MALL b2eAP BOHEALE CT AN PHAERE MPP TPE WANAMY The Federal Democratic Republic of Ethiopia Ethiopian Revenues and Customs Authority PIE rot hd Moke VALUE ADDED TAX DECLARATION £018 LEC DocumentNo: 11 PPC nek Ae Name of Taxpayer | 1.2 PUNE hé. aA 4PC/ Taxpayer Identification Number (TIN) | 4.3 PhaaeId Al Jhd PC! VAT Registration Number qt og __ 9.9". / For the month of ony we a cD a PeTeAen te eu A CEA SMES 21 MLD OC F7LLAOET HAA (¥) PANT LECT | If the retum for the peridd is NIL(“) Here ion econo MES Nb#s NTA" + Tee BOE NG PHIATOAT AR aot LAT HAUTE | APCONTILD PZ AA thd | 5 io Value of Taxable Goods and VAT on Taxable Goods and | | Supplies ‘Supplies [15% of the line 5] | Pe PM, LATO PPT y i ine 7 NIA tet Po 15 Value of Zer0-Reted Goods nranere WT Fu ol CU et \ Te arArce PO 20 Value of Exempt Supplies iSales ! | | ephh PuEl £rF MACORE 22 | Value of Remitted Supplies 2 | MPAA AHEON FTiee Fir s FO hee Fae Wi PS | | VAT Charge for this period }96.) I | Tota! Supplies / Sales 30 [ine 10] | [Lines 5+15+20+25),