Republic      of Rwanda

MONTHLY VAT TAXPAYER RECEIPT

Rwanda Revenue Authority

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1. Taxpayer and Tax Identification
TIN:	Type of Tax: TVA-VALEUR AJOUTEE	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 VAT 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 value of Supplies During the month(VAT Exclusive)
10-Exempted Sales
15-Zero Rated SSales
20-Exports
25-Total Not Taxable(Line 10+15+20)
30-Taxable Sales Subject to VAT(Line 5-Line 25)
35-VAT on Taxable Sales(18% of Line 30)
40-VAT Reverse Charge
45-VAT Payable(Line 35+Line 40)
50-VAT paid on Imports
55-VAT paid on Local Purchase
60-VAT paid on Input(Line 50+Line 55)
65-VAT Reverse Charge deductible
70-VAT Payable/Credit Refundable[(Line 45-(Line 60+Line65)]
75-Credit carried over from previous month(s)(Not already claimed)
80-VAT withholding retained by MINECOFIN(Not refunded)
85-VAT Due/Credit Refundable[(Line 70-(Line 75+Line 80))]
90-VAT Refund Clain	95-VAT Due