Professional Documents
Culture Documents
Page 1 of ______________
2a. Region A.A 2b. Zone / sub city :Yeka 5. Tax Center
Month MAY Year 2019
2c. Wereda : 08 2d. For Ass/ Kebele 2c. H. No. 6. Telephone No. 0921786661 7. Fax No. Dec. No. (for office use only
New/Room No
312/B
Table 2 Declation Information
Cheque No.
Cash reciever Signature
Section 5. Tax payer certification
I Declare that the above declaration and
information provided here with is correct Tax payer/ Authorized Agent Company Seal Name of Authorized
and complete in the best at my
knowledge and belief. I understand that Name_____________
any miss represtentation is punishable
under the appropraite tax laws and penal
code. Tax officer
Signature _____________________ Date Signiture _________ Date
Federal Democratic Republic of Eethiopia Ethiopian Revenues Table "A" Employement Income tax payment declaration form (for employer) (Income Tax proc- No. 286/1196 &
& customs authority income tax Rec No. 78/1994
Section 1 Tax Payer Information
1. Tax Payer Name: YUFEI ELECTRONICS PLC 3. TIN :0038412077 4. Tax Account No. 8. Payment period
Page 1 of ______________
2a. Region A.A 2b. Zone / sub city :bole 5. Tax Center
Month MAY Year 2019
2c. Wereda : 07 2d. For Ass/ Kebele 2c. H. No. 6. Telephone No. 0921786661 7. Fax No. Dec. No. (for office use only
NewB
2a. Region A.A 2b. Zone / sub city :Yeka 5. Tax Center Month MAY Year 2019
2c. Wereda : 08 2d. For Ass/ Kebele 2c. H. No. 6. Telephone No. 0921786661 7. Fax No. Dec. No. (for office use only
New/Room No
312/B
Table 2 Declaration Information
H. Total Contribution
C. Employee Name, Father D. Employment F. Employee Contribution
A/c. No.B. Employee TIN E. Basic Salary (Br) G. Employer Contribution 11% (Brr) held by employer 18% Signiture
Name, Grand father Name Date/Month/Year 7% (Brr)
(Birr)F+G
Company Seal