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SPECIAL SECRETARIAT FOR BRAZILIAN FEDERAL REVENUE INCOME TAX WITHHELD AT SOURCE
TAX ON NATURAL PERSON INCOME
2022 )
( FISCAL YEAR ( YEAR-CALENDAR 2021 )
6. - Income Collected Accruedly- Art. 12-The Law number 7.713, from 1988 (subjected to exclusive taxation) R$
6.1 Process Number: Number of months: 0,00
Service class: Values in Reais
01. Total taxable income (including vacation and 13th salary) 0,00
02. Exclusion: Lawsuit expenses 0,00
03. Deduction: Official Social Security Contribution 0,00
04. Deduction: Alimony (fill out also table 7) 0,00
05. Withheld Income Tax 0,00
06. Income exempt from dole, retirement gains or dismissal for serious disease or retirement 0,00
or dismissal for job-related accident
MINISTRY OF ECONOMY PAID TAXES RECEIPT AND
SPECIAL SECRETARIAT FOR BRAZILIAN FEDERAL REVENUE INCOME TAX WITHHELD AT SOURCE
TAX ON NATURAL PERSON INCOME
2022 )
( FISCAL YEAR ( YEAR-CALENDAR 2021 )
7. - Complementary Information
01. TITULAR - NOTREDAME INTERMEDICA SAUDE SA - CNPJ: 44.649.812/0001-38 156,84
02. Total indicated in row 03 of Chart 5 already add total value paid to PLR bill corresponding
to 217,80