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Under no circumstances may the employer use the …

employer INFORMATION / WERKGEWER INLIGTING EMPLOYEE INFORMATION / WERKNEMER INLIGTINGTAX CALCULATION INFORMATION / BELASTING BEREKENING INLIGTING INCOME SOURCES / INKOMSTE BRONNECODE / KODEDESCRIPTION / BESKRYWINGRF IND / UFD INDAMOUNT / BEDRAGGROSS REMUNERATION / BRUTO BESOLDIGINGCODE / KODEDESCRIPTION / BESKRYWINGAMOUNT / BEDRAG3695 GROSS TAXABLE ANNUAL PAYMENTS / BRUTO BELASBARE JAARLIKSE BETALINGS3696 GROSS NON-TAXABLE INCOME / BRUTO NIE-BELASBARE INKOMSTE3697 GROSS RETIREMENT FUNDING INCOME / BRUTO UITTREDINGSFUNDERINGSDIENS INKOMSTE3698 GROSS NON-RETIREMENT FUNDING INCOME / BRUTO NIE-UITTREDINGSFUNDERINGSDIENS INKOMSTE3699 GROSS TOTAL / TOTALE BRUTO BESOLDIGINGDEDUCTIONS / AFTREKKINGSCODE / KODEDESCRIPTION / BESKRYWINGCLEARANCE NOAMOUNT / BEDRAGEMPLOYEES TAX DEDUCTIONS / WERKNEMERSBELASTING AFGETREKCODE / KODEDESCRIPTION / BESKRYWINGAMOUNT / BEDRAG4101 STANDARD INCOME TAX ON EMPLOYEES -SITE / STANDAARD INKOMSTE BELASTING OP WERKNEMERS -SIBW4102 PAY AS YOU EARN - PAYE / LOPENDE BETAALSTELSEL - LBS4103 TOTAL EMPLOYEES TAX / TOTALE WERKNEMERSBELASTINGThe employer may use his/her own logo.

3190 Voluntary over deduction O • A1 (fixed no of characters) • Reject if IT3(a) • Value can only be Y, J or N 3200 Pay periods in tax year R • N3.4 (fixed no of characters)

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