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˹ѧѺͧѡԹ
(Non Resident Withholding Tax Deduction Certificate)

͡÷Ǣͧ

1.

Ẻʴ¡÷蹪㹻 ... 54

2.

ѺԹҡ÷þҡ͡

3.

ѡҹʴԹѧ͡͡ Ӣ͹ѵԫԹҵҧȷ蹼ҹҤ觻 Ẻ .. 4 () ѡѭ١˹ͧҤþҳԪ (Debit Note) 㹡óշԹѧ͡͡Թҵҧ еͧʴѵš¹ ѹԹ ѡҹʴѺԹ (óաèԹ㹻)

4.

˹ѧѺͧѡԹ ()

5.

˹ѧ¡ԹͧѺԹ㹵ҧ (Invoice)

6.

͡蹷Ǣͧ Ш繵͡þԨó ѭ ͵ŧԴèԹ (óշʧ繡èԹ) ͧѺ мԹѧ


óաèԹԹѹ ͡ҡѡҹҧ鹨еͧԨóѡҹ ѧ

1.

ѭªͼ

2.

ԷЪԹѹ

3.

... 50 ͺѭշСȨԹѹ



Ẻ˹ѧѺͧѡԹ


No............

(Address)..................
...................................
...................................
Tel :..........................
Fax :.........................
................... , 20.......


Non-Resident Withholding Tax Certificate

    To whom it may concern:

Description of Income

 

Name and address of person from whom tax was withheld

 

Name and address of withholding agent

 

Amount of gross income and date of payment

 

Amount of tax withheld and date of tax payment

 

Relevant provisions of law

 

            I hereby certify that the amount of tax withheld shown above has been paid to the Revenue Department of Thailand. This certificate is issued upon the request of the above taxpayer for whichever legal purpose it may serve.

Signature...................................
Position......................................

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WCAG 2.0 (Level AA)

Last update :
 Thursday, December 14, 2006
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