Tax Form Z
e-Tcc
ELECTRONIC INCOME TAX CLEARANCE CERTIFICATE
| Issued Date: @@CertificateDate@@ | |
| Expiration Date: 31 - December - @@ExpiryYear@@ |
| Tax Revenue RIN: | @@RIN@@ |
| TIN: | @@TIN@@ |
| TAX OFFICE: | @@Station@@ |
EIRS TCC @@senty@@
This is to certify that:
@@Title@@ @@FirstName@@ @@LastName@@ (@@BusinessName@@)
of @@Address@@ has settled his/her income tax assessments for past
three year (i.e. @@3rdYear@@, @@2ndYear@@, @@1stYear@@)
2. Details of his/her assessments are as follows:
| @@3rdYear@@ | @@2ndYear@@ | @@1stYear@@ | |
| Total Assessable Income | @@3rdAssessableTaxIncome@@ | @@2ndAssessableTaxIncome@@ | @@1stAssessableTaxIncome@@ |
| Tax Paid | @@3rdTaxPaid@@ | @@2ndTaxPaid@@ | @@1stTaxPaid@@ |
| No. and Date Of Tax Receipt Issued | @@3rdreciptanddate@@ | @@2ndreciptanddate@@ | @@1streciptanddate@@ |
3. Source of Income : @@IncomeSource@@
Signature
Officer In Charge Tax Office
Signature
CounterSigning Officer
Signature
Chairman
@@CertificateNumber@@-@@SerialNumber@@