Republic      of Rwanda

MONTHLY PAYE TAXPAYER RECEIPT

Rwanda Revenue Authority

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1. Taxpayer and Tax Identification
TIN:	Type of Tax: TPR	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

MONTHLY PAYE 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
1.Permanent Staff excluding employee(s) with a second employer		2.Casual Employees
5-Number of Employees		55-Number of casual employees
10-Total basic pay		60-Total remuneration paid
15-Total allowance in cash paid		65-Tax due (Apply rate of the law to each employee and sum up)
20-Total benefits in kind
25-Other taxable payments		3.Employees with second employer(More than one employer)
30-NSF contribution by employees		70-Number of employees
35-NSF contribution by employer		75-Total remuneration paid
40.Non-taxable deduction(Exempted) law No 16/2205		80-PAYE withheld(Apply top marginal rate)
45-Taxable pay(Line 10+15+20+25-40)
50-Tax due(Apply rate of the law to each employee and sum up)
	85-Total PAYE due(Line 50+Line 65+Line 80)