Request for a tax allowance
With this questionnaire you can provide us with the information and documents we need to prepare an application for a tax allowance. Please check whether you qualify for an allowance on
Private Email Address
Work Email Address
Date of birth
BSN / Sofinumber
Dutch bank account for refund
Since when are you living in the Netherlands?
Last Name Partner
First Name Partner
Date of birth Partner
BSN / Sofinumber Partner
Which allowance would you like to request?
Health care allowance
From which date would you like to receive the allowance?
Which type of income do you receive?
Salary (tax withheld at source by employer)
Freelance or self employed income (no tax withheld)
Social benefit (unemployment, disability, welfare)
Alimony for yourself from your ex-partner
Documents which we need to prepare the request
Please attach the most recent salary slip
I will send the salary slip to Expatax later.
Please attach a copy of the rental contract
I will send the rental contract later.
Please attach the contract with the childcare organisation
I will send the childcare contract to Expatax later.
Please attach a summary of the estimated profit & loss
I will send the profit & loss to Expatax later.
Please attach the most recent pay statement of the benefit you receive
I will send the pay statement to Expatax later.
Please attach the alimony agreement
I will send the alimony agreement to Expatax later.
Here you can leave additional comments.