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TRS 01

Tax Branch

Month

Year

/ Stick bar code here!

TAX RETURN

Reset form

FOR SMALL TAXPAYERS

Tax period of tax return

/ Tax Identification Number (TIN)

Start date

To

Name of enterprise

Name of owner

Business activities

Address No.

Street

//

Commune

Village

District

Province/City

Email

Mobile phone / Office telephone

/ Tax calculation

/ Total turnover of this month


.
N

1
2
3
4
5
6
7
8

Type of Taxes

Tax rate

Tax base

(B1)

1%

(B2)

10%

(B3)

(B4)

3%

(B5)

2%

(B6)

10%

(B7)

(B8)

Prepayment of profit tax

Value added tax

Specific tax

Public lighting tax

Accommodation tax

Withholding tax on rental

Salary tax

Other taxes

Tax to be paid


Total

/ Declaration :

/




I hereby assure that all information provided in this form including all attachments is true and accurate and there is no
operation undeclared. I shall be punished by the law of the Kingdom of Cambodia if the provided documents are found to be fraudulent or in formation to be incorrect.

/ Tax official use only


Date

Signature


Company owner / Company representative

Place,

Signature

Name

Name

30 000 000
1.35

22 222 222

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