FORM 1 - Tax Administration Jamaica

JAMAICATHE GENERAL CONSUMPTION TAX ACTAPPLICATION FOR GENERAL CONSUM PTION TAX REGISTRATIONPLEASE SEE INSTRUCTIONS OVERLEAF BEFORE COMPLETING THIS FORMFORM 1SECTION AType of application (Tick appropriate box(es) )First ApplicationAmended Application1. Name/ Business Name(If amended, completeonly relevant boxes)GCTSCTTaxpayer Registration Number (TRN)2. Trade Name3. Telephone Number(s)3(a) Fax Number(s)3(b) E-mail Address4. Business Address (Apt. No., Street No. & Name, Postal Zone, Parish) 5. Business Mailing Address (If different from Business Address)Code6. Date Business Acquired/CommencedYear Month DayGCT7. Gross Income/Sales (i.e. Actual Sales before Expenses)MonthlyAnnualGCTSCTCodeYear Month DaySCT8. Commencement Date of Taxable Activities:Year Month DayGCTSCTYear Month Day9. If sales turnover is below threshold, are you applying to be a GCT registered taxpayer?10. SPECIAL CONSUMPTION TAX ACTIVITIES - State the product(s) manufactured:Alcoholic Bev eragesTobacco ProductsMotor SpiritsOther (Specify):11. Would you like an officer from the Tax Department to12. Are your accounts computerized?contact you in order to explain the GCT Act?Yes No YesNoYesNoCodeCodePartly13. Directors or other Senior Officers/Partners:1) Name (Last, First, Middle)Individual TRN Date ResponsibilityCommencedYear Month DayHome Address Title :Signature :2) Name (Last, First, Middle) Individual TRNYearMonthDayHome AddressTitle :Signature :3) Name(Last, First, Middle)Individual TRNYear Month DayHome AddressTitle :Form No.1 (Issued 2002/04)Signature :(List others, if applicable, on additional sheet and attach)PLEASE SEE OVERLEAF FOR CONTINUATION OF FORMTax Administration Jamaica

SECTION B14. GCT Taxable Activities:Primary:Secondary:CodeCode15. If you have more than one place of business, state the number of GCT certificates required in boxand attach a list detailing the name and address of eachSECTION C16. I declare that the information given in this form is to the best of my knowledge and belief a true and correct statement.NameSignatureTitle(State whether Proprietor, Partner, Director, Manager,Secretary, Office-holder in Club, Association, etc.)Documentation Process Date InitialReceiv edChecked and CodedFurther Inf o. RequestedApprov ed/Ref usedEnteredGCTFOR OFFICIAL USE ONLYSCTGCTReceiv ingOf f ice:Date:Ty peSCTDateRemarks:Registration Status/ ReasonPeriod LengthBasis CodeEffective DateProcessing Of f icer's NameAgencyCode:(Of f icialStamp)Processing Of f icer's SignatureINSTRUCTIONSPLEASE TYPE OR PRINT THE REQUIRED INFORMATION. DO NOT USE A PENCIL. USE BLUE OR BLACK INK PEN ONLY. ALLDOLLAR VALUE AMOUNTS SHOULD BE ROUNDED TO THE NEAREST WHOLE NUMBER. ALL SECTIONS MUST BE COMPLETED.TICK ( ) APPROPRIATE BOX WHERE REQUIRED.SECTION A"Tick appropriate box" - (To be completed by All applicants)Indicate the ty pe of application and if applicantion is the f irst or amended/changed. If application is amended/changed, complete ONLYboxes f or which inf ormation is being corrected.BOXES 1 AND 2 - BUSINESS NAME AND TRADE NAMESole Proprietors : enter y our f irst, middle and last name in Box 1 and trade name in Box 2.Partnerships :enter the legal name of the partnership as it appears in the agreement in Box 1 and trade name in Box 2.Companies / Corporations : enter the company 's/ corporation's name as shown in the company 's/ corporation's charter.Trust : enter the name of the trust in Box 1 and the f irst, middle, and last name of the grantor in Box 2.BOX 4 - BUSINESS ADDRESSEnter the address where the taxable activ ity is being carried on.BOX 7 - GROSS INCOME/ SALESEnter gross sales/ income f or the month in which y ou are apply ing f or registration plus the immediate elev en prev ious months.For new businesses, enter projected/ expected gross monthly / annual sales.SECTION BBOX 14 - GCT Taxable activ ities:Primary : Enter description of MAIN business activ ity carried on.Secondary : Enter description of any other business activ ity carried on.PLEASE RETURN COMPLETED FORM TO THE NEAREST COLLECTORATE (TAX OFFICE)