Republic      of Rwanda

LOCAL CONSUMPTION TAX TAXPAYER RECEIPT

Rwanda Revenue Authority

		Print the Form Close the Form
1. Taxpayer and Tax Identification
TIN:	Type of Tax: CONSUMPTION	Tax Period:
Start and End of Tax Period
From: To:	Declaration Due Date:	Payment Due Date:
	Tax Centre:
Full Name:
Address:
P.O Box:	Document ID:

To be completed by the Tax Administration
Tax Due	Penalty due(10%)	Other Fine	Interest due	Total due

For RRA Use Only
Filling Date:
Authorised Officer:	Signature:	Stamp:

Republic      of Rwanda

LOCAL CONSUMPTION TAX DECADAL DECLARATION FORM

Rwanda Revenue Authority

2. Taxpayer and Tax Identification
TIN:	Tax Period:	Date Issued:
Start and End of Tax Period
From: To:	Declaration Due Date:	Payment Due Date:
Full Name:
Tax Centre:	Document ID:

3. Certification
I certify that the entries on this declaration are true and correct.I understand that a false declaration may result in prosecution
Date:
Name:
Title:	Signature:	Stamp:
Phone:

4. FOR OFFICIAL USE ONLY
Date:	Assessment No:
Authorised Officer :
Payment Slip No :	Signature:	Stamp:
Payment Date:

5. Calculation of Tax Due
5-Total Units out of Factory
10-Total Adjustments of Units
15-Total Exports of Units
20-Total Taxable Units
25-Total Taxable Value
30-Local Consumption Tax Rate	Beers:57% Wines,Liquors & Whiskies:70% Cigarettes:60% Sodas & Lemonades:39% Mineral Water:10%
35-Total Consumption Tax Due	Multiply Line 25 by the rate on line 30
STATISTICAL INFORMATION
50-Number of Taxable Products
55-Total volume of exportation	Cigarette in sticks, liquids in Litre
60-Total volume of local consumption	Cigarette in sticks, liquids in Litre
65-Total volume of production	Cigarette in sticks, liquids in Litre