MINISTRY OF REVENUES SCHEDULE C-NORMAL

Section 1 - Taxpayer Information

Taxpayer's Name: TIN: Tax Period:

Mti Ayodized Salt Manufacturing P/L/C 0061982038 2022

Registration Addresse: Tax Account Number: (Official Use Only)

House No.: NEW 19764790006

Kebele: 16 Po.Box: Tax Centre:
Woreda: BAHIRDAR TOWN Document Number: 1755084650010
Zone/Sub-City: WEST GOJAM MOR-BAHIR DAR
Document Date: 10/11/2023
Region: AMAHARA Ethiopia BRANCH
Telephone Number: Fax Number:
Submission Number: 26998610006
Submission Date: 10/11/2023

Section 2 - Electronic Tax Declaration

Business Income or Sales/Turnover (Attach Schedule) 5 236,362.63

Non Operating and other Income 10 0.00

Total Gross Income (5+10) 15 236,362.63

Cost of Goods sold/Direct Cost of Service (Attach Schedule) 20 142,800.00

Gross Profit/Loss (15-20) 25 93,562.63

Gross Profit 26 93,562.63

Loss 27 0.00

Selling & Distribution Expenses (Attach Schedule) 30 0.00

Salary and Wages 35 18,500.00

Other Employee Benefits (Attach Schedule) 40 0.00

Group of expenses (35+40) 41 18,500.00

Repair and Maintenance Expenses 45 0.00

Investment/Participation Expenses (Attach Schedule) 50 0.00

Foreign Technical Service Expenses 55 0.00

Utilities Expenses 60 0.00

Travel Expenses 65 23,480.00

Rent Expenses 70 46,980.00

50 to 65+70 71 70,460.00

Interest Expenses 75 0.00

Depreciation Expenses 80 0.00

Amortization Expenses 85 0.00

Groups Expenses (80+85) 86 0.00

Deductible Taxes and License Fees 90 0.00

Dedutible Donations and Gifts 95 0.00

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 MINISTRY OF REVENUES SCHEDULE C-NORMAL

Other Deductions (Attach Schedule) 100 0.00

Total Expenses (sum line 30 thru line 100) 105 88,960.00

Net Income/Loss (line 25-line 105) 110 4,602.63

Net Income 111 4,602.63

Loss 112 0.00

Loss Carry Forward from Previous Tax Period (Attach Schedule) 115 0.00

Carry Backward Loss Adjustment (Attach Document) 120 0.00

Taxable Income (Line 110 - Line 115 - Line 120) 125 4,602.63

Tax to Pay (Line 125*30% ) 126 1,380.79

Profit Income Tax Payable (NN) 130 1,380.79

Foreign Tax Credit (Attach Schedule) 135 0.00

Withholding Tax (Attach Schedule Import & Payments) 140 0.00

Total Credits (line 135 + line 140) 145 0.00

Net Tax Due/Refundable Amount (Line 130-line 145) 150 1,380.79

Net Tax Due 151 1,380.79

Refund 152 0.00

Section 3 - Taxpayer Certification

I declare that the above declaration and all information provided here-with is correct and complete. I understand that any misrepresentation
is punishable as per the Tax Law and the Penal Code. Declaration of preparer (other than the taxpayer) is based on all information of
which the preparer has any knowledge.
Printed Taxpayer Name or Authorized Date Company Seal For Official Use Only
Representative

Date of Payment Receipt Number

Signature of Taxpayer or Authorized
Representative

Amount of Payment Check Number

Printed Name of Preparer Date

Cashier's Signature
Signature of Preparer

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