SAVE
RESET
THE INCOME TAX ACT
QUARTERLY STATUTORY PAYMENT *
(SELF-EMPLOYED / INDIVIDUAL)
PRINT
S03
Year of Assessment
2 0
Please read instructions overleaf BEFORE completing form.
Section A - GENERAL INFORMATION
1. Name
2. Taxpayer Registration Number 3. NIS Number
Last: 4
First:
4
Middle:
4
4
4
4. Indicate quarter being paid (select only one)
Quarter Ending:
Mar 15th
5. Business Address (Street No. & Name, Postal Zone, Parish)
7. E-mail Address
Jun 15th
Sept 15th
Dec 15th
6. Mailing Address (If different from 5)
8. Telephone Number(s) 9. Estimated Annual Statutory Income 10. Tick Appropriate
Box:
Office:
New Address
$
Cell:
New Tel. Number
Section B - DETAILS OF QUARTERLY STATUTORY PAYMENTS
Note:
Please read Notes overleaf to determine
how to calculate your Estimated
Quarterly Contributions and taxes
N.I.S . . . . . . . . . . . .
CONTRIBUTION
(a)
INTEREST
AMOUNT PAYABLE
AMOUNT BEING PAID
(b)
(c)
(d)
(c) = [a + b]
11
N.H.T. . . . . . . . . . . . . 12
Income Tax . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Education Tax . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Total
13
14
(Add Lines 11, 12, 13 and 14) . . . . . . . . . . . . . . . . . . 15
Section C - DECLARATION
FOR OFFICIAL USE ONLY
I declare that the amount of Statutory Payment entered in Section B is the
total amount for which I am accountable for the quarter indicated at Box 4
in respect of my statutory contributions / payments.
Name
Signature
Title
January 20, 2014
Date
Form No. S03
(Issued 12/2013)
Tax Administration Jamaica
*Note: "This form relates to statutory deductions collectible by the Commissioner General, Tax Administration Jamaica in relation to taxes
and contributions payable under the following provisions: income tax under the Income Tax Act, education tax, N.I.S., and N.H.T.
contributions, respectively under certain provisions of the Income Tax Act being made applicable by virtue of the Education Tax Act
(section 5), National Insurance Act (section 5), National Housing Trust Act (section 11)"
INSTRUCTIONS
1.
Use a blue or black ink pen only. Do not use a pencil. Please type or print the required information.
Complete a separate form for each quarter.
2.
This form must be completed by all Self Employed individuals to account for their personal statutory
obligations. (Employees payments / obligations should be made using the S01 Form).
3.
The declaration overleaf should be completed and submitted to the Collector of Taxes with payment for
the total amount of contributions and tax due by the individual on or before the due date of each quarter.
4.
Where cheques are used to make payments, they should be crossed and your address and telephone
numbers noted on the back of the cheque(s).
5.
Payments may be made online or at any of the 29 Tax Offices island-wide using cheques, debit or credit
cards.
NOTES
Line 9, Estimated Annual Statutory Income:
Enter the amount declared as "Estimated Statutory Income" from your Declaration of Income and Tax Payable
filed.
Line 10, Tick Appropriate Box:
If telephone number or business address has changed from that stated on last quarter's payment form
indicate by placing a tick in relevant check-box.
Line 11, column (a): Estimated Quarterly NIS Payable:
Step 1.
Calculate five percent (5%) on any amount that is equal to or less than one million five hundred
00
thousand dollars ($1,500,000. ) of your Estimated Annual Statutory Income (Line 9) to determine
your Estimated Annual NIS payable
Step 2.
Divide your Estimated Annual NIS payable by four to determine your Estimated Quarterly NIS payable
and enter amount in Line 11, column (a).
Line 12, column (a): Estimated Quarterly NHT Payable:
Step 1.
Calculate three percent (3%) of your Estimated Annual Statutory Income (Line 9) to determine your
Estimated Annual NHT payable.
Step 2.
Divide your Estimated Annual NHT payable by four to determine your Estimated Quarterly NHT
payable and enter amount in Line 12, column (a).
Line 13, column (c): Estimated Quarterly Income Tax Payable:
Step 1.
Subtract the Nil Rate and any additional amounts for Pension Relief and Age Relief from your
Estimated Annual Statutory Income declared (Line 9).
Step 2.
Calculate 25% of the amount derived at Step 1 above.
Step 3.
Deduct any applicable Estimated Tax Credits to determine your Estimated Annual Income Tax
Payable.
Step 4.
Divide your Estimated Annual Income Tax by four to determine your Estimated Quarterly Income Tax
Payable and enter amount in Line 13, column (c).
Line 14, column (c): Estimated Quarterly Education Tax Payable:
Step 1.
Subtract amounts for dividends, interest, pension contributions and NIS from your Estimated Annual
Statutory Income declared (Line 9) to determine your Estimated Annual Assessable Earnings.
Step 2.
Calculate two and one quarter percent (2.25%) of your Estimated Annual Assessable Earnings to
determine your Estimated Annual Education Tax payable
Step 3.
Divide your Estimated Annual Education Tax payable by four to determine your Estimated Quarterly
Education Tax payable and enter amount in Line 14 column (c).