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Application for a Tax Directive: Fixed amountIRP3(c)Taxpayer ref of Assessment ended on (CCYYMMDD)Taxpayer DetailsApplication AddressPostal Address Specify otherIf the taxpayer/employee is not registered for income tax, select one of the following reasons:UnemployedOtherFOR OFFICE USE15 Postal CodeInitialsSurname/ Registered nameIdentity NumberDate of Birth (CCYYMMDD)Passport Country / Country of Origin ( South Africa = ZAF)Passport/ Permit Name(s)Postal CodeIRP3(c)Version: Page of Page: 01/03R,Annual SalaryEmployee number/PAYE numberParticulars of EmployerContact PersonName of EmployerEmail address of EmployerTel ref (c)Version: Page of Page: 02/03 Business AddressPostal AddressPostal CodeAdditional Details of applicationCommencement date of business/employment (CCYYMMDD)Mark the applicable reason for the directive application request with an X:Postal CodeWas a fixed percentage directive issued to you for the above-mentioned employer for the previous year of assessment?
Application for a Tax Directive: Fixed amount IRP3(c) Taxpayer ref no. Year of Assessment ended on (CCYYMMDD) Taxpayer Details Application no. Residential/Physical Address
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