Source document: https://docs-lawep.s3.us-east-2.amazonaws.com/1697801301898.pdf (Liberia)
Id.

no.

of the filer Id.

no.

of spouse Municipality, December 31, 2022 Name and address TAX RETURN 2023 Mark X if you want to settle all your tax levy in a single payment on june 1st instead of distributing it to 3-7 payments (june 1st – december 1st).
Domestic injury insurance For application mark x here Tax commissioner use only Family status Remarks 1 General information 1.1 Dependant children born 2005 or later, domiciled with the filer at the end of the year 2022 Single parent The filer must check and correct the information regarding his dependant children.

(If the filer is a single parent mark x for verification).

1.2 Joint taxation of spouses and cohabitants: A mark from both spouses is required otherwise joint taxation is not granted.
Mark x for application Id.

no.

of spouse or cohabitant In the case of a joint taxation of spouses it is sufficient for either of them to fill out 1.3 and 1.4 1.3 The tax authorities can grant a deduction from the filer’s taxable base if he supports a youngster with insufficient income to support himself or her- self, f.ex.

if he is attending school, in which case the name of the school must be stated.

The application applies mainly to youngsters aged 16-21.

526 Name of school 527 Id.no.


of youngster 528 Income of youngster 1.4 Notification of property change or other information Account for any purchase or sale of real estate on the form RSK 3.02 1.5 Received inheritance Id.no.of testator Inheri- tance Paid inheritance tax With this signature the filer verifies that all information filed on the tax return is, to the best of his or her knowledge, correct.

Jointly taxed couples and cohabitants must both sign the tax return.
Date/signature Telephone number RSK 1.10 31-10-2022 Page 1 2 Salary 2022 2.1 Income from employment Id.

no.

of the filer Id.

no.

of spouse 2.2 Car allowance, per diem payments and benefits Car allowance Per diem payments Car benefits Housing benefits Other benefits, which?
2.3 Payments from pension funds, from the Social Security Institute (SSI), other compensation and grants Payments from the Social Security Institute Payments from common pension funds Payments from personal pension funds Special payments from personal pension funds Unemployment benefits Social benefits from municipalities Educational grants, research and science projects, grants (total amount) Payments from personal pension funds for private housing, not excluded from income tax Other payments, which?


2.4 Presumptive income of a self employed individual in an independent business activity Category: 2.5 Net profits from individual business activities, according to RSK 4.05 2.6 Deductions Deduction of car allowance acc.

to RSK 3.04 Deduction of travel allowance (per diem payments) acc.
to RSK 3.11 Deductible premiums to a pension fund (4% max) Additional payments to a private pension fund (4% max) Deduction against educational grants, research and science grants according to attached statement Other grant deductions, or payments in respect of employment according to attached statement Deduction of contributions to charities or public good companies 2.7 Tax base for income taxes, sum of 2.1, 2.2, 2.3, 2.4, 2.5 - 2.6 2.8 Income from foreign sources Paid taxes abroad in foreign currency Total income in foreign currency Country?
2.9 Payments excluded from income tax A.

Payments from the Social Security Institute excluded from income tax B.

Lottery winnings excluded from income tax C. Other tax free income (which?)
D. Payments from personal pension funds for private housing, excluded from income tax E. Cumulative payments from personal pension funds for private housing, excluded from income tax F. Payments from personal pension funds for „first apartment“, excluded from income tax G. Cumulative payments from personal pension funds for „first apartment“, excluded from income tax 2.10 Taxes withheld at source Page 2 21 22 23 134 136 135 40 43 140 143 163 197 131 243 24 62 32 33 162 160 149 157 155 = 319 596 597 73 443 444 445 446 296 Total income in ISK Assets in cash, stocks and bonds at the end of the year 2022.
3 Capital income 2022 3.1 Icelandic savings and bank accounts Interest Balance at the end of the year Total Taxes withheld on interest 301 12 11 3.2 Foreign savings and bank accounts Interest Balance at the end of the year Country Country Total 322 321 3.3 Icelandic and foreign bonds Interest Balance at the end of the year Total Taxes withheld on interest 302 3.4 Children’s Bank accounts and bonds Total Taxes withheld on interest 303 36 03 Interest 02 04 Balance at the end of the year 3.5 Shares and stocks in savings funds according to RSK 3.19 Dividends Balance at the end of the year ID-number ID-number ID-number Total Taxes withheld on dividends 306 307 308 3.6 Stocks and shares in foreign companies according to RSK 3.19 Dividends Balance at the end of the year Country Country Total 324 323 3.7 Total income of rent from none business leasing (residential property) 510 Total income of rent from none business leasing (other than residential property) Capital gains from sales of shares or stocks according to RSK 3.19 Other capital gains or capital income, which?
511 164 522 3.8 3.9 Capital income tax base sum of total (12+322+36+03+307+324+510+511+520+164+522+532) 3.10 Copyright payments Which?

ID-number Name of payer Taxes withheld Copyright payments Type of payment Owner Country RSK 1.10 Page 3 Total 531 532 4 Assets at the end of the year 2022 Id.

no.

of the filer Id.

no.

of spouse 4.1 Real estate in Iceland Official property value - - - - 4.2 Real estate abroad Country 326 4.3 Cars Registration nr.

Year of purchase Price Registration nr.


Year of purchase Price Total 314 4.4 4.5 Other properties, which?

Net wealth according to a balance sheet or to RSK 4.05 4.6 Withholding tax on financial revenue from business according to RSK 4.05 5 Debts and interest payments Total value of cars 06 15 01 309 Interest payments remainder from a lease-purchase-apartments according to RSK 3.08 166 167 Interest Remainder Interest payments for private housing.
Location: 5.1 5.2 Fill out by tax commissioner 2 Year of acqur- ing loan 299 9 Interest 10 Remainder 3 Length of loan Year of purchase or building 1 Owner of claim % for private housing 4 Total annual payments + 1 Owner of claim 5 Capital payments - 6 Discount + % for private housing 4 Total annual payments + 1 Owner of claim 5 Capital payments - 6 Discount + % for private housing 7 Law required cost of + 2 Year of acqur- ing loan obtaining loan 3 Length of loan 7 Law required cost of + 2 Year of acqur- ing loan obtaining loan 3 Length of loan = = = 4 Total annual payments + 5 Capital payments - 6 Discount + 7 Law required cost of + obtaining loan From RSK 3.01 Total 87 5.3 Remainder if property was sold within the year and no substitute was acquired, the remainder on the day of sale is declared here 5.4 Debts exceeding assets in an individual business activity acc.
to RSK 4.05 45 41 165 5.5 Other debts and interest Interest Remainder Name of the creditor Page 4 Total 88 168