DIRECÇÃO GERAL RECEITAS
DIRECÇÃO NACIONAL DE RECEITA PETROLIFERAS E MINERAIS
Building#5 (Ground Floor), Palacio do Governo RDTL, Avenida do Presidente de Nicolau
Lobato
P
.O Box-18, Dili , Timor-Leste,
Web:
www.mof.gov.tl/Taxation/Petroleum
Tax
MONTHLY PETROLEUM
ADDITIONAL PROFIT TAX (APT)/ SUPPLEMENTAL
PETROLEUM TAX (SPT) INSTALLMENT NOTICE
(Under Article 18 of ToBUCA / Section 90 of the Taxes and Duties Act 2008)
Month of ………/2016
Taxpayer Name
:
TIN
:
Amount of APT/SPT Installment payable for the
month (US$)
Overpayment adjustment (if any) Actual amount paid after
adjustment (US$) PaymentDate
Overpayment
Period
Amount (US$)
APT/SPT Tax Installment for the next period :
Will your Company no longer pay tax on
APT/SPT Installment for the Following
period?
If yes, state the reason
………..
……….
………..
and confirm withTimor-Leste Tax Authority, with official documents
Tick X
Yes …….. No …….
Declaration:
Under penalties of perjury, I (full name) ……….…,
(designation) ……….. declare that I have examined this form, including
accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and
complete.
Signature: ______________________________
Date :
______________________________
Notes:
1. Additional Profit Tax (APT) is applicable for Bayu Undan regime, the Supplemental Petroleum Tax (SPT) is applicable for ‘JPDA but not Annex F’ and ‘100% Timor-Leste Territory’ under the Taxes and Duties Act 2008;
2. Monthly APT/SPT installments shall be 1/12th of the value of APT/SPT estimated by the taxpayer for the current tax year; Penalty
applies if APT/SPT installments paid by the taxpayer is below 90% of the actual APT/SPT due for the relevant tax year;
3. Please attach copy of EFT bank transfer instruction form in support of electronic payment of above taxes to the TL Petroleum Fund bank account which details are as follows:
Name and Address of the Bank- The Federal Reserve Bank of New York, 33 Liberty Street, New York, NY 10045; SWIFT CODE- FRNYUS33
Beneficiary Name – ‘Banking and Payments Authority of East Timor- Petroleum Fund Account’ Account Number- 021080973
4.
Payment and lodgment of forms due on or before the 15th of the following month or on next business day if 15th is a public holidayin Timor-Leste;
NDPMR Contact E-mails: hsarmento@mof.gov.tl or aramos@mof.gov.tl; adacosta@mof.gov.tl ; jmonteiro@mof.gov.tl
PTD Form No: 02-01-01 Last updated 29/12/2015
“ S e j a u m b o m c i d a d ã o , s e j a u m n o v o h é r o i p a r a a n o s s a N a ç a o ”
