BORNO STATE INTERNAL REVENUE SERVICE

PERSONAL INCOME TAX

Full Name *

TIN *

Contact Details:

Phone Number *

Email *

Income Statement:

Trading *

Business *

Others *

Employee Income:

Salary*	Commission *	Bonuses*
Benefit in Kind*	Other Income *

Unearned Income:

Interest*	Rent Gross *	Royalties*
Dividend*	Others *

Withholding Tax Personal Income Tax