ϪϣΎϧέΎϬυ΍Ϫϳ΍έ΍ϪϧϳόϣΦϳέΎΗ ΩϧγέΑϣϧ ϥΎΘδϧΎϐϓ΍̶ϣϼγ΍ΕέΎϣ΍ ΕέΎϣ΍ϲϣϼγ΍ϥΎΘδϧΎϐϓ΍Ω

ϪϴϟΎϣΕέ΍ίϭ Εέ΍ίϭ‫ػ‬ϴϟΎϣΩ
1403/4/15

189833645
Ϊϳ΍Ϯϋ̶ϣϮϤϋΖγΎϳέ ΖγΎϳέϲϣϮϤϋϭΪϳ΍ϮϋΩ
ΕΧ΍Ωέ̡ΦϳέΎΗϥϳέΧ΁
1403/4/15 Islamic Emirate of Afghanistan
Ministry of Finance
189833645 Afghanistan Revenue Department

Business Reciepts Tax -4%- Quarterly Calculation And Bank Deposit Form
̶ΗΎϳϟΎϣϩέϭΩεΟϧγΩΎϳόϣ ̶ΗΎϳϟΎϣϩέϭΩ ̶ΗΎϳϟΎϣΏΎγΣ ̵έ΍Ϋ‫י‬ϪϳΎϣέγί΍ϭΟέΑϣϧ ϥΎ‫י‬ϩΩϧϫΩϪϳϟΎϣϪϳλΧηΗέΑϣϧ

1403/1/1 ί΍ 3/1403
1725608 9009961542
1403/3/31 ̶ϟ΍ 5059377 ̶γέΗγΩέΑϣϧ

ϩΩ΍ί̮ϳΑϡΎϬϟ΍̶ϳ΍ΫϏΩ΍ϭϣ̵ΩϧΑϪΗγΑϭΩϳϟϭΗ
HISA-I-AWALI KOHISTAN ̶ϟ΍ϭγϟϭ ϪϧΎΧέΑϣϧ
KAPISA Εϳϻϭ ̭έγ
AFGHANISTAN έϭη̯ Ε̯έηέ΍ίΎΑ ϪϳέϗϪΣΎγ

ϝϳϣϳ΍αέΩ΁ 0782686996 ϝϳΎΑϣέΑϣϧ

1403/1/6 ΕϓΎϳέΩΦϳέΎΗ Kapisa Revenue ϪϳϟΎϣί̯έϣ

ϪϳγϭΩϡϳυϧΗ̟ϭέ‫י‬

εΟϧγϪλϼΧ
ΕΧ΍Ωέ̡ϝΑΎϗώϠΑϣ ϩΩηϖϳΑρΗΕϳΩέ̯ΕΧ΍Ωέ̡ ϩΩηϪΑγΎΣϣΕΧ΍Ωέ̡
0 0 0 ϪϳϟΎϣ
0 0 0 ϪϣΎϧέΎϬυ΍Ϫϳ΍έ΍ϡΩϋ̶ϓΎο΍ϪϳϟΎϣ
0 0 0 Ϫϧ΍ίϭέϪϣϳέΟ
0.00 αϧϼϳΑ

εΟϧγΕΎϳίΟ
ϩΩηεΟϧγ ϩΩηεΟϧγ˱ϼΑϗΎϳϩΩηϡϳϠγΗ ΢ϳέηΗ
0 0 Gross Reciepts of Goods and Services of Legal Persons 11
0 0 Gross Reciepts of Goods and Services of 750,000 afghani or more of Natural 12
Persons
0 0 Gross Reciepts of Hotels,Resturants and Guesthouses With Total Quarterly 13
Reciepts below 750,000 afghani
0 0 Total income subject to 4% tax 14
0 0 Export Revenue and other tax-exempt Revenue 15
0 0 Total income subject to 4% tax 16
0 0 total tax due for quarter at 4% 17
0 0 TOTAL business recietps tax paid during quarter 25
0 0 total payment due for quarter 26

̮ϧΎΑϥΎΗγϧΎϐϓ΍Ω ΕΩϳέ̯ϝΑΎϗΏΎγΣέΑϣϧ ϪϳϟΎϣΕέ΍ίϭ̶ϋέϓΏΎγΣ

̮ϧΎΑϥΎΗγϧΎϐϓ΍Ω έΑϣϧΏΎγΣ֔ϭՖϳրϳέ̯Ω ϩέϳϣηΏΎγΣ̶ϋέϓΕέ΍ίϭ‫ػ‬ϳϟΎϣΩ 1470208120010
Da Afghanistan Bank Credit Account Number Ministry of Finance Subaccount#

ϩΩϧϫΩϪϳϟΎϣϪϳλΧηΗέΑϣϧ
Taxpayer Identification Number 9 0 0 9 9 6 1 5 4 2 έΑϣϧ‫ػ‬ϧΩϧ̫ϳ̡Ω‫̰ػ‬ϧϭϭ̯έϭϪϳϟΎϣΩ

Afghani Amount in Figures and Word ϑϭέΣϭΩΩϋϪΑ̶ϧΎϐϓ΍ώϠΑϣ

ϩέγϑϭέΣϭ΍ΩΩϋϪ̡ώϠΑϣϭϳϧΎϐϓ΍Ω

̮ϧΎΑϑ΍έλΎοϣ΍ϭέϬϣ αέέΑ̵Ύοϣ΍ ΩϘϧϝϭ̡ωϭϣΟϣ

̮ϳϠγϻϑ΍έλΩ̮ϧΎΑΩ ̮ϳϠγϻαέέΑΩ ϪϋϭϣΟϣΩϘϧΩ
cashier's Signature Stamp Verification Signature Total Cash