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  • Form App Clearance Outward

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    Nuwani Preethika
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    This document is an application form for tax clearance for outward remittances from a local company. It requests details of the remitter such as company name, address, and tax identification number. It also requests details of the remittee such as company name, country, and tax file or identification numbers. For the remittance, it asks for the nature, invoice numbers, total invoice value, remittance amount, and currency. It provides sections to calculate applicable taxes on the net or gross amount remitted based on tax rates. It asks for remarks and requires copies of invoices, agreements, and payment slips to be attached. The authorized signatory is also to be provided for processing and

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    Form_App_Clearance_Outward (1)

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    This document is an application form for tax clearance for outward remittances from a local company. It requests details of the remitter such as company name, address, and tax identification number. It also requests details of the remittee such as company name, country, and tax file or identification numbers. For the remittance, it asks for the nature, invoice numbers, total invoice value, remittance amount, and currency. It provides sections to calculate applicable taxes on the net or gross amount remitted based on tax rates. It asks for remarks and requires copies of invoices, agreements, and payment slips to be attached. The authorized signatory is also to be provided for processing and

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as pdf or txt
    19 views1 page

    Form App Clearance Outward

    Uploaded by

    Nuwani Preethika
    This document is an application form for tax clearance for outward remittances from a local company. It requests details of the remitter such as company name, address, and tax identification number. It also requests details of the remittee such as company name, country, and tax file or identification numbers. For the remittance, it asks for the nature, invoice numbers, total invoice value, remittance amount, and currency. It provides sections to calculate applicable taxes on the net or gross amount remitted based on tax rates. It asks for remarks and requires copies of invoices, agreements, and payment slips to be attached. The authorized signatory is also to be provided for processing and

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    of 1

    Form No: - Sec/2018/03_Form 01

    Application Form for Tax Clearance (Outward Remittances)

    Registration Number

    1 Details of Remitter Details of Remittee

    Local Company Name - - …………………………………………… Foreign Company Name - ………………………………………….


    ………………………………………………………………………………….. …………………………………………………………………………………..
    Address - ………………………………………………………………….. Country - …………………………………………………………………..
    ………………………………………………………………………………….. Tax File Number (If Available)
    TIN - …………………………………………………………………………
    13/…………… 13/IND/….... 13/P/…………
    .
    Details of Remittance
    2
    Nature of Remittance - ………………………………………………………………………………………………………………………………………..
    …………………………………………………………………………………………………………………………………………………………………………….
    Invoice Numbers - ……………………………………………………………………………………………………………………………………………….
    Total Invoice Value Remittance Amount Currency

    Tax Calculation (Applicable for Tax Liable cases Only)


    3
     If Net Amount Remit  If Gross Amount Remit

    (Applicable Tax Rate) (Applicable Tax Rate)


    X X
    (Invoice Amount) 100 (Invoice Amount) 100 -
    (Applicable Tax Rate)

    Currency Tax Amount Currency Tax Amount

    Applicable Exchange
    Tax Paid Amount (LKR)
    Rate & Date

    4 Remarks (If available) - ……………………………………………………………………………………………………………………………………….


    …………………………………………………………………………………………………………………………………………………………………………….
     Please attach Copy of Invoices, Copy of Agreement (If Available) & Copy of paying-in-slip
    Name – ……………………………………………………………………………………
    …………………………………………………………….
    Designation & Contact Number – ……………………………………………
    Authorized Signature

    For Office Use Only Direction - ………………………………………………………………………………

    …………………………………………………………………………………………………
    Officer Name
    …………………………………………………………………………………………………

    …………………………………………………………………………………………………
    Signature
    …………………………………………………………………………………………………

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