SIMPLE Declaration Form DATE:…………………….

IBISABWA KUWUZUZA MBERE UZUZA MURI UTU TUZU (Column)

YA (DECLARATION)
1 Amazina cg izina rya sosiyete
2 Italiki y’amavuko
3 No y’irangamuntu/passport
4 TIN-RRA
5 E-mail
6 No ya Telefone ya 1
No ya telefone ya 2
7 Warashatse(vuga:yego,cg oya)
Niba ari yego: uwo mwashakanye
8 Aho utuye:
:Akarere
;Umurenge
:Akagari
:Umudugudu
9 Aho ibikorwa bikorerwa:
:Akarere
:Umurenge
:Akagari
:Umudugudu
10 Ubwoko bw’ibikorwa
1
2
3
11 Italiki ibikorwa byatangiriye
Igicuruzo cy’umwaka:
Munsi ya :2,000,000 frw
Kuva: 2,000,001-4,000,000
4,000,001-7,000,000
7,000,001-10,000,000
10,000,001-12,000,000
12 Niba ukodesha aho ukorera?
-Nyirinzu (Amazina yombi)
-Telefone
-No y’irangamuntu
13 Patente yishyurwa k’umwaka
n’angahe?
(Andika umubare w’amafaranga)
14 Niba patente ya 2018 yarishyuwe (vuga
yego cg oya)
15 Umusoro w’ukwezi n’angahe?
16 Ni ayahe mezi ushaka kwishyura
17 Amazina n’umukono by’usora