FOR SUBMISSION TO THE MINISTRY OF FINANCE

… BOOKKEEPING

ASKING FOR TIME :

ADDRESS :

tax authority :

REGISTRATION NO :

SUBJECT : Time Prompt.

INSTRUCTIONS

1-) I am hospitalized as a result of a traffic accident I had. Therefore, it is impossible for me to fulfill the obligation to file a declaration that must be fulfilled within the month of … and pay the second installment of Income Tax.

2-) VUK. m. 17 I respectfully ask and request that a period of time be given until the required date ///. …/…/…

(Name, Surname, Signature)

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