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Application For Tax Clearance Certificate
Kindly ensure that all the information provided are accurate and true.
Note that all fields with asterisk (*) must be completed
BNTIN or TIN*: (Don't have a BNTIN or TIN?
Create one
)
BNTIN or TIN Not found
Create one
Title*:
Select Your Title
Clergy
Mr.
Mrs
Miss
Prof.
Dr.
Alh
Chief
First Name*:
Middle Name:
Last Name*:
Residential Address*:
State of Residence*:
Select Your State
Abia
Adamawa
AkwaIbom
Anambra
Bauchi
Bayelsa
Benue
Borno
Cross River
Delta
Ebonyi
Edo
Ekiti
Enugu
Gombe
Imo
Jigawa
Kaduna
Kano
Katsina
Kebbi
Kogi
Kwara
Lagos
Nasarawa
Niger
Ogun
Ondo
Osun
Oyo
Plateau
Rivers
Sokoto
Taraba
Yobe
Zamafara
City*:
Business/Employer Address*:
Contact Number*:
Occupation*:
Tax Office*:
Select Tax Office
Central Ward Tax office
Ado Tax office
Buruku Tax office
Katsina-Ala Tax office
Central Ward MLA Tax office
Adoka Tax office
Gboko Tax office
Logo Tax office
Centre Cashier Tax office
Agatu Tax office
Konshisha Tax office
Ukum Tax office
Guma Tax office
Apa Tax office
Lessel Tax office
Adikpo Tax office
Gwer Tax office
Obi Tax office
Mkar Tax office
Modern Market Tax office
Ogbadibo Tax office
Tarka Tax office
Makurdi MLA Tax office
Oju Tax office
Ushongo Tax office
Makurdi Tax office
Okpokwu Tax office
Vandeikya Tax office
Terwase Agbadu Tax office
Onyagede Tax office
Adekaa Tax office
Wadata Tax office
Ugbokolo Tax office
BCC Gboko Tax office
Wailomayo Tax office
Otukpo Tax office
Aliade Tax office
Ohimini Tax office
Wurukum MLA Tax office
North Bank Tax Office
Email Address:
Type of Application
Individual
Non Individual
BNTIN or TIN (For the Enterprise)*: (Don't have a BNTIN or TIN?
Create one
)
BNTIN or TIN Not found
Create one
Company Name:
Enterprise Reg No:
Phone:
Email:
Address:
Who are you to the enterprise?
Sole proprietor
Partner
If Married, State Spouse's Information
First Name:
Last Name:
Date of Birth:
Business/Employer Address:
Occupation:
Employer:
Names of Children:
PART B: SOURCE OF INCOME
Salary per Annum:
Allowances:
Commission, Bonuses, Gratuities e.t.c:
Trade, Businesses, Profession, Vocation:
Consolidated Gross Income:
PART C: INCOME AND TAX FOR THE CURRENT AND PREVIOUS YEARS
Assessment Type 1*:
Select Assessment
PAYE
Direct Assessment
Year of Assessment 1*:
Select Year of Assessment
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
Income Year 1*:
Tax Paid Year 1:
Assessment Type 2:
Select Assessment
PAYE
Direct Assessment
Year of Assessment 2:
Select Year of Assessment
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
Income Year 2:
Tax Paid Year 2:
Assessment Type 3:
Select Assessment
PAYE
Direct Assessment
Year of Assessment 3:
Select Year of Assessment
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
Income Year 3:
Tax Paid Year 3:
Drag and Drop Image Upload
Drag and Drop Images here
Upload Evidence of tax paid(Should be less than 300kb):
Click here to select a file or drag and drop a file here
PENALTY FOR DEFAULT
Please note that in accordance with the relevant law, making false statement and returns or unlawful to pay tax will attract up to five (5) years imprisonment
DECLARATION
I Hereby declare that information supplied in this form contain a true and correct statement of the amount of my income from all sources.
First Name*:
Last Name*:
Check the box below if you agree*
Upload Passport (Should be less than 300kb)*:
