MINISTRY OF REVENUES SCHED D-DIVIDENDS

Section 1 - Taxpayer Information

Taxpayer's Name: TIN: Tax Period:

Ethio Steel And Finishing Plc 0067961695 May, 2023

Registration Addresse: Tax Account Number: (Official Use Only)

House No.: NEW 17986670010

Kebele: WOREDA 14 Po.Box: Tax Centre:
Woreda: NO WOREDA-144 Document Number: 1758136090010
Zone/Sub-City: BOLE MOR-MEDIUM TAX
Document Date: 25/11/2023
Region: ADDIS ABABA Ethiopia PAYERS NO 2
Telephone Number: Fax Number:
BRANCH
Submission Number: 27206991601
Submission Date: 25/11/2023

Section 2 - Electronic Tax Declaration

Total Number of Withholdees for this Tax Period 10 1.00

Total Taxable Income for this Tax Period 20 274,276.34

Total Tax Withheld for this Tax Period 30 27,427.63

Section 3 - Taxpayer Certification

I declare that the above declaration and all information provided here-with is correct and complete. I understand that any misrepresentation
is punishable as per the Tax Law and the Penal Code. Declaration of preparer (other than the taxpayer) is based on all information of
which the preparer has any knowledge.
Printed Taxpayer Name or Authorized Date Company Seal For Official Use Only
Representative

Date of Payment Receipt Number

Signature of Taxpayer or Authorized
Representative

Amount of Payment Check Number

Printed Name of Preparer Date

Cashier's Signature
Signature of Preparer

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