National Bank of Malawi Tax Cheque Deposit Slip Teller’s Date Stamp
For National Bank only and Signature
Registered Under the Banking Act 1989
Customer’s Name: Malawi Revenue Authority
Account No. 0 1 4 1 5 1 5 8 6 8 2 0 0 Service Centre: Date:
Tax Type (tick one)
Payment Type (tick one)
900-DEX (Domestic Excise Tax) 903-FIN (Corporate/Financial Tax) 906-FBT (Fringe Benefit Tax) 909-VAT (Value Added Tax)
1 - RC (Normal)
901-PAYE (Pay-As-You-Earn Tax) 904-PROV (Provisional Tax) 907-PFW (Pension Fund Withdraw)
902-NON (Non-residence Tax) 2 - PN (Penalty)
905-WTH (Withholding Tax) 908-DIV (Dividend Tax)
Tax Month (01-12): Tax Quarter (1-4): Tax Year: 2 0 Taxpayer ID No. (TPIN):
Cheque Details: Drawer’s Name / Account Number / Cheque Serial No Service Centre Amount
1.
I accept the conditions printed below: TOTAL MK
Deposited AC 25 CONB - Web (R & D 2009)
by (Name): Signature: Tel. No.
CONDITIONS
1. Cheques are accepted subject to subsequent verification, collection and final payment.
2. While acting in good faith and exercising reasonable care, the Bank will not accept responsibility for ensuring that depositors / account holders have lawful title to cheques, etc., collected.
3. The Bank will accept no liability whatsoever for funds handed to members of staff outside the Banking hours or outside the Bank’s premise (which includes Agencies), unless specific arrangements have been contracted for and are in force.
4. Bank’s machines and / or teller validation constitutes acknowledgement of receipt of a deposit.
5. This deposit slip is designed to capture tax details for a single tax payment against a single cheque. Please complete a new one for each cheque tax payment you make.