Salix Payroll Services - Nanny Tax, Online Registration

<body link="#800080" vlink="#33CCCC" alink="#0000FF"> <form method="POST" action="--WEBBOT-SELF--" name="Online Registration">  <p align="center"><font color="#6666FF" size="4"><b>Online Registration Form</b></font></p> <p align="left"><font color="#000080" size="3"><b>If you prefer, you can print out this form, after completing it, (highlight the text of the form before printing, or the page headings and side banners may print too) and send it by post or Fax. Click <a href="../../contact_us/cont_us_frm.htm" target="_top">here</a> for our contact details.</b></font></p> <table border="1" width="121%" bordercolor="#FFFFFF" bordercolorlight="#FFFFFF" bordercolordark="#FFFFFF" height="2001"> <tr> <td width="71%" align="right" height="22"><font color="#6666FF" size="4"><b>Employer name</b></font></td> <td width="50%" height="22"> </td> </tr> <tr> <td width="71%" align="right" height="23"><font color="#000080"><b>Title</b></font></td> <td width="50%" height="23"><input type="text" name="Employer_title" size="20"></td> </tr> <tr> <td width="71%" align="right" height="23"><font color="#000080"><b>First name</b></font></td> <td width="50%" height="23"><input type="text" name="Employer_first_name" size="35"></td> </tr> <tr> <td width="71%" align="right" height="23"><font color="#000080"><b>Last name</b></font></td> <td width="50%" height="23"><input type="text" name="Employer_last_name" size="35"></td> </tr> <tr> <td width="71%" align="right" height="22"><font color="#6666FF" size="4"><b>Employer address</b></font></td> <td width="50%" height="22"> </td> </tr> <tr> <td width="71%" align="right" height="23"><font color="#000080"><b>House name</b></font></td> <td width="50%" height="23"><input type="text" name="Employer_House_name" size="35"></td> </tr> <tr> <td width="71%" align="right" height="38"><font color="#000080"><b>Number and street name</b></font></td> <td width="50%" height="38"><input type="text" name="Employer_number_street_name" size="35"></td> </tr> <tr> <td width="71%" align="right" height="23"><font color="#000080"><b>Area</b></font></td> <td width="50%" height="23"><input type="text" name="Employer_area" size="35"></td> </tr> <tr> <td width="71%" align="right" height="23"><font color="#000080"><b>Town/city</b></font></td> <td width="50%" height="23"><input type="text" name="Employer_Town_city" size="35"></td> </tr> <tr> <td width="71%" align="right" height="23"><font color="#000080"><b>County</b></font></td> <td width="50%" height="23"><input type="text" name="Employer_county" size="35"></td> </tr> <tr> <td width="71%" align="right" height="23"><font color="#000080"><b>Postcode</b></font></td> <td width="50%" height="23"><input type="text" name="Employer_postcode" size="8"></td> </tr> <tr> <td width="71%" align="right" height="44"><b><font color="#6666FF" size="4">Employers contact details</font></b></td> <td width="50%" height="44"> </td> </tr> <tr> <td width="71%" align="right" height="23"><font color="#000080"><b>Home phone number</b></font></td> <td width="50%" height="23"><input type="text" name="Employer_home_phone" size="20"></td> </tr> <tr> <td width="71%" align="right" height="23"><font color="#000080"><b>Fax number</b></font></td> <td width="50%" height="23"><input type="text" name="Employer_fax_no" size="20"></td> </tr> <tr> <td width="71%" align="right" height="23"><font color="#000080"><b>Mobile phone number</b></font></td> <td width="50%" height="23"><input type="text" name="Employer_mobile_no" size="20"></td> </tr> <tr> <td width="71%" align="right" height="23"><font color="#000080"><b>Email address</b></font></td> <td width="50%" height="23"><input type="text" name="Employer_email" size="35"></td> </tr> <tr> <td width="71%" align="right" height="22"><font color="#6666FF" size="4"><b>Nanny's name</b></font></td> <td width="50%" height="22"> </td> </tr> <tr> <td width="71%" align="right" height="23"><font color="#000080"><b>Title</b></font></td> <td width="50%" height="23"><input type="text" name="Nanny_title" size="20"></td> </tr> <tr> <td width="71%" align="right" height="23"><font color="#000080"><b>First name</b></font></td> <td width="50%" height="23"><input type="text" name="Nanny_first_name" size="35"></td> </tr> <tr> <td width="71%" align="right" height="23"><font color="#000080"><b>Last name</b></font></td> <td width="50%" height="23"><input type="text" name="Nanny_last_name" size="35"></td> </tr> <tr> <td width="71%" align="right" height="22"><font color="#6666FF" size="4"><b>Nanny's address</b></font></td> <td width="50%" height="22"> </td> </tr> <tr> <td width="71%" align="right" height="23"><font color="#000080"><b>House name</b></font></td> <td width="50%" height="23"><input type="text" name="Nanny_house_name" size="35"></td> </tr> <tr> <td width="71%" align="right" height="38"><font color="#000080"><b>Number and street name</b></font></td> <td width="50%" height="38"><input type="text" name="Nanny_number_street" size="35"></td> </tr> <tr> <td width="71%" align="right" height="23"><font color="#000080"><b>Area</b></font></td> <td width="50%" height="23"><input type="text" name="Nanny_area" size="35"></td> </tr> <tr> <td width="71%" align="right" height="23"><font color="#000080"><b>Town/city</b></font></td> <td width="50%" height="23"><input type="text" name="Nanny_town_city" size="35"></td> </tr> <tr> <td width="71%" align="right" height="23"><font color="#000080"><b>County</b></font></td> <td width="50%" height="23"><input type="text" name="Nanny_county" size="35"></td> </tr> <tr> <td width="71%" align="right" height="23"><font color="#000080"><b>Postcode</b></font></td> <td width="50%" height="23"><input type="text" name="nanny_postcode" size="8"></td> </tr> <tr> <td width="71%" align="right" height="44"><font size="4"><b><font color="#6666FF">Nanny's contact details</font></b></font></td> <td width="50%" height="44"> </td> </tr> <tr> <td width="71%" align="right" height="23"><font color="#000080"><b>Home phone number</b></font></td> <td width="50%" height="23"><input type="text" name="nanny_home_phone" size="20"></td> </tr> <tr> <td width="71%" align="right" height="23"><font color="#000080"><b>Mobile phone number</b></font></td> <td width="50%" height="23"><input type="text" name="nanny_mobile_no" size="20"></td> </tr> <tr> <td width="71%" align="right" height="23"><font color="#000080"><b>Email address</b></font></td> <td width="50%" height="23"><input type="text" name="Nanny_email_address" size="35"></td> </tr> <tr> <td width="71%" align="right" height="44"><b><font color="#6666FF" size="4">Nanny's personal information</font></b></td> <td width="50%" height="44"> </td> </tr> <tr> <td width="71%" align="right" height="23"><font color="#000080"><b>Sex</b></font></td> <td width="50%" height="23"><select size="1" name="Sex"> <option selected>Female</option> <option>Male</option> </select></td> </tr> <tr> <td width="71%" align="right" height="23"><font color="#000080"><b>Marital status</b></font></td> <td width="50%" height="23"><select size="1" name="Marital_status"> <option selected>Single</option> <option>Married</option> <option>Separated</option> <option>Divorced</option> <option>Widowed</option> </select></td> </tr> <tr> <td width="71%" align="right" height="23"><font color="#000080"><b>Previous names (if any)</b></font></td> <td width="50%" height="23"><input type="text" name="Previous_names" size="35"></td> </tr> <tr> <td width="71%" align="right" height="38"><font color="#000080"><b>Date of birth (DD/MM/YY) </b></font></td> <td width="50%" height="38"><input type="text" name="Date_of_birth" size="10"></td> </tr> <tr> <td width="71%" align="right" height="22"><font color="#6666FF" size="4"><b>Payroll information</b></font></td> <td width="50%" height="22"> </td> </tr> <tr> <td width="71%" align="right" height="22"><font color="#000080"><b>Employer's PAYE reference</b></font></td> <td width="50%" height="22"><input type="text" name="Emplyers_PAYE_reference" size="20"></td> </tr> <tr> <td width="71%" align="right" height="38"><font color="#000080"><b>National Insurance number</b></font></td> <td width="50%" height="38"><input type="text" name="NI_number" size="10"></td> </tr> <tr> <td width="71%" align="right" height="57"><font color="#000080"><b>Date of commencement of employment (DD/MM/YY)</b></font></td> <td width="50%" height="57"><input type="text" name="Start_date" size="10"></td> </tr> <tr> <td width="71%" align="right" height="23"><font color="#000080"><b>Pay frequency</b></font></td> <td width="50%" height="23"><select size="1" name="Pay_frequency"> <option selected>Monthly</option> <option>Weekly</option> </select></td> </tr> <tr> <td width="71%" align="right" height="23"><b><font color="#000080">Payment date*</font></b></td> <td width="50%" height="23"><input type="text" name="Payment_date" size="10"></td> </tr> <tr> <td width="71%" align="right" height="23"><font color="#000080"><b>Amount per pay period</b></font></td> <td width="50%" height="23"><input type="text" name="Amount_per_pay_period" size="10"></td> </tr> <tr> <td width="71%" align="right" height="23"><font color="#000080"><b>Is this net or gross?</b></font></td> <td width="50%" height="23"><select size="1" name="Net_or_gross"> <option selected>Gross</option> <option>Net</option> </select></td> </tr> <tr> <td width="71%" align="right" height="37"><b><font color="#000080">Has your nanny got a P45?</font></b></td> <td width="50%" height="37"><select size="1" name="P45"> <option selected>Yes</option> <option>No</option> </select></td> </tr> <tr> <td width="71%" align="right" height="38"><b><font color="#000080">Is your nanny repaying a student loan?</font></b></td> <td width="50%" height="38"><select size="1" name="Student_loan"> <option selected>No</option> <option>Yes</option> </select></td> </tr> <tr> <td width="71%" align="right" height="57"><b><font color="#000080">Does your nanny have any attachments of earnings?</font></b></td> <td width="50%" height="57"><select size="1" name="Attachments"> <option>No</option> <option>Yes</option> </select></td> </tr> <tr> <td width="71%" align="right" height="57"><b><font color="#000080">Does your nanny have any deductions for child support?</font></b></td> <td width="50%" height="57"><select size="1" name="Child_support"> <option selected>No</option> <option>Yes</option> </select></td> </tr> <tr> <td width="71%" align="right" height="38"><b><font color="#000080">Is your nanny receiving any tax credits?</font></b></td> <td width="50%" height="38"><select size="1" name="Tax_credits"> <option selected>No</option> <option>Yes</option> </select></td> </tr> <tr> <td width="71%" align="right" height="38"><b><font color="#000080">Has your nanny got another job?</font></b></td> <td width="50%" height="38"><select size="1" name="Other_job"> <option selected>No</option> <option>Yes</option> </select></td> </tr> <tr> <td width="71%" align="right" height="38"><b><font color="#000080">Do you provide a pension?</font></b></td> <td width="50%" height="38"><select size="1" name="Pension"> <option selected>No</option> <option>Yes</option> </select></td> </tr> <tr> <td width="71%" align="right" height="38"><font color="#000080"><b>Do you wish to pay tax and NI to the Inland Revenue monthly or quarterly?</b></font></td> <td width="50%" height="38"><select size="1" name="Pay_IR_monthly_quarterly"> <option selected>Quarterly</option> <option>Monthly</option> </select></td> </tr> <tr> <td width="71%" align="right" height="38"><font color="#000080"><b>Do you wish to pay the Inland Revenue online, or by cheque?</b></font></td> <td width="50%" height="38"> <select size="1" name="Pay_IR_monthly_quarterly0"> <option selected>Quarterly</option> <option>Monthly</option> </select></td> </tr> <tr> <td width="71%" align="right" height="38"> </td> <td width="50%" height="38"> </td> </tr> <tr> <td width="71%" align="right" height="38"><b><font color="#000080">Do you operate a payroll giving scheme?</font></b></td> <td width="50%" height="38"><select size="1" name="Payroll_giving"> <option selected>No</option> <option>Yes</option> </select></td> </tr> <tr> <td width="71%" align="right" height="22"><b><font color="#6666FF" size="4">Other benefits</font></b></td> <td width="50%" height="22"> </td> </tr> <tr> <td width="71%" align="right" height="38"><b><font color="#000080">Do you provide accommodation?</font></b></td> <td width="50%" height="38"><select size="1" name="Accommodation"> <option selected>No</option> <option>Yes</option> </select></td> </tr> <tr> <td width="71%" align="right" height="23"><b><font color="#000080">Do you provide a car?</font></b></td> <td width="50%" height="23"><select size="1" name="Car"> <option selected>No</option> <option>Yes</option> </select></td> </tr> <tr> <td width="71%" align="right" height="38"><b><font color="#000080">If yes, is it a duty car, or available for private use</font></b></td> <td width="50%" height="38"><select size="1" name="Duty_car"> <option selected>N/A</option> <option>No</option> <option>Yes</option> </select></td> </tr> <tr> <td width="71%" align="right" height="38"><b><font color="#000080">Do you provide a mobile phone?</font></b></td> <td width="50%" height="38"><select size="1" name="Mobile_phone"> <option selected>No</option> <option>Yes</option> </select></td> </tr> <tr> <td width="71%" align="right" height="38"><b><font color="#000080">Do you provide any other benefits in kind?</font></b></td> <td width="50%" height="38"><select size="1" name="Benefits_in_kind"> <option>No</option> <option>Yes</option> </select></td> </tr> <tr> <td width="60%" align="right" height="38"><b> <font color="#6666FF" size="4">How did you hear about Salix Payroll Services?</font></b></td> <td width="38%" height="38"><select size="1" name="How_hear_about_salix"> <option selected>Google</option> <option>Yahoo</option> <option>Other search engine</option> <option>Mail shot</option> <option>Link from another web site</option> <option>Word of mouth</option> <option>Other</option> </select></td> </tr> <tr> <td width="71%" align="right" height="38"></td> <td width="50%" height="38"></td> </tr> <tr> <td width="71%" height="18"> </td> </tr> </table> <p align="left"><font color="#000080"><b>If you do not agree a payment date with your nanny, our default payment date is the 26th of each calendar month for monthly paid employees, and every Friday for weekly paid employees.</b></font></p> <p align="center"><input type="submit" value="Submit" name="B1"><input type="reset" value="Reset" name="B2"></p> </form> <p align="center" style="line-height: 150%; margin-top: 0; margin-bottom: 0"><b><font color="#996633" size="2"> <a href="../nan_main_frm.htm">Nanny Tax</a>   <a href="../our_svce/svce_nan_frm.htm" target="_top">Our Service</a>    <a href="../emp_info/emp_info_frm.htm" target="_top">Employers Information</a>    <a href="../nan_info/nan_info_frm.htm" target="_top">Nannies Information</a> </font></b></p> <p align="center" style="line-height: 150%; margin-top: 0; margin-bottom: 0"><b><font color="#996633" size="2"> <a target="_top" href="../nan_tc/terms_conditions.htm">Terms and Conditions</a>   </font></b></p> <p align="center" style="line-height: 150%; margin-top: 0; margin-bottom: 0"><b><font color="#996633" size="2"> <a href="Online_reg_frm.htm" target="_top">Online Registration</a>    <a href="../../about_us/about_us_frm.htm" 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