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Medical Aid contributions paid on behalf of a dependent



Date
Taxpayer's Full Name
Address

 

To Whom It May Concern,

Subject: medical aid contributions paid on behalf of a dependant

This letter serves to confirm that I, ________________________(taxpayer's full name), __________________________(ID number) am contributing to a medical aid on behalf of _______________________________(name of dependant),___________________(ID number). He/she is/is not  financially dependent on me and I am currently financially assisting due to: ____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

I have been making medical aid contributions on behalf of my dependant for the following months:

_______________________________  

Monthly contributions:             R_________

Total annual contributions:      R_________

Tax year:                                     __________ 

 

Please see proof of payments attached.

 


______________________
Name
Relationship status e.g. Father
Telephone
Email

 

 



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