tax.digital Open in urlscan Pro
172.67.148.59  Public Scan

Submitted URL: https://zo9.xyz/AloR/k7bkqx
Effective URL: https://tax.digital/p2?email=junebailey63@btinternet.com&firstName=June&claimValue=1008
Submission: On December 07 via api from US — Scanned from NL

Form analysis 1 forms found in the DOM

<form class="lg:w-8/12 md:w-10/12 mx-auto mt-10" id="dealform" data-parsley-validate="" data-p2-claim-target="form" data-parsley-trigger="focusout" novalidate="" data-pxl="_n65">
  <input type="hidden" name="email" value="junebailey63@btinternet.com" data-pxl="_n66">
  <input type="hidden" name="firstName" value="June" data-pxl="_n67">
  <input type="hidden" name="claimValue" value="1008" data-pxl="_n68">
  <!-- Step 1 -->
  <div class="step" data-pxl="_n69">
    <div class="flex flex-col md:flex-row items-center md:gap-4" data-pxl="_n70">
      <div class="relative w-full xl:mt-12 mt-8" data-pxl="_n71">
        <label class="w-full text-left" data-pxl="_n72">
          <h4 class="text-lg mb-2 text-left" data-pxl="_n73">First Name</h4>
          <input type="text" placeholder="David" id="first-name" name="person2FirstName" class="firstname py-4 px-3 w-full text-lg bg-transparent border border-[#374151] rounded-lg text-gray-700 placeholder-gray-400" required=""
            data-parsley-required="true" data-parsley-required-message="Cannot be blank" data-parsley-group="block-0" data-pxl="_n74">
        </label>
      </div>
      <div class="relative w-full xl:mt-12 mt-8" data-pxl="_n75">
        <label class="w-full" data-pxl="_n76">
          <h4 class="text-lg mb-2 text-left" data-pxl="_n77">Last Name</h4>
          <input type="text" placeholder="Beckham" id="last-name" name="person2LastName" class="lastname py-4 px-3 w-full text-lg bg-transparent border border-[#374151] rounded-lg text-gray-700 placeholder-gray-400" required=""
            data-parsley-required="true" data-parsley-required-message="Cannot be blank" data-parsley-group="block-0" data-pxl="_n78">
        </label>
      </div>
    </div>
  </div>
  <!-- Step 2 -->
  <div class="step" data-pxl="_n79">
    <div class="md:grid md:grid-cols-2 gap-4" data-pxl="_n80">
      <div class="relative xl:mt-12 mt-8 " data-pxl="_n81">
        <label class="text-left w-100 mb-0" data-pxl="_n82">
          <h4 class="text-lg mb-2 text-left" data-pxl="_n83">Date of Birth</h4>
        </label>
        <div class="flex items-center mb-2 w-full" data-pxl="_n84">
          <select name="dayOfBirth" class="py-4 px-3 w-full dob dayDob bg-transparent border border-[#374151] rounded-tl-lg rounded-bl-lg text-gray-700" id="dayOfBirth" required="" data-parsley-required="true" data-parsley-group="block-0"
            data-pxl="_n85">
            <option value="" disabled="" selected="" data-pxl="_n86">DD</option>
            <option value="01" data-pxl="_n87">1</option>
            <option value="02" data-pxl="_n88">2</option>
            <option value="03" data-pxl="_n89">3</option>
            <option value="04" data-pxl="_n90">4</option>
            <option value="05" data-pxl="_n91">5</option>
            <option value="06" data-pxl="_n92">6</option>
            <option value="07" data-pxl="_n93">7</option>
            <option value="08" data-pxl="_n94">8</option>
            <option value="09" data-pxl="_n95">9</option>
            <option value="10" data-pxl="_n96">10</option>
            <option value="11" data-pxl="_n97">11</option>
            <option value="12" data-pxl="_n98">12</option>
            <option value="13" data-pxl="_n99">13</option>
            <option value="14" data-pxl="_n100">14</option>
            <option value="15" data-pxl="_n101">15</option>
            <option value="16" data-pxl="_n102">16</option>
            <option value="17" data-pxl="_n103">17</option>
            <option value="18" data-pxl="_n104">18</option>
            <option value="19" data-pxl="_n105">19</option>
            <option value="20" data-pxl="_n106">20</option>
            <option value="21" data-pxl="_n107">21</option>
            <option value="22" data-pxl="_n108">22</option>
            <option value="23" data-pxl="_n109">23</option>
            <option value="24" data-pxl="_n110">24</option>
            <option value="25" data-pxl="_n111">25</option>
            <option value="26" data-pxl="_n112">26</option>
            <option value="27" data-pxl="_n113">27</option>
            <option value="28" data-pxl="_n114">28</option>
            <option value="29" data-pxl="_n115">29</option>
            <option value="30" data-pxl="_n116">30</option>
            <option value="31" data-pxl="_n117">31</option>
          </select>
          <select name="monthOfBirth" class="py-4 px-3 w-full dob monthDob bg-transparent border border-[#374151] text-gray-700 border-r-0 border-l-0" id="monthOfBirth" required="" data-parsley-required="true" data-parsley-group="block-0"
            data-pxl="_n118">
            <option value="" disabled="" selected="" data-pxl="_n119">MM</option>
            <option value="01" data-pxl="_n120">Jan</option>
            <option value="02" data-pxl="_n121">Feb</option>
            <option value="03" data-pxl="_n122">Mar</option>
            <option value="04" data-pxl="_n123">Apr</option>
            <option value="05" data-pxl="_n124">May</option>
            <option value="06" data-pxl="_n125">Jun</option>
            <option value="07" data-pxl="_n126">Jul</option>
            <option value="08" data-pxl="_n127">Aug</option>
            <option value="09" data-pxl="_n128">Sep</option>
            <option value="10" data-pxl="_n129">Oct</option>
            <option value="11" data-pxl="_n130">Nov</option>
            <option value="12" data-pxl="_n131">Dec</option>
          </select>
          <select name="yearOfBirth" class="py-4 px-3 w-full dob yearDob bg-transparent border border-[#374151] rounded-tr-lg rounded-br-lg text-gray-700" id="yearOfBirth" required="" data-parsley-required="true" data-parsley-group="block-0"
            data-pxl="_n132">
            <option value="" disabled="" selected="" data-pxl="_n133">YYYY</option>
            <option value="2006" data-pxl="_n134">2006</option>
            <option value="2005" data-pxl="_n135">2005</option>
            <option value="2004" data-pxl="_n136">2004</option>
            <option value="2003" data-pxl="_n137">2003</option>
            <option value="2002" data-pxl="_n138">2002</option>
            <option value="2001" data-pxl="_n139">2001</option>
            <option value="2000" data-pxl="_n140">2000</option>
            <option value="1999" data-pxl="_n141">1999</option>
            <option value="1998" data-pxl="_n142">1998</option>
            <option value="1997" data-pxl="_n143">1997</option>
            <option value="1996" data-pxl="_n144">1996</option>
            <option value="1995" data-pxl="_n145">1995</option>
            <option value="1994" data-pxl="_n146">1994</option>
            <option value="1993" data-pxl="_n147">1993</option>
            <option value="1992" data-pxl="_n148">1992</option>
            <option value="1991" data-pxl="_n149">1991</option>
            <option value="1990" data-pxl="_n150">1990</option>
            <option value="1989" data-pxl="_n151">1989</option>
            <option value="1988" data-pxl="_n152">1988</option>
            <option value="1987" data-pxl="_n153">1987</option>
            <option value="1986" data-pxl="_n154">1986</option>
            <option value="1985" data-pxl="_n155">1985</option>
            <option value="1984" data-pxl="_n156">1984</option>
            <option value="1983" data-pxl="_n157">1983</option>
            <option value="1982" data-pxl="_n158">1982</option>
            <option value="1981" data-pxl="_n159">1981</option>
            <option value="1980" data-pxl="_n160">1980</option>
            <option value="1979" data-pxl="_n161">1979</option>
            <option value="1978" data-pxl="_n162">1978</option>
            <option value="1977" data-pxl="_n163">1977</option>
            <option value="1976" data-pxl="_n164">1976</option>
            <option value="1975" data-pxl="_n165">1975</option>
            <option value="1974" data-pxl="_n166">1974</option>
            <option value="1973" data-pxl="_n167">1973</option>
            <option value="1972" data-pxl="_n168">1972</option>
            <option value="1971" data-pxl="_n169">1971</option>
            <option value="1970" data-pxl="_n170">1970</option>
            <option value="1969" data-pxl="_n171">1969</option>
            <option value="1968" data-pxl="_n172">1968</option>
            <option value="1967" data-pxl="_n173">1967</option>
            <option value="1966" data-pxl="_n174">1966</option>
            <option value="1965" data-pxl="_n175">1965</option>
            <option value="1964" data-pxl="_n176">1964</option>
            <option value="1963" data-pxl="_n177">1963</option>
            <option value="1962" data-pxl="_n178">1962</option>
            <option value="1961" data-pxl="_n179">1961</option>
            <option value="1960" data-pxl="_n180">1960</option>
            <option value="1959" data-pxl="_n181">1959</option>
            <option value="1958" data-pxl="_n182">1958</option>
            <option value="1957" data-pxl="_n183">1957</option>
            <option value="1956" data-pxl="_n184">1956</option>
            <option value="1955" data-pxl="_n185">1955</option>
            <option value="1954" data-pxl="_n186">1954</option>
            <option value="1953" data-pxl="_n187">1953</option>
            <option value="1952" data-pxl="_n188">1952</option>
            <option value="1951" data-pxl="_n189">1951</option>
            <option value="1950" data-pxl="_n190">1950</option>
            <option value="1949" data-pxl="_n191">1949</option>
            <option value="1948" data-pxl="_n192">1948</option>
            <option value="1947" data-pxl="_n193">1947</option>
            <option value="1946" data-pxl="_n194">1946</option>
            <option value="1945" data-pxl="_n195">1945</option>
            <option value="1944" data-pxl="_n196">1944</option>
            <option value="1943" data-pxl="_n197">1943</option>
            <option value="1942" data-pxl="_n198">1942</option>
            <option value="1941" data-pxl="_n199">1941</option>
            <option value="1940" data-pxl="_n200">1940</option>
            <option value="1939" data-pxl="_n201">1939</option>
            <option value="1938" data-pxl="_n202">1938</option>
            <option value="1937" data-pxl="_n203">1937</option>
            <option value="1936" data-pxl="_n204">1936</option>
            <option value="1935" data-pxl="_n205">1935</option>
          </select>
        </div>
        <div class="error-checkbox" data-pxl="_n206"></div>
      </div>
      <div class="relative xl:mt-12 mt-8 " data-pxl="_n207">
        <label class=" text-left w-100 mb-0" data-pxl="_n208">
          <h4 class="text-lg mb-2 text-left" data-pxl="_n209">Date of Marriage</h4>
        </label>
        <div class="flex items-center mb-2 w-full" data-pxl="_n210">
          <select name="dayOfMarriage" class="py-4 px-3 w-full dob dayDob bg-transparent border border-[#374151] rounded-tl-lg rounded-bl-lg text-gray-700" id="dayOfMarriage" required="" data-parsley-required="true" data-parsley-group="block-0"
            data-pxl="_n211">
            <option value="" disabled="" selected="" data-pxl="_n212">DD</option>
            <option value="01" data-pxl="_n213">1</option>
            <option value="02" data-pxl="_n214">2</option>
            <option value="03" data-pxl="_n215">3</option>
            <option value="04" data-pxl="_n216">4</option>
            <option value="05" data-pxl="_n217">5</option>
            <option value="06" data-pxl="_n218">6</option>
            <option value="07" data-pxl="_n219">7</option>
            <option value="08" data-pxl="_n220">8</option>
            <option value="09" data-pxl="_n221">9</option>
            <option value="10" data-pxl="_n222">10</option>
            <option value="11" data-pxl="_n223">11</option>
            <option value="12" data-pxl="_n224">12</option>
            <option value="13" data-pxl="_n225">13</option>
            <option value="14" data-pxl="_n226">14</option>
            <option value="15" data-pxl="_n227">15</option>
            <option value="16" data-pxl="_n228">16</option>
            <option value="17" data-pxl="_n229">17</option>
            <option value="18" data-pxl="_n230">18</option>
            <option value="19" data-pxl="_n231">19</option>
            <option value="20" data-pxl="_n232">20</option>
            <option value="21" data-pxl="_n233">21</option>
            <option value="22" data-pxl="_n234">22</option>
            <option value="23" data-pxl="_n235">23</option>
            <option value="24" data-pxl="_n236">24</option>
            <option value="25" data-pxl="_n237">25</option>
            <option value="26" data-pxl="_n238">26</option>
            <option value="27" data-pxl="_n239">27</option>
            <option value="28" data-pxl="_n240">28</option>
            <option value="29" data-pxl="_n241">29</option>
            <option value="30" data-pxl="_n242">30</option>
            <option value="31" data-pxl="_n243">31</option>
          </select>
          <select name="monthOfMarriage" class="py-4 px-3 w-full dob monthDob bg-transparent border border-[#374151] text-gray-700 border-r-0 border-l-0" id="monthOfMarriage" required="" data-parsley-required="true" data-parsley-group="block-0"
            data-pxl="_n244">
            <option value="" disabled="" selected="" data-pxl="_n245">MM</option>
            <option value="01" data-pxl="_n246">Jan</option>
            <option value="02" data-pxl="_n247">Feb</option>
            <option value="03" data-pxl="_n248">Mar</option>
            <option value="04" data-pxl="_n249">Apr</option>
            <option value="05" data-pxl="_n250">May</option>
            <option value="06" data-pxl="_n251">Jun</option>
            <option value="07" data-pxl="_n252">Jul</option>
            <option value="08" data-pxl="_n253">Aug</option>
            <option value="09" data-pxl="_n254">Sep</option>
            <option value="10" data-pxl="_n255">Oct</option>
            <option value="11" data-pxl="_n256">Nov</option>
            <option value="12" data-pxl="_n257">Dec</option>
          </select>
          <select name="yearOfMarriage" class="py-4 px-3 w-full dob yearDob bg-transparent border border-[#374151] rounded-tr-lg rounded-br-lg text-gray-700" id="yearOfMarriage" required="" data-parsley-required="true" data-parsley-group="block-0"
            data-pxl="_n258">
            <option value="" disabled="" selected="" data-pxl="_n259">YYYY</option>
            <option value="2024" data-pxl="_n260">2024</option>
            <option value="2023" data-pxl="_n261">2023</option>
            <option value="2022" data-pxl="_n262">2022</option>
            <option value="2021" data-pxl="_n263">2021</option>
            <option value="2020" data-pxl="_n264">2020</option>
            <option value="2019" data-pxl="_n265">2019</option>
            <option value="2018" data-pxl="_n266">2018</option>
            <option value="2017" data-pxl="_n267">2017</option>
            <option value="2016" data-pxl="_n268">2016</option>
            <option value="2015" data-pxl="_n269">2015</option>
            <option value="2014" data-pxl="_n270">2014</option>
            <option value="2013" data-pxl="_n271">2013</option>
            <option value="2012" data-pxl="_n272">2012</option>
            <option value="2011" data-pxl="_n273">2011</option>
            <option value="2010" data-pxl="_n274">2010</option>
            <option value="2009" data-pxl="_n275">2009</option>
            <option value="2008" data-pxl="_n276">2008</option>
            <option value="2007" data-pxl="_n277">2007</option>
            <option value="2006" data-pxl="_n278">2006</option>
            <option value="2005" data-pxl="_n279">2005</option>
            <option value="2004" data-pxl="_n280">2004</option>
            <option value="2003" data-pxl="_n281">2003</option>
            <option value="2002" data-pxl="_n282">2002</option>
            <option value="2001" data-pxl="_n283">2001</option>
            <option value="2000" data-pxl="_n284">2000</option>
            <option value="1999" data-pxl="_n285">1999</option>
            <option value="1998" data-pxl="_n286">1998</option>
            <option value="1997" data-pxl="_n287">1997</option>
            <option value="1996" data-pxl="_n288">1996</option>
            <option value="1995" data-pxl="_n289">1995</option>
            <option value="1994" data-pxl="_n290">1994</option>
            <option value="1993" data-pxl="_n291">1993</option>
            <option value="1992" data-pxl="_n292">1992</option>
            <option value="1991" data-pxl="_n293">1991</option>
            <option value="1990" data-pxl="_n294">1990</option>
            <option value="1989" data-pxl="_n295">1989</option>
            <option value="1988" data-pxl="_n296">1988</option>
            <option value="1987" data-pxl="_n297">1987</option>
            <option value="1986" data-pxl="_n298">1986</option>
            <option value="1985" data-pxl="_n299">1985</option>
            <option value="1984" data-pxl="_n300">1984</option>
            <option value="1983" data-pxl="_n301">1983</option>
            <option value="1982" data-pxl="_n302">1982</option>
            <option value="1981" data-pxl="_n303">1981</option>
            <option value="1980" data-pxl="_n304">1980</option>
            <option value="1979" data-pxl="_n305">1979</option>
            <option value="1978" data-pxl="_n306">1978</option>
            <option value="1977" data-pxl="_n307">1977</option>
            <option value="1976" data-pxl="_n308">1976</option>
            <option value="1975" data-pxl="_n309">1975</option>
            <option value="1974" data-pxl="_n310">1974</option>
            <option value="1973" data-pxl="_n311">1973</option>
            <option value="1972" data-pxl="_n312">1972</option>
            <option value="1971" data-pxl="_n313">1971</option>
            <option value="1970" data-pxl="_n314">1970</option>
            <option value="1969" data-pxl="_n315">1969</option>
            <option value="1968" data-pxl="_n316">1968</option>
            <option value="1967" data-pxl="_n317">1967</option>
            <option value="1966" data-pxl="_n318">1966</option>
            <option value="1965" data-pxl="_n319">1965</option>
            <option value="1964" data-pxl="_n320">1964</option>
            <option value="1963" data-pxl="_n321">1963</option>
            <option value="1962" data-pxl="_n322">1962</option>
            <option value="1961" data-pxl="_n323">1961</option>
            <option value="1960" data-pxl="_n324">1960</option>
            <option value="1959" data-pxl="_n325">1959</option>
            <option value="1958" data-pxl="_n326">1958</option>
            <option value="1957" data-pxl="_n327">1957</option>
            <option value="1956" data-pxl="_n328">1956</option>
            <option value="1955" data-pxl="_n329">1955</option>
            <option value="1954" data-pxl="_n330">1954</option>
            <option value="1953" data-pxl="_n331">1953</option>
            <option value="1952" data-pxl="_n332">1952</option>
            <option value="1951" data-pxl="_n333">1951</option>
            <option value="1950" data-pxl="_n334">1950</option>
            <option value="1949" data-pxl="_n335">1949</option>
            <option value="1948" data-pxl="_n336">1948</option>
            <option value="1947" data-pxl="_n337">1947</option>
            <option value="1946" data-pxl="_n338">1946</option>
            <option value="1945" data-pxl="_n339">1945</option>
          </select>
        </div>
        <div class="error-checkbox" data-pxl="_n340"></div>
      </div>
    </div>
  </div>
  <!-- Step 3 -->
  <div class="step" data-pxl="_n341">
    <div class="relative xl:mt-12 mt-8" data-pxl="_n342">
      <h4 class="text-lg mb-2 text-left" data-pxl="_n343">What did you earn for the tax year April 2023-April 2024?</h4>
      <div class="flex flex-wrap gap-4 items-stretch relative" data-pxl="_n344">
        <div class="flex gap-4 w-full" data-pxl="_n345">
          <label class="w-1/2" data-pxl="_n346">
            <input type="radio" name="person2TaxYear24" class="hidden peer absolute" value="More than £50,270" required="" data-parsley-group="block-0" data-parsley-required="true" data-parsley-multiple="person2TaxYear24" data-pxl="_n347">
            <div
              class="min-h-[90px] md:min-h-full w-full h-full flex items-center justify-center border border-[#374151] rounded-lg text-center py-4 px-3 text-lg shadow-sm hover:shadow cursor-pointer transition-all peer-checked:bg-theme peer-checked:font-semibold"
              data-pxl="_n348">
              <span data-pxl="_n349">More than £50,270</span>
            </div>
          </label>
          <label class="w-1/2" data-pxl="_n350">
            <input type="radio" name="person2TaxYear24" class="hidden peer absolute" value="Between £12,570 - £50,270" required="" data-parsley-group="block-0" data-parsley-required="true" data-parsley-multiple="person2TaxYear24" data-pxl="_n351">
            <div
              class="min-h-[90px] md:min-h-full w-full h-full flex items-center justify-center border border-[#374151] rounded-lg text-center py-4 px-3 text-lg shadow-sm hover:shadow cursor-pointer transition-all peer-checked:bg-theme peer-checked:font-semibold"
              data-pxl="_n352">
              <span data-pxl="_n353">Between £12,570 - £50,270</span>
            </div>
          </label>
        </div>
        <div class="flex gap-4 w-full" data-pxl="_n354">
          <label class="w-1/2" data-pxl="_n355">
            <input type="radio" name="person2TaxYear24" class="hidden peer absolute" value="Less than £12,570" required="" data-parsley-group="block-0" data-parsley-required="true" data-parsley-multiple="person2TaxYear24" data-pxl="_n356">
            <div
              class="min-h-[90px] md:min-h-full w-full h-full flex items-center justify-center border border-[#374151] rounded-lg text-center py-4 px-3 text-lg shadow-sm hover:shadow cursor-pointer transition-all peer-checked:bg-theme peer-checked:font-semibold"
              data-pxl="_n357">
              <span data-pxl="_n358">Less than £12,570</span>
            </div>
          </label>
          <label class="w-1/2" data-pxl="_n359">
            <input type="radio" name="person2TaxYear24" class="hidden peer absolute" value="Not working" required="" data-parsley-group="block-0" data-parsley-required="true" data-parsley-multiple="person2TaxYear24" data-pxl="_n360">
            <div
              class="min-h-[90px] md:min-h-full w-full h-full flex items-center justify-center border border-[#374151] rounded-lg text-center py-4 px-3 text-lg shadow-sm hover:shadow cursor-pointer transition-all peer-checked:bg-theme peer-checked:font-semibold"
              data-pxl="_n361">
              <span data-pxl="_n362">Not working</span>
            </div>
          </label>
        </div>
        <p class="text-red-400 step-error absolute text-sm top-full pt-2 hidden" data-p2-claim-target="error" data-pxl="_n363">Please select an option.</p>
      </div>
    </div>
  </div>
  <!-- Step 4 -->
  <div class="step" data-pxl="_n364">
    <div class="relative xl:mt-12 mt-8" data-pxl="_n365">
      <h4 class="text-lg mb-2 text-left" data-pxl="_n366">What did you earn for the tax year April 2022-April 2023?</h4>
      <div class="flex flex-wrap gap-4 items-stretch relative" data-pxl="_n367">
        <div class="flex gap-4 w-full" data-pxl="_n368">
          <label class="w-full" data-pxl="_n369">
            <input type="radio" name="person2TaxYear23" class="hidden peer absolute" value="More than £50,270" required="" data-parsley-group="block-0" data-parsley-required="true" data-parsley-multiple="person2TaxYear23" data-pxl="_n370">
            <div
              class="min-h-[90px] md:min-h-full w-full h-full flex items-center justify-center border border-[#374151] rounded-lg text-center py-4 px-3 text-lg shadow-sm hover:shadow cursor-pointer transition-all peer-checked:bg-theme peer-checked:font-semibold"
              data-pxl="_n371">
              <span data-pxl="_n372">More than £50,270</span>
            </div>
          </label>
          <label class="w-full" data-pxl="_n373">
            <input type="radio" name="person2TaxYear23" class="hidden peer absolute" value="Between £12,570 - £50,270" required="" data-parsley-group="block-0" data-parsley-required="true" data-parsley-multiple="person2TaxYear23" data-pxl="_n374">
            <div
              class="min-h-[90px] md:min-h-full w-full h-full flex items-center justify-center border border-[#374151] rounded-lg text-center py-4 px-3 text-lg shadow-sm hover:shadow cursor-pointer transition-all peer-checked:bg-theme peer-checked:font-semibold"
              data-pxl="_n375">
              <span data-pxl="_n376">Between £12,570 - £50,270</span>
            </div>
          </label>
        </div>
        <div class="flex gap-4 w-full" data-pxl="_n377">
          <label class="w-full" data-pxl="_n378">
            <input type="radio" name="person2TaxYear23" class="hidden peer absolute" value="Less than £12,570" required="" data-parsley-group="block-0" data-parsley-required="true" data-parsley-multiple="person2TaxYear23" data-pxl="_n379">
            <div
              class="min-h-[90px] md:min-h-full w-full h-full flex items-center justify-center border border-[#374151] rounded-lg text-center py-4 px-3 text-lg shadow-sm hover:shadow cursor-pointer transition-all peer-checked:bg-theme peer-checked:font-semibold"
              data-pxl="_n380">
              <span data-pxl="_n381">Less than £12,570</span>
            </div>
          </label>
          <label class="w-full" data-pxl="_n382">
            <input type="radio" name="person2TaxYear23" class="hidden peer absolute" value="Not working" required="" data-parsley-group="block-0" data-parsley-required="true" data-parsley-multiple="person2TaxYear23" data-pxl="_n383">
            <div
              class="min-h-[90px] md:min-h-full w-full h-full flex items-center justify-center border border-[#374151] rounded-lg text-center py-4 px-3 text-lg shadow-sm hover:shadow cursor-pointer transition-all peer-checked:bg-theme peer-checked:font-semibold"
              data-pxl="_n384">
              <span data-pxl="_n385">Not working</span>
            </div>
          </label>
        </div>
        <p class="text-red-400 step-error absolute text-sm top-full pt-2 hidden" data-p2-claim-target="error" data-pxl="_n386">Please select an option.</p>
      </div>
    </div>
  </div>
  <!-- Step 5 -->
  <div class="step" data-pxl="_n387">
    <div class="relative xl:mt-12 mt-8" data-pxl="_n388">
      <h4 class="text-lg mb-2 text-left" data-pxl="_n389">What did you earn for the tax year April 2021-April 2022?</h4>
      <div class="flex flex-wrap gap-4 items-stretch relative" data-pxl="_n390">
        <div class="flex gap-4 w-full" data-pxl="_n391">
          <label class="w-full" data-pxl="_n392">
            <input type="radio" name="person2TaxYear22" class="hidden peer absolute" value="More than £50,270" required="" data-parsley-group="block-0" data-parsley-required="true" data-parsley-multiple="person2TaxYear22" data-pxl="_n393">
            <div
              class="min-h-[90px] md:min-h-full w-full h-full flex items-center justify-center border border-[#374151] rounded-lg text-center py-4 px-3 text-lg shadow-sm hover:shadow cursor-pointer transition-all peer-checked:bg-theme peer-checked:font-semibold"
              data-pxl="_n394">
              <span data-pxl="_n395">More than £50,270</span>
            </div>
          </label>
          <label class="w-full" data-pxl="_n396">
            <input type="radio" name="person2TaxYear22" class="hidden peer absolute" value="Between £12,570 - £50,270" required="" data-parsley-group="block-0" data-parsley-required="true" data-parsley-multiple="person2TaxYear22" data-pxl="_n397">
            <div
              class="min-h-[90px] md:min-h-full w-full h-full flex items-center justify-center border border-[#374151] rounded-lg text-center py-4 px-3 text-lg shadow-sm hover:shadow cursor-pointer transition-all peer-checked:bg-theme peer-checked:font-semibold"
              data-pxl="_n398">
              <span data-pxl="_n399">Between £12,570 - £50,270</span>
            </div>
          </label>
        </div>
        <div class="flex gap-4 w-full" data-pxl="_n400">
          <label class="w-full" data-pxl="_n401">
            <input type="radio" name="person2TaxYear22" class="hidden peer absolute" value="Less than £12,570" required="" data-parsley-group="block-0" data-parsley-required="true" data-parsley-multiple="person2TaxYear22" data-pxl="_n402">
            <div
              class="min-h-[90px] md:min-h-full w-full h-full flex items-center justify-center border border-[#374151] rounded-lg text-center py-4 px-3 text-lg shadow-sm hover:shadow cursor-pointer transition-all peer-checked:bg-theme peer-checked:font-semibold"
              data-pxl="_n403">
              <span data-pxl="_n404">Less than £12,570</span>
            </div>
          </label>
          <label class="w-full" data-pxl="_n405">
            <input type="radio" name="person2TaxYear22" class="hidden peer absolute" value="Not working" required="" data-parsley-group="block-0" data-parsley-required="true" data-parsley-multiple="person2TaxYear22" data-pxl="_n406">
            <div
              class="min-h-[90px] md:min-h-full w-full h-full flex items-center justify-center border border-[#374151] rounded-lg text-center py-4 px-3 text-lg shadow-sm hover:shadow cursor-pointer transition-all peer-checked:bg-theme peer-checked:font-semibold"
              data-pxl="_n407">
              <span data-pxl="_n408">Not working</span>
            </div>
          </label>
        </div>
        <p class="text-red-400 step-error absolute text-sm top-full pt-2 hidden" data-p2-claim-target="error" data-pxl="_n409">Please select an option.</p>
      </div>
    </div>
  </div>
  <!-- Step 6 -->
  <div class="step" data-pxl="_n410">
    <div class="relative xl:mt-12 mt-8" data-pxl="_n411">
      <h4 class="text-lg mb-2 text-left" data-pxl="_n412">What did you earn for the tax year April 2020-April 2021?</h4>
      <div class="flex flex-wrap gap-4 items-stretch relative" data-pxl="_n413">
        <div class="flex gap-4 w-full" data-pxl="_n414">
          <label class="w-full" data-pxl="_n415">
            <input type="radio" name="person2TaxYear21" class="hidden peer absolute" value="More than £50,270" required="" data-parsley-group="block-0" data-parsley-required="true" data-parsley-multiple="person2TaxYear21" data-pxl="_n416">
            <div
              class="min-h-[90px] md:min-h-full w-full h-full flex items-center justify-center border border-[#374151] rounded-lg text-center py-4 px-3 text-lg shadow-sm hover:shadow cursor-pointer transition-all peer-checked:bg-theme peer-checked:font-semibold"
              data-pxl="_n417">
              <span data-pxl="_n418">More than £50,270</span>
            </div>
          </label>
          <label class="w-full" data-pxl="_n419">
            <input type="radio" name="person2TaxYear21" class="hidden peer absolute" value="Between £12,570 - £50,270" required="" data-parsley-group="block-0" data-parsley-required="true" data-parsley-multiple="person2TaxYear21" data-pxl="_n420">
            <div
              class="min-h-[90px] md:min-h-full w-full h-full flex items-center justify-center border border-[#374151] rounded-lg text-center py-4 px-3 text-lg shadow-sm hover:shadow cursor-pointer transition-all peer-checked:bg-theme peer-checked:font-semibold"
              data-pxl="_n421">
              <span data-pxl="_n422">Between £12,570 - £50,270</span>
            </div>
          </label>
        </div>
        <div class="flex gap-4 w-full" data-pxl="_n423">
          <label class="w-full" data-pxl="_n424">
            <input type="radio" name="person2TaxYear21" class="hidden peer absolute" value="Less than £12,570" required="" data-parsley-group="block-0" data-parsley-required="true" data-parsley-multiple="person2TaxYear21" data-pxl="_n425">
            <div
              class="min-h-[90px] md:min-h-full w-full h-full flex items-center justify-center border border-[#374151] rounded-lg text-center py-4 px-3 text-lg shadow-sm hover:shadow cursor-pointer transition-all peer-checked:bg-theme peer-checked:font-semibold"
              data-pxl="_n426">
              <span data-pxl="_n427">Less than £12,570</span>
            </div>
          </label>
          <label class="w-full" data-pxl="_n428">
            <input type="radio" name="person2TaxYear21" class="hidden peer absolute" value="Not working" required="" data-parsley-group="block-0" data-parsley-required="true" data-parsley-multiple="person2TaxYear21" data-pxl="_n429">
            <div
              class="min-h-[90px] md:min-h-full w-full h-full flex items-center justify-center border border-[#374151] rounded-lg text-center py-4 px-3 text-lg shadow-sm hover:shadow cursor-pointer transition-all peer-checked:bg-theme peer-checked:font-semibold"
              data-pxl="_n430">
              <span data-pxl="_n431">Not working</span>
            </div>
          </label>
        </div>
        <p class="text-red-400 step-error absolute text-sm top-full pt-2 hidden" data-p2-claim-target="error" data-pxl="_n432">Please select an option.</p>
      </div>
    </div>
  </div>
  <div id="uploadDocDiv" class="step uploadDoc xl:mt-12 mt-8" data-pxl="_n433">
    <div class="relative" data-pxl="_n434">
      <h4 class="text-lg mb-2 text-left" data-pxl="_n435">Upload a recent payslip or p60</h4>
      <input placeholder="Pay Slip" id="pay_slip" name="pay_slip" class="pay_slip w-full p-4 border border-gray-300 rounded-xl" type="file" data-pxl="_n436">
      <input type="hidden" value="" class="paySlipUrl" name="paySlipUrl" id="paySlipUrl" data-pxl="_n437">
    </div>
    <div class="error-fileSize hidden text-sm text-red-500 py-1 text-left" data-pxl="_n438"><span class="font-bold pr-1" data-pxl="_n439">(Large File) </span> File size should be less than 5 MB.</div>
    <div class="bg-[#d3f4cf] shadow p-2 rounded-lg mt-2 flex items-start" data-pxl="_n440">
      <svg class="w-10 mr-2" viewBox="0 0 24 24" fill="none" xmlns="http://www.w3.org/2000/svg" data-pxl="_n441">
        <g id="SVGRepo_bgCarrier" stroke-width="0" data-pxl="_n442"></g>
        <g id="SVGRepo_tracerCarrier" stroke-linecap="round" stroke-linejoin="round" data-pxl="_n443"></g>
        <g id="SVGRepo_iconCarrier" data-pxl="_n444">
          <path fill-rule="evenodd" clip-rule="evenodd"
            d="M22 12C22 17.5228 17.5228 22 12 22C6.47715 22 2 17.5228 2 12C2 6.47715 6.47715 2 12 2C17.5228 2 22 6.47715 22 12ZM12 17.75C12.4142 17.75 12.75 17.4142 12.75 17V11C12.75 10.5858 12.4142 10.25 12 10.25C11.5858 10.25 11.25 10.5858 11.25 11V17C11.25 17.4142 11.5858 17.75 12 17.75ZM12 7C12.5523 7 13 7.44772 13 8C13 8.55228 12.5523 9 12 9C11.4477 9 11 8.55228 11 8C11 7.44772 11.4477 7 12 7Z"
            fill="#337606" data-pxl="_n445"></path>
        </g>
      </svg>
      <p class="text-sm font-mont text-left" data-pxl="_n446">We need your payslip or P60 to verify your tax code, National Insurance, and PAYE reference to claim the maximum reclaim amount possible.</p>
    </div>
    <div class="hidden passwordDiv" data-pxl="_n447">
      <h2 class="text-lg mb-2 mt-10 text-left" data-pxl="_n448">If your document has a password please enter here?</h2>
      <input type="text" placeholder="e.g, abc123" id="person2P60Password" name="person2P60Password" class="person2P60Password py-5 px-3 w-full bg-transparent text-lg rounded-lg text-gray-700" data-pxl="_n449">
    </div>
  </div>
  <!-- Step 7 -->
  <div class="step" data-pxl="_n450">
    <div class="relative xl:mt-12 mt-8" data-pxl="_n451">
      <label class="w-full text-left" data-pxl="_n452">
        <h4 class="text-lg mb-2 text-left" data-pxl="_n453">National Insurance Number</h4>
        <input type="text" placeholder="QQ123456B" id="person2Ni" name="person2Ni" class="insurance-number py-4 px-3 w-full text-lg bg-transparent text-uppercase border border-[#374151] rounded-lg text-gray-700  placeholder-gray-400" required=""
          data-parsley-required="true" data-parsley-required-message="Cannot be blank" data-parsley-group="block-0" data-parsley-pattern="^[A-Za-z]{2}[0-9]{6}[A-Za-z]{1}$" data-parsley-pattern-message="Please enter valid Insurance number"
          data-pxl="_n454">
      </label>
    </div>
  </div>
  <div class="step" data-pxl="_n455">
    <h4 class="text-lg mb-2 text-left xl:mt-12 mt-8" data-pxl="_n456">Do you file a Self Assessment tax return each year?</h4>
    <div class="flex items-center gap-4 relative" data-pxl="_n457">
      <label class="w-full" data-pxl="_n458">
        <input type="radio" name="p2SelfAssessment" class="hidden peer absolute" value="yes" required="" data-parsley-group="block-0" data-parsley-required="true" data-parsley-multiple="p2SelfAssessment" data-pxl="_n459">
        <div class="w-full border border-[#374151] rounded-lg text-center py-4 px-3 text-lg shadow-sm hover:shadow cursor-pointer transition-all peer-checked:bg-theme peer-checked:font-semibold" data-pxl="_n460">
          <span data-pxl="_n461">Yes</span>
        </div>
      </label>
      <label class="w-full" data-pxl="_n462">
        <input type="radio" name="p2SelfAssessment" class="hidden peer absolute" value="no" required="" data-parsley-group="block-0" data-parsley-required="true" data-parsley-multiple="p2SelfAssessment" data-pxl="_n463">
        <div class="w-full border border-[#374151] rounded-lg text-center py-4 px-3 text-lg shadow-sm hover:shadow cursor-pointer transition-all peer-checked:bg-theme peer-checked:font-semibold" data-pxl="_n464">
          <span data-pxl="_n465">No</span>
        </div>
      </label>
      <p class="text-red-400 step-error absolute text-sm top-full pt-2 hidden" data-p2-claim-target="error" data-pxl="_n466">Please select an option.</p>
    </div>
  </div>
  <!-- Step 8 -->
  <div class="step xl:mt-12 mt-8 relative" data-pxl="_n467">
    <label class="w-full text-left" data-pxl="_n468">
      <h4 class="text-lg mb-2 text-left" data-pxl="_n469">Phone</h4>
      <input type="text" placeholder="07000000000" id="phone" name="phoneNumber" class="phone py-4 px-3 w-full text-lg bg-transparent border border-[#374151] rounded-lg text-gray-700" data-parsley-validphone="" data-parsley-pattern="^07\d*"
        data-parsley-pattern-message="Please enter 07 in start of phone number" maxlength="11" data-parsley-length-message="Please enter valid phone number" minlength="11" data-parsley-required="true"
        data-parsley-required-message="Please enter valid phone number" data-parsley-group="block-0" required="" data-pxl="_n470">
    </label>
  </div>
  <!-- Step 7 -->
  <div class="step" data-pxl="_n471">
    <div class="signature-pad text-left xl:mt-12 mt-8 taxSection" data-pxl="_n472">
      <div class="md:w-8/12 w-full" data-pxl="_n473">
        <label for="signature-pad" data-pxl="_n474">
          <h4 class="text-lg mb-2 text-left" data-pxl="_n475">Signature</h4>
          <div class="md:h-auto h-[170px] md:w-full w-5/6" data-pxl="_n476">
            <canvas id="signature-pad" class="bg-white border border-[#374151] rounded-lg" height="181" data-p2-claim-target="canvas" width="476" style="width: 100%; height: 100%; touch-action: none; user-select: none;" data-pxl="_n477"></canvas>
          </div>
        </label>
        <div class="flex w-full justify-between items-center pt-2" data-pxl="_n478">
          <button type="button" class="bg-transparent py-2 text-sm" data-action="click->p2-claim#clearSignature" data-pxl="_n479">Clear</button>
          <!-- <button type="button" class="bg-dark py-2 px-4 rounded-pill text-white" onclick="saveSignature()">Save</button> -->
        </div>
      </div>
      <input type="hidden" id="hiddenInputFieldSignature" name="hiddenInputFieldSignature" class="hiddenInputFieldSignature" data-p2-claim-target="signatureInput" data-pxl="_n480">
    </div>
  </div>
  <div class="bg-yellow rounded-lg py-[0.1px] cursor-pointer ml-2 xl:mt-12 mt-8" data-pxl="_n481">
    <button type="button" class="rounded-lg bg-black flex items-center justify-center py-3 w-full text-white group-hover:m-0 relative text-lg z-[3] hover:mb-0 mb-2 hover:mt-0 hover:ml-0 -mt-2 -ml-2 transition-all duration-300 ease-in-out"
      data-action="click->p2-claim#leadSubmit" data-pxl="_n482">
      <div class="text flex items-center" data-pxl="_n483"> Submit My Claim <svg xmlns="http://www.w3.org/2000/svg" width="34" height="30" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round"
          stroke-linejoin="round" class="lucide lucide-move-right text-white ml-2" data-pxl="_n484">
          <path d="M18 8L22 12L18 16" data-pxl="_n485"></path>
          <path d="M2 12H22" data-pxl="_n486"></path>
        </svg>
      </div>
      <span class="spinner hidden" data-pxl="_n487"></span>
    </button>
  </div>
</form>

Text Content

9.6 million eligible couples in the UK. You and your partner could be one of
them. Check if you qualify for free


JUNE HAS REQUESTED YOUR DETAILS FOR A MARRIAGE TAX ALLOWANCE OF £1008

In order to complete your marriage tax allowance claim of £1008 we need your
earning details for the past 4 years. This will take no longer than 30 seconds
to complete.

FIRST NAME

LAST NAME

DATE OF BIRTH

DD 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29
30 31 MM Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec YYYY 2006 2005 2004
2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988
1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972
1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 1959 1958 1957 1956
1955 1954 1953 1952 1951 1950 1949 1948 1947 1946 1945 1944 1943 1942 1941 1940
1939 1938 1937 1936 1935


DATE OF MARRIAGE

DD 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29
30 31 MM Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec YYYY 2024 2023 2022
2021 2020 2019 2018 2017 2016 2015 2014 2013 2012 2011 2010 2009 2008 2007 2006
2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990
1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974
1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 1959 1958
1957 1956 1955 1954 1953 1952 1951 1950 1949 1948 1947 1946 1945


WHAT DID YOU EARN FOR THE TAX YEAR APRIL 2023-APRIL 2024?

More than £50,270
Between £12,570 - £50,270
Less than £12,570
Not working

Please select an option.

WHAT DID YOU EARN FOR THE TAX YEAR APRIL 2022-APRIL 2023?

More than £50,270
Between £12,570 - £50,270
Less than £12,570
Not working

Please select an option.

WHAT DID YOU EARN FOR THE TAX YEAR APRIL 2021-APRIL 2022?

More than £50,270
Between £12,570 - £50,270
Less than £12,570
Not working

Please select an option.

WHAT DID YOU EARN FOR THE TAX YEAR APRIL 2020-APRIL 2021?

More than £50,270
Between £12,570 - £50,270
Less than £12,570
Not working

Please select an option.

UPLOAD A RECENT PAYSLIP OR P60

(Large File) File size should be less than 5 MB.

We need your payslip or P60 to verify your tax code, National Insurance, and
PAYE reference to claim the maximum reclaim amount possible.


IF YOUR DOCUMENT HAS A PASSWORD PLEASE ENTER HERE?

NATIONAL INSURANCE NUMBER

DO YOU FILE A SELF ASSESSMENT TAX RETURN EACH YEAR?

Yes
No

Please select an option.

PHONE

SIGNATURE


Clear
Submit My Claim

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