De-Registration Form For Companies-English 1
De-Registration Form For Companies-English 1
Attention
Before filling in this form, please make sure you have submitted each and every tax return that is
due and not submitted up to the time of closing your business.
Attach on this form the following: copy of Identification Card (ID) or Passport Number of the
company’s Managing Director. In his/her absence, attach the copy of Identification Card (ID) or
Passport Number of the shareholders with a higher number of shares.
Please remember to file all taxes you are registered for until you get the response of this request.
Business name:……………………………………………………………………..
………………………………………………………………………………………………………………………………………………………
Main business activity……...…………………………………………………………………………………….
……………..…………………………………………………………………………………………………….…………………………………
Business activity start date: …..…………/…………………/………………
Business activity location :
Villagee……………………………...….……Cell……………………………………………
Sector…………………………………………….. ………………..District ………………………………………..……..
Province …………………………………………………...................
Reasons for de-registration:………………………………………………………………………............
………………………………………………………………………………………………………………………………………………………
………………………………………………………………………………………………………………………………………………………
Tax types the company is registered for:
Pay As You Earn (PAYE/TPR)
Value Added Tax (VAT)
Corporate Income Tax (CIT)
Withholding Tax
Consumption Tax
Tax types the company wants to be de-registered on:
Pay As You Earn (PAYE/TPR)
Value Added Tax (VAT)
Corporate Income Tax (CIT)
Withholding Tax
Consumption Tax
Telephone number:
2 5 0 7
Email.........................................................................................................................................
Residence
Village……………………….……Cell………………………….…… Sector……………………………………..
1
2
3
4
5
Is there any other business you are registered for ?(Any other company you hold?)
Yes ….......….. No…….....…. If yes:
Business name: .......................................................................................................
TIN
Date............../................../................
Names: ………………………………………………………………………