e-WHT (CP37D)

CP37D

LEMBAGA HASIL DALAM NEGERI MALAYSIA
INLAND REVENUE BOARD OF MALAYSIA

Seksyen 109B Akta Cukai Pendapatan, 1967
Section 109B Income Tax Act, 1967

AKAUN POTONGAN-POTONGAN DARIPADA PENDAPATAN KELAS KHAS DI BAWAH SEKSYEN 4A AKTA CUKA PENDAPATAN 1967
ACCOUNT OF DEDUCTION FROM SPECIAL CLASSES OF INCOME IN ACCORDANCE WITH SECTION 4A INCOME TAX ACT 1967

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A. BUTIR-BUTIR PEMBAYAR
PARTICULARS OF PAYER

No. Rujukan (Pendaftaran Syarikat/Perniagaan) Reference No. (Registration No. of Company/ Business ) No. Kad Pengenalan bagi individu Identity Card No. for Individual

No. Cukai Pendapatan *(sila lengkapkan)
Income Tax No.*(please complete)

Nama Pembayar
Name of Payer

Alamat Pos
Postal Address

Poskod
Postcode

Bandar Town

Negeri
State

B. BUTIR-BUTIR MENGENAI ORANG YANG TELAH DIBAYAR / DIKREDITKAN PENDAPATAN KELAS KHAS
PARTICULARS OF PERSON TO WHOM THE SPECIAL CLASSES OF INCOME HAD BEEN PAID / CREDITED

No. Rujukan (Pendaftaran Syarikat/Perniagaan) Reference No. (Registration No. of Company/ Business ) No. Kad Pengenalan bagi individu Identity Card No. for Individual

No. Cukai Pendapatan Malaysia (jika ada)
Malaysian Income Tax No.(if any)

Nama Penuh Penerima
Name of Payee

Alamat
Address

Poskod
Postcode

Bandar Town

Negeri
State

Negara Asing
Foreign Country

C. BUTIR-BUTIR MENGENAI POTONGAN-POTONGAN
PARTICULARS OF DEDUCTIONS

Kategori Bayaran Category of Payments	Tempoh dimana bayaran dibayar/dikredit Period for which the said payment was paid/credited (hhbbtttt)	Tarikh bayaran telah dibayar/dikreditkan. Date the payment was paid/credited.(hhbbtttt)	Amaun bayaran kasar (sertakan salinan invois) Amount of gross payment (attach copy of invoice)	Amaun potongan di bawah Seksyen 109B (kadar 10%) Amount of deduction under Section 109B(rate 10%)	Amaun bersih dibayar/dikreditkan (sertakan salinan dokumen). Net Amount paid/credited(attach copy of document)
Perkhidmatan Services			RM	RM	RM
Teknikal Technical			RM	RM	RM
Harta alih Moveable property			RM	RM	RM
Perkhidmatan Services Teknikal Technical Harta alih Moveable property			RM	RM	RM

Saya, bagi pihak saya sendiri / bagi pihak Pembayar di atas telah membuat potongan daripada amaun bayaran golongan pendapatan kelas khas yang disebutkan di atas ini dan mengemukakan akaun ini menurut peruntukan Seksyen 109B(1) bersama dengan bukti dokumen tarikh pembayaran yang telah dibuat/dikreditkan.
I, on my own behalf/on behalf of the above mentioned payer have made deductions from the above-mentioned amount of special classes of income and render this account in accordance with the provisions of Section 109B(1) together with documentary evidence of the date payment was paid/credited

Saya sertakan bersama ini wang tunai/cek No: I enclose herewith cash/cheque No:
Amaun Amount	RM
Nama Name
Jawatan Designation
No. Telefon Telephone No.
Tarikh: Date:	27/06/2022

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