0% found this document useful (0 votes)
140 views2 pages

De-Registration Form For Companies-English 1

This document is a de-registration form for a company from the Rwanda Revenue Authority. It requests information such as the company's tax identification number, name, business activities, start date, location, and reasons for de-registration. It also asks for details of the company's legal representative like their name, ID number, and contact information. Finally, it confirms that the company has submitted all required tax returns and requests signatures from the managing director and RRA staff to complete the de-registration process.
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
0% found this document useful (0 votes)
140 views2 pages

De-Registration Form For Companies-English 1

This document is a de-registration form for a company from the Rwanda Revenue Authority. It requests information such as the company's tax identification number, name, business activities, start date, location, and reasons for de-registration. It also asks for details of the company's legal representative like their name, ID number, and contact information. Finally, it confirms that the company has submitted all required tax returns and requests signatures from the managing director and RRA staff to complete the de-registration process.
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
You are on page 1/ 2

1

RWANDA REVENUE AUTHORITY

DE-REGISTRATION FORM FOR COMPANY

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.

1) Identification of business activities to be de-registered

 Tax Identification Number (TIN):

 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

 Has the company ever been audited? Yes……….……..No……..........


 If yes, which tax periods?...............................................................
 Is there any arrears your company owes Rwanda Revenue Authority ? Yes…………..No……..........
If Yes, how much?.................................................................
 Have you signed a payment in installment agreement with Rwanda Revenue Authority showing
how these arrears will be paid up? Yes …...... No …………….
2
2) Identification of company’s legal representative

 Name of the company’s legal representative


……………………………………………………….……………........................................................................
 Identification card Number (ID) or Passport number:

 Telephone number:
2 5 0 7
Email.........................................................................................................................................
Residence
Village……………………….……Cell………………………….…… Sector……………………………………..

District ………………………………………..…….. Province …………………………………………….……


……………………
 Names of the most five shareholders .(These most five shareholders have to hold at least the
aggregate of 70% of all shares of the company)
No Name Identification card Number (ID) Signature

1
2
3
4
5

 3) Information relating to other activities being performed by the company

Is there any other business you are registered for ?(Any other company you hold?)
Yes ….......….. No…….....…. If yes:
Business name: .......................................................................................................
TIN

I ...............................................................,Managing Director of …………………………………….….


…………….………………………………………………………………………………….......... certify that the information
here above provided is complete and accurate. I also understand that any false information may
lead to prosecution.

Date, Signature and stamp

4) Reserved for RRA Authority

 Received by RRA staff in charge of de- registration

Date............../................../................

Names: ………………………………………………………………………

Stamp and Signature

You might also like