2012 Monthly Non Resident Employee WithholdingTax Form

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REPÚBLICA DEMOCRÁTICA DE TIMOR LESTE
MINISTÉRIO DAS FINANÇAS
DIRECÇÃO GERAL DE RECEITAS E ALFÂNDEGAS
DIRECÇÃO NASIONAL DE RECEITAS PETROLIFERAS
Building#5 (Ground Floor), Palacio do Governo RDTL, Avenida do
Presidente de Nicolau Lobato
P.O Box-18, Dili , Timor-Leste, Phone- +(670) 333 9542

TIMOR-LESTE NON-RESIDENT EMPLOYEE MONTHLY
PETROLEUM TAX WITHHOLDING FORM
(Income Tax Withheld from Timor-Leste Non-resident Employees)
For the Month of
Taxpayer Name
TIN

: …………………………… 2012
: …………………………………
: ………………………………..


Petroleum Withholding Tax – Non-resident employee tax
Type of Income

Rates (B)*

A

(Provide detail list of all non-resident
employees )

Total taxable
wages/salarie
s paid
(US$)
Taxable wages/ salaries and
similar remuneration derived in
respect of employment exercised
in the JPDA or in Timor-Leste
(onshore or offshore) Territory
[in US$].


(AxB)

1

2

3

4

18%

18%

18%

20%

Withholding

Tax Amt
(US$)

Total Non-resident employee tax payment for the month
Date of payment to the TL Petroleum Fund Bank Account

------/------/------------

(dd/mm/yyyy)

* Tax Rates are Numbered as 1,2,3&4 based on Different Tax Regimes as follows:
1 - Bayu Undan

2 - Greater Sunrise & EKKN

3 - JPDA but not Annex F

4- 100% Timor-Leste Territory

Web: www.mof.gov.tl

NDPR Contact E-mails: [email protected] or [email protected] or
[email protected] or [email protected]
NDPR Form No: 02-03-02
Last updated 12/12/2011

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Employer’s Declaration:
I, (full name and designation)_________________________________________________,
declare on behalf of the company, that the particulars set out in this statement are true and
correct.

Signature:________________________________________________Date:________
Notes:
1.
2.
3.
4.
5.
6.


The withholding tax rates are mentioned after considering the effect of framework percentage (90% &
10%) under the Timor Sea Treaty. So, further reduction will not apply in computing the Timor-Leste
withholding tax;
Payment and lodgment of form due on or before 15th day of the following month or on next business day
if 15th is a public holiday in Timor-Leste;
Calculation sheet of the Non-resident employees tax must be attached with the tax form for the month;
Withholding tax deducted from wages/salaries of non-resident employees are final tax liabilities for all
tax regimes;
For Timor-Leste resident employees please use Resident Employee Monthly Withholding Tax Form;
Please attach copy of EFT bank transfer instruction form in support of electronic transfer of above taxes
to the TL Petroleum Fund bank account.

Web: www.mof.gov.tl
NDPR Contact E-mails: [email protected] or [email protected] or
[email protected] or [email protected]
NDPR Form No: 02-03-02
Last updated 12/12/2011