New Client Form – Individual Personal Details Salutation Mr.Mrs.Ms.Other Date of birth* Other First/Middle Name* Surname* NI Number Nationality Do you have a Personal UTR Number? YesNoNot sure 10 Digit UTR Number Please do not confuse this with your Company UTR number If you have filed tax returns before (even a long time ago) then you will have a UTR number. This will be displayed on your tax return or any letters from HMRC regarding your personal tax. Alternatively, please call HMRC on 0300 200 3300 and they should send you your UTR number by post. Home Address Postal Code Date you moved into the address above How long have you been living here? More than 3 yearsLess than 3 years Previous Address Telephone - please tick the box for preferred means of contact HomeBusinessMobile Home Number Business Number Mobile Number Preferred Email Secondary Email Ideally we like to have a backup email for all clients. Do you have an existing accountant? YesNo Name of Firm Contact Name Email Address Reason for ChangingToo ExpensivePoor ServiceRelocatedOther Please let us know your other reasons Money Laundering Checks For money laundering check purposes, we need to confirm your identity and address. Please let us have the following: 1. ID Check - a copy of your passport or driving license. 2. Address - copy of a bank statement or utility bill less than 3 months old. Please upload your documents here or email to admin@simonandco.co.uk Upload your identity and address documents here ❌ ❌ Tick here to send later Money laundering files will be sent later Self Assessment Details Are you self employed or have a sole trade business? YesNo What is your business trading name? Leave blank if you do not have one. What is your trade description? Please describe your business activity. Will you operate your business from home? YesNo Business address Postal Code Are you VAT registered? YesNo Please provide your VAT Registration number (You will find this on any letters for Corporation Tax, this is not the same as your personal UTR number.) Date of VAT Registration If you do not have the VAT Certificate on hand, please state date of VAT registration. Please upload your VAT Certificate (if available) UploadNo file uploaded Please upload a copy of your last submitted VAT return (if available) UploadNo file uploaded What month does your last submitted VAT return cover? —Please choose an option—JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember What is the value entered in Box 5 of your last submitted VAT return? Would you like us to provide you with VAT and bookkeeping services? YesNo Do you have a PAYE (payroll) scheme in place? YesNoNo, but I would like to register PAYE Reference Number PAYE Accounts Office Number Are you in the construction industry scheme? YesNo Do you have subcontractors working for you? YesNo Do you work for other contractors? YesNo Would you like us to provide you with CIS services? YesNo Do you have another sole trader business? YesNoWe will email you separately regarding your other business. Do you have rental income? YesNo How many properties do you let out? Please use this space to let us have any other details regarding your property portfolio. Please tick the following statements that apply to you: I am a directory of my company.My income exceeds £50k and me or my partner are in receipt of child benefit.My income exceeds £100k.I sold a property or another asset and have a Capital gain to report.I have foreign income.I trade in shares or bitcoin.I have other untaxed income. Fee Protection Cover: Are you interested in fee protection cover? YesNoPlease send me further details Financial Review: Would you be interested in a free financial review? YesNo Do you have a Will in place YesNo Do you have a pension? YesNo If you do have a pension, have you got an expression of wishes in place? YesNo Do you have Income protection and or life insurance? YesNoPayment Terms & DepositWe ask for a deposit of £200 on engagement, this will be deducted off our first invoice to you. Once you submit this form you will be asked to make a payment of £200 and will be presented with different options to pay. Please tick this box to indicate you understand a deposit is required on engagement. Please read our terms of business and tick this box to confirm you have read and agree. Submit
