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identiFicAtion section - IRD

TAx comPutAtion sectionincometo nearest dollar, omit cents/commas1 Income from Employment (government and Non-government) as per TD4 enclosed12 Retirement Severance benefit - See Instructions 13 and 3123 Pensions from sources within/outside T&T34totAL emoLument income(SuM OF LINES 1 TO 3)45 Less travelling expenses- SeeInstruction 1256net emPLoYment income(LINE 4 MINuS LINE 5)67 gross Amount Received on Cancellation of Approved Deferred Annuity/Pension Plan - SeeInstruction 1578 Employer s contribution to Approved Deferred Annuity/Pension Plan (Taxable benefit) complete schedule A89totAL income(SuM of LINES 6 to 8)9identiFicAtion sectionPLeAse Print in BLock Letters nAme And Address iF diFFerent From ABoVe. use BLAck ink onLY LAST NAMEbIR File NAMEMIDDLE NAMES pouse s bIR File ADDRESS (Street no.)

tAx comPutAtion section income to nearest dollar, omit cents/commas 1 Income from Employment (government and Non-government) as per TD4 enclosed 1

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