Annual Income Statement

Year :
Phone Number :
E-mail :
TIN Number :
Name :
Salary :
Housing Allowance :
Utility Allowance :
Transport Allowance :
Meal Allowance :
hazard Allowance :
Medical Allowance :
Others :

I hereby declare that the above salaries and allowances are the only emoluments payable by the organization to its staff and to the best of my knowledge no omission has been made. Thus I certify this to be true, correct and complete statement of income payable to our Staff computed in accordance with the provision of the Personal Income Tax Decree as amended. Proper and adequate records to substantiate above submission are kept at our office for examination by the relevant Tax Authority (Ref. Sec. 85(5)).