bh AT oH WEE eI [ETHIOPAN MINISTERY OF REVENUES: DOMESTIC TAX EPAYMENT INSTRUCTION i AAFT POPULATE OF | PIE TCI oPAT RATT) LISE FOR ONL E FILES: DOCUMENT rl NUMBER(MANOATORY) a ereeeerereerewreee aa] NAME OF BANK BRANCH heen, ge haha oo SOURCE OF FUND BANK ACCOUNT 27 HERAT WAY ‘TAX PAYER/ACCOUNT HOLDER'S NAME ONC TE FH AT ATE “TAX PAYER BANK ACCOUNT NUMBER THA PAAR ON. AA TAPE ae Bovericrany AccouNT Name _| PTD SCE AGT OT TVNER PATS AEM, KANG, Ministry of Revenue - Private Enterprise Employees Pension Contribution - vayment Conecuon account TAL eM Fame al RCP DENEFICLAPY ACCOUNT NUMBER To o[o [47375 [6] 8/4 [9 [7/5] t | | alte Ah GASTON) AMOUNT IN FIGURE (8182) PAM alr Na ACOAC) AMOUNT IN WORDS (BIRR) ene PHP | PAYMENT REASON Private employees pension contribution PIMC NAL OAS BTC wor | 5 ‘Taxpayer Mentification Number(TiN) ANE: SONA NAR A OE hE AEE ABET aT A PF PNALATT POM IG WEE Vm PEC rAd mtn RAT I OIT HOLA Aamavtr™ PAA OU") NAME, > 80 CCM PLCNTAM FRA MAG NEE NIM OTA SCRE AMLAMAM Phe "PAC nee 13 Ya) Mek mM, 12 we the understand here oy authorize the bank to affect epayment electronically to the above metioned beneficially as per the stated details through Ethiopian Transfer System(EATS) PAC HE PINA ALA Oe ‘Tax payers/account holders signature ~ moe NEP AMMAN, AL ACL AE PE FOR BANK BRANCHTS USF ONLY “Tate [checked by Eira F (ro Stamp)USE (AIC OAT PCI THA A-ELo Ty AARTEUHA HaP Goes Ty MINISREY OF DOMESTIC TAX ELECTRONIC PAYMENT avn} INSTRUCTION I tae ene ae ora anhear tmeeset a9 ay | EFOr ONY entete| vocwe cen [| LLL (MANDATORY) $ forth FCIAG 0 LC —sS”FJ ae ones met Phrcan mye Dahan SOURCE OF FUND BANK ACCOUNT POAC WABI AAN Aaa A Tax 7 PayerlAccount Holder's Name PONG HER CAIN dA PC el T Tax Payer Bank Account Number 1 THI FeLFAMAT PML NAMI A TAR NNT PAY NVTARG MPT AE Beneficiary’s Name Addis Ababa Cty Government Revenues Bureau Talk PTAATAY PATH AT HE ilelel Benoicary’s Bank Account Number 1jo}o}o}4}1}6} 1/6) 7/1/2/6 Fa Aw MATHS TWA) Amount In Figure (Bir) Fre Ar AAA (MAC) Amount In Worde (Bir) Fine PHA | SCHEDULE APAYMENT (Wage/Salary Tax Payment) Payment Reason | SCHEDULE B RENTAL INCOME TAX PHAG WAP one #TC ‘Taxpayer Identification Number (TIN) MOR Ina > PIM née. PAL ENC HET MO PTE ONT AF NAD oA Nan mre HAC OT Pad PRACT CIT NZ Or rowing” LAIKA owiey NAweEanss > 20 ECP PLPIATAD FLREA MC NEE NEY PTA ECERE ALANA Rae MICS HOR MWC HEP AI rare we the undersigned here by authorize the bank to affect epayment electronically to the above motioned beneficiary as per the stated detalls through Ethiopian Automated Transfer System (EATS) P7NE N4 LMA dt BCI (enshg” Stamp) ‘Tax payers/ acconnt Holder's signature ANG? ONAN, Wh PCIE AF erbD FOR BANK BRANCHES USE ONLY Made by | SETS TT Checked by 7 5 TP ATRarzaA Fy Signature Payment date (th “TTF Bank stamp)OnTRE 1,09 oULeke PNIC MAT PACIAND A-T Ps ETHIOPAN MINISTERY OF RFVENIIES DOMESTIC TAX EPAYMENT INSTRUCTION NAAT EPP E AP | OE BACIPTIR Oo WATT) ~ = LSE FOR ONL E FILES DOCUMENT NUMBER(MANDATORY) fre Bee NAME OF BANK BRANCH enieea, m9 nan Co SOURCE OF FUND BANK ACCOUNT PTAC WES AAT ANT AF ‘TAX PAYER/ACCOUNT HOLDER'S NAME oo PTAC HEE PIM AA EPG ‘TAX PAYER BANK ACCOUNT NUMBER Tia PLPANENT FIN, A TMP TALC PTE TM, am MINISTRY OF REVENUES DIRECT REVENUE [BENEFICIARY ACCOUNT_NAME - THEA C7 FAAG aaatme TO [1 Jo]o [1]9]4 o]ao 2 yy BENEFICIARY ACCOUNT NUMBER erin AR AhU(ONC) AMOUNT IN FIGURE (BIRR) erHIN- Ah nasA(OC) AMOUNT IN WORDS (BIRR) Phere PHIPT ‘VAT ea DIVIDEND™ WITHHOLDING S3PROFIT=SCHEDULING C PAYMENT REASON JEXCISE TAX, © TURNOVER TAX COSTSHARING,& STAMI DUTY SROYALT PHI WAR ooh? WIC “Taxpayer Idenufeatton Number(rit) WOR L T We the undersigned here bybauthorize the bank of affect payment electronically to the above mentioned beneficiary as per the stated details through Ethiopia Authomated Transfer System(EATS) TAG WEEN A COT ‘Tax payers/account holders signature Anes AMAa, ah FOR BANK BRANCHES USE ONLY Made by Checked by. ‘Authorized by Signature Payment Date mA Do ERICA HIT MAF Wha, event” LAF MG EMALAIT hens, AAC WEEE amity NA! > LU IC™ POLPIATAD ALLA KOLNT SHOE A PLooah: PUTA CIA KTR une POI mde oem see TOE NF Rhee. M, PAC HEamaNiys(PV MIVLT/Bank Stamp)bh AT oH WEE eI [ETHIOPAN MINISTERY OF REVENUES: DOMESTIC TAX EPAYMENT INSTRUCTION i AAFT POPULATE OF | PIE TCI oPAT RATT) LISE FOR ONL E FILES: DOCUMENT rl NUMBER(MANOATORY) a ereeeerereerewreee aa] NAME OF BANK BRANCH heen, ge haha oo SOURCE OF FUND BANK ACCOUNT 27 HERAT WAY ‘TAX PAYER/ACCOUNT HOLDER'S NAME ONC TE FH AT ATE “TAX PAYER BANK ACCOUNT NUMBER THA PAAR ON. AA TAPE ae Bovericrany AccouNT Name _| PTD SCE AGT OT TVNER PATS AEM, KANG, Ministry of Revenue - Private Enterprise Employees Pension Contribution - vayment Conecuon account TAL eM Fame al RCP DENEFICLAPY ACCOUNT NUMBER To o[o [47375 [6] 8/4 [9 [7/5] t | | alte Ah GASTON) AMOUNT IN FIGURE (8182) PAM alr Na ACOAC) AMOUNT IN WORDS (BIRR) ene PHP | PAYMENT REASON Private employees pension contribution PIMC NAL OAS BTC wor | 5 ‘Taxpayer Mentification Number(TiN) ANE: SONA NAR A OE hE AEE ABET aT A PF PNALATT POM IG WEE Vm PEC rAd mtn RAT I OIT HOLA Aamavtr™ PAA OU") NAME, > 80 CCM PLCNTAM FRA MAG NEE NIM OTA SCRE AMLAMAM Phe "PAC nee 13 Ya) Mek mM, 12 we the understand here oy authorize the bank to affect epayment electronically to the above metioned beneficially as per the stated details through Ethiopian Transfer System(EATS) PAC HE PINA ALA Oe ‘Tax payers/account holders signature ~ moe NEP AMMAN, AL ACL AE PE FOR BANK BRANCHTS USF ONLY “Tate [checked by Eira F (ro Stamp)USE (AIC OAT PCI THA A-ELo Ty AARTEUHA HaP Goes Ty MINISREY OF DOMESTIC TAX ELECTRONIC PAYMENT avn} INSTRUCTION I tae ene ae ora anhear tmeeset a9 ay | EFOr ONY entete| vocwe cen [| LLL (MANDATORY) $ forth FCIAG 0 LC —sS”FJ ae ones met Phrcan mye Dahan SOURCE OF FUND BANK ACCOUNT POAC WABI AAN Aaa A Tax 7 PayerlAccount Holder's Name PONG HER CAIN dA PC el T Tax Payer Bank Account Number 1 THI FeLFAMAT PML NAMI A TAR NNT PAY NVTARG MPT AE Beneficiary’s Name Addis Ababa Cty Government Revenues Bureau Talk PTAATAY PATH AT HE ilelel Benoicary’s Bank Account Number 1jo}o}o}4}1}6} 1/6) 7/1/2/6 Fa Aw MATHS TWA) Amount In Figure (Bir) Fre Ar AAA (MAC) Amount In Worde (Bir) Fine PHA | SCHEDULE APAYMENT (Wage/Salary Tax Payment) Payment Reason | SCHEDULE B RENTAL INCOME TAX PHAG WAP one #TC ‘Taxpayer Identification Number (TIN) MOR Ina > PIM née. PAL ENC HET MO PTE ONT AF NAD oA Nan mre HAC OT Pad PRACT CIT NZ Or rowing” LAIKA owiey NAweEanss > 20 ECP PLPIATAD FLREA MC NEE NEY PTA ECERE ALANA Rae MICS HOR MWC HEP AI rare we the undersigned here by authorize the bank to affect epayment electronically to the above motioned beneficiary as per the stated detalls through Ethiopian Automated Transfer System (EATS) P7NE N4 LMA dt BCI (enshg” Stamp) ‘Tax payers/ acconnt Holder's signature ANG? ONAN, Wh PCIE AF erbD FOR BANK BRANCHES USE ONLY Made by | SETS TT Checked by 7 5 TP ATRarzaA Fy Signature Payment date (th “TTF Bank stamp)OnTRE 1,09 oULeke PNIC MAT PACIAND A-T Ps ETHIOPAN MINISTERY OF RFVENIIES DOMESTIC TAX EPAYMENT INSTRUCTION NAAT EPP E AP | OE BACIPTIR Oo WATT) ~ = LSE FOR ONL E FILES DOCUMENT NUMBER(MANDATORY) fre Bee NAME OF BANK BRANCH enieea, m9 nan Co SOURCE OF FUND BANK ACCOUNT PTAC WES AAT ANT AF ‘TAX PAYER/ACCOUNT HOLDER'S NAME oo PTAC HEE PIM AA EPG ‘TAX PAYER BANK ACCOUNT NUMBER Tia PLPANENT FIN, A TMP TALC PTE TM, am MINISTRY OF REVENUES DIRECT REVENUE [BENEFICIARY ACCOUNT_NAME - THEA C7 FAAG aaatme TO [1 Jo]o [1]9]4 o]ao 2 yy BENEFICIARY ACCOUNT NUMBER erin AR AhU(ONC) AMOUNT IN FIGURE (BIRR) erHIN- Ah nasA(OC) AMOUNT IN WORDS (BIRR) Phere PHIPT ‘VAT ea DIVIDEND™ WITHHOLDING S3PROFIT=SCHEDULING C PAYMENT REASON JEXCISE TAX, © TURNOVER TAX COSTSHARING,& STAMI DUTY SROYALT PHI WAR ooh? WIC “Taxpayer Idenufeatton Number(rit) WOR L T We the undersigned here bybauthorize the bank of affect payment electronically to the above mentioned beneficiary as per the stated details through Ethiopia Authomated Transfer System(EATS) TAG WEEN A COT ‘Tax payers/account holders signature Anes AMAa, ah FOR BANK BRANCHES USE ONLY Made by Checked by. ‘Authorized by Signature Payment Date mA Do ERICA HIT MAF Wha, event” LAF MG EMALAIT hens, AAC WEEE amity NA! > LU IC™ POLPIATAD ALLA KOLNT SHOE A PLooah: PUTA CIA KTR une POI mde oem see TOE NF Rhee. M, PAC HEamaNiys(PV MIVLT/Bank Stamp)