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PAY- AS-YOU-EARN (PAYE)Employee Declaration
Address :First Name:
Middle Name:
Last Name:
Section A: Employee Details
T.I.N.:First Name:
Middle Name:
Last Name: Date marriage registered:
Employer:
T.I.N.:Name:
Branch:
Section D: Details of allowances claimed:
Section B: Employee's spouse details
Section C: Employer details
Section E: Declarations:
Child allowance - child 5
Type of Allowance Amount ($)
Child allowance - child 1
Child allowance - child 2
Child allowance - child 3
Total Claimed:
I, declare that this PAYE declaration is true and correct in every detail.
Date:Signature:
EMPLOYEE :
EMPLOYER : I, declare that I am the employer of the person named on this form and that I will deduct tax from emoluments paid to the person in accordance with the rates prescribed by the Commissioner, taking into account the amount of total allowances on this form.
Date:Signature:
Position:
IT IS A SERIOUS OFFENCE TO MAKE A FALSE STATEMENT TO THE COMMISSIONER
T.I.N.:
Child allowance - child 4
Spouse allowance
Superannuation
Life insurance
Date of Birth
IRS458 [Revised: 02-Oct-2006]
Revenue Collection Division
Name