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PAYE

FEDERAL CAPITAL TERRITORY


Internal Revenue Service Form H1
 
EMPLOYER'S ANNUAL DECLARATION AND CERTIFICATE (FORM H1)
ORGANIZATION/EMPLOYER:________________________________________________________________________________EMPLOYER TIN:_________________________________________

ADDRESS:_________________________________________________________________________________________________________________________________________________________

TAX YEAR ENDED 31ST DECEMBER, 20 …………


Details of Earnings Details of Reliefs Details of Deductions

S/N FCT-IRS Staff Staff Names Consolidated Net Tax Net Tax Total Net Tax Remarks
TIN Earnings Previous Earning in Current Total Earnings for Relief Allowance Pension NHIS Life NHF Deducted Deducted in Deducted for
Employment Employment the Year Assurance Previous Current
[CRA] Employment Employment the Year

Signature of Responsible Officer (CEO/MD): ………………………………………………………..


Designation:
………………………………………………………………………………………………………….
Date: …………………………………………………
Stamp/Seal:
……………………………………

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