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Federal Democratic Republic of Eethiopia Table "A" Employement Income tax payment declaration form (for employer) (Income

come Tax proc-


Ethiopian Revenues & customs authority No. 286/1196 & 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 :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

C. Employee Additional Payment Cost


E. Basic
A/c. No. Employee
Name, Father D. Date of Total Taxzble Employment Sharing Net Payment (Br) Signiture
Salary Taxable
Tin No. Name, Grand Employement Income (EGH) Br Income tax (Br) Payme
(Br) Transport Over
father Name Other Benefits Br nt (Br)
F. Total Transport Allowance Time Br
Allowance (Br) (Br)
1 Huang Fu 30000 2200 30000 9000 23200
2 Wang Suming 28000 2200 28000 8300 21900
3 Meng Cirui 25000 2200 25000 7250 19950
4 Wei Ping 25000 2200 25000 7250 19950
5 Tang Jiao 20000 2200 20000 5500 16700
6 tamralech nigus 800 200 800 20 980
Total Brought from attachment 138,328.72 15,504.82 126,416.84
Total 267,128.72 52,824.82 - 229,096.84
Section 3. Monthly Summery Employees Whose contract Terminated For Office Use Only
No. of employees those will be No. Employee Name, Father
10 paid
Totalinemployement
this month income 58 Employee TIN Name, Grand F. Name Payment Date
subject to income tax in this
20 month (Table 5)
Total employement income 267,128.72 Rec iept No.
tax that should be paid in this
30 month (Table K) 52,824.82 Amount

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

Table 2 Declation Information

D. Date Additional Payment


C. Employee Name, Father of Total Taxable Employment Cost Sharing
Acc. No.
B. Employee TIN
Name, Grand father Name Employe E. Basic Salary F. Total Taxable Income (EGH) Br Income tax (Br) Payment (Br) Net Payment (Br) Signiture
ment Transport Transport Over Time Br Other Benefits Br
Allowance (Br) Allowance
7 surafel meseganaw 800 200 800 20 980

8 Kelem Zewedu 2226 500 0 1000 3226 343 3227

9 Ayelech Husen 2300 500 35 1230 3565 410 3493

10 Mulunesh Tunsisa 1700 0 26 680 2406 218 2068

Misgan Mkuria 1300 0 10 830 2140 178 1870


11
12 Emebet Tadesse 1350 0 20 1230 2600 248 2258

Mimi Zeleke 1350 0 27 1110 2487 231 2162


13
14 Zekiya Muridu 1350 0 10 830 2190 186 1910

15 Dinke Namara 1350 0 27 600 1977 154 1729

16 Tesfaye Sharo 1150 0 0 900 2050 165 1805

17 Mengistu Shayito 1150 0 17 860 2027 162 1785

18 Yohanns Setegn 1150 0 23 1130 2303 203 2020

19 Ebbisa Challa 1350 0 20 490 1860 137 1629

20 Seid Aragaw 1150 0 23 930 2103 173 1850

Genet Kifile 1150 0 17 980 2147 180 1887


21
22 Alazar Hile 1150 0 23 850 2023 161 1782

Meron Dereje 2800 600 14 2050 4864 670 4598


23
24 Etu Daba 1076 0 0 325 1401 80 1245

25 Tsehay Feyisa 1150 0 9 365 1524 92 1351

26 Eshetu Aga 1150 0 6 335 1491 89 1321

27 Emebet Bekele 1057 0 0 415 1472 87 1311

28 Hawi Terefe 1076 0 0 465 1541 94 1371

29 Belise Abebe 1076 0 6 475 1557 96 1386

30 Keteme Jote 1150 0 0 435 1585 99 1406

Feyisa Shiferaw 1113 0 23 235 1371 77 1294


31
32 Abeba Gutema 1076 0 17 375 1468 87 1306

Tsegu Bekele 2350 0 313 0 2663 257 2406


33
34 Shito Mekonene 1700 0 0 0 1700 113 1469

35 Meseret Biru 2000 0 30 350 2380 215 2026

Company / Authorized Agent Name _____________________________ Signature _____________________________ 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

Table 2 Declation Information

D. Date Additional Payment


C. Employee Name, Father of Total Taxable Employment Cost Sharing
Acc. No.
B. Employee TIN
Name, Grand father Name Employe E. Basic Salary F. Total Taxable Income (EGH) Br Income tax (Br) Payment (Br) Net Payment (Br) Signiture
ment Transport Transport Over Time Br Other Benefits Br
Allowance (Br) Allowance
36 Teshome Wordofa 1700 0 34 985 2719 265 2335

37 Mekonen Gudeta 2000 0 30 550 2580 245 2196

38 Shimbure Ashetu 1700 0 0 0 1700 113 1469

39 Mekuriaw Alebachew 2300 575 35 100 2435 223 2626

Mulu Feyisa 1700 0 0 0 1700 113 1469


40
41 Almaz Moti 1700 0 0 0 1700 113 1469

Tiki Debele 1935 0 30 350 2316 205 1975


42
43 Asefa Wolde Yohanes 1650 0 0 0 1650 105 1430

44 Etsubdink Belachew 1150 0 0 329 1479 88 1311

45 Zinash Tariku 1150 0 0 295 1445 85 1280

46 Genet Gemechu 1750 0 26 0 1776 124 1530

47 Wasihun Niguse 4800 1200 8957 13757 3315 11305

48 Meaza Seyum 3400 850 2244 5644 846 5410

49 Tariku Fikadu 2400 600 1988 4388 575 4244

Barok Daniel 2150 538 962 3112 324 3174


50
51 Yonas G/tensay 2245 561 2212 4457 589 4271

Elsabet Bogale 2400 600 978 3378 373 3436


52
53 Melkamu Seifu 2400 600 2262 4662 630 4464

54 Solomon Nigus 2011 503 3002 5013 700 4675

55 Meseret Tilahun 2619 561 1224 3843 466 3755

56 Daniel Tefera 2150 538 1281 3431 384 3433

57 Abel Shibru 2755 590 682 3437 385 3449

58 784 784 18 766


Yebeltal Atnafu

Total 88,815.32 9,515.73 - 854.03 48,659.37 138,328.72 15,504.82 - 126,416.84


Company / Authorized Agent Name _____________________________ Signature _____________________________ 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

Table 2 Declation Information

D. Date Additional Payment


C. Employee Name, Father of Total Taxable Employment Cost Sharing
Acc. No.
B. Employee TIN
Name, Grand father Name Employe E. Basic Salary F. Total Taxable Income (EGH) Br Income tax (Br) Payment (Br) Net Payment (Br) Signiture
ment Transport Transport Over Time Br Other Benefits Br
Allowance (Br) Allowance

Company / Authorized Agent Name _____________________________ Signature _____________________________ Date ________________________


Federal Democratic Republic of Eethiopia Ethiopian Revenues & customs private organizations pension contribution declaration form ( Private Organization Pension
authority Contribution proc-No. 715/2003
Section 1 - Company information who pay pension contribution
1. Company Name YUFEI ELECTRONICS PLC 3. Company TIN 4. Tax Account 8. Payment period
0038412077 No. 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 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

1 Kelem Zewedu 2226 155.81 244.84 400.65


2 Ayelech Husen 2300 161.00 253.00 414.00
3 Mulunesh Tunsisa 1700 119.00 187.00 306.00
4 Misgan Mkuria 1300 91.00 143.00 234.00
5 Emebet Tadesse 1350 94.50 148.50 243.00
6 Mimi Zeleke 1350 94.50 148.50 243.00
7 Zekiya Muridu 1350 94.50 148.50 243.00
Total brought from attachment 72,976.61 5,108.36 8,027.43 13,135.78
84,552.42 5,918.67 9,300.77 15,219.43
Section 3. Monthly Summery Section 4 Employees whose contract terminated in this month For Office Use Only

No. Employee Name, Father Name, Grand


No. of employees those will be paid in this month 48 Employee F. Name Payment Date

20 Total employee Basic Salary (coloumen E) 84,552.42 Rec iept No.

30 Total employees contribution amount (F) 5,918.67 Amount

40 Total employer contribution Amount (column G) 9,300.77 Cheque No.

50 Total Monthly contribution Amount (column H) 15,219.43 Cash reciever Signature

Section 5. Tax payer certification

Company Seal

Tax payer/ Authorized Agent Name of Authorized


I Declare that the above declaration and information
provided here with is correct and complete in the best of Name______________
my knowledge and belief. I understand that any
misreprestenation is punishable under the appropraite tax
laws and penal code. Tax officer
Signature _____________________ Date Signiture _________ Date
Federal Democratic Republic of Eethiopia Ethiopian Revenues & private organizations pension contribution declaration form ( Private Organization
customs authority Pension Contribution proc-No. 715/2003
Section 1 - Company information who pay pension contribution
1. Company Name YUFEI ELECTRONICS PLC 3. Company TIN 0038412077 8. Payment period

Month MAY 2019

Table 2 Declation Information


D.
H. Total Contribution
C. Employee Name, Father Employment F. Employee G. Employer Contribution 11 %
A/c. No. B. Employee TIN E. Basic Salary held by employer % Signiture
Name, Grand father Name Date/Month/ Contribution 7 % (Brr) (Brr) (Birr)F+G
Year

8 Dinke Namara 1350 94.50 148.50 243.00


9 Tesfaye Sharo 1150 80.50 126.50 207.00
10 Mengistu Shayito 1150 80.50 126.50 207.00
11 Yohanns Setegn 1150 80.50 126.50 207.00
12 Ebbisa Challa 1350 94.50 148.50 243.00
13 Seid Aragaw 1150 80.50 126.50 207.00
14 Genet Kifile 1150 80.50 126.50 207.00
15 Alazar Hile 1150 80.50 126.50 207.00
16 Meron Dereje 2800 196.00 308.00 504.00
17 Etu Daba 1076 75.31 118.34 193.65
18 Tsehay Feyisa 1150 80.50 126.50 207.00
19 Eshetu Aga 1150 80.50 126.50 207.00
20 Emebet Bekele 1057 74.01 116.30 190.31
21 Hawi Terefe 1076 75.31 118.34 193.65
22 Belise Abebe 1076 75.31 118.34 193.65
23 Keteme Jote 1150 80.50 126.50 207.00
24 Abeba Gutema 1076 75.31 118.34 193.65
25 Shito Mekonene 1700 119.00 187.00 306.00
26 Meseret Biru 2000 140.00 220.00 360.00
27 Teshome Wordofa 1700 119.00 187.00 306.00
28 Mekonen Gudeta 2000 140.00 220.00 360.00
29 Shimbure Ashetu 1700 119.00 187.00 306.00
30 Mekuriaw Alebachew 2300 161.00 253.00 414.00
31 Mulu Feyisa 1700 119.00 187.00 306.00
32 Almaz Moti 1700 119.00 187.00 306.00
33 Tiki Debele 1935 135.48 212.90 348.39
34 Asefa Wolde Yohanes 1650 115.50 181.50 297.00
35 Etsubdink Belachew 1150 80.50 126.50 207.00
36 Zinash Tariku 1150 80.50 126.50 207.00
37 Genet Gemechu 1750 122.50 192.50 315.00
38 Wasihun Niguse 4800 336.00 528.00 864.00
39 Meaza Seyum 3400 238.00 374.00 612.00

Company / Authorized Agent Name ______________________ Signature __________________ Date ____________________


Federal Democratic Republic of Eethiopia Ethiopian Revenues & private organizations pension contribution declaration form ( Private Organization
customs authority Pension Contribution proc-No. 715/2003
Section 1 - Company information who pay pension contribution
1. Company Name YUFEI ELECTRONICS PLC 3. Company TIN 0038412077 8. Payment period

Month MAY 2019

Table 2 Declation Information


D.
C. Employee Name, Father Employment F. Employee G. Employer Contribution 11 % H. Total Contribution
A/c. No. B. Employee TIN E. Basic Salary held by employer % Signiture
Name, Grand father Name Date/Month/ Contribution 7 % (Brr) (Brr) (Birr)F+G
Year

40 Tariku Fikadu 2400 168.00 264.00 432.00


41 Barok Daniel 2150 150.50 236.50 387.00
42 Yonas G/tensay 2245 157.16 246.97 404.13
43 Elsabet Bogale 2400 168.00 264.00 432.00
44 Melkamu Seifu 2400 168.00 264.00 432.00
45 Solomon Nigus 2011 140.79 221.24 362.03
46 Meseret Tilahun 2619 183.35 288.13 471.48
47 Daniel Tefera 2150 150.50 236.50 387.00
48 Abel Shibru 2755 192.84 303.03 495.87

Total 72,976.61 5,108.36 8,027.43 13,135.78

Company / Authorized Agent Name ______________________ Signature __________________ Date ____________________

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