Form CG50B
Certicate of Deduction of Capital Gains Tax
from Purchase Consideration under
Section 980(4)(a)(i) Taxes Consolidation Act 1997
Section 980(4)(a)(i) Taxes Consolidation Act 1997 Deduction of tax from purchase consideration
I deducted, in accordance with the provision of Section 980(4)(a)(i) Taxes Consolidation Act 1997,
for the acquisition of the asset(s), namely,
to (the Vendor)
of (Address)
in respect of Capital Gains Tax. I further certify that the said sum has been paid by me to the proper
ofcer for the receipt of taxes who has issued to me
Receipt No.
dated in the sum of
I / the company / the trust submit(s) tax returns to the
Revenue Ofce
Tax Reference No.
Name (Block Capitals)
Address
Date
Signature
Capacity in which this Certicate is given
(e.g. Co. Secretary, Individual on own behalf, etc.)
Full name of Company, trust, etc.
acquiring the asset
RPC003279_EN_WB_L_1
For Ofcial use only
the sum of
I certify that on payment of the consideration, agreed at (gross),