በደብብ ብሔረሰቦችና ሕዝቦች ክልላዊ መንግስት

የጉራጌ ዞን ገቢዎች ባለሥልጣን ዋና ቅርንጫፍ ጽ/ቤት

Southern Nations, Nationalities & Peoples Regional Government
Gurage Zone Revenue Authority Office
በተ.እ.ታ. አዋጅ ቁጥር 285/1995 መሰረት በአቅራቢዉ የሚቀርብ የተ.እ.ታ. የግዥ እና በገዢዉ ተይዞ የሚከፈል የተ.እ.ታ. መረጃ
VAT purchase and VAT withholding receipt by the suppliers as per VAT poc.no.285/2002
ግዥ ላይ የተከፈለ የተጨማሪ እሴት ታክስ ሪፖርት ማድረጊያ ቅፅ
Purchases inputs reporting form ቀን/date21/02/2015
1. አጠቃላይ መረጃ
1.1 የኩባንያዉ/የግለሰብ ስም (company/individual name) ገብሬ ማሞ 1.2.የንግድ ዘርፍ/occupation/ የለስላሳ ምርቶች አከፋፋይ

1.3.አድራሻ/Adress/ ከተማ ወልቂጤ ወረዳወልቂጤ ቀበሌ----------------ስ.ቁ------------------የቤት ቁጥር/house no…… 1.4. የተ.እ.ታ. ምዝገባ ቁጥር/VAT registration no
1.5. የግብር ከፋይ መለያ ቁጥር/TIN no /0002579030 1.6. የታክስ ማስታወቂያ/period declaration/ከ/from/ ከሚያዝያ/2015.እስከ/to ሰኔ/2015
. በግዥ ላይ የተከፈለ የግብአት የተጨማሪ እሴት ታክስ VAT paid on input (purchases)
የአቅራቢዉ/በገዢዉ ተይዞ የሚከፈል የተ.እ.ታ.ወኪል የእቃዉ/ የአገልግሎት ዓይነት/types of good/services
አድራሻ/suppliers adresses/VAT withholding agent addresses

መግለጫ/ መ
product ለ
description
ኪ
ግዢ ያ/ ግዥ ላይ
የተከናወነ የኤም me
ከተ.እ.ታ.በፊት
የተ.እ.ታ asu
መጠ ጠቅላላ የተከፈለ
የግ/ በት አር ሲ re ን/ ነጠላ ዋጋ/gross የተ.እ.ታ/VA
Product ከ/መ/ቁ/TIN የተ.እ.ታ.ቁ/ ቀን/date of ቁጥር/M ኢንቮይስ uni Quant ዋጋ/unit value before T paid on
ከተጨማሪ እሴት ታክስ
categ ስም/name no VAT no purchase RC no ቁጥር t ity/ price VAT purchase በኋላ ዋጋ/value after VA
ተ.ቁ /s.n
Mirinda cra 918
Soft drink MOHA S.C 0000012444-3 013985 13/04/23 -- 003978 te 321.74 295357.32 44303.60 339660.92
1
50
// // // // 13/04/23 -- 003978 7-አፕ // 321.74 16086.16 2412.92 18499.08
2
Soft drink MOHA S.C 0000012444-3 013985 22/04/23 -- 04065 Pepsi // 400 321.74 128696 19304.40 148000.40
3
Soft drink MOHA S.C 0000012444-3 013985 22/04/23 -- 04065 Mirinda // 1600 321.74 514782.25 77217.34 591999.59
4
Soft drink MOHA S.C // // 26/04/23 -- 04094 Mirinda // 1780 321.74 572697.20 85904.58 658601.78
5
04094 // 50
ሚሪንዳ
Soft drink MOHA S.C 0000012444-3 // 26/04/23 -- ቶኒክ 321.74 16087 2413.05 18500.05
6
// 170
Soft drink MOHA S.C 0000012444-3 013985 26/04/23 -- 04094 7-አፕ 321.74 54695.80 8204.37 62900.17
7
Mirinda cra 2000
Soft drink MOHA S.C // // 09/05/23 -- 04264 te 321.74 643478.25 96521.74 739999.99
8
9 Soft drink MOHA S.C 0000012444-3 013985 12/05/23 -- 04330 Pepsi // 468 321.74 150574.32 22586.15 173160.47
 Soft drink MOHA S.C 0000012444-3 013985 12/05/23 -- 04330 Mirinda // 500 304.35 160869.15 24130.37 184999.52
10
Soft drink MOHA S.C 0000012444-3 013985 25/05/23 -- 04499 Pepsi // 200 321.74 64348 9652.20 74000.20
11
MOHA S.C 0000012444-3 013985 013985 25/05/23 -- 04499 Mirinda // 768 321.74 247095.48 37064.32 284159.80
12
Soft drink MOHA S.C 0000012444-3 013985 29/05/23 -- 004038 Pepsi // 300 321.74 96522 14478.30 111000.30
13
Soft drink MOHA S.C 0000012444-3 013985 29/05/23 -- 004038 Mirinda // 1400 321.74 450436 67565.40 518001.40
14
152
Soft drink MOHA S.C 0000012444-3 013985 29/05/23 -- 004038 Mirinda አፕል // 321.74 48902.87 7335.43 56238.30
15
Soft drink MOHA S.C 0000012444-3 013985 31/05/23 -- 004077 Pepsi // 418 321.74 134487.32 20173.10 154660.42
16
// Mirinda cra 550
// // // 31/05/23 --- 004077 te 321.74 176956.16 26543.42 203499.58
17
// // // // 27/06/23 --- 004264 Mirinda // 1700 339.13 576521 86478.15 662999.15
18
250
Soft drink MOHA S.C 0000012444-3 013985 27/06/23 --- 004264 Mirinda አፕል // 339.13 84782.50 12717.38 97499.88
19
50
Soft drink MOHA S.C 0000012444-3 013985 27/06/23 --- 004264 Mirinda ቶኒክ // 339.13 16957.37 2543.61 19500.98
20
// // // // 03/07/23 --- 004338 Mirinda // 1755 339.13 595173.85 89276.08 684449.93
21
100
// // // // 03/07/23 -- 004338 Mirinda ቶኒክ // 339.13 33913 5086.95 38999.95
22
Purchase Nationa alcohol 0000028669 11081 12/04/23 -- 243832 Gin 1000 cc pc 960 226.08 217036.80 32555.52 249592.32
23
1800
// // // 12/04/23 --- 243832 ጂን 890 ሲሲ pcs 208.69 375642 56346.30 431988.30
24
Purchase // // 12/04/23 --- 243832 Ouzo 1000 cc pcs 216 226.08 48833.28 7324.99 56158.27
25
Purchase // // 12/04/23 --- 243832 Ouzo 890 cc // 2400 208.69 500856 75128.40 575984.40
26
Purchase // // // 12/04/23 --- 243832 Cognac 1000cc pcs 240 226.08 54259.20 8138.88 62398.08
27
Purchase // // // 12/04/23 -- 243832 Fernit 890 cc pcs 60 208.69 12521.52 1878.23 14399.75
28
Purchase // // // 12/04/23 -- 243832 Lemmon 890cc pcs 60 208.69 12521.52 1878.23 14399.75
29
Purchase // // // 12/04/23 -- 243833 Gin 250 pcs 2400 68.688 164851.20 24727.68 189578.88
30
Purchase // // // 03/05/23 -- 244049 Gin 1000 cc pcs 780 226.08 176342.40 26451.36 202793.76
31
32 Purchase // // // 18/05/23 -- 265039 Gin 1000 cc pcs 780 226.08 176342.40 26451.36 202793.76
 Purchase // // // 24/05/23 -- 265097 Gin 250 // 3360 68.688 230791.68 34618.75 265410.43
33
Purchase // // // 05/06/23 -- 265213 Gin 1000 cc pcs 1080 226.08 244166.40 36624.96 280791.36
34
Purchase // // // 05/06/23 -- 265213 Cognac 1000cc // 120 226.08 27129.60 4069.44 31199.04
35
Purchase // // // 05/06/23 -- 265213 Fernit 890 cc // 60 208.69 12521.52 1878.23 14399.75
36
Purchase // // // 05/06/23 -- 265213 Lemmon 890cc // 120 208.69 25042.80 3756.42 28799.22
37
Purchase // // // 10/06/23 -- 265276 Gin 250 // 3120 68.688 214306.56 32145.98 246452.54
38
Purchase // // // 27/06/23 -- 265430 Gin 1000 cc // 2160 226.08 488332.80 73249.92 561582.72

// // // // 27/06/23 265430 Cognac 1000cc 120 226.08 27129.60 4069.44 31199.04

39
// // // // 27/06/23 -- 265430 Aperitif 1000cc // 120 226.08 27129.60 4069.44 31199.04
40
expenses Weliya serur 0000819986 1279150012 27/10/15 --- 030613 Fuel filter // 4 1571.9025 6287.61 943.14 7230
41
expenses Munira seid 0066478643 --- 04/07/23 -- Fs 00001935 9*20 tyre pcs 3 22173.910 66521.73 9978.26 76499.99
42
expenses Biftu aduga 0000790906 -- 06/07/23 -- Fs00001695 Service // 1 4416.29 4416.29 662.44 5078.73
43
expenses Mengistu goshu 0004540308 3239810010 28/10/15 -- 0001461 Motor oil // 1 22600 22600 --- 22600
44
expenses Yared girma 0077428576 --- 04/07/23 Ddb0018 Fs00001714 Tyre // 2 24347.83 48695.66 7304.35 56000.0
45
expenses Yared girma 0077428576 --- 04/07/23 // Fs00001713 Tyre // 5 16521.74 82608.70 12391.31 95000.01
46
expenses Yared girma 0077428576 --- 06/07/23 // Fs00001761 255/70r15 tyre // 4 21739.13 86956.52 13043.48 100000
47

Total 8433269.20 1261600.38 9694869.58

ከላይ የተገለፀዉ መረጃ ትክክል መሆኑን አረጋግጣለሁ/we certify that the above information is correct

አዘጋጅ/prepared by/ ስም/name/ -------------------------------------------- ፊርማ/signature……………………. ቀን/date 21/11/2015

ያረጋገጠው/Aproved by/ ስም/name/----------------------------------------------- ፊርማ/signature……………………. ቀን/date……………………….

ማስታወሻ፡ በመግለጫ ክፍሉ የሚከተሉት መፃፍ ይኖርባቸዋል፡፡

በአገር ዉስጥ እቃ ግዥ ላይ የተከፈለ የተ.እ.ታ.--------------------

በዉጭ አገር እቃ/አገልግሎት ግዥ ላይ የተከፈለ የተ.እ.ታ.-------------------

-በተ.እ.ታ. ማሻሻያ አዋጅ ቁጥር 1157/2011 መሰረት በአገር ዉስጥና በዉጭ አገር የካፒታል እቃ ግዥ ላይ የተከፈለ የተ.እ.ታ.------------

በአገር ዉስጥ አገልግሎት/ሌሎች ወጪዎች ግዥ ላይ የተከፈለ የተ.እ.ታ.-----------