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
