}

2.2.Income received during the period in respect of which information is requested

2.3. Information on fixed assets during the period in respect of which information is requested [ SED ]

2.3.1. Property in respect of which the person is either the owner or the holder of a beneficial interest [ SED ]

2.3.1.1. Type of ownership

[ ENUM ] {{metaSection.typeOwnership.$$error}} {{metaSection.typeOwnership.$$warning}}

2.3.1.2. Type of property

[ ENUM ] {{metaSection.typeProperty.$$error}} {{metaSection.typeProperty.$$warning}}

2.3.1.3. Taxable income from each of these properties (fixed assets) [ CC ]

2.3.1.3.1. Amount *

[ BDT ] {{metaSection.amount.$$error}} {{metaSection.amount.$$warning}}

2.3.1.3.2. Currency *

[ ENUM ] {{metaSection.currency.$$error}} {{metaSection.currency.$$warning}}

2.3.1.4. Present value of these properties (fixed assets) [ CC ]

2.3.1.4.1. Amount *

[ BDT ] {{metaSection.amount.$$error}} {{metaSection.amount.$$warning}}

2.3.1.4.2. Currency *

[ ENUM ] {{metaSection.currency.$$error}} {{metaSection.currency.$$warning}}

2.3.1.5. Address in the country where these properties (fixed assets) are

[ CC ]

2.3.1.5.1. Street

[ CDT ] {{metaSection.street.$$error}} {{metaSection.street.$$warning}}

2.3.1.5.2. Building Name

[ CDT ] {{metaSection.buildingName.$$error}} {{metaSection.buildingName.$$warning}}

2.3.1.5.3. Town *

[ CDT ] {{metaSection.town.$$error}} {{metaSection.town.$$warning}}

2.3.1.5.4. Postal Code

[ CDT ] {{metaSection.postalCode.$$error}} {{metaSection.postalCode.$$warning}}

2.3.1.5.5. Region

[ CDT ] {{metaSection.region.$$error}} {{metaSection.region.$$warning}}

2.3.1.5.6. Country *

[ ENUM ] {{metaSection.country.$$error}} {{metaSection.country.$$warning}}

2.3.1.5.Address in the country where these properties (fixed assets) are

2.3.1.6. The Person occupies a dwelling in respect of which he/she, his/her spouse/partner or his/her member of the family is either the owner or the holder of a beneficial life interest?

[ ENUM ] {{metaSection.thePersonOccupiesADwellingIsOwnerABeneficialLifeIndicator.$$error}} {{metaSection.thePersonOccupiesADwellingIsOwnerABeneficialLifeIndicator.$$warning}}

2.3.1.7. Please fill in the following if "The person named in this section occupy a dwelling in respect of which he/she is either the owner or the holder of a beneficial life interest" = "Yes" : [ SED ]

2.3.1.7.1. Taxable income of the dwelling occupied [ CC ]

2.3.1.7.1.1. Amount *

[ BDT ] {{metaSection.amount.$$error}} {{metaSection.amount.$$warning}}

2.3.1.7.1.2. Currency *

[ ENUM ] {{metaSection.currency.$$error}} {{metaSection.currency.$$warning}}

2.3.Information on fixed assets during the period in respect of which information is requested

2.4. Information on transferred property during the period in respect of which information is requested [ SED ]

2.4.1. Property has been transferred either in return for payment or free of charge within the period in respect of which information is requested by the person named [ SED ]

2.4.1.1. Type of property

[ ENUM ] {{metaSection.typeProperty.$$error}} {{metaSection.typeProperty.$$warning}}

2.4.1.2. Date of transfer

[ BDT ] {{metaSection.dateTransfer.$$error}} {{metaSection.dateTransfer.$$warning}}

2.4.1.3. Value of property at the time of transfer [ CC ]

2.4.1.3.1. Amount *

[ BDT ] {{metaSection.amount.$$error}} {{metaSection.amount.$$warning}}

2.4.1.3.2. Currency *

[ ENUM ] {{metaSection.currency.$$error}} {{metaSection.currency.$$warning}}

2.4.2. Is the person named in this section in possession of the proceeds from the transferred property? [ SED ]

2.4.2.1. Answer

[ ENUM ] {{metaSection.answerIndicator.$$error}} {{metaSection.answerIndicator.$$warning}}

2.4.2.2. Please fill in the following if "Answer" = "Yes" : [ SED ]

2.4.2.2.1. Details [ SED ]

2.4.2.2.1.1. What is the nature of these proceeds?

[ CDT ] {{metaSection.whatNatureTheseProceeds.$$error}} {{metaSection.whatNatureTheseProceeds.$$warning}}

2.4.2.2.1.2. What is the amount involved? [ CC ]

2.4.2.2.1.2.1. Amount *

[ BDT ] {{metaSection.amount.$$error}} {{metaSection.amount.$$warning}}

2.4.2.2.1.2.2. Currency *

[ ENUM ] {{metaSection.currency.$$error}} {{metaSection.currency.$$warning}}

2.4.2.Is the person named in this section in possession of the proceeds from the transferred property?

2.4.Information on transferred property during the period in respect of which information is requested

2.5. Information on enclosed "Statement(s) of income" if you fail to provide information about income or its part [ SED ]

2.5.1. The person submitted a "Statement(s) of Income" that can replace the information requested, related to the following type of income *

[ ENUM ] {{metaSection.personSubmittedAStatementIncomeCanReplaceRelatedTypeIncome.$$error}} {{metaSection.personSubmittedAStatementIncomeCanReplaceRelatedTypeIncome.$$warning}}

2.5.2. Please fill in the following if "The person submitted a "Statement(s) of Income" that can replace the information referred to the following income" = "Other type of income": [ SED ]

2.5.2.1. Other type of income

[ CDT ] {{metaSection.otherIncome.$$error}} {{metaSection.otherIncome.$$warning}}

2.5.Information on enclosed "Statement(s) of income" if you fail to provide information about income or its part

3. Member of the family other than the spouse/partner income received [ SED ]

3.1. Member of the family other than the spouse/partner income received [ SED ]

3.1.1. Member of the family other than the spouse/partner [ SC ]

3.1.1.1. Person Identification * [ CC ]

3.1.1.1.1. Family name(s) *

[ BDT ] {{metaSection.familyName.$$error}} {{metaSection.familyName.$$warning}}

3.1.1.1.2. Forename(s) *

[ BDT ] {{metaSection.forename.$$error}} {{metaSection.forename.$$warning}}

3.1.1.1.3. Date of birth *

[ BDT ] {{metaSection.dateBirth.$$error}} {{metaSection.dateBirth.$$warning}}

3.1.1.1.4. Sex *

[ ENUM ] {{metaSection.sex.$$error}} {{metaSection.sex.$$warning}}

3.1.1.1.5. Family name(s) at birth

[ BDT ] {{metaSection.familyNameAtBirth.$$error}} {{metaSection.familyNameAtBirth.$$warning}}

3.1.1.1.6. Forename(s) at birth

[ BDT ] {{metaSection.forenameAtBirth.$$error}} {{metaSection.forenameAtBirth.$$warning}}

3.1.1.1.7. PIN of the person in each institution

[ CC ]

3.1.1.1.7.1. Personal Identification Number(s) * [ CC ]

3.1.1.1.7.1.1. Country *

[ ENUM ] {{metaSection.country.$$error}} {{metaSection.country.$$warning}}

3.1.1.1.7.1.2. Personal Identification Number (PIN) *

[ BDT ] {{metaSection.personalIdentificationNumber.$$error}} {{metaSection.personalIdentificationNumber.$$warning}}

3.1.1.1.7.1.3. Sector

[ ENUM ] {{metaSection.sector.$$error}} {{metaSection.sector.$$warning}}

3.1.1.1.7.1.4. Institution

[ CC ]

3.1.1.1.7.1.4.1. Institution ID *

[ BDT ] {{metaSection.institutionID.$$error}} {{metaSection.institutionID.$$warning}}

3.1.1.1.7.1.4.2. Institution Name *

[ CDT ] {{metaSection.institutionName.$$error}} {{metaSection.institutionName.$$warning}}

3.1.1.1.7.1.Personal Identification Number(s)

3.1.1.1.8. If PIN not provided for every institution, please provide

[ CC ]

3.1.1.1.8.1. Place of birth

[ CC ]

3.1.1.1.8.1.1. Town *

[ CDT ] {{metaSection.town.$$error}} {{metaSection.town.$$warning}}

3.1.1.1.8.1.2. Region

[ CDT ] {{metaSection.region.$$error}} {{metaSection.region.$$warning}}

3.1.1.1.8.1.3. Country *

[ ENUM ] {{metaSection.country.$$error}} {{metaSection.country.$$warning}}

3.1.1.1.8.2. Father's family name at birth

[ BDT ] {{metaSection.fatherFamilyNameAtBirth.$$error}} {{metaSection.fatherFamilyNameAtBirth.$$warning}}

3.1.1.1.8.3. Forename of father

[ BDT ] {{metaSection.forenameFather.$$error}} {{metaSection.forenameFather.$$warning}}

3.1.1.1.8.4. Mother's family name at birth

[ BDT ] {{metaSection.motherFamilyNameAtBirth.$$error}} {{metaSection.motherFamilyNameAtBirth.$$warning}}

3.1.1.1.8.5. Forename of mother

[ BDT ] {{metaSection.forenameMother.$$error}} {{metaSection.forenameMother.$$warning}}

3.1.1.2. Additional information on the person [ SC ]

3.1.1.2.1. Nationality

[ ENUM ] {{metaSection.nationality.$$error}} {{metaSection.nationality.$$warning}}

3.1.1.2.2. Relationship to person named in section 1

[ ENUM ] {{metaSection.relationshipPersonNamedInSection1.$$error}} {{metaSection.relationshipPersonNamedInSection1.$$warning}}

3.1.1.2.3. Other relative

[ CDT ] {{metaSection.otherRelative.$$error}} {{metaSection.otherRelative.$$warning}}

3.1.1.2.4. Address of the person [ SC ]

3.1.1.2.4.1. Type of address

[ ENUM ] {{metaSection.typeAddress.$$error}} {{metaSection.typeAddress.$$warning}}

3.1.1.2.4.2. Address

[ CC ]

3.1.1.2.4.2.1. Street

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3.1.1.2.4.2.2. Building Name

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3.1.1.2.4.2.3. Town *

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3.1.1.2.4.2.4. Postal Code

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3.1.1.2.4.2.5. Region

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3.1.1.2.4.2.6. Country *

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3.1.1.2.4.Address of the person

3.1.1.2.5. Pursues a professional or trade activity

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3.1.2. Income received during the period in respect of which information is requested [ SED ]

3.1.2.1. Type of income received: *

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3.1.2.2. Please fill in the following if "Type of income received" = "Social security benefits": [ SED ]

3.1.2.2.1. Social security benefit

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3.1.2.3. Income received during the period in respect of which information is requested * [ SED ]

3.1.2.3.1. Start date

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3.1.2.3.2. End date

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3.1.2.3.3. Amount

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3.1.2.3.4. Currency

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3.1.2.Income received during the period in respect of which information is requested

3.1.3. Information on fixed assets during the period in respect of which information is requested [ SED ]

3.1.3.1. Property in respect of which the person is either the owner or the holder of a beneficial interest [ SED ]

3.1.3.1.1. Type of ownership

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3.1.3.1.2. Type of property

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3.1.3.1.3. Taxable income from each of these properties (fixed assets) [ CC ]

3.1.3.1.3.1. Amount *

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3.1.3.1.3.2. Currency *

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3.1.3.1.4. Present value of these properties (fixed assets) [ CC ]

3.1.3.1.4.1. Amount *

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3.1.3.1.4.2. Currency *

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3.1.3.1.5. Address in the country where these properties (fixed assets) are

[ CC ]

3.1.3.1.5.1. Street

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3.1.3.1.5.2. Building Name

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3.1.3.1.5.3. Town *

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3.1.3.1.5.4. Postal Code

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3.1.3.1.5.5. Region

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3.1.3.1.5.6. Country *

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3.1.3.1.5.Address in the country where these properties (fixed assets) are

3.1.3.1.6. The Person occupies a dwelling in respect of which he/she, his/her spouse/partner or his/her member of the family is either the owner or the holder of a beneficial life interest?

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3.1.3.1.7. Please fill in the following if "The person named in this section occupy a dwelling in respect of which he/she is either the owner or the holder of a beneficial life interest" = "Yes" : [ SED ]

3.1.3.1.7.1. Taxable income of the dwelling occupied [ CC ]

3.1.3.1.7.1.1. Amount *

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3.1.3.1.7.1.2. Currency *

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3.1.3.Information on fixed assets during the period in respect of which information is requested

3.1.4. Information on transferred property during the period in respect of which information is requested [ SED ]

3.1.4.1. Property has been transferred either in return for payment or free of charge within the period in respect of which information is requested by the person named [ SED ]

3.1.4.1.1. Type of property

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3.1.4.1.2. Date of transfer

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3.1.4.1.3. Value of property at the time of transfer [ CC ]

3.1.4.1.3.1. Amount *

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3.1.4.1.3.2. Currency *

[ ENUM ] {{metaSection.currency.$$error}} {{metaSection.currency.$$warning}}

3.1.4.2. Is the person named in this section in possession of the proceeds from the transferred property? [ SED ]

3.1.4.2.1. Answer

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3.1.4.2.2. Please fill in the following if "Answer" = "Yes" : [ SED ]

3.1.4.2.2.1. Details [ SED ]

3.1.4.2.2.1.1. What is the nature of these proceeds?

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3.1.4.2.2.1.2. What is the amount involved? [ CC ]

3.1.4.2.2.1.2.1. Amount *

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3.1.4.2.2.1.2.2. Currency *

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3.1.4.2.Is the person named in this section in possession of the proceeds from the transferred property?

3.1.4.Information on transferred property during the period in respect of which information is requested

3.1.5. Information on enclosed "Statement(s) of income" if you fail to provide information about income or its part [ SED ]

3.1.5.1. The person submitted a "Statement(s) of Income" that can replace the information requested, related to the following type of income *

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3.1.5.2. Please fill in the following if "The person submitted a "Statement(s) of Income" that can replace the information referred to the following income" = "Other type of income": [ SED ]

3.1.5.2.1. Other type of income

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3.1.5.Information on enclosed "Statement(s) of income" if you fail to provide information about income or its part

3.1.Member of the family other than the spouse/partner income received

4. Additional Information [ SC ]

4.1. Additional Information

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5. Please find attached following document(s) [ SC ]

5.1. Attached document(s)

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5.2. Other document(s)

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M051 - Reply to request for information on amount of income - special non-contributory cash benefits Article 70 of Regulation (EC) No 883/2004

M051 - Reply to request for information on amount of income - special non-contributory cash benefits
Article 70 of Regulation (EC) No 883/2004