EMPLOYEES TAX CERTIFICATE Transaction Year 2021 Assessment Year 2021 Certificate Number 7525818996202002001200153 EMPLOYEE INFORMATION Surname / Trading Evans First Names Audrey Rose Initials AR Nature of Person A Passport number Passport country Income Tax Ref No. 0491 021 64 0 EMPLOYEE RESIDENTIAL ADDRESS Complex No & Name Street No & Name 15 Sunny Brook Estate Suburb Waterkloof Road City / Town Brooklyn, Pta P/Code EMPLOYEE POSTAL ADDRESS Complex No & Name Street No & Name 15 Sunny Brook Estate Suburb Waterkloof Road City / Town Brooklyn, Pta P/Code BANK ACCOUNT DETAILS Account Hilder AR Evans Account Number 90590681367 Bank Nme ABSA Basic salary Annual Payment (PAYE) Subsistence allowance Travel allowance Low or interest-free loan Pension fund - Employer Employee Code 07 Date of Birth 1961/02/02 Identity Number: 630115 5149 08 7 Business Tel Number 012 460 5241 Cell Number 082 489 9578 0181 0181 EMPLOYER INFORMATION PAYE Reference Number 7525818996 SDL Reference Number L525818996 UIF Reference Number U525818996 EQUILIBRIUM KNOWLEDGE CENTRE LTD 12.0 12.0 2020/03/01 2021/02/28 BANK ACCOUNT TYPE Account Holder Relationship Own Account Type Savings Account DEDUCTIONS / CONTRIBUTIONS 833960.00 50000.00 3000.00 58302.00 3021.00 62547.00 3601 3605 3704 3701 3807 3817 Pension Fund Contribution 125094.00 4001 Total Deductions and Contrib. 125094,00 4497 TAX WITHHELD PAYE (Pay - As - You - Earn) EE & ER UIF Contribution Employer SDL Contribution 254954 3569,28 8710,76 4102 4141 4142 267234,04 4149 Total Tax, SDL and UIF Gross Non-Taxable Income Gross Taxable income Directive Number(s) : 202102 IRP5 PAY PERIODS Assessment Year Periods No of Periods Worked Employed From Employed From Branch Code 632005 INCOME RECEIVED Reconciliation Period Type of Certificate 0.00 3696 996169,60 3699 Reason for non-deduction of tax 4150 EMPLOYEES TAX CERTIFICATE Transaction Year 2021 Assessment Year 2021 Certificate Number 741470788520200200010004042 EMPLOYEE INFORMATION Surname / Trading Evans First Names Audrey Rose Initials AR Nature of Person A Passport number Passport country Income Tax Ref No. 0491 021 64 0 EMPLOYEE RESIDENTIAL ADDRESS Complex No & Name Street No & Name 15 Sunny Brook Estate Suburb Waterkloof Road City / Town Brooklyn, Pta P/Code EMPLOYEE POSTAL ADDRESS Complex No & Name Street No & Name 15 Sunny Brook Estate Suburb Waterkloof Road City / Town Brooklyn, Pta P/Code BANK ACCOUNT DETAILS Account Hilder AR Evans Account Number 90590681367 Bank Nme ABSA Independent contractor Employee Code 06 Date of Birth 1961/02/02 Identity Number: 630115 5149 08 7 Business Tel Number 010 461 6352 Cell Number 082 489 9578 0181 0181 EMPLOYER INFORMATION PAYE Reference Number 7414707885 SDL Reference Number L414707885 UIF Reference Number U414707885 EQUILIBRIUM CAMPAIGNS (PTY) LTD 12.0 12.0 2020/03/01 2021/02/28 BANK ACCOUNT TYPE Account Holder Relationship Own Account Type Savings Account DEDUCTIONS / CONTRIBUTIONS 274855,00 3616 TAX WITHHELD PAYE (Pay - As - You - Earn) EE & ER UIF Contribution Employer SDL Contribution Total Tax, SDL and UIF Gross Non-Taxable Income Gross Taxable income Directive Number(s) : 202102 IRP5 PAY PERIODS Assessment Year Periods No of Periods Worked Employed From Employed From Branch Code 632005 INCOME RECEIVED Reconciliation Period Type of Certificate 0.00 3696 274855,00 3699 Reason for non-deduction of tax 68713,75 0,00 0,00 4102 4141 4142 68713,75 4149 03 4150 Mrs AR Evans 15 Sunny Brook Estate Waterkloof Road 0181 Brooklyn IT3(f) CERTIFICATE OF RETIREMENT CONTRIBUTIONS FOR THE PERIOD 1 MARCH 2020 TO 28 FEBRUARY 2021 Policy Number 4823709X6 Tel: 086 726 526 Source Code 4006 51 250 sanlam.co.za