Last updated 2026-06-27

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Dividend Tax Refund — a12119 (Netherlands)

Refund
Worksheet / transcription aid

Dividend Tax Refund — a12119 (Netherlands) is the Netherlands form for reclaiming over-withheld dividend tax above your treaty rate. It is filed via the Dutch Tax Administration — IB 92 Universeel (belastingdienst.nl/ib92), issued by the Belastingdienst. The deadline is 3 years from the end of the calendar year of the dividend payment. You will need a certificate of tax residence and your dividend vouchers.

Issuing authority
Belastingdienst
Deadline
3 years from the end of the calendar year of the dividend payment
Where to file
the Dutch Tax Administration — IB 92 Universeel (belastingdienst.nl/ib92)
Type
Refund (reclaim at source)

What is Dividend Tax Refund — a12119 (Netherlands)?

Dividend Tax Refund — a12119 (Netherlands) is used to claim a Netherlands withholding tax refund. Individual investors use IB 92 Universeel ('Verzoek om (gedeeltelijke) vrijstelling of teruggaaf dividendbelasting'). This output is a worksheet — transcribe into the correct form at belastingdienst.nl or request the paper IB 92 form. Netherlands withholds 15.0% on dividends paid to non-residents; treaty-country investors can recover the excess above their treaty rate. See the full Netherlands withholding tax guide.

How to file Dividend Tax Refund — a12119 (Netherlands)

  1. 1

    Confirm your eligibility

    Use Dividend Tax Refund — a12119 (Netherlands) if you received Netherlands income that was withheld above the rate due under your tax treaty.

  2. 2

    Gather your documents

    Obtain a certificate of tax residence from your home country and your dividend vouchers showing the gross amount and tax withheld.

  3. 3

    Complete Dividend Tax Refund — a12119 (Netherlands)

    Fill in the form with your income and tax-withheld figures. Tax Reclaim can pre-fill it from your dividend data.

  4. 4

    Submit before the deadline

    File via the Dutch Tax Administration — IB 92 Universeel (belastingdienst.nl/ib92). Deadline: 3 years from the end of the calendar year of the dividend payment.

Frequently asked questions

Is Dividend Tax Refund — a12119 (Netherlands) an official form I can file directly?

It reconstructs the official statutory form. The Belastingdienst accepts e-filing or its own form, so use this as a transcription aid: file via the Dutch Tax Administration — IB 92 Universeel (belastingdienst.nl/ib92).

What is the deadline for Dividend Tax Refund — a12119 (Netherlands)?

3 years from the end of the calendar year of the dividend payment. Missing the deadline means the over-withheld tax is permanently lost.

Do I need a certificate of tax residence?

Yes. The Belastingdienst requires a certificate of tax residence from your home country to grant the reduced treaty rate.

Anything important to watch out for with Dividend Tax Refund — a12119 (Netherlands)?

Individual investors use IB 92 Universeel ('Verzoek om (gedeeltelijke) vrijstelling of teruggaaf dividendbelasting'). This output is a worksheet — transcribe into the correct form at belastingdienst.nl or request the paper IB 92 form.

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