Yobe State Internal Revenue Service - Personal Income Tax Return

You are required to make on this form a return of your income from all sources for the relevant year of assessment.

Part 1: Taxpayer Information

Full Name * Full Name is required.

Tax ID

National Identification Number (NIN) * NIN is required. NIN must be exactly 11 digits.

Phone Number * Phone Number is required. Enter a valid phone number.

Email Address * Email Address is required. Enter a valid email address.

Occupation / Profession

Residential Address * Residential Address is required.

Employer's Name & Address (if applicable)

Part 2: Basis of Return

Year of Assessment * Year of Assessment is required. Year of Assessment must be 4 digits.

Type of Return * Type of Return is required.

Part 3: Income Details

A. Employment Income

Basic Salary

Allowances

Benefits-in-Kind

Total Employment Income

B. Business / Professional Income

Business Name

Nature of Business

Turnover

Allowable Expenses

Net Profit / Statement of Income and Expenditure

C. Other Income

Rent

Interest

Dividends

Other Sources

Total Gross Income

Part 4: Eligible Deductions

Rent Allowance

Pension Contributions

National Housing Fund (NHF)

National Health Insurance Scheme (NHIS)

Life Assurance Premium

Interest on Loan (Mortgage)

Total Reliefs

Part 5: Tax Computation

Total Income

Less Reliefs

Chargeable Income

Tax Payable

Part 6: Tax Paid

PAYE Deducted

Direct Tax Paid

Withholding Tax Credit

Total Tax Paid

Part 7: Declaration

Full Name * Declaration Full Name is required.

Phone Number

Date * Declaration Date is required.

I hereby declare that the information provided is true and correct to the best of my knowledge. You must agree to the declaration.