Postboks 430, Alnabru, 0614 Oslo, Norway Tax return 3804

for wealth and income tax -

wage earners and pensioners etc. 2020

Stanius Kazimieras Norwegian national identity number 531274 08781

Ziedy Takas 34
Lt-96150 Gargzdai Tax class 1
Lithuania
Explanations of all the items and information on how to
alter items/amounts can be found at skatteetaten.no/finditem

Income / Deduction Corrected to Wealth / Debt Corrected to

2.1 Pay and equivalent benefits 88 875

P 01
2.1.1 Pay, Murhuset As 86 320

2.1.1 Sick pay, Nav Økonomilinjen 2 555

0044985
Tot. basis f. Nat. Ins. con. (8,2%) 88 875

Total basis for bracket tax 88 875

20210318
3.1/4.1/4.5 Interest, deposits, securities, other cap. inc. 18 32 936

3.1.1/4.1.1 Interest/deposits in Nordea Bank Abp, Filial I Norg 18 32 936

1/ 8
3.2 Deductions from income from employment, etc. -39 994

3.2.1 Minimum standard deduction, own income -39 994

0006390
3.2.8/3.2.9 Travel deduction from "Spec. of deduct.

for travel"

SIRIUS
3.3/4.8 Interest, debt, other capital costs and deductions
3.6/4.9 Total basis for income and wealth tax 48 899 32 936

EN

RF-1030 LE
 Stanius Kazimieras 531274 08781

1.2/1.5 Information on personal circumstances, etc.

1.5.2 In 2020, did you receive tax-free winnings or benefits from events organized by
the mass media with a total value of NOK 100 000 or more? If so, state the amount/value: NOK _________________
See skatteetaten.no for more information on tax-free winnings.

1.5.3 In 2020, did you receive inheritance or a gift with a total value of NOK 100 000 or more?
If so, state the amount/value: NOK _________________
If you have received property through inheritance or as a gift, you must ensure that the property
is entered under item 4.3.2 (housing)/item 4.3.3 (holiday home) or item 4.6.1 if the property is abroad,
with the correct tax value. You must specify the property's input value, the date of purchase and
the method used to determine the input value. If you submit your tax return on paper, you must include this
information in an attachment. The input value should be set to the market value or the previous owner's input
value, depending on the previous owner's tax position; read more at skatteetaten.no/inngangsverdi.
If the property is not already pre-filled, in the same attachment, you must also specify the property's
municipality, holding no. (gnr.), parcel no. (bnr.), (and the housing company's organisation number where
applicable) and the address.

1.5.4 Have you carried out unpaid assignments for an organisation and/or received financial support from
close family with a total value of NOK 100,000 or more?
If so, state the amount NOK _________________

P 01
Read more at skatteetaten.no/finnpost.
If the financial support originates from sources other than close family, you must basically enter the total
value of the support under item 2.1.1.

0044986
1.5.6 Incomes, deductions, wealth and debt abroad must be entered under the appropriate item in the
tax return. See skatteetaten.no/finnpost

20210318
Are you claiming an allowance for tax paid abroad (credit deduction)? (Fill in form RF-1147) Yes ___
Are you claiming a reduction in tax on wages earned during employment abroad? (Fill in form RF-1150) Yes ___

Are you requesting the termination of tax liability as a resident (emigration for tax purposes)?

2/ 8
You must provide more detailed information below and change the items which are affected.
Which country are you resident in? _______________________
Date of cessation of tax obligation: _______________________

0006390
Are you claiming residence for tax purpose in another country under a tax treaty? Yes ___
You must provide more detailed information below and change the items which are affected.
Which country are you resident in? _______________________

SIRIUS
Date of change in residence under tax treaty: _______________________

Have you received salary from an international organisation for which you are claiming

EN
exemption from taxation in Norway? Yes ___
Specify any changes under item 2.1.1.
Enter the name of the organisation:

Have you ceased to be a member of the Norwegian National Insurance scheme? Yes ___
Date of cessation: _______________________
Are you exempt for paying National Insurance contributions in Norway? Yes ___
Period of exemption: Dato from _______
Dato to _______

1.5.12 Are you claiming tax limitation due to your inability to pay tax under Section 17-4 of the Tax Act? Yes ____
Regarding who may be entitled to such tax limitation, see skatteetaten.no/finnpost

1.5.13 Name of the representative/person you want us to contact regarding your tax affair:
Name of contact person:
E-mail address of contact person:

If you have joint children and/or joint wealth/debt with a cohabitant as of 31 December 2020, you can
provide information on this below.
1.3.1 Cohabitant with joint children Yes No
1.3.2 Cohabitant with joint capital/debt Yes No
Cohabitant's name and national Norwegian identity number

1.5.7 Put a cross if you would like your tax return to be sent to you in a different language next year: Bokmål __ Nynorsk __ Nordsamisk __
If you're an online user, you must change preferred language at Norge.no
 Stanius Kazimieras 531274 08781

1.2 Residence in Norway, on Norwegian shelf and/or on board Norwegian vessels

We have information stating that your have been in Norway, on Norwegian shelf and/or on board Norwegian vessels
(including off-duty periods). The information forms the basis for the number of twelfths 12 /12 in 2020.
If this is incorrect, enter the correct number of twelfths here: ____________

The number of twelfths is of importance for the minimum standard deduction, the personal allowance and bracket tax,
among other things.

3.2.8/3.2.9 Itemisation of the travel deduction

3.2.8 Travel deduction, home work ____________ days at ___________ km (return journey) à NOK 1,56/0,76 NOK ____________
3.2.8 Travel deduction, home work ____________ days at ___________ km (return journey) à NOK 1,56/0,76 + ______________
3.2.8 Travel deduction, home work ____________ days at ___________ km (return journey) à NOK 1,56/0,76 + ______________
3.2.8 Travel deduction, home work ____________ days at ___________ km (return journey) à NOK 1,56/0,76 + ______________
3.2.8 Travel deduction, home work ____________ days at ___________ km (return journey) à NOK 1,56/0,76 + ______________
3.2.9 Travel deduction, home visits ____________ visits at ___________ km (return journey) à NOK 1,56/0,76 + ______________
3.2.9 Home visits to residences outside the EEA - actual number of journeys ____
means of transport__________________ + ______________
Total deduction for travel = ______________
Road tolls/ferry expenses if they exceed NOK 3.300. + ______________
Airplane tickets (special conditions apply, see skatteetaten.no/reisefradrag) + ______________

P 01
Total deduction before non-deductible amount, max. NOK 97 000 = ______________
Non-deductible amount - 23 100
Transfer the total to item 3.2.8/3.2.9 = ______________

0044987
Enter amounts that are not been pre-filled here.
Item no See skatteetaten.no Income/Deduction Wealth/Dept

20210318
3/ 8
0006390
SIRIUS
EN

Date Signature Telephone

000
P 01 0044988 20210318 4/ 8 0006390 SIRIUS EN
The tax return is pre-filled, not fully completed. Check the information
What should you check?

• You must check that all the information in the tax return is correct.

• You will not need to submit the tax return if all the information is correct.

• The Norwegian Tax Administration has information on your stay in Norway, on the Norwegian Shelf and/or on board
Norwegian vessels. The stay provides a basis for twelfths in 2020. The minimum standard deduction, personal
allowance and step tax are calculated based on the number of months (12ths) that the stay lasted. Check "Item 1.2
Residence in Norway, on the Norwegian shelf and/or on board Norwegian vessels". If the number of twelfths is
incorrect, state the correct number of twelfths. If item 1.2 is not displayed to you, you can enter information about
stays in Norway under the section entitled "Any amounts that have not been pre-completed must be entered here".

• You will only be entitled to the 10 percent standard deduction if you have limited tax liability regarding
seafarer's income or tax liability under the Petroleum Tax Act. Others are no longer entitled to the 10 percent

P 01
standard deduction.

• Do you commute between Norway and your home abroad? If so, you may be entitled to a commuter allowance,

0044989
such as a deductions for travel, subsistence and accommodation. You should retain the necessary documentation
in a safe place, so that you can find it again easily if the Norwegian Tax Administration asks to see it.

20210318
Read more about the documentation obligation, rights and deductions you may be entitled to at skatteetaten.no/utenlandsk

It is important that you you tell the Norwegian Tax Administration about any change of address abroad! You

5/ 8
can do this at skatteetaten.no/Person/Folkeregister/Flytte/Ny adresse i utlandet. If you are receiving a
tax refund, we need your address to tell you about it.

0006390
SIRIUS
EN
P 01 0044990 20210318 6/ 8 0006390 SIRIUS EN
 Stanius Kazimieras 531274 08781

Provisional calculation of taxes and duties for 2020

Basis Tax/Duties
Wealth tax to:
The State 32 936 0
Municipality 32 936 0
Income tax to:
The State, equalisation tax 48 899 0
Municipality and county 48 899 0
The State, bracket tax on personal income 88 875 0
National Insurance contributions :
Pay, etc.(8,2%) 88 875 7 288
Total taxes and duties in class 1 before tax deductions 7 288
Provisionally calculated tax after deductions 7 288

P 01
-Withholding tax (deducted by declarant, etc.) 16 221
Provisionally calculated overpaid tax (excluding interest) 8 933

When will my tax assessment notice arrive?

0044991
Tax assessments are not sent out on specific dates, but as soon as the tax returns concerned have been
processed. This means that you receive your assessment notice in June, August or September, or in October at
the latest. If you submit on paper, you will not receive your tax assessment notice until August at
the earliest.

20210318
Tax refund
If your tax assessment indicates that you have paid too much tax, the money will be transferred to
account **** ** 13570.

7/ 8
If you would like your tax refund to be paid into an account, other than the suggested account or if you
would prefer to receive a payment card, you must tell the Tax Administration. Read more at
skatteetaten.no/endrekonto

0006390
Check the information under item "1.2 Residence in Norway, on the Norwegian shelf and/or on board Norwegian vessels"
and correct the number of twelfths for residence in Norway if it is incorrect.

SIRIUS
EN

Additional advance tax paid after 1 February 2021 will not be included in the tax calculation, but will be
credited in your tax assessment.

You must use the following information when paying:

Account no.: 6345 06 24804

Name: Skatteetaten - skatteinnkreving
KID no.: 7907067675942200016
IBAN: NO42 6345 0624 804
SWIFT/BIC: NDEANOKK
19353127408781 6182 11 13570 80080000Nordre Fokserød 14, 3241 SANDEFJORD Ska

The tax return is pre-filled, not fully completed. Check the information

• Is the information given in your tax return correct? Check bank deposits, debts, interest, salary,
parental allowance, pension, housing, travel allowance, car/boat, shares and other
circumstances that affect your tax.
• Have there been any important changes in your personal finances since last year? You might for
example have got a new job, bought a new residental property or taken out a new loan. Perhaps you have to
travel further to get to work now, or maybe you have become a commuter or retired?
• Is any information concerning income, loans or property abroad missing? This information is required.
We impose additional tax if you fail to declare such information.
• Check whether you are entitled to make additional deductions. Visit skatteetaten.no/fradrag and try
the deduction wizard.
• For guidance to the items, see skatteetaten.no/finnpost
• If you have checked all the information and are satisfied that everything is correct, you do not need

P 01
to submit the tax return.
• If you need to add or alter an item, doing it online is easy. See skatteetaten.no/skattemelding
• If you add or correct an item in your tax return - you should keep the necessary documentation in a

0044992
safe place, so that you can find it again easily if the Norwegian Tax Administration asks to see it.
• If you have to make any changes which mean that you need to submit the tax return,
the deadline is 30 April.

20210318
New this year

8/ 8
• Rates for bracket tax have been changed, see skatteetaten.no/en/rates/bracket-tax.
• The NRK broadcasting licence has been abolished and is financed by the state. This means that the

0006390
personal allowance has been reduced from NOK 56,550 to NOK 51,300.
• Travel deductions are not pre-filled in your your tax return for the 2020 income year. You must
enter information for the calculation of travel deductions yourself under item 3.2.8.
• The tax liability and right to deductions for maintenance payments from/to former spouses has been

SIRIUS
abolished. Any maintenance payments you are owed and maintenance payments you owe must still be
included as wealth and debt under item 4.1.6 and/or item 4.8.1.

EN
• The temporary scheme for compensation subsidies from NAV to self-employed persons and
freelancers will grant subsidies that compensate for loss of personal income. The subsidy will be
taxable income.

Visit skatteetaten.no for more information on various topics, e.g

• Housing: Has your housing infomation been included? Read more at: skatteetaten.no/bolig
• Spouses - allocation of income between spouses, read more at: skatteetaten.no/skattemelding
• Commuters and business travellers, read more at: skatteetaten.no/pendler
• Inheritance and gifts, read more at: skatteetaten.no/arv

Submitting on paper?
If you are unable to submit your tax return online, you must send the tax return to Skatteetaten.
You will find the address at the top of page 1.