Client portal

Non-Cash Benefit: Company Car

Is your employee receiving a non-cash benefit, specifically a company car? Please complete the online form in full.

Data of the employer

E-mail address *

Please enter your e-mail address you mainly use to communicate with us as a client.

Company *

Official company wording

Company address *

Sample Street 1/10, 1234 Sample City, Sample Country

Data of the employee

Salutation *

Mrs. / Mr. / div.

Title

If existing

First name of the employee *

Last name of the employee *

Information for Non-Cash Benefit

To calculate the benefit correctly, we need the following information:

Brand and Model *

Brand and model of the vehicle

Date of First Registration *

Type of Vehicle *

Purchase Cost *

Including VAT and NOVA! List price including special equipment (not just the actual purchase price)

CO₂ Emission Value *

(g/km) as per registration certificate or COC document

Vehicle License Plate *

For internal company assignment

Employee’s Cost Contribution

€ per year, per month

Private Use Allowed: *

Yes

Is a Logbook Kept? *

Mandatory if the employee drives less than 500 km (half fringe benefit)

Yes

Estimated Private Kilometers per Month

Estimated / if known

Document Upload

Additional information on benefits

Optional. PDF required!

Drag and drop files here or Browse

Finalize

Please check all the information again. Thank you very much.

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