SCHEDULE 4

Compliance report declaration

Qualifying Company Name:__

Producer Company Name:____

Name of Film:

Culture Certificate Number:__

Declaration

I declare that to the best of my knowledge and belief the information given in this Report is correct, and that the conditions of relief applying to the company and film are satisfied and in particular that:

●The film was completed on:__/____/_____

●The name and address of the banking institution employed in relation to the administration of production expenditure incurred in the State is:

Producer company:_______________________

Qualifying company:______________________

●All the documentation and final signed, dated and witnessed versions of all agreements, required to be completed by the producer company, in advance of a claim, including, where applicable a Completion Bond, have been submitted.

●All the conditions contained in the certificate issued by Minister to the qualifying company under section 481 of the Taxes Consolidation Act 1997, were complied with.

●The sole activity of the qualifying company has been the production of the qualifying film.

●The producer company and qualifying company have maintained records, in accordance with Part 5 of the Film Regulations 2015 and section 481 of the Taxes Consolidation Act 1997.

●The attachments listed in the schedule are available.

●The producer company has existed for the purpose of carrying out the trade of producing films on a commercial basis since [date] and will continue to actively trade in the production of films in accordance with section 481(2C)(e) for at least a further 12 months from the date of this letter.

Signature: ___________________ Date:__/____/_____

Capacity: Secretary