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uve Hierarchy WW Western Cape TAX Certicate Transaction Ye 2020 AssessmentYear 2020 Reconciliation Period 202002 Certificate Number _74707925832020028AGE0003000187 Type of Corea Employee Information Sumare/ Trading Esau Employee Code SACO te oF ih Fret Names Deborah Loneta Ametine Nate ofPerson A erty Number 6110000216087 nas DUA Passport Nureer ‘Business Tel Number 0214260050 Income Tax RefNo, 68476145 Passport County ome TelNumber 0219612526 EMPLOYEE RESIDENTIAL ADDRESS. Pay Periods Complex No & Name Assessment Year Perode 66,0000 ‘Steet No& Name” 3 Unie Steet Now Peds Werked 66,0000 Suburb (Osi Bele Employed From 2010-0001 cy Town Cape Town Employed To 2020.92.29, Postal Code 7330 ‘county a EMPLOYEE POSTAL ADDRESS Some 9s Physical etvile (Cape Toun [BANK ACCOUNT DETAILS BANK ACCOUNT TYPE ‘AecourtHaier 0 Esau ‘Account Type 2 Account amber 4062908812 ‘Acc Holder Relatorship © Bank Name ABSA Branca Name Unverst BrancrCose «832005 EMPLOYEE BUSINESS ADDRESS. ‘EMPLOYER REFERENCE NUMBERS CCompiex No & Name Eleven on Aaoey AYE Reference Number 7470782589 SveetNo RName 11 Adserey Stee! SDL Relernc Number | L470782589 Suburb / Ostet LIF Reference Number UA7O722568 tty Town caps Town Postal Cose ‘008 county 2A Employer Trading Other Name TB HIV CARE INCOME RECEWED Income (PAYE) Annual Paymont PAVE) Roimbursie Travel Allowance (Ext) Employer Provident Fund conebutlons (PAYE) ‘Gross Non-Texable Income (Gross Taxable Income Directive Number(s): DEDUCTIONS / CONTRIBUTIONS 246 218,00 3601 Current and ear Proidet Fund Conoutons 11 10900-3605 Employer provident ind contibuons 30500 2703 1072600 2425 ‘otal Deductions & Contribs TAX WITHELD 3833.00 3695 PAYE (PayAs-YouEs) 278 448.00 3699 PAYE on Lump Sum Benet EE 2ER UF Contibuten Employer SOL Contbuton ‘ols Tax, SDL and UF Reason fornondeducton ofa 18126,00 4003 1812600 4472 3625200. 4497 3701803 4102 0.00 4115 3389.23 4183 000 414 sosasan aia 4150

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