Employe annual Wages Income 2016 2
DIRECÇÃO GERAL RECEITAS
DIRECÇÃO NACIONAL DE RECEITAS PETROLIFERAS E MINERAIS
Building#5 (Ground Floor), Palacio do Governo RDTL, Avenida do Presidente de
Nicolau Lobato
P.O Box-18, Dili , Timor-Leste,
Web: www.mof.gov.tl/Taxation/Petroleum Tax/Tax forms
“ S e j a u m b o m c i d a d ã o , s e j a u m n o v o h é r o i p a r a a
“ S e j a u m b o m c i dn
ao
d sã soa, N
s ea jçaa ou ”m n o v o h é r o i p a r a a
n o s s a
Tax Year
Name of the Taxpayer
TIN
Submitted
N a ç a o ”
Employer’s Annual Wages Income Tax
: ……………………………….
:
:
: ……………/…………/2016
Payment if there has been a shortfall is due by 31 March 2016
Total Gross wages paid
Total gross amount of wages paid during 2015 tax year
(please separate attached summary of monthly paid to employees from Jan to Dec 2015)
Wages Tax reconciliation :
Total amount wages tax payment made to Timor Leste Tax authority
in respect of the 2015 tax year
(please separate attached summary of monthly wages tax paid from Jan to Dec 2015 )
Total of wages tax deducted from your employees wages in respect
of 2015 tax year.
Difference, (if line 20 exceed at line 10), underpaid
Line
Amount US$
05
10
20
Declaration:
Under penalties of perjury, I (full name) …………………………………………………………….…,
(designation) …………………………… ……..declare that I have examined this form, including
accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and
complete.
Signature:
Date :
______________________________
_____ /_______________/2016
Notes:
1.
2.
Any annual wages Income Tax payment shortfall is to be computed on the basis of Annual Wages Income Tax should be paid
before lodgment of the annual returns within 25th of the third month following the end of the Tax Year;
Please attach copy of EFT bank transfer instruction form in support of electronic payment of above taxes to the TL
Petroleum Fund bank account which details are as follows:
Name and Address of the Bank- The Federal Reserve Bank of New York, 33 Liberty Street, New York, NY 10045;
SWIFT CODE- FRNYUS33
Beneficiary Name – ‘Banking and Payments Authority of East Timor- Petroleum Fund Account’
Account Number- 021080973
NDPMR Contact E-mails: [email protected] or [email protected]
PTD Form No: 02-01-01 Last updated 29/12/2015
or
[email protected] or [email protected]
Annex 1.1
Summary List of Employees, Gross Income and Tax paid to Timor Leste Tax Authority
Name of Company
TIN
Tax Year
Total Gross Income earned from your company at:
Total Number of Employees Work at;
2006
Tax year
1
NDPMR 2016
: ……………………………….
: ……………………………..
: 2015
JPDA Annex F (BU & GS)
JPDA Non Annex F &
TLEA
JPDA annex F
JPDA no Annex F & TLEA
Nonresident
Employee of JPDA
Annex F
Resident
Non
Resident
Resident
Non Resident
Resident Employee of
JPDA Annex F
2
3
4
5
6
7
US$ ……………..
US$ ……………..
January
February
March
April
May
June
July
August
September
October
November
December
Total
Resident Employee of
JPDA Non annex F &
TLEA
8
US$ ……………..
Nonresident
Employee of
JPDA Non Annex
F & TLEA
9
US$ : …………
Tax Paid to Timor-Leste
Tax Authority
10
US$ : …………
I (full name) …………………………………. Position ………………………………….. declare this list is right and total gross income and tax withheld true, correct, and complete.
Date, …………………………………………….2016
Note “ Please provide list of the employees and gross Income earned include tax calculations based the area operations in the table above.
NDPMR Contact E-mails: [email protected] or [email protected]
PTD Form No: 02-01-01 Last updated 29/12/2015
or
[email protected] or [email protected]
DIRECÇÃO NACIONAL DE RECEITAS PETROLIFERAS E MINERAIS
Building#5 (Ground Floor), Palacio do Governo RDTL, Avenida do Presidente de
Nicolau Lobato
P.O Box-18, Dili , Timor-Leste,
Web: www.mof.gov.tl/Taxation/Petroleum Tax/Tax forms
“ S e j a u m b o m c i d a d ã o , s e j a u m n o v o h é r o i p a r a a
“ S e j a u m b o m c i dn
ao
d sã soa, N
s ea jçaa ou ”m n o v o h é r o i p a r a a
n o s s a
Tax Year
Name of the Taxpayer
TIN
Submitted
N a ç a o ”
Employer’s Annual Wages Income Tax
: ……………………………….
:
:
: ……………/…………/2016
Payment if there has been a shortfall is due by 31 March 2016
Total Gross wages paid
Total gross amount of wages paid during 2015 tax year
(please separate attached summary of monthly paid to employees from Jan to Dec 2015)
Wages Tax reconciliation :
Total amount wages tax payment made to Timor Leste Tax authority
in respect of the 2015 tax year
(please separate attached summary of monthly wages tax paid from Jan to Dec 2015 )
Total of wages tax deducted from your employees wages in respect
of 2015 tax year.
Difference, (if line 20 exceed at line 10), underpaid
Line
Amount US$
05
10
20
Declaration:
Under penalties of perjury, I (full name) …………………………………………………………….…,
(designation) …………………………… ……..declare that I have examined this form, including
accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and
complete.
Signature:
Date :
______________________________
_____ /_______________/2016
Notes:
1.
2.
Any annual wages Income Tax payment shortfall is to be computed on the basis of Annual Wages Income Tax should be paid
before lodgment of the annual returns within 25th of the third month following the end of the Tax Year;
Please attach copy of EFT bank transfer instruction form in support of electronic payment of above taxes to the TL
Petroleum Fund bank account which details are as follows:
Name and Address of the Bank- The Federal Reserve Bank of New York, 33 Liberty Street, New York, NY 10045;
SWIFT CODE- FRNYUS33
Beneficiary Name – ‘Banking and Payments Authority of East Timor- Petroleum Fund Account’
Account Number- 021080973
NDPMR Contact E-mails: [email protected] or [email protected]
PTD Form No: 02-01-01 Last updated 29/12/2015
or
[email protected] or [email protected]
Annex 1.1
Summary List of Employees, Gross Income and Tax paid to Timor Leste Tax Authority
Name of Company
TIN
Tax Year
Total Gross Income earned from your company at:
Total Number of Employees Work at;
2006
Tax year
1
NDPMR 2016
: ……………………………….
: ……………………………..
: 2015
JPDA Annex F (BU & GS)
JPDA Non Annex F &
TLEA
JPDA annex F
JPDA no Annex F & TLEA
Nonresident
Employee of JPDA
Annex F
Resident
Non
Resident
Resident
Non Resident
Resident Employee of
JPDA Annex F
2
3
4
5
6
7
US$ ……………..
US$ ……………..
January
February
March
April
May
June
July
August
September
October
November
December
Total
Resident Employee of
JPDA Non annex F &
TLEA
8
US$ ……………..
Nonresident
Employee of
JPDA Non Annex
F & TLEA
9
US$ : …………
Tax Paid to Timor-Leste
Tax Authority
10
US$ : …………
I (full name) …………………………………. Position ………………………………….. declare this list is right and total gross income and tax withheld true, correct, and complete.
Date, …………………………………………….2016
Note “ Please provide list of the employees and gross Income earned include tax calculations based the area operations in the table above.
NDPMR Contact E-mails: [email protected] or [email protected]
PTD Form No: 02-01-01 Last updated 29/12/2015
or
[email protected] or [email protected]