ETHIOPIAN REVENUES AND CUSTOMS SCHEDULE A-PAYE

AUTHORITY (MONTHLY)

Section 1 - Taxpayer Information

Taxpayer's Name: TIN: Tax Period:

Alhiw Trading Plc 0039168989 Jan, 2020

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

House No.: 386 14083170010

Kebele: WOREDA 03 Po.Box: Tax Centre:
Woreda: NO WOREDA-144 Document Number: 1477206820010
Zone/Sub-City: BOLE AA BRANCH EAST
Document Date: 01/03/2020
Region: ADDIS ABABA Ethiopia
Telephone Number: Fax Number:
Submission Number: 4283200010
Submission Date: 01/03/2020

Section 2 - Electronic Tax Declaration

Number of Employees on Your PayRoll for this Tax Period 10 10.00

Total Taxable Income 20 67,083.71

Total Tax Withheld 30 14,457.33

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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