Federal Democratic Republic Of Ethiopia Schedule a
Ethiopian Revenue & Employment income tax
Custom Authority declaration
1. Cargo P.L.C Tasa Roba Drivers Training Institute Bule Hora Branch [Link] Identification 4. Tax Account Number [Link] Period
Number Month Year Page 1 of 1
01 2017
2a. Region 2b. Zone/K-Ketema 5. Tax Center Document Number (Official Use Only)
West Guji Bule Hora
Oromia
2c. Woreda 2d. Kebele/Farmers Association 2e. House Number 6. Telephone Number 7. Fax Number
G/Abbayi New 0984564445
Bule Hora
Section 2- Calculation of Payments to Employees
a)Seq b) c) Employee Name d)Start Date e) Basic Additional Benefits i)Taxable j) Tax k)Nett pay l)Employee
Num Employ (Name, Father’s Name Of Salary income (sum withheld Signature
f) total g) Home h) phone
ee And Grandfather’s Name) Employment columns e,g,h
transport allowance card
TIN and i)
ation
Allowance
1 Tamrat Dugo Wako 2000 200 200 200 2400 217.5 2382.5
2 Abush Dugo Wako 1000 200 150 150 1300 70 1430
3 Bariso Dido 1500 - - - 1500 90 1410
4 Fikremariam Guto 2000 - 200 - 2200 187.5 2012.5
Transfer totals 0 400 550 350 200 350 7400
from all
continuation
sheets to this
line>>
Section 3- Calculation Of Tax Due This Period Section 4 – Employees Removed From Payroll As of This Month For Official Use Only
Seq Employees TIN Employee’s Name Date Of Payment
10 Number of Employees on Your 7 Num (Name, Father Name, Grandfathername)
Receipt Number
Payroll For This Tax Period 1 Amount Of Payment
20 Total Taxable Income Cheque Number
(From Column J Above) Cashier’s Signature
30 Total Tax Withheld
(From Column K Above)