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    Private Org. Pension Form Ayanyu

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    girma1299

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    Private Org. Pension Form Ayanyu

    Uploaded by

    girma1299
    34 views3 pages

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    34 views3 pages

    Private Org. Pension Form Ayanyu

    Uploaded by

    girma1299

    Copyright:

    © All Rights Reserved
    Download as RTF, PDF, TXT or read online from Scribd
    Download as rtf, pdf, or txt
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    Federal Democratic Republic of The National Regional Government of

    Ethiopia
    Pension Contribution Declaration Form
    Oromia
    Proclamation No. 715/2011
    Ethiopian Revenues & (Private Organization Employees Pension
    Custom Authority Proclamation) Bureau of Revenues
    
    1. Taxpayer Name.(Company Name Your Name ,Father’s 3. Taxpayer Identification Number 4. Tax Account Number 8. Tax Period: Page 1 of ___
    Name, Grandfather’s Name 0015208622 MonthMeg Year
    9865900922 abit 2013
    Ayantu Kenea
    2a. Region 2b. Zone/K-Ketema 5. Tax Center Burayu Document Number (Official Use Only)
    14 Liyu Zone

    2c. 2d. Kebele/Farmers 2e. House No. 6. Telephone Number 7. Fax Number
    Woreda Association

    Section 1 – Taxpayer Information


    f) Pension g) Pension
    c) Employee Name(Name, e) Basic h) Total Amount of the contribution
    b) Employee d) Start Date of Employment Contribution of Contribution of
    a) Seq Num Father’s Name and
    (DD/MM/YY)
    Salary
    Employee __ Employer __%
    __% /Birr/ (f + g )
    TIN
    Grandfather’s Name) /Birr/
    % /Birr/ /Birr/
    Zelalem Jeno 1500 105 165 270

    Transfer Totals from All Continuation


    Sheets to this Line >>
    Total
    (line 20) (line 30) (line 40) (line 50)
    Section 2 – Declaration Details
    Section 3 – Calculation of Pension Cont. for this Period Section 4 – Employees Removed from Payroll as of this month For Official Use Only
    Number of Employees on Your Payroll 1 Seq Employee Employee’s Name
    10 Date of Payment
    for this Tax Period Num TIN (Name, Father’s Name, Grandfather’s Name)
    Total Salary 1500
    20 Receipt Number
    (From Column e Above)
    Total Pension Contribution of Employee 105
    30 Amount of Payment
    (From Column f Above)
    Total Pension Contribution of Employer 165
    40 Cheque Number
    (From Column g Above)
    Total Amount of the contribution this 270
    50 Cashier’s Signature
    month (From Column h Above)
    Section 5 – Taxpayer Certification
    I declare that the above declaration and all information provide here-with Taxpayer or Authorized Agent name _________ Employ For tax Officer: Name _____________
    (including continuation sheets) is correct and complete. I understand that any Signature _____________ er Seal Signature _________
    misrepresentation is punishable as per the tax Laws and the Penal code. Date ______________ Date ____________
    The National Regional Government of Oromia Bureau of Revenue OBR Form ------ (G1/2011)

    Pension Contribution
    Federal Democratic Republic of Ethiopia Declaration Form The National Regional Government of
    Ethiopian Revenues & Proclamation No. Oromia
    715/2011
    Custom Authority (Private Organization Employees Bureau of Revenues
    Pension Proclamation)
    Section 1 – Taxpayer Information
    1. Taxpayer Name.(Company Name Your 3. Taxpayer Identification Number 8. Tax Period:
    Name ,Father’s Name, Grandfather’s Name 0015208622 Month Megabit Year 2013 Page 1 of ___
    Ayantu Kenea
    Section 2 – Declaration Detail
    g) Pension
    f) Pension h) Total Amount of the
    d) Start Date of e) Basic Contributio
    c) Employee Name(Name, Father’s Name Contribution of contribution __% /Birr/
    a) Seq Num b) Employee TIN Employment Salary n of
    and Grandfather’s Name) Employee __ (f + g )
    (DD/MM/YY) /Birr/ Employer
    % /Birr/
    __% /Birr/
    Zelalem Jeno 1500 106 165 270
    Transfer Totals
    from All
    Taxpayer name & Seal Continuation
    Sheets to this
    Line >
    Total
    (line 20) (line 30) (line 40) (line 50)

    The National Regional Government of Oromia Bureau of Revenue (as of /5/2011) OBR Form _____ (1/2011)

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