#### Accounting For Tax E-Filed Data

Pension Scheme Tax Reference / SF Reference | 01234567RA | AFT Quarter | - 01
HMRC eTimestamp | -05-25T16:10:41.160 | Your own File Ref. | AFTDemo1
HMRC Reference (Correlation ID) | 7EBA2071DEFF4675A241288E6D5EA73E |  |

Scheme Name

Walcott Enterprises

No. of Short Service Refund Members

20

Short Service Refund Total Tax at 20 Percent

1,000.00

Short Service Refund Total Tax at 40 Percent

1,000.00

No. of Special Death Benefits Members

10

Special Death Benefits Total Tax

2,000.00

No. of Authorised Surplus Employers

2

Authorised Surplus Total Tax

7,000.00

No. of LTA Members

1

LTA Total Tax

3,000.00

Deregistration Charge

1,000.00

Deregistration Date

- 04 - 11

Total Tax Due

15,000.00