Transcription of Details
1 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?
2 fixed amount deduction now applied for. (Furnish your calculations in the space provided for)RYesNo7,Assessed loss carried forward from the previous year of assessmentParagraph 11, 4th ScheduleIRP3(c)Version: Page of Page: 03/03 CalculationLess: Assessed loss brought forwardI declare that the information furnished is true and correct in every (CCYYMMDD)For enquiries go to or call 0800 00 SARS (7277)DeclarationGross income for year applied forR,R,A calculation is required indicating how the fixed amount deduction was arrived at.
3 Where relevant this must be based on the particulars of your latest year of assessment. The necessary adjustment must be made to take into account any possible increase in payable R,Kindly attach any explanations of other criteria which must be taken into account in your Lossess (Specify)R,R,R,R,RFixed amount of tax payable R,per monthEstimated taxable income Less: Admissible expenditure /12 Notes: Directives are not transferable and a new application must be made following a change in employment position. If you have more than one employer, a separate application for a directive must be made in respect of each employer.
4 Copies of letter of employment, service contract(s) and other relevant documentation is required in verification of terms and conditions of employment. fixed amount directives will be issued for a maximum period of 12 months and must be renewed thereafter.
