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PREMIA TNC (SG) – Tax Clearance (IR21)

(SG) IRAS TAX CLEARANCE (IR21)

A) Employee’s Personal Particulars
B) Employee’s Employment Records
C) Spouse’s And Children’s Particulars (If applicable)
D) Income Received OR To Be Received
E) Misc OR Others

Please provide below information for IRAS Tax Clearance (IR21).

1. Full name of Employee as per NRIC/FIN

2. NRIC / FIN

3. Mailing Address

(please update the latest mailing address with IRAS)

4. Date of Birth

5. Gender

6. Nationality

7. Marital Status

8. Contact No.

9. Email address

Company Name

UEN

1. Date of arrival

(Before commencement date), if known

2. Date of commencement

3. Date of Cessation/Overseas Posting

4. Date of Departure

5. Date of Resignation / termination Notice Given

6. Designation

7. Reason of leaving (if less than one month’s notice given)

Give details for leaving

8. Amount of Monies Withheld pending for Tax Clearance

9. Are these all the monies (item 8) company can withhold from the date of notification of resignation/termination/overseas posting?

10. Give reason if item 9 selected “No”/reported $0.00 under item 8

Please specify details for 10.

11. Date of last salary paid

12. Amount of last salary paid

13. Period applicable for last salary paid

14. Name of Bank to deposit employee’s salary

15. Name of new employer, if known

16. Telephone number for new employer, if known

17. Employee’s income tax borne by company

Please specify details for 17.

Spouse's Particulars

1. Name of Spouse

2. Date of birth

3. Identity Number (Passport/Fin/NRIC)

4. Date of Marriage

5. Nationality

6. Is spouse’s annual income more than S$4,000?

Children’s Particular

Name of Child

Gender

Date of birth (DD/MM/YYYY)

Name of School

1. IR8A 20Xx (Year of Cessation)

2. IR8A 20Xx (Year prior to year of cessation)

3. Details of 20Xx annual income

S$Xxx,xxx.xx, such as gross salary, fees, contractual bonus or non-contractual bonus, directors’ fee, gross commission and etc.

Click here for Appendix 1, 2 & 3

1. Please provide details on any benefits-in-kind provided as per attached appendix 1

(such as accommodation, free/subsidized holidays including air passage)

2. Please provide details on gains/profits from Employee Stock Options Plans/Other

forms of Employee Share Ownership Plans exercised/deem exercise as per attached appendix 2

3. Please provide details of unexercised /restricted Employee Stock Option Plans or unvested/restricted shares under other forms of Employee Share Ownership Plans

as at date of cessation/departure from Singapore and would be tracked by employer as per attached appendix 3

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