SWA 3C

NUMBE

RS

LETTER

S

SWA 3C – Feb 2021

This form may be used by a landlord or landlord’s agent to provide

the landlord’s tax reference number (or an explanation as to why

such a number is not available) as required by Section 198(4A) of

the Social Welfare Consolidation Action 2005 (as amended). It is

not necessary to complete it if the Tax Reference Number has been

provided in question 4, Section 2 of SWA Form 3.

Part 1 – Details of tenancy

Tenant’s name:

Address of tenancy:

Part 2 – Details of landlord

Landlord’s full name (block capitals):

Landlord’s home address:

Landlord’s phone number: _______________________________________

Landlord’s Tax Ref. No. (normally P.P.S.N.)

Is this (please tick ✔) Tax Ref. No. P.P.S.N.

Part 3 – Reason why a tax reference number is not available (If applicable)

A tax reference number is not available because____________________________________________

__________________________________________________________________________________

__________________________________________________________________________________

Part 4 – Declaration

I declare the above to be complete and correct.

Landlord’s/Agent signature: ______________________________________________

Address (If agent) ______________________________________________

______________________________________________

Date: ______________________________________________

Data Protection Statement

The Department of Social Protection administers Ireland's social protection system. Customers are

required to provide personal data to determine eligibility for relevant payments/benefits. Personal data

may be exchanged with other Government Departments/Agencies where provided for by law. Our data

protection policy is available at www.gov.ie/dsp/privacystatement or in hard copy.