KENYA REVENUE AUTHORITY

INCOME TAX DEPARTMENT

TAX DEDUCTION CARD YEAR 2005…………….
Employers Name………………………………………………………………………….. Employer’s PIN

Employee’s Main Name………………………………………………..

Employee’s Other Names……………………………………………… Employee’s PIN

MONTH Basic Benefits – Value of Total Defined Contribution Retirement Savings Retirement Chargeable Tax Monthly Insurance P.A.Y.E
Pay Non-Cash Quarters Gross Pay Scheme Plan Contribution Pay Charged Relief Relief Tax
A +B+C &
Savings Plan

Kshs. Kshs. Kshs. Kshs. Kshs. Kshs. Kshs. Kshs. Kshs. Kshs. Kshs.
A B C D E F G H J K L

1162 -
E1 E2 E3 Total
30% Actual Legal Amount The lowest of Kshs. 1162
of A Contribution Limit Deposited E added to F

!
TOTAL TAX (COLL) Kshs. …………327342………………………………….
To be completed by Employer at end of year
TOTAL CHARGEABLE PAY (COL. H) Kshs. …1333900……………… NAME OF APPROVED INSTITUTION
……………………………………..

REGISTRATION NUMBER OF APPROVED INST………………………..

IMPORTANT
1. Use P9A(HOSP) (a) For all liable employees and where director/employee received DATE OF REGISTRATION……………………………………………….
benefits in addition to cash emoluments.
(b) Where an employee is eligible to deposit funds with a registered Home Ownership Savings Plan
2. Deductible deposit in respect of any year must not exceed the statutory limit of Kshs. 48,000/=
3. Attach the DECLARATION duly signed by the eligible employee to form P9A (HOSP)/
4. See back of this card for further information required by the Department.

P. 9A (HOSP)
 ! "
# $
% ! !
& ' ! ( )

"#$ % &'()
* +,

*+ , - + (. / , ' ( 0 1 + * 2 0 0 * 3( 1 4/ 0 ' 1 0 , 0 * 0 , ( + 0 - 4/ + 0 , 1 & 5 3 0 ( + 4 ' 0 1 1 ( 0 - 6 47

CALCULATION OF TAX ON BENEFITS

2 0 0 * 3( + , '(0 + + * - + (. 1 (+ ('/ '- + 5 (
$
# + + $ 8. 1 0
1 0,9' ( : ;< : = 7<<<
& ', 0 0, : : =
' '. : : =
'(# . - ' : : =
'(# . - ' : : =
* 5 , 3( 5 , 0 : : =
'(0, : ;<< : = ><<<
( 0 / 0 4. + 0 : : =
0 / 0 # ( , 3# 3( ;<< : = ?<<<
10# 1 1( : =

@ @
- - ,
0 - 4/ + 0 , 1 /+ ' =$ A , '(0
, ' ( 0 3* * 0 , 0 #0
4, 0 1 # , 32 0 , ' ( 0 B 0 - 4/ + 0 , 1 , ' ( 0 = C
- + (. / 20 0 * 3( , ' ( 0 3* * 0 , 0 # 0 : / + ' = C :$ = =

- + (+ , # ', 1
5 ;<<< : =
;< 6 7;< <7;< ) = D<<<
7; 6 <<< =
<< 6 <<< =
+ <<< =
( 2 = ?<<<<
3 # 2 ! )
* + , 43# $ 65 41 ! 4' 0 / 9 ' 1 ' /' 6, + 9 0 , 1 , 0 * 0 , ( + ' 440 3: ; + * 0 - 4/ + 0 , E1 & 5 3 0
# ' , 2 0 0 * 3( B ( ) @ @ @ @ "6
4, 0 1 # , 32 0 , ' ( 0 "6 DD> B C
DD7 B ; C
DD? B C
0 - 4/ + 0 , 1 # 0 , ( 3* 3# ' ( 0 + * 4' ' (':
'- 0
' ,011
1 3& ' ( 5 , 0
'(0 F 1('- 4
. % / 0& 1 " $23 4 " $)5654 # )" )& 7 " 3 58 ( " 9 7 1 )+ " / " $3 & ( : + & / $" / # $" 3 # ( 9 3 ' 7 % 5)3 )& )+ " ( 9 & 6 " # $ " )' $( 3 # ( 9 4 & / 1 & 6 )+ "
P9A be issued to the employee in January.