Source document: https://docs-lawep.s3.us-east-2.amazonaws.com/1698832763884.pdf (Saint Vincent and the Grenadines)
0 Inland Revenue Department Authorized and approved version SAINT VINCENT AND THE GRENADINES INDIVIDUAL INCOME TAX RETURN FOR TAX PERIOD ___________ (Form Prescribed under section 80 Cap.

312) PLEASE READ INSTRUCTIONS CAREFULLY BEFORE COMPLETING THIS FORM It is a serious offence to make a false return N a m e & A d d r e s s 1 NAME: Mr./Mrs./Miss.

(BLOCK LETTERS) 2 Employment or Business Address 3 Residential Address: Postal Address Email Address 4 National Identification No.

6 Social Security (N.I.S.)


No.

7 Resident Your Filing Status Non-Resident Resident and Ordinary Resident Is this your first Income Tax Return?

Yes No 8 If yes, state reason PLACE RETURN LABEL HERE IT1 Telephone No: Telephone No: Marital Status Widowed Divorced Yes No Yes No 5 9 10 Single Married Separated IF MARRIED date of marriage Are you living together Is Spouse wholly Maintained by you?
Spouse's Full Name (If female, state maiden name also TAX COMPUTATION TO BE COMPLETED BY TAXPAYER OFFICIAL USE ONLY 11 Employment Income (as computed on back page) 12 Business or Professional Income (Annexure B) 13 Income from source other than trade (as computed on back page 14 Total Income (sum of 11 & 13) 15 Assessed Loss Relief for Pervious Years 16 TOTAL INCOME (sum of 11 & 13) D E D U C T I O N S 17 Earned Income Allowance $ 500 subject to 1/10 of earned income 18 Personal Allowance $ 1200 19 Spouse Allowance $ 700 20 Maintenance / Alimony Paid 21 Child Allowance $ 400 each 22 Education Expenses Overseas $ 1500 each 23 Housekeeper $ 200 24 Dependent relatives $ 200 each 25 Life Insurance - Approved Pension Fund - NIS 26 Medical Expenses - Owner occupied House 27 Mortgage Interest - Owner occupied House 28 Covenanted Donation or Gifts for Approved purposes 29 Credit Union Savings (Maximum $ 600) 30 Standard Deductions $ 20,000 in lieu of itemised deduction 20,000.00 31 Total Eigible Deductions - Lines 17 to 29 32 Chargeable Income - Line 16 minus 30 33 Tax on Chargeable Income - see Tax Rates 34 Dividend Tax Credit (Not exceeding amount on Line 33) 35 Tax on Chargeable Income less Credits (Line 33 minus Line 34) 36 P.A.Y.E.
Deductions as per T.D.
5 attached 37 Tax Paid By Instalments / Perpayments 38 Total Tax Payments (sum Lines 36 and 37) 39 Tax Payable on self Assessment (line 33 minus 38) 40 Net Tax Payable 41 Tax Refundable (if tax paid is more than tax payable) GENERAL DECLARATION: I ________________________________________ declare that in all statements contained herein and in any statement of accounts sent herewith I have given a true Return and particulars of the whole income from every source whatsoever required to be returned under the provision of the Income Tax Act 1979.
________________________ Signature of person preparing return (if other than Taxpayer) __________________________ Date ______________________________________ Signature of Taxpayer, Agent, Trustee etc