Obrazac P-OD - Chronos Zenica

FEDERALNO MINISTARSTVO FINANSIJA
Porezna uprava Federacije BiH
FEDERAL MINISTRY OF FINANCE
Tax Administration of FBiH
___________________________________
Ispostava Porezne uprave - Branch Office of TA
Obrazac - Form P-OD
PRIJAVA/POTVRDA O OBRAČUNATOM I PLAĆENOM POREZU PO ODBITKU I/ILI PRIMJENI UGOVORA
O IZBJEGAVANJU DVOSTRUKOG OPOREZIVANJA
DECLARATION/CERTIFICATE ON CALCULATED AND PAID WITHHOLDING TAX AND/OR APPLICATION
OF AGREEMENT ON AVOIDING DOUBLE TAXATION
za period - for the period
od - from:
do - to:
I PODACI O REZIDENTU/ ISPLATIOCU - DATA ON RESIDENT/ PAYER
1. Naziv firme - Name of Company:
2. Identifikacioni broj - TIN:
3. Šifra i naziv osnovne djelatnosti - Code and title of principal activity:
4. Adresa sjedišta (uprave) - Headquarters (Management) Address:
Mjesto - Place:
Država - State:
II
PODACI O NEREZIDENTU/ PRIMAOCU - DATA ON NON-RESIDENT/ RECIPIENT
1. Naziv firme - Name of Company:
2. Identifikacioni broj - TIN:
3. Adresa sjedišta (uprave) - Headquarters (Management) Address:
Mjesto - Place:
Država - State:
III
#
PODACI O OSTVARENOM PRIHODU I OBRAČUNATOM POREZU PO ODBITKU - DATA ON GENERATED INCOME AND
CALCULATED WITHHOLDING TAX
Vrsta prihoda (opis) - Revenue Type
(description)
Broj ugovora /
fakture - Contract
No. / Invoice No.
1 2
Bruto prihod u
KM - Gross
Income (KM)
3
Stopa poreza -
Tax Rate
4
Iznos poreza -
Tax Amount
5

IV
#
PODACI O OBRAČUNATOM POREZU PREMA UGOVORU O IZBJEGAVANJU DVOSTRUKOG OPOREZIVANJA - DATA
ON CALCULATED TAX PER AGREEMENT ON AVOIDING DOUBLE TAXATION
Vrsta prihoda (opis) - Revenue Type
(description)
Broj ugovora /
fakture - Contract
No. / Invoice No.
Bruto prihod u
KM - Gross
Income (KM)
Stopa poreza iz
Ugovora -
Agreement Tax
Rate
6 7 8 9
Tax Amount
10
V
PRILOŽENI DOKUMENTI (naziv i broj) - SUPPORTING DOCUMENTATION (title and number) - enclosed
1.
2.
3.
4.
5.
6.
7.
VI NAPOMENA POREZNE UPRAVE (ako je ima) - TAX ADMINISTRATION REMARKS (if any)
Datum - Date:
Obračun sačinio - Calculated by M.P. - STAMP Odgovorno lice - Liable Person
UPUTSTVO ZA POPUNJAVANJE
1.Obrazac P-OD podnosi se u svrhu prijave/potvrde o plaćenom porezu po odbitku i/ili primjene ugovora o izbjegavanju dvostrukog oporezivanja
pravnih lica čije je sjedište van teritorije Bosne i Hercegovine.
2.Obrazac se popunjava u četiri primjerka od kojih jedan ostaje kod isplatioca, jedan primaocu prihoda, jedan Poreznoj upravi i jedan inostranom
poreznom organu.
3. Tačku I, II, III i IV popunjava isplatilac, a V i VI popunjava Porezna uprava.
INSTRUCTION
1. Form P-OD is filed as declaration/certificate on paid withholding tax and/or application of the agreement on avoiding double taxation of legal
entities whose headquarters offices are outside BiH.
2. Form is to be filled out in 4 copies where one remains with payer, one is provided to the recipient of the income, one to the Tax Administration and
one to the foreign tax body.
3. Item I, II, III and IV shall be filled out by the payer, and V and VI by the Tax Administration.