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P.10

Income Tax Department

EMPLOYER'S PIN

P.A.Y.E ­ EMPLOYER'S CERTIFICATE YEAR______________ To Senior Assistant Commissioner ............................................. We/I forward herewith..................Tax Deduction Cards (P9A/P9B) showing the total tax deducted (as listed on P.10A) amounting to Kshs....................... This total tax has been paid as follows:-

JANUARY FEBRUARY MARCH APRIL MAY JUNE JULY AUGUST SEPTEMBER OCTOBER NOVEMBER DECEMBER TOTAL TAX KSHS. NOTE:(1) Attach Photostat copies of ALL the Pay-In Credit Slips (P11s) for the year (4) Complete this certificate in triplicate sending the top two copies with the enclosures to your Income Tax Office not later than 28TH FEBRUARY. (5) Provide Statistical information required by Central Bureau of Statistics. We/I certify that the particulars entered above are correct. NAME OF EMPLOYER......................................................................................... ADDRESS........................................................................................................... SIGNATURE....................................................................................................... DATE.................................................................................................................

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