Income Tax Remittance Advice - Commissioner Of Inland Revenue

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ORIGINAL
Commissioner of Inland Revenue
Floriana CMR 02
Income Tax Remittance Advice
Taxpayer Ref. No.
Taxpayer Full Name & Address
Taxpayer Year of Birth
Amount of Payment
Date of Payment
Payment in respect of Year of Assessment
If paying by cheque provide the following details
Cheque Number
Account No.
Bank and Branch
Full Name & Telephone No.
of person making payment
Signature
TAXPAYER COPY
Commissioner of Inland Revenue
Floriana CMR 02
Income Tax Remittance Advice
Taxpayer Ref. No.
Taxpayer Full Name & Address
Taxpayer Year of Birth
Amount of Payment
Date of Payment
Payment in respect of Year of Assessment
If paying by cheque provide the following details
Cheque Number
Account No.
Bank and Branch
Full Name & Telephone No.
of person making payment
Signature

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