PETROLEUM & LARGE TAXPAYERS BUSINESS UNIT (INTERNATIONAL TAX UNIT)

Cover sheet Template

Date: Click here to enter a date.

Name of Company [Payer]: Click here to enter text. e.g John Doe Ltd.

Recommended File Name: WHT_[Company Name]_[Date] e.g WHT_John Doe Ltd_20150423

Subject: Coversheet for the Withholding Tax Bulk Upload Spreadsheet

Please find attached the Excel spreadsheet for Withholding Tax transactions submitted

on Click here to enter a date.

Total number of Transactions (C5/WT2) submitted:	_______________________________

Date paid/credited/remitted/deemed remitted: (e.g. 25/03/08) _________________________

Total Gross Payments:	TT $ _______________________________

Total Net Payment remitted/deemed remitted:	TT $________________________________

Total Withholding Tax Due:	TT $ _______________________________

Total Withholding Tax submitted to the Board: TT $ _______________________________

Payer’s BIR number: (e.g. 0001234567)	________________________________

Payer’s Withholding Tax Account number :( e.g. WHT 2651249) ________________________

____________________________

Signature on behalf of Company

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For Inland Revenue only

Total number of Transactions (C5/WT2) received ________________________________

Total Gross Payment	TT$________________________________

Total Net Payment	TT$________________________________

Total Withholding Tax Due	TT$________________________________

Remarks ________________________________________________________________________

________________________________________________________________________

___________________________

International Tax

Board of Inland Revenue