በገቢዎች ሚኒስቴር የሰሜን ምዕራብ አዲስ አበባ አነስተኛ ግብር ከፋዮች ቅ/ጽ/ቤት
የአገር ውስጥ ግብር ኤሌክትሮኒክስ ክፍያ ማዘዣ
DOMESTIC TAX ELECTRONIC PAYMENT INSTRUCTION
የባንኩ ስም: ______________________________________________________________
BANK NAME
የባንክ ቅርንጫፍ ስም: ___________________________________________________
BANK BRANCH
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የክፍያው ምንጭ ከሒሳብ በጥሬ ገንዘብ
Source of Fund Bank Account Cash
| የግብር ከፋይ/የባለሒሳቡ ስም Tax Payer's/Account Holder's Name |
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| የግብር ከፋይ የባንክ ሒሳብ ቁጥር Payer's Account Number |
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| ገንዘቡ የሚተላለፍበት ቅርንጫፍ ጽ/ቤት ስም Beneficiaries Name | MINISTRY OF REVENUES NORTH WEST A.A. SMALL TAX PAYERS BRANCH OFFICE | ||||||
| ገንዘቡ የሚተላለፍበት ቅርንጫፍ ጽ/ቤት ሒሳብ ቁጥር Beneficiaries Account Number |
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| የገንዘቡ ልክ በአኀዝ/በቁጥር ብር Amount (in figure) ETB |
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| የገንዘቡ ልክ በፊደል ብር Amount (in words) ETB |
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| የክፍያ ምክኒያት Payment Details | € VAT € DIVIDEND € WITHHOLDING € PROFIT € SCHEDULE-D € EXCISE TAX € TURNOVER TAX € COSTSHARING € STAMP DUTY | ||||||
| ለአገር ውስጥ ግብር ክፍያ የመለያ ቁጥር Domestic Tax Payment Ref. No | MOR |
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| የግብር ክፍያ መለያ ቁጥር Taxpayer Identification Number (TIN) | |||||||||||||
የግብር ከፋይ መለያ ቁጥር ክፍት በተተውት ሳጥኖች ውስጥ ብቻ በግልጽ መሞላት አለበት::
I/We the undersigned here by authorize the bank to effect payment electronically to the above mentioned beneficiary as per the stated details through Ethiopian Automated Transfer System (EATS)
የግብር ከፋይ/ባለሒሳብ ፊርማ: _________________________________________________ (ማህተም / Stamp)
Tax payers/Account Holder's Signature
……………………………………ለክፍያ ሰብሳቢ ባንክ ቅርንጫፍ ብቻ የተተወ ………………………………
For Bank Branch's use only
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| የባንክ ማህተም/Bank Stamp | |||
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