ZS-RE1B, SHEET B with regard to form ZS-RE1

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Form

 
Start of form
 
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ROYALTIES

 
  

A. General information

 
1. Did you maintain a fiscal domicile in Austria at the date or the dates when the royalties stated overleaf were received?   |  
 


Is this your main residence?   |  
 
2. Were you at the date or the dates when the royalties stated overleaf were received entitled to the use of the licensed rights and did you receive the royalties on your own account?   |  
 
3. Did you receive the rights underlying the royalties on the basis of a contract, option or other agreement whereby you could be bound to resell or otherwise transfer these?   |  
 
4. Had you at the date or the dates when the royalties stated overleaf were received a permanent establishment in Austria or did you hold an interest in an Austrian partnership?   |  
 
 

B. Special information in the case of legal persons

 
1. Does the legal person making the claim carry out a business activity which is beyond the scope of enjoyment of capital assets?   |  
 


2. Does the legal person making the claim employ its own employees and does it have its own business premises to carry out business activities?   |  
 
3. Do shareholders who are residents of Austria hold an interest of more than 10 percent?   |  
 
 

C. Debtor and type of royalties

 






 

D. Computation of repayment claim (all amounts in Euro)

 

First Computation of repayment claim











Second Computation of repayment claim











Third Computation of repayment claim











Fourth Computation of repayment claim











Fifth Computation of repayment claim











Sixth Computation of repayment claim











Seventh Computation of repayment claim











Eighth Computation of repayment claim











Ninth Computation of repayment claim











Tenth Computation of repayment claim











Eleventh Computation of repayment claim











Repayment claim in Euro



 

E. Declaration

 
 
The claimant is aware that another claim for repayment of tax amounts covered by this repayment claim may lead to penal consequences. Therefore I declare that for the above income, for which a refund is claimed, no assessment has been made so far and that I will not claim such assessment.

 
 
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Interner Vermerk: ZS-RE1B; 9999; Inter-Steuern; wai

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