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IRD Details for year

Surname

Given Name

HKID

Marital Status

Start Date

End Date

Address

Salary/Wages

Leave Pay

Director's Fee

Commission

Bonus

Back Pay

Retirement Schemes

Education Benefits

Other allowance provided?

Yes No

Nature

Value

Place of Residence - 1 provided?

Yes No

Address

Nature

Rent Paid to Landlord by Employer

Rent Paid to Landlord by Employee

Rent Refunded to Employee by Employer

Rent Paid to Employer by Employee

Period provided

Place of Residence - 2 provided?

Yes No

Address

Nature

Rent Paid to Landlord by Employer

Rent Paid to Landlord by Employee

Rent Refunded to Employee by Employer

Rent Paid to Employer by Employee

Period provided

EA Details for year

Serial No.

Employee's Income Tax No.

Employer's No. E

LHDNM Branch

A: PARTICULARS OF EMPLOYEE

1. Full Name of Employee / Pensioner (Mr./Miss/Madam):

2. Job Designation

3. Staff No. / Payroll No.

4. New I.C. No

5. Passport No.

6. EPF No.

7. SOCSO No.

8. Number of children qualified for tax relief

9. If the period of employment is less than a year, please state:

(a) Date of commencement

(b) Date of cessation

Marital Status

Sex

Start Date

End Date

Address

B: EMPLOYMENT INCOME, BENEFITS AND LIVING ACCOMMODATION

(Excluding Tax Exempt Allowances / Perquisites / Gifts / Benefits)

1. (a) Gross salary, wages or leave pay (including overtime pay)

(b) Fees (including director fees), commission or bonus

(d) Income tax borne by the employer in respect of his employee

(e) Employee Share Option Scheme (ESOS) benefit

(f) Gratuity for the period

2. Details of arrears and others for preceding years paid in the current year

Type of income

(a)

(b)

3. Benefits in kind

4. Residence / living accommodation provided?

Yes No

Address

Nature

Value of living accommodation

Period from

Period to

5. Refund from unapproved Provident / Pension Fund

6. Compensation for loss of employment

C: PENSION AND OTHERS

1. Pension

2. Annuities or other periodical payments

TOTAL

0.00

D: TOTAL DEDUCTION

1. Monthly tax deductions (MTD) remitted to LHDNM

2. CP38 deductions remitted to LHDNM

3. Zakat paid via salary deduction

4. Approved donations / gifts / contributions via salary deduction

5. Total claim for deduction by employee via Form TP1 in respect of:

(a) Relief

(b) Zakat other than that paid via monthly salary deduction

6. Total qualifying child relief

E: CONTRIBUTIONS PAID BY EMPLOYEE TO APPROVED PROVIDENT / PENSION FUND AND SOCSO

1. Name of Provident Fund

Amount of compulsory contribution paid (state the employee’s share of contribution only)

2. SOCSO: Amount of compulsory contribution paid (state the employee’s share of contribution only)

F: TAX EXEMPT ALLOWANCES / PERQUISITES / GIFTS / BENEFITS

View Rules

1. Petrol/Travelling/Toll

2. Child care

3. Gift phone/PDA

4. Monthly bills

5. Smartphone/tablet/PC

6. Perquisite awards

7. Parking

8. Meal allowance

9. Ang Pao

TOTAL AMOUNT (SECTION - F)

0.00

EXCESS AMOUNT (SECTION - F)

0.00

IR21 Details for year

Name

Identification type

Identification No.

Date of birth

Nationality

Designation

Date of commencement

Date of cessation

Date resignation/termination notice given

Employee details above are read from the employee profile. Update the profile to change them.

Employee submission details

Form IR21 Type*

Date of arrival (if applicable)

Date of departure (if applicable)

Reason for less than 1 month notice to IR21 before cessation*

Mention reason if Other selected*

Monies withheld*

Yes

Amount of monies withheld*

Reason for no withheld (code)*

Other reason for no withheld (if applicable)*

Date last salary paid*

Amount last salary paid*

Period last salary paid*

Salary credited to bank*

Yes

Name of bank*

Other bank name (if applicable)*

Employee re-employed*

Yes

New employer name / telephone number*

From (In year of cessation)*

To (In year of cessation)*

From (Year prior to cessation)

To (Year prior to cessation)

Employment Income

Prefilled from payslips where possible. Values must be totals for the relevant period.

Indicator 1 - Year of Cessation

Gross Salary

Contractual Bonus

Non-Contractual Bonus

Non-Contractual Bonus date

Director Fees

Date Approved (if Director Fees > 0)

Gross Commission

Allowances

Gratuity / Ex-Gratia

Notice Pay

Compensation

Reason For Payment

Other Reason For Payment (if Others)

Basis Of Arriving At Payment

Other Basis (if applicable)

Length Of Service (years)

Monthly Salary

Retirement Benefits

Name Of Funds (Retirement Benefits)

Date Of Payment (Retirement Benefits)

Contribution

Name Of Funds (Contribution)

Excess Contribution

Unexercised ESOP/ESOW granted on/after 1 Jan 2003 (tracking applies)

Yes

Unexercised ESOP/ESOW granted before 1 Jan 2003

Yes

Is Tax Borne By Employer

If Nil income, give reason

Income Partially Borne By Employer

Tax Partially Borne By Employee

Indicator 1 - Deductions

Employee CPF / Approved Fund

Name of CPF / Approved Fund

Donation / SHG (except MBMF)

Mosque Building Fund

Life Insurance Premiums

Indicator 2 - Year Prior to Year of Cessation (Optional)

Gross Salary

Contractual Bonus

Non-Contractual Bonus

Non-Contractual Bonus payment date

Director Fees

Director Fees payment date

Gross Commission

Allowances

Gratuity / Ex-Gratia

Notice Pay

Retirement Benefits

Name Of Funds (Retirement Benefits)

Date Of Payment (Retirement Benefits)

Contribution

Name Of Funds (Contribution)

Excess Contribution

Is Tax Borne By Employer

If Nil income, give reason

Income Partially Borne By Employer

Tax Partially Borne By Employee

Indicator 2 - Deductions

Employee CPF / Approved Fund

Name of CPF / Approved Fund

Donation / SHG (except MBMF)

Mosque Building Fund

Life Insurance Premiums

Spouse (optional)

Name of spouse

Spouse date of birth

Spouse identification type

Spouse identification number

Date of marriage

Spouse nationality

Spouse has income

Yes

Spouse employer name

Spouse employer address

Children (optional)

Appendix 1 - Benefits in Kind (optional)

Add a separate Appendix 1 for the year of cessation and, where applicable, the prior year. Up to three residences can be added for each year.

Appendix 2 - ESOP / ESOW Gains (optional)

Add one entry for each applicable income year, then add the ESOP or ESOW transactions for that year.

Tax borne by employer (optional overrides)

Year of cessation (Indicator 1) - IsTaxBorneByEmployer

Indicator 1 - DetailsForIncomePartiallyBorneByEmployer

Indicator 1 - DetailsForTaxPartiallyBorneByEmployee

Year prior to cessation (Indicator 2) - IsTaxBorneByEmployer

Indicator 2 - DetailsForIncomePartiallyBorneByEmployer

Indicator 2 - DetailsForTaxPartiallyBorneByEmployee

Title*

Description

From (Year prior to cessation)

To (Year prior to cessation)

Employment Income

Prefilled from payslips where possible. Values must be totals for the relevant period.

Indicator 1 - Year of Cessation

Gross Salary

Contractual Bonus

Non-Contractual Bonus

Non-Contractual Bonus date

Director Fees

Date Approved (if Director Fees > 0)

Gross Commission

Allowances

Gratuity / Ex-Gratia

Notice Pay

Compensation

Reason For Payment

Other Reason For Payment (if Others)

Basis Of Arriving At Payment

Other Basis (if applicable)

Length Of Service (years)

Monthly Salary

Retirement Benefits

Name Of Funds (Retirement Benefits)

Date Of Payment (Retirement Benefits)

Contribution

Name Of Funds (Contribution)

Excess Contribution

Unexercised ESOP/ESOW granted on/after 1 Jan 2003 (tracking applies)

Yes

Unexercised ESOP/ESOW granted before 1 Jan 2003

Yes

Is Tax Borne By Employer

If Nil income, give reason

Income Partially Borne By Employer

Tax Partially Borne By Employee

Indicator 2 - Year Prior to Year of Cessation (Optional)

Gross Salary

Contractual Bonus

Non-Contractual Bonus

Non-Contractual Bonus payment date

Director Fees

Director Fees payment date

Gross Commission

Allowances

Gratuity / Ex-Gratia

Notice Pay

Retirement Benefits

Name Of Funds (Retirement Benefits)

Date Of Payment (Retirement Benefits)

Contribution

Name Of Funds (Contribution)

Excess Contribution

Is Tax Borne By Employer

If Nil income, give reason

Income Partially Borne By Employer

Tax Partially Borne By Employee

Spouse (optional)

Name of spouse

Spouse date of birth

Spouse identification type (code)

Spouse identification number

Date of marriage

Spouse nationality (code)

Spouse has income

Yes

Spouse employer name

Spouse employer address

Tax borne by employer (optional overrides)

Year of cessation (Indicator 1) - IsTaxBorneByEmployer

Indicator 1 - DetailsForIncomePartiallyBorneByEmployer

Indicator 1 - DetailsForTaxPartiallyBorneByEmployee

Year prior to cessation (Indicator 2) - IsTaxBorneByEmployer

Indicator 2 - DetailsForIncomePartiallyBorneByEmployer

Indicator 2 - DetailsForTaxPartiallyBorneByEmployee

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IRD Details for year

EA Details for year

IR21 Details for year

Employee submission details

Employment Income

Indicator 1 - Year of Cessation

Indicator 1 - Deductions

Indicator 2 - Year Prior to Year of Cessation (Optional)

Indicator 2 - Deductions

Spouse (optional)

Children (optional)

Appendix 1 - Benefits in Kind (optional)

Appendix 2 - ESOP / ESOW Gains (optional)

Tax borne by employer (optional overrides)

Employment Income

Indicator 1 - Year of Cessation

Indicator 2 - Year Prior to Year of Cessation (Optional)

Spouse (optional)

Tax borne by employer (optional overrides)

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