Working Tax Credit Questionnaire

A working tax credit questionnaire is needed to find out that one qualifies for claiming tax credits. Also there are many tax credit calculators that help find out the exact amount that you can claim as tax credit once you are eligible for claiming the credit. The following questions test the personal and occupational details of the person to test the eligibility.

Sample Working Tax Credit questionnaire:

Name:       ______________________________

Phone number:   ______________________________

Email address:            ______________________________

Gender:             Male / Female

Age:                  ________________     Date of Birth:      _____________

Home address line1: __________________________________________________

Home address line2: __________________________________________________

City: ___________________ State: ____________________ Zip: ______________

Q1. What is your marital status?

a)   Single and living with family

b)   Single and living with partner

c)   Married

d)   Divorced

e)   Widowed

f)    Other _________________________

Q2. What is your annual income in the last year?

a)   < $ 10,000

b)   $ 10,000 to $ 30,000

c)   $ 30,000 to $ 70,000

d)   $ 70,000 to $ 100,000

e)   > $ 100,000

Q3. Are you expecting an increase in your yearly income in the current financial year?

a)   Yes

b)   No

Q4. If you have children, mention their age (s)


Q5. How many children are staying with you who are under the age of 16?


Q6. How many children are staying with you who are under the age of 20?


Q7. How many children are staying with you who are 20 and above?


Q8. Are any of your children disabled?

a)   Yes

b)   No

Q9. If the answer to the above question is ‘yes’, mention the disability or disabilities along with their names and ages.

Name: _________ Age: __________ Disability: ____________________________________

Category: Tax Questionnaire

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