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Control No: 998421139493

Commissioner for Domestic Revenue Department


Order Form for Electronic Funds Transfer to Bank of Tanzania

Name of Account Holder(s): SUHARA LOGISTICS TANZANIA LIMITED


Bank Account Number: 033103012002
Name of Commercial Bank: NBC LIMITED
Mobile Phone: 0718503838

Please transfer from my/our account the amount of TZS 12,876,858.04


Amount in Words: Twelve Million Eight Hundred Seventy Six Thousand Eight
Hundred Fifty Eight and Four Cents Only
Value Date: 15/02/2024
To: Commissioner for Domestic Revenue Department
Tanzania Revenue Authority
Bank of Tanzania
Account Number: 9921134701
SWIFT Code: TANZTZTX
Details of Payment (field 70 of MT103): 998421139493
Taxpayer TIN: 111030006
Taxpayer Name: SUHARA LOGISTICS TANZANIA LIMITED

TAX INFORMATION FOR WHICH PAYMENT IS APPLICABLE (For TRA use only)
# Tax Description Item Reference GFS Code Tax Amount(TZS)
1 VAT on Clearing and Forwarding 698661387 11411162 12,876,858.04

Signature .................................. Date....../....../20....... Bank use only


Signature................................... Date...../....../20........ Reference number

Note to Commercial Bank:


1. Please capture the above information correctly.
2. Field 70 of MT103 carries a payment control number, must be captured correctly.

Printed from TRA-RGS Date: Thursday, 15 February 2024 Time: 11:09:45 (11:09:45 AM)

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