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, Phone- +(670) 333 9542
Web: www.mof.gov.tl/Taxation/Petroleum Tax/Tax forms
TIMOR-LESTE
NON-RESIDENT EMPLOYEE
MONTHLY
PETROLEUM TAX
WITHHOLDING FORM
(Income Tax Withheld from Timor-Leste Non-resident Employees)
For the Month of
: ……… 2014
Taxpayer Name
: ………
TIN
: ………..
Petroleum Withholding Tax – Non-resident employee tax
Type of Income
(
Provide detail list of all non-residentemployees )
A
Please providing the list of employee you employed and gross income they earned from different areas
Total employee : ………..
Total Gross Income : ……….
Will your Company not withheld any
wages tax the Following period? (if any);
If yes, state the reason ……….
………..……….
and confirm with Timor-Leste Tax Authority, with official documents
* Tax Rates are Numbered as 1,2,3&4 based on Different Tax Regimes as follows:
1 - Bayu Undan 2 - Greater Sunrise & EKKN 3 -JPDA but not Annex F 4- 100% Timor-Leste Territory
Contact Person :
Full name : ____________________________ position _____________________
email __________________________________________(Clear)
Next contact person;
NDPMR Contact E-mails: jxavier@mof.gov.tl or hsarmento@mof.gov.tl or aramos@mof.gov.tl or adcosta@mof.gov.tl
PTD Form No: 02-01-01 Last updated 29/11/2013
Page
1
“ 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
Full name : ___________________________ Position : _______________________
email : ____________________________________________(Clear)
Employer’s Declaration:
I, (full name and designation)_________________________________________________,
declare on behalf of the company, that the particulars set out in this statement are true and
correct.
Signature:________________________________________________Date:________
Notes:
1. The withholding tax rates are mentioned after considering the effect of framework percentage (90% & 10%) under the Timor Sea Treaty. So, further reduction will not apply in computing the Timor-Leste withholding tax;
2. Payment and lodgment of form due on or before 15th day of the following month or on next business day if 15th is a public holiday in Timor-Leste;
3. Calculation sheet of the Non-resident employees tax must be attached with the tax form for the month; 4. Withholding tax deducted from wages/salaries of non-resident employees are final tax liabilities for all
tax regimes;
5. For Timor-Leste resident employees please use Resident Employee Monthly Withholding Tax Form; 6. Please attach copy of EFT bank transfer instruction form in support of electronic transfer of above taxes
to the TL Petroleum Fund bank account.
NDPMR Contact E-mails: jxavier@mof.gov.tl or hsarmento@mof.gov.tl or aramos@mof.gov.tl or adcosta@mof.gov.tl
Annex List of employee
Note “ 1. Please provide list of employees and include tax calculations depend on operations area
2. Please add other page if necessary”
Monthly Payroll ………./2014
NDPMR Contact E-mails: jxavier@mof.gov.tl or hsarmento@mof.gov.tl or aramos@mof.gov.tl or adcosta@mof.gov.tl
PTD Form No: 02-01-01 Last updated 29/11/2013
Page
3
I (full name) ………. Position ……….. declare this
list right and total gross income and tax withheld true, correct, and complete.
NDPMR Contact E-mails: jxavier@mof.gov.tl or hsarmento@mof.gov.tl or aramos@mof.gov.tl or adcosta@mof.gov.tl
