P11D Expenses and benefits 2022 to 2023

Note to employer

Make sure your entries are clear on both sides of the form. Fill in this return for a director or an employee for the year to 5 April 2023.

Employer Name Send all your P11Ds and one P11D(b) by 6 July 2023. Do not include

Childbase Partnership payroll benefits on the P11D. For more information, go to

Employer PAYE reference www.gov.uk/guidance/paying-your-employees-expenses-and-

362C1171 benefits-through-your-payroll

Note to employee

Keep this form in a safe place. You'll need it to complete your 2022 to 2023

tax return if you get one. The box numberings on this form are the same as

on the 'Employment' page of the tax return.

Employee name If a director tick here Date of birth in figures (if known)
Skelton Helen N 07/12/1964

Works number/department National Insurance number Gender M – Male F – Female

Employers pay Class 1A National Insurance contributions on most benefits. These are shown in boxes which are brown and have a 1A indicator

A Assets transferred (cars, property, goods Cost/Market value or Amount made good or Cash equivalent or

or other assets) amount forgone from which tax deducted relevant amount

Description of asset Cars, Property, 13 1A

Furniture &

Other assets

B Payments made on behalf of employee

Description of payment Payments 15

Tax on notional payments made during the year not borne by 15

employee within 90 days of receipt of 5 April 2023

C Vouchers and credit cards Gross amount or Amount made good or Cash equivalent or

amount forgone from which tax deducted relevant amount

Value of vouchers and payments made using credit cards or 12

tokens (for qualifying childcare vouchers see section M of the

P11D Guide)

D Living accommodation Cash equivalent or

relevant amount

Cash equivalent or relevant amount of accommodation 14 1A

provided for employee,or his/her family or household.

Exemptions do not apply if using Optional Remuneration

Arrangements (read P11D Guide)

E Mileage allowance payments not taxed at Taxable amount

source
Enter the mileage allowances in excess of exempt amounts only 12

where you have been unable to tax this under PAYE. The

exemptions do not apply if using Optional Remuneration

Arrangements. (read P11D Guide)

F Cars and car fuel If more than 2 cars were made available, either at the same time or in succession, please give details on a separate sheet

Total cash equivalent or relevant amount of all cars made 9 1A

available in 2022 to 2023

Total cash equivalent or amount forgone in respect of fuel for 10 1A

all cars made available in 2022 to 2023

G Vans and van fuel

Total cash equivalent or amount forgone in respect of all vans 9 1A

made available in 2022 to 2023

Total cash equivalent or amount forgone in respect of fuel for 10 1A

all vans made available in 2022 to 2023

H Interest-free and low interest loans

If the total amount outstanding on all loans does not exceed

£10,000 at any time in the year, there is no need to complete

this section unless the loan is provided under an optional

remuneration arrangement when the threshold doesn't apply

I Private medical treatment or insurance Cost to you or amount Amount made good or Cash equivalent or

forgone from which tax deducted relevant amount

Private medical treatment or insurance £266.52 11 £266.52 1A

J Qualifying relocation expenses payments

and benefits

Non-qualifying benefits and expenses go in M and N below

Excess over £8,000 of all qualifying relocation expenses 15 1A

payments and benefits for each move

K Services supplied Cost to you or amount Amount made good or Cash equivalent or

forgone from which tax deducted relevant amount

Services supplied to the employee 15 1A

L Assets placed at the employee’s disposal Cost to you or amount Amount made good or Cash equivalent or

forgone from which tax deducted relevant amount

Description of asset Use of Assets 13 1A

M Other items (including subscriptions and Cost to you or amount Amount made good or Cash equivalent or

professional fees) forgone from which tax deducted relevant amount

Description of other items Other items - 15 1A

NIC1A-able
Description of other items Other items - 15

Not NIC1A-able

Tax Paid

Income tax paid but not deducted from director's remuneration 15

N Expenses payments made on behalf of Cost to you or amount Amount made good or Cash equivalent or

the employee forgone from which tax deducted relevant amount

Travelling and subsistence paymentsCost to you or amount 16

forgone (except mileage allowance Payments for employee's

own car – see section E)

Entertainment Cost to you or amount forgone (trading 16

organisations read P11D Guide and then enter a tick or a cross

as appropriate here)

Payments for use of home telephone 16

Non-qualifying relocation expenses ( those not shown in 16

sections J or M)

Description of other expenses Other Benefits 16

Return all your form P11Ds and one P11D(b) by 6 July 2023 to:

P11D and P11D(b), HM Revenue and Customs, BX9 1WE