GHANA REVENUE AUTHORITY

TEMA MAIN OFFICE

WITHHOLDING TAX SCHEDULE FOR THE MONTH OF JANUARY, 2016
NAME OF WITHHOLDING AGENT CENTRE FOR ENVIR. HEALTH, RESEARCH & TRAINING
OLD TIN No.
[924V011137]
NEW TIN No.

NAME OF TAX PAYER

Ing. Solomon Buenor Adi

Mrs. Doreen Adi

INCOME TAX FILE

NUMBER

LOCATION OF BUSINESS (STREET/AREA/TOWN).

Sakumono Estates Junction

Sakumono Estates Junction

[C000312584X]

GROSS AMOUNT
OF PAYMENT
GHS
1,200.00

1,200.00
I certify that the entries made above are correct in every detail
Prepared by : Nana Kwame Mensah
(Accountant)

Signature :

Date: 09/12/2015
Note: put the names of those who fees have been withheld, their Tin Numbers, Their Location. In the format above

TAX TYPE AND

RATE
WHT 5%
WHT 10%

re :

AMOUNT OF
TAX
WITHHELD
GHS
60.00
60.00