SECTION 45 WITHHOLDING TAX
Details of Non-Singapore SRS Account Holder and SRS Withdrawal /
Note: - This form may take you 5 minutes to complete. Please get ready the following information:
a)Particulars of non- Singapore SRS Account Holder
b)Details of withdrawal / SINGAPORE POST CENTRE
POST OFFICE
P.O. BOX 394
Singapore 914014
Tel: 6356 7012
Email:
Operating Hours: 8am to 5pm
(Mon to Fri)
SECTION A: PARTICULARS OF SRS OPERATOR / INSURANCE COMPANY *
NAME :
ADDRESS :TAX REFERENCE NO :
CONTACT PERSON :
CONTACT NO. : / EMAIL ADDRESS :
SECTION B:PARTICULARS OF NON-SINGAPORE SRS ACCOUNT HOLDER
Name:
Address :
Ident Type + : / Ident No. :Date of Birth (dd/mm/yyyy) :
Nationality :
(as at date of withdrawal)SECTION C: PAYMENT DETAILS
1) Date of Withdrawal (dd/mm/yyyy)2) SRS Account No
3) Date of first contribution (dd/mm/yyyy)
4) Date of Deemed Withdrawal (dd/mm/yyyy)
(if applicable)
5) Type of Withdrawal / Full/Partial/Annuity/Release by Product Provider
(Delete whichever is not applicable)
6) Reason for Withdrawal / 10-year parking period#/Retirement/Medical grounds/Premature/Death/Bankruptcy/
Others (please specify):
(Delete whichever is not applicable)
7) Gross Amount of Withdrawal (S$)
8) Gross Amount of Withdrawal
Subject to Tax(S$)
9) Withholding Tax Rate at 15% or 20%
10) Tax Deducted (S$)
11) Amount of Late Payment Penalty onWithholding Tax (S$) (if any)
12) Cheque Details
(Please make cheque payable to ‘The Comptroller of Income Tax’) / Cheque Number:
Cheque Date:
For Premature Withdrawal, please complete the section below:
1) Penalty for Premature Withdrawal (if any) (S$)
2) Amount of Late Payment Penalty on Penalty for Premature Withdrawal (S$)
SECTION D: DECLARATION
I certify that the information given in this FormIR37B istrue and complete. *I have obtained the declaration by the SRS member as required in the attached Form IR37B (1).Name of SRS Operator
/Insurance Company* /
Name
of Officer/Designation /
Signature / Contact no /
Date
*Delete whichever is not applicable
# For SRS withdrawal relating to the 10-year parking period and/or reduced withholding tax rate at 15%, please also complete declaration in Form IR37B(1)
Effective Use: 01 Jul 2014