INLAND REVENUE BOARD OF MALAYSIA

ENTRY AND DEPARTURE SCHEDULE

NAME OF TAX PAYER :

INCOME TAX REFERENCE NUMBER :
PASSPORT NUMBER :
For Office Use Only
Y/A

DATE OF
ENTRY

PAGE IN
DATE OF
PAGE IN
PASSPORT DEPARTURE PASSPORT

NUMBER OF NUMBER OF RESIDENT

DAYS IN DAYS OUT OF STATUS
MALAYSA
MALAYSIA (YES / NO)

SECTION
IN ACP
1967

REMARKS

Letterhead ( Employer Only )

STAMPS

Date : ..
The Director of Inland Revenue Department
Inland Revenue Board
Collection Branch
UG 21, Wisma KWSG
Jalan Attap
50460 Kuala Lumpur
Dear Sir,
Mr/Mrs
:
Passport No
: .
Income Tax File No : ....
INDEMNITY LETTER
In consideration of your granting repayment of tax overpaid in the case of the above
named taxpayer amounting to RM.. by cheque drawn in our
name(employer name..), we hereby indemnify you
from and against all actions, proceedings, damages, costs, claims, demands, expenses or
losses which you may suffer, incur or sustain by reason or on account of your issuing the
repayment cheque in our name.
2.
We also hereby undertake and agree that, the payment of RM
to us, shall be sufficient discharge as per your obligations for repayment concerning the
above mentioned tax payer.
3.
We also assure and declare that no suit or legal action will be instituted against
the Inland Revenue Board either by us or by any parties or our employee by reason of
granting the above refund.
To expedite your prompt processing of the tax refund, we furnish our bank account
details as follows :
Payee Name
Name and address of banker
Bank account no
Correspondence address
Yours faithfully,
-------------------------( Managing Director )

:
:
:
:

PCB 2(11)-Pin 1/98

Slip Jawapan :

Tarikh : .........................

Kepada :
Ketua Eksekutif / Ketua Pengarah Hasil Dalam Negeri,
Lembaga Hasil Dalam Negeri,
......................................................................................
.......................................................................................
.......................................................................................
.......................................................................................
.......................................................................................
Tuan ,
Potongan Cukai Berjadual Tahun : ..............................
Nama Pekerja : .............................................................
Nombor Kad Pengenalan : ...........................................
No.Fail Cukai Pendapatan : .........................................
Nombor Pekerja : .........................................................
Nombor E : ..................................................................
______________________________________________________________________________
Dengan hormatnya saya merujuk kepada perkara di atas :
2.
Potongan-potongan yang telah dibuat untuk pekerja dalam tahun ..................adalah seperti
berikut.
Bulan
Amaun
No.
Tarikh
Amaun
No.
Tarikh
Bulan
( RM )
Resit
Resit
( RM )
Resit
Resit
Januari

Julai

Febuari

Ogos

Mac

September

April

Oktober

Mei

November

Jun

Disember

JUMLAH
Sekian, terima kasih.
Yang benar,
...............................................
Nama :
Jawatan :
No.Telefon :
JD104405-PNMB..K.L

....................................................
( Cop Rasmi Syarikat / Majikan )

Letterhead ( Employer Only )

Date : ..
The Director of Inland Revenue Department
Inland Revenue Board

..
..
..
Dear Sir,
Mr/Mrs
:
Passport No
: .
Income Tax File No : ....
TAX BORNE LETTER
We refer to the above.
Kindly be informed that income tax for the above taxpayer is borne by the employee.
We also attach EA & PCB II for the respected year for your verification.
To expedite your prompt processing of the tax refund, we furnish the above said
employees bank account details and other info as follows:
Name of banker
Address of banker
Full Name ( as per bank account )
Bank account no
Correspondence address
Contact No
Email Address

:
:
:
:
:
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:

Please do not hesitate to contact us should you have any queries.

Yours faithfully,

-------------------------( Managing Director )