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S04
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THE INCOME TAX ACT
SELF EMPLOYED PERSONS ANNUAL RETURN OF INCOME, TAXES
SAVE
AND CONTRIBUTIONS PAYABLE FOR YEAR ENDED 31, DECEMBER
Year of Assessment
2 0
Please Read Notes and Instructions on Page 4 before Completing this Return*
Jamaica
Section A ‐ GENERAL INFORMATION
2. NIS Number
3. TRN
(Middle Name)
(Last Name)
1. Name
(First Name)
4. Home Address:
5. Business Mailing Address:
6. Telephone Number
(if different from 4.)
7. Email address
8. Trade Name
9. Occupation:
10. Tick if applicable:
New Address
Revised Return
Section B ‐ SUMMARY OF INCOME
(Attach Schedule 1 or Financial Statement where applicable ‐ See Notes)
INCOME FROM TRADE OR BUSINESS
11
Gross Receipts/ Sales/ Income
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
12
Cost of Goods Sold
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
13
Gross Operating Profit/(Loss) (Subtract Line 12 from Line 11 )
. . . . . . . . . . . . . . . . .
14
Business/Administrative Expenses
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
15
(Complete page 2 of Schedule 1 and attach)
. . . . . . . . . . . . . . . .
Net Adjustments
16
(Subtract Line 15 from Line 14)
Total Expenses
. . . . . . . . . . . . . . . . . . . . . . . . . .
17
Net Profit/(Loss) from Trade or Business
(Subtract Line 16 from Line 13)
. . . . . . . . . . . . . . . . . . . . . . . . .
18
Share of Partnership Income (Attach Schedule 4)
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
INCOME FROM RENTAL OF PROPERTY
19
Gross Rental from Land, House or other Property
. . . . . . . . . . . . . . . . . . . . . . . .
20
Rental Expenses
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
21
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Net Rental Income
(Subtract Line 20 from Line 19)
INCOME FROM ALL EMPLOYMENT & OFFICES
22
(Attach P24)
Salary, Wages, Bonus, Fees, Commission
. . . . . . . . . . . . . . . . . . .
23
(Travelling, housing, entertainment, etc.)
Cash Allowances
. . . . . . . . . . . . . . . . .
24
Annual Value Perquisites (Car, credit cards, etc.)
. . . . . . . . . . . . . . . . . . . . . . .
25
(See Notes for calculation)
Annual Value of Quarters of Residence
. . . . . . . . . . . .
26
(Employers other than Line 22 ‐ Attach P24s)
Income from Other Employment
. . . . .
27
(Add Lines 22, 23, 24, 25 and 26)
. . . . .
Total Income from All Employment & Offices
28
DEDUCT:
Expenses Claimed
. . . . . . . . . . . . . . . . . . . . .
(Attach Schedule 3)
29
NIS deducted by Employer(s)
(Employee Contributions only)
. . . . . . . . .
Superannuation
ESOP
+
=
30a
30
30b
31
Total Deductions (Add Lines 28, 29 and 30)
. . . . . . . . . . . . . . . . . . . . . . . . . . .
32
Net Taxable Income arising from Employment & Offices
(Subtract Line 31 from Line 27)
. . . . . . . . . . . . . . . . . . . .
__(Attach Schedule 4)
INCOME FROM INVESTMENTS & OTHER SOURCES
33
Pensions
(Attach Certificates)
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
34
Dividends (including Franked Income), Interest, Annuities & Discounts
. . . . . . . . .
35
Sources Outside the Island
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
36
Other Income
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
37
Total Income from Investments and Other Sources
(Add Lines 33, 34, 35 and 36)
. . . . . . . . . . . . . . . . . .
38
(Add Lines 17, 18, 21, 32, and 37)
Total Income from all Sources
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Page 1 of 4
Tax Administration Jamaica
Form No. SO4 (Issued 2014/12)