MINISTRY OF REVENUES SCHEDULE C-NORMAL
Section 1 - Taxpayer Information
Taxpayer's Name: TIN: Tax Period:
Eyoha Medicine And Medical Supples Plc 0083502622 2024
Registration Addresse: Tax Account Number: (Official Use Only)
House No.: NEW/211 22427651429
Kebele: WOREDA 06 [Link]: Tax Centre:
Woreda: NO WOREDA-140 Document Number: 1987965440010
Zone/Sub-City: ADDIS KETEMA MOR-NORTH WEST
Document Date: 07/11/2025
Region: ADDIS ABABA Ethiopia ADDIS ABEBA
Telephone Number: Fax Number:
SMALL TAX
PAYERS BRANCH Submission Number: 53408991429
Submission Date: 07/11/2025
Section 2 - Electronic Tax Declaration
Business Income or Sales/Turnover (Attach Schedule) 5 25,162,547.71
Non Operating and other Income 10 0.00
Total Gross Income (5+10) 15 25,162,547.71
Cost of Goods sold/Direct Cost of Service (Attach Schedule) 20 22,571,524.96
Gross Profit/Loss (15-20) 25 2,591,022.75
Gross Profit 26 2,591,022.75
Loss 27 0.00
Selling & Distribution Expenses (Attach Schedule) 30 0.00
Salary and Wages 35 168,000.00
Other Employee Benefits (Attach Schedule) 40 0.00
Group of expenses (35+40) 41 168,000.00
Repair and Maintenance Expenses 45 0.00
Investment/Participation Expenses (Attach Schedule) 50 0.00
Foreign Technical Service Expenses 55 0.00
Utilities Expenses 60 0.00
Travel Expenses 65 0.00
Rent Expenses 70 343,671.04
50 to 65+70 71 343,671.04
Interest Expenses 75 0.00
Depreciation Expenses 80 0.00
Amortization Expenses 85 0.00
Groups Expenses (80+85) 86 0.00
Deductible Taxes and License Fees 90 0.00
Dedutible Donations and Gifts 95 0.00
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MINISTRY OF REVENUES SCHEDULE C-NORMAL
Other Deductions (Attach Schedule) 100 469,683.07
Group Expenses (50 thru 70+90 thru 100) 105
Total Expenses (sum line 30 thru line 100) 105 981,354.11
Net Income/Loss (line 25-line 105) 110 1,609,668.64
Net Income 111 1,609,668.64
Loss 112 0.00
Loss Carry Forward from Previous Tax Period (Attach Schedule) 115 0.00
Carry Backward Loss Adjustment (Attach Document) 120 0.00
Taxable Income (Line 110 - Line 115 - Line 120) 125 1,609,668.64
Tax to Pay (Line 125*30% ) 126 482,900.59
Profit Income Tax Payable Based on Standard Rate (line 125 * 30%) 130 482,900.59
Taxable Income for Minimum Alternative Tax Caculation (Line 15) 135 25,162,547.71
Profit Income Tax Payable based on Minimum Alternative Tax Rate (Line 135 * 2.5%) 140 629,063.69
Profit Income Tax Payable (Maximum of Line 130 and Line 140) 145 629,063.69
Foreign Tax Credit (Attach Schedule) 150 0.00
Withholding Tax (Attach Schedule Import & Payments) 155 38,971.27
Total Credits (line 150 + line 155) 160 38,971.27
Net Tax Due/Refundable Amount (Line 145-line 160) 165 590,092.42
Net Tax Due 170 590,092.42
Refund 175 0.00
Section 3 - Taxpayer Certification
I declare that the above declaration and all information provided here-with is correct and complete. I understand that any misrepresentation
is punishable as per the Tax Law and the Penal Code. Declaration of preparer (other than the taxpayer) is based on all information of
which the preparer has any knowledge.
Printed Taxpayer Name or Authorized Date Company Seal For Official Use Only
Representative
Date of Payment Receipt Number
Signature of Taxpayer or Authorized
Representative
Amount of Payment Check Number
Printed Name of Preparer Date
Cashier's Signature
Signature of Preparer
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