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am Que 2200-M nase 2018 NCS) EXCISE TAX RETURN AREAS Date muna" | 2 Amended Reur?[_] Yes [_] No_ | Nurber of Sheets Atached Sere a Tape eeetan Novia o. ee eter caer 5 RDO Code T RT RTS a ae a DS TR a Ta Bn ae ATE rarer TAZ Code 5 Contact Number tanstatoiprone na) [9 Ena Adare fo Pace a Producten Regan | Prove aay fe Pace of Removal Regan | Promnas oy Fr Ave you avaling of ax ete! under Specallaw or [TZATT = apoly International Tax Treaty? [-] Yes] No aoa Partii= Manner of Payment 14 L] Prepayment [Advance Deposit 3] Payment on Actual Removal fs] Other Similar Schemes rec) Parti Payments and Application [6 Esse Tax Due tom Pov Sohaue 1) 17 Less: 17A Balance Carfed Over om Previous Retin 17 Croat Excise Tax. fappcable ATC Total Sots 7 18) 18 Net Tax Duo Overpaymet la 1st 17) 19 Less Payment on Retr Previously Fed for he Save Per. amanda rum 20x Sti Ovi{Overpaymert) fon 18s or 19) zt Aas: Penaties 20A Surcharge 2B inert | ZIG Conpronise iD Total Paras Sim hone ABH) [2 Acun Payabe(Overpaymeni (Simo tens 2 nd 20) 5 Less: Payment Made Today 23A Tax PaymertiDeposk 3B Ponals rom hom 21) AC Teal Paymant Made Today Sonat fos 248 7) [2 Balance tb Gariod Over to Newt Rum tm 26s fon 296) Tat palin Paw nents en ‘aaPar Aas 292 RAN [a biel gun nhs ec a na = | [sare ban SORT RT UN Hy as we SUS Da TR Se ded tps tne ute ae ama Fart: neat et Ba ecug oar arn SSE TE TRESS OCTET ne nen TanrouebuT en play Tse Teenie =r eee force cay Lasoo | Fan Y= otal of Payor Particulars Drawee Bewagerey Number Date paaonrvryy | ‘Amount 5 Castano nero i | 1 oot [26 Check I it { 1 L L far Tox Debt Memo t am t toot fs ote sei T T T Tne VARA TORR EERO ARTA 1 OREATAN a Da of ROE (0's Sgnetueank Toler’ ina) TS BR WR Wan BST 2200-M Page? EXCISE TAX RETURN for Mineral Products reas I TW, [Taxpayer's Name Part V- Schedule ‘Schedule = Summary of Removals and Excisa Tax Dus on Mineral Products Chargeable Againal Payment Volume of Mine LOCALLY EXTRACTED- Removediimported arc Description Place of Removal ActualFair Market Value | tax Rate | Tax Due Rate] Exempt — io) ©) «) © January 1, 2018 Ea xworo [January 1, 2019 101M “auary T2020 5 nd onwards Paco onmotaie minrais 0 “ 26% | and quay resources es oper a - X1030 | Natale Minerals a xMozo | Gold and Chromite % x1woso | inigenous Petrcloun o% Tel Garo Laud xiwost | Nate Gas Foaty o% xa NBEO | Giher Metalic Minerale (spect) “Schedule continuation THPORTED. Value Used by BOC In Determining Tarif and Tax Due arc Description | Customs Duties, NetofExciso | Tax | yy, 5yq | Adjustment por | Total Tax Duo "Tax and VAT Rate Final Value Taxable ‘Exempt (G) oH Coal and Coke January 1, 2018 (amen xMo1 | January 1, 2098 fp soon “anuary 7, 2020 5 and onwaras (aso Nosmistalie mineral M020 | and quay resources 3 Cooper and Other XM030_| Metalic Minerals SB xMo40 | Gold and Chromite om X1M950 | indigenous Petroleum 6% Tare Garo Lae Most | Naural Gat focaly om nace ROBO Giher alle Minerale see) 2 ‘TOTAL EXCISE TAX DUE (To Pati om 16)

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