Employee Income Tax

Transaction Year 2024 Year of Assessment 2024 Period of Reconciliation 202402

(CCYY) (CCYY) (CCYYMM) Certifcate IRP5/IT3(a)

Type of Nature of
Certificate No. IRP5 A
Certificate Person

Employee Information IRPINF01

Employee Number MDJ1191

Surname / Trading Name Mtshali

First Two Names Sibusiso Nelson

Initials SN Date of Birth (CCYYMMDD) 19861003 ID No. 8610035842085 Income Tax Ref. No. 0046918272

Passport/ Permit Passport Country/ Country of Home Tel No.

No. Origin (eg South Africa = ZAF)

Bus. Tel No. 0218790957 Fax No. Cell No. 078 849 7633

Contact Email MDJ1191@bdcs.global

Employee Address Details - Residential

Unit No. Complex (if applicable)

Street No. 498 Street/Name of Farm Moteong Section

Suburb/District Tembisa

City/Town Kempton Park Postal Code 1632 Country Code ZA

Employee Address Details - Postal

POSTAL ADDRESS SAME AS RESIDENTIAL ADDRESS Care of Address
Postal Address Y N X
Structure indicator

Care of
Intermediary

DRAFT
Bank Account Details Certificate Number : ITRQWA01

Mark here with an "X" if not paid electronically or if

foreign bank account

Account Holder Name SN Mtshali

Bank Name CAPITEC BANK Branch No. 470010

Branch Name

Account Holder
Account No. 1382566172 Account Type Savings Own
Relationship

Employer Information

PAYE Ref No. 7940800891 SDL Ref No. L940800891 UIF Ref No. U940800891

Trading or Other Name Business Directive Contract Services (Pty) Ltd

Employee Physical Work Address

Unit No. Unit 3 Complex(if applicable) Spearhead Business Park

Street No. Street/Name of Farm Montague Drive

Suburb/District Montague Gardens

City/Town Cape Town Postal Code 7441 Country Code ZA

Pay Periods

Certificate Tax Period Certificate Tax Period

ETI Employment Date (CCYYMMDD) Start Date (CCYYMMDD) 20230301 End Date (CCYYMMDD) 20231130

Periods in Year of Assessment 12.0000 No. of Periods Worked 9.0000

Voluntary Over Fixed rate

Deduction Y N X Taxation Indicator Y N X

Directives

Directive No. Directive Type Date Issued Source Code Amount R

Indicator (CCYYMMDD)

Directive No. Directive Type Date Issued Source Code Amount R

Indicator (CCYYMMDD)

Directive No. Directive Type Date Issued Source Code Amount R

Indicator (CCYYMMDD)

Directive No. Directive Type Date Issued Source Code Amount R

Indicator (CCYYMMDD)

Directive No. Directive Type Date Issued Source Code Amount R

Indicator (CCYYMMDD)

DRAFT
Tax Certificate Information
Income Received
Amount
R 68365
R 9541
R 5965
R 603
R 102
Certificate Number : ITRPA01
Income Received (continued) Tax Credits and/or Employer's/Employee Contributions
Source Code Amount Source Code SITE
3601 R 4101
Non Taxable Income
PAYE
3605 R 3696
Gross Retirement Funding Income R 2379.10 4102
3607
R PAYE on Lump Sum Benefit
3697
3713
Gross Non-Retirement Funding Income R 4115
3801
R Employee and Employer UIF Contribution
3698
Gross Employment Income (Taxable) R 1691.56 4141
R 84578 Employer SDL Contribution
3699
R 845.78 4142
Deductions / Contributions / Information
Total Tax, SDL and UIF
Amount Source Code
R 4916.44 4149
Total Deductions / Contributions
Medical Scheme Fees tax credit
R 4497
R 4116
Additional Medical Exprenses Tax Credit
R 4120
Reason for Non-Deduction of Employee's Tax 4150
DRAFT