Notification of inability to pay taxes and premiums

Download

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This form is meant for directors of commercial businesses that are legal entities and subject to corporation tax. As a director of a business, foundation or association, you can use this form to report that you expect payment difficulties.

Filling in the form

You can complete this form on your computer. To do so, you will need Adobe Reader version 9.0 or higher. You must then print, sign and send the form.

Send the form

Send the filled in and signed form with attachments to:
Belastingdienst
Postbus 100
6400 AC Heerlen

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