ZWS ISO 9001:2008 QUALITY MANAGEMENT SYSTEM

CGT 1

ZIMBABWE REVENUE AUTHORITY

Return for Remittance of Capital Gains Tax
1. Name of Seller FBC Building society
2. Date of Birth 27/06/2006
3. I. D. Number 0 0 1
4. Business Partner 2 0 0 0 3 5 8 8 2
Number
5. Postal Address Number 45 Nelson Mandela Avenue
6. Tax Year 2022
7. E-mail address Agnes.kanhukamwe@fbc.co.zw
8. Cell number 0712447855
9. Name of Bank FBC Building society
10. Branch Name N Mandela Branch
11. Account Number 4315069980530

INFORMATION ON CAPITAL GAINS TAX – IMMOVABLE PROPERTY

Full address of property being sold : Lot 3 of lot 10 of Block D of Avondale
Full description of property being sold : An undivided 3.20% share being share Number 10
in Lot 3 of lot 10 of Block D of Avondale
Title Deed Number: 4624/2016
Date of purchase : 22 September 2016
Reason for purchase: property development
Nature of improvements: housing construction
Date improvements made 2017 – 2019
Date sold: 30th March 2019
Reason for sale: trading
Capital gain rolled over from previous sale No
Election to roll over proceeds No
Is the sale made under Suspensive sale conditions No
If disposed of other than by sale
Selling Price(Gross Capital Amount) No
Current Year Gross Capital Allowance ( where applicable) No
Recoupment (where applicable) No
Capital gain rolled over from previous sale No
Capital amount/ net selling price No
Cost of acquisition No
Addition / improvements No
Selling costs including legal costs No
Bad debts No
Are you Exempt from Capital Gains Tax? (State reason for exemption) No
Transfer between companies under the same control* No
Transfer of PPR between spouses No

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 ZWS ISO 9001:2008 QUALITY MANAGEMENT SYSTEM

Transfer of business property by an individual to company under his control No

Deceased estate No
Company wholly owned by the state No
Local authority No
Statutory corporation No
Zimbabwe Development Bank No
Licensed investor No
Industrial park developer No
Insurance company No
Quasi government institutions No
Clubs, institutes and associations organized and operated solely for social welfare No
Ecclesiastical ,charitable and Educational institutions of a public character No
Employees’ savings schemes or funds approved by the commissioner No
Friendly, benefit or medical aid societies No
Pension funds No
Trade unions No
Trusts of a public character No
International organizations No
Reserve Bank of South Africa No
Organizations that provide finance for development in Zimbabwe No
Deposit protection funds No
PPR by a person who has attained the age of 55 years No
The first $1800 received by an elderly person on the sale of marketable securities No

CAPITAL GAINS TAX ON SALE OF UNLISTED MARKETABLE SECURITIES

Name of seller N/A
Date of birth/Incorporation N/A
Date of purchase N/A
Purchase price N/A
Date of sale N/A
Number of shares sold N/A
Selling price N/A

CGT ATTACHMENTS
CGT Attachments For Office Use
(Tick)
Copy of Title Deeds
Purchase and sale agreement
Purchase and sale agreement
Copy of identification
Proof of purchase price
Copy of Death Certificate
Letter of appointment of Executor/Executrix/Administrator

DECLARATION
Warning: It is an offence to provide false information
I hereby declare that the information given herein is correct and hereby apply for registration.

DTF:84 DOMESTIC TAXES ISSUE NO: 1 VERSION NO: 1 DATE OF ISSUE: 26/10/2015 Page 2 of 3
 ZWS ISO 9001:2008 QUALITY MANAGEMENT SYSTEM

Full Name…………………………………Designation……………………Signature………………Date….

DTF:84 DOMESTIC TAXES ISSUE NO: 1 VERSION NO: 1 DATE OF ISSUE: 26/10/2015 Page 3 of 3