English to Polish Other Insurance

Accordingly, in order for insurers to evaluate your tax liabilities and collect the correct amount for payment to the relevant tax authorities in overseas jurisdiction (as well as in the UK), can you please provide a breakdown of your income for the last complete financial year arising from all domestic and overseas activities below.
If income is derived from the United States of America or Australia, please specify the state in which the office is domiciled.
Country
Income derived from each domiciled office