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Employment Tax

The document is an Employment Tax Payment Notification Form (Form No. 1103) issued by the Ethiopian Revenue and Customs Authority. It includes sections for taxpayer details, advertisement details, and additional payments related to employee salaries and allowances for the payment period of April 2017. The form requires signatures and stamps for validation and is generated by the ERCA system.

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25 views1 page

Employment Tax

The document is an Employment Tax Payment Notification Form (Form No. 1103) issued by the Ethiopian Revenue and Customs Authority. It includes sections for taxpayer details, advertisement details, and additional payments related to employee salaries and allowances for the payment period of April 2017. The form requires signatures and stamps for validation and is generated by the ERCA system.

Uploaded by

hanawitrading
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Ethiopian Revenue and Customs Authority of Table "A" Employment Tax Payment Notification Form

Form No. 1103 Additional Notification Form


the Federal Democratic Republic of Ethiopia
Part 1 - Taxpayer Details
1. Taxpayer's name 2. Taxpayer Identification Number 3. Payment period
Page 2 of 2
monthApril Year 2017
Section 2 - Advertisement Details
Additional payments
g) Transport c)
b) The employee's f) Total b) Total taxable T)
allowance G ) Other Educational B) Net
A) Taxpayer c) The employee's name, patronymic D) Date e) Salary transportation h) Overtime income Employment Employee
subject to benefits Cost pay
T.Q. Identification and surname of hire /Rs./ allowance pay /BIR/ tax signature
employment tax /BRL/ Sharing /Birr/
Number (TIN) /Birr/ /BRL/ (E+E+S+Q) /Bir/
/ Birr / Fee /Birr/

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Sum of other additional forms
Total
(line 20) (line 30)

Name of taxpayer/legal representative Signature day Stamp


Generated by www.eGenzeb.com Ethiopian Revenue and Customs Authority (as of 07/08/06) ERCA Form 1104 (1/2006)

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