MINISTRY OF REVENUES TURNOVER

Section 1 - Taxpayer Information

Taxpayer's Name: TIN: Tax Period:

Robox Robotics& Artificlal Intelligence Center 0078342892 Nov, 2023

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

House No.: New/109 18704000010

Kebele: WOREDA 13 Po.Box: Tax Centre:
Woreda: NO WOREDA-144 Document Number: 1768368840010
Zone/Sub-City: BOLE MOR-EAST ADDIS
Document Date: 09/01/2024
Region: ADDIS ABABA Ethiopia ABEBA SMALL TAX
Telephone Number: Fax Number:
PAYERS BRANCH
Submission Number: 28372380010
Submission Date: 09/01/2024

Section 2 - Electronic Tax Declaration

Total Sales subject to 2% turnover Tax 5 0.00

Total Sales subject to 10% turnover Tax 10 0.00

Turnover Tax On Sales subject to 2% Rate (line 5 *2%) 15 0.00

Turnover Tax On Sales subject to !0% Rate (Line 10 *10%) 20 0.00

Total Turnover Tax Payable (Line 15 + Line 20) 25 0.00

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

Page 1 of 1