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This return contains existing data

printed in pink. To correct or update information, write over the pink text in black ink and capital letters.

Return for Payment of Provisional Tax

Company /
Type: Individual Trust CC IRP6
Particulars of Taxpayer INTXP01

Year of Taxpayer Date of birth

2 0 2 3 Period: First Second 0 3 4 7 5 3 5 1 9 7 1 9 9 0 1 0 2 9
assessment Reference Number (CCYYMMDD)

Surname M O N Y A K E Initials T M
Taxpayer Estimate Unusual/infrequent amounts included in the estimated taxable income (eg. CGT, Lump sums)

Gross Income (sales/turnover plus other income) R , Amount included in estimated taxable income that relates to unusual/infrequent events
R ,
Estimated taxable income R 0 ., 0 0
Tax on estimated Historical Information
R 0 ., 0 0
taxable income
Less: Rebates - Primary, secondary and tertiary Year last assessed 2 0 2 2
(for individuals only) R 1 6 4 2 5 ., 0 0
Taxable income for that year R 1 6 2 3 3 9 ., 0 0
- Medical scheme fees tax credit R 0 ., 0 0
- Additional medical expenses Basic amount R 1 3 7 4 7 1 ., 0 0
R 0 ., 0 0
tax credit
Payment Detail
Tax for the full year R 0 ., 0 0
Payment ref no. (PRN) 0 3 4 7 5 3 5 1 9 7 P 0 0 0 1 2 0 2 3
Tax for this period (6 months) R 0 ., 0 0
Beneficiary ID / Account no. S A R S - P R O V
Less: Employees’ tax for this period (6 months) R 5 3 6 8 ., 8 0 Payment reference numbers and payment allocation:
Always quote the unique PRN when making payment. Payment allocations to provisional tax periods are based on specific
Less: Foreign tax credits for this period (6 months) R 0 ., 0 0 allocation rules which are linked to the unique PRN used on each provisional tax period return filed. If you wish to make a
payment relating to a previous period, please use the PRN specified on the previous provisional tax period return. Payments
Tax payable for this period R 0 ., 0 0 will be allocated to your account by provisional tax period in the following manner: 1st Penalties, 2nd Interest, 3rd Provisional
Tax declared. Please contact SARS when you wish to re-allocate a payment to the correct period.

Add: Penalty on late payment R 0 ., 0 0 Electronic payments are recommended. SARS does not accept cheques exceeding R50 000.

Add: Interest on late payment R 0 ., 0 0 Declaration

Total Amount Payable R 0 ., 0 0
I declare that the information furnished in this return is true and
correct in every respect.
xxxxxxxxxxxxxxxxxxxxxxxxx
Date xxxxxxxxxxxxxxxxxxxxxxxxx
For enquiries go to
(CCYYMMDD) 2 0 2 3 0 5 2 2 [Link] or call
0800 00 SARS (7277)
Please ensure you sign over
the 2 lines of “X”s above

IRP6 L 2 FV 2021.01.00 SV 1601 CT 03 NO 0347535197

P 01

Y 2023

b97c-121-0a17-4a26-a09w-d5980eb532db 001/001