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Application For Instalment Payments DT 2072

1) The document is an application form for individuals and businesses to apply to pay taxes in installments to the Uganda Revenue Authority. It requests identifying information about the taxpayer as well as details about the requested installment plan such as reasons for requesting installments, number of installments, and proposed payment dates and amounts. 2) The applicant must sign a declaration certifying the accuracy of the information provided and acknowledging that incorrect information could delay or reject the application. 3) The form provides contact information for the URA for any tax questions.

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Kiyimba Daniel
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1K views1 page

Application For Instalment Payments DT 2072

1) The document is an application form for individuals and businesses to apply to pay taxes in installments to the Uganda Revenue Authority. It requests identifying information about the taxpayer as well as details about the requested installment plan such as reasons for requesting installments, number of installments, and proposed payment dates and amounts. 2) The applicant must sign a declaration certifying the accuracy of the information provided and acknowledging that incorrect information could delay or reject the application. 3) The form provides contact information for the URA for any tax questions.

Uploaded by

Kiyimba Daniel
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Application for payment of tax

in Installment For General Tax Ques-


tions, call our Toll Free
(This Form may be used by all individuals and non-individuals who wish to apply to
pay taxes in installment) Number: 0800117000
Or log onto URA web por-
Please answer in CAPITAL letters where applicable and sign the declaration. If you tal: https://ura.go.ug
have any query regarding any of the questions consult the URA tax office

Notice Date: / /20


Notice DT-2027

Section A – Identifying Information


1) Full Name of Taxpayer/Business as it appears at TIN registration 2) Taxpayer Identification Number (TIN)

3) Address of Taxpayer/Business as it appears at TIN registration

Section B – Installment Request Details


1) Why do you want to pay the tax in installments?

2) Indicate number of installments you request to be granted: 3) Provide Proposed date of first installment pay-
ment:

Proposed Installment Schedule (Please provide amount of each installment)


Install- Income PAYE WHT Rental
VAT LED GPBT Total
ment No. Tax Tax

Total

Section C – Declaration and Certification


I declare that the information given on this application is true and correct 3) Printed Name of Signatory
and that failure to provide correct information may result in delayed pro-
cessing or rejection of this application (If this form is signed by a person
other than the applicant, formal powers of attorney will be required)
1) Authorized Signature 4) Position Held (Owner/Director/Agent/Partner/Trustee)

5) Contact Number (If none, enter NONE)


2) Date Signed (Day/Month/Year) / /20

Received for URA by (Official Use Only)


Printed Name Signature
/ /20

Uganda Revenue Authority Application for installment payment Form DT-2072

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