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8/19/2019 Imposto d Renda Em Inglês Tax Return - Branco (1)
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*Symbol* Ministry of
FinanceSecretariat of the Brazilian Ocial Revenue
Tax over Private Individual income
Financial Year 2015
Statement of Received Income
and Deduction at Source
Calendar-year of 2014
1. LEGAL ENTITY PAYING SOURCE
CNPJ 03.848.950/001-69 Business name ASSOCIACAO EXPOENTE E ENSINO S!PE"IO"
2. PRIVATE INDIVIDUAL PAYMENT BENEFICIARY
CP# 688.$48.989-91 #u%% name ABI&AE' A'(ES E O'I(EI"A J!NIO"INCO&E T)PE INCO&E #"O& SA'A"IE *O"+
3. TAXABLE INCOME, DEDUCTIONS AND DEDUCTION AT SOURCE Amount n !"#$
1. T,a% in,mein%uin 2aai,n 1411.$
. Oiia% seu7i ,n7iui,n 1916.31
3. C,m:%emena7 seu7i eniies ,n7iui,n an ini2iua% :7,7amme 7ei7emen uni%% in ;a7$ 0.00
4. A%im,ni%% in ;a7 $ 0.00
5. eui,n a s,u7e 0.00
%. EXEMPTED AND NON&TAXABLE INCOME Amount n !"#$
1. E<em:e :,7i,n , 7ei7emen :7,ees 7emune7ae 7ese72e 7e,7m an :ensi,n65 ea7s ,% ,7
m,7e
0.00
. ai% 7aes an a%%,=anes 0.00
3. Pensi,n an 7ei7emen :7,ees ,7 7e,7m ,7 se7i,us isease> 7ei7emen :7,ees ,7 7e,7m ,7
=,7? aien
0.00
4. P7,is an i2iens ase7aine as 7,m 1996 :ai %ea% eni7ea% :7,i :7esume ,7
a7i7ae
0.00
5. (a%ues :ai , ;,%e7 ,7 :a7ne7 , ;e mi7,usiness ,7 sma%% si@e usiness e<e: 7emune7ai,n
7ens ,7 :7,2ie se72ies
0.00
6. C,m:ensai,ns ,7 =,7? ,n7a e7minai,n in%uin (,%una7 ismissa% P7,7am an ,7 =,7?
aien
0.00
$. O;e7s 0.00
'. INCOME SUB(ECTED TO EXCLUSIVE)DEFINITIVE TAXATION *NET INCOME+ Amount n !"#$
1. 13; sa%a7 1$3.0
. eui,n a s,u7e ,2e7 ;e 13; sa%a7 0.00
3. O;e7s 0.00
. LEGAL ENTITY TAXABLE INCOME RECEIVED CUMULATIVELY - ART. 12&A OF LA N. /./13, OF 10*SUB(ECTED TO EXCLUSIVE)DEFINITIVE TAXATION+
6.1 P7,ess nume7 &,n;s uani 0.00
In,me :e
Amount n !"#$
1. T,a% a<a%e in,mein%uin 2aai,n an 13; sa%a7 0.00
. E<%usi,n e<:enses =i; ;e uiia% ai,n 0.00
3. eui,n Oiia% seu7i ,n7iui,n 0.00
4. eui,n A%im,ni%% in ;a7 $ 0.005. eui,n a s,u7e 0.00
6. In,me e<em:e , :ensi,n 7ei7emen :7,ees ,7 7e,7m ,7 se7i,us isease an ,7 7ei7emen ,7
7ei7emen ,7 7e,7m ,7 =,7? aien
0.00
Page 1
8/19/2019 Imposto d Renda Em Inglês Tax Return - Branco (1)
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*Symbol* Ministry of
FinanceSecretariat of the Brazilian Ocial Revenue
Tax over Private Individual income
Financial Year 2015
Statement of Received Income
and Deduction at Source
Calendar-year of 2014
/. OTER INFORMATIONS
. RESPONSIBLE FOR INFORMATIONS
Name I2an J,se +,s;e%n ae 03/06/015 Sinau7e
A::7,2e IN "#B n. 1.15 , eeme7 15; , 011
8/19/2019 Imposto d Renda Em Inglês Tax Return - Branco (1)
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DDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDD
Beneciary: 6!"#!$$%$1 &BI'&() &)*(S D( O)I*(IR& +,-IOR Page .
8/19/2019 Imposto d Renda Em Inglês Tax Return - Branco (1)
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