Control No: 9984110744124

Tax Payment Slip

Name of Account Holder(s): N/A

Bank Account Number: N/A
Name of Commercial Bank: N/A
Mobile Phone: 0784386331

Please transfer from my/our account the amount of TZS 2,915,183.34

Amount in Words: Two Million Nine Hundred Fifteen Thousand One Hundred Eighty
Three and Thirty Four Cents Only
Value Date: 28/02/2023
To: N/A
Tanzania Revenue Authority

Account Number: N/A

SWIFT Code: N/A
Control Number: 9984110744124
Taxpayer TIN: 106105200
Taxpayer Name: ZAKAYO BENITO MGAYA

TAX INFORMATION FOR WHICH PAYMENT IS APPLICABLE (For TRA use only)
# Tax Description Item Reference GFS Code Tax Amount(TZS)
1 Individuals - Assessed Tax 574572317 11111106 1,457,591.67
2 Individuals - Assessed Tax 574572316 11111106 1,457,591.67

Signature .................................. Date....../....../20....... Bank use only

Signature................................... Date...../....../20........ Reference number

Note to Commercial Bank:

1. Please capture the above information correctly.
2. Field 70 of MT103 carries a payment control number, must be captured correctly.

Printed from TRA-RGS Date: Tuesday, 28 February 2023 Time: 10:19:33 (10:19:33 AM)