ETHIOPIAN REVENUES AND CUSTOMS

WITH TAX ON PAYM

AUTHORITY

Section 1 - Taxpayer Information

Taxpayer's Name: TIN: Tax Period:

Zebu Construction P L C 0048662583 Sep, 2020

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

House No.: new 12529950010

Kebele: WOREDA 13 Po.Box: Tax Centre:
Woreda: NO WOREDA-143 Document Number: 1541241440010
Zone/Sub-City: YEKA AA BRANCH EAST
Document Date: 29/10/2020
Region: ADDIS ABABA Ethiopia
Telephone Number: Fax Number:
Submission Number: 6404590010
Submission Date: 29/10/2020

Section 2 - Electronic Tax Declaration

Total Number of Withholdees' 10 2.00

Total Taxable Amount for this Tax Period 20 21,988.10

Total Tax Withheld for this Tax Period 30 439.76

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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