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Guide on the Determination of Medical Tax Credits

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Guide on the Determination of Medical Tax Credits (Issue 9) 21 Result: R MTC (R606 + R204) × 12 9 720,00 Tax liability Income (R280 000 + R24 000) [Note 2] 304 000,00 Taxable income 304 000,00 Normal tax on R304 000 (as per tax tables) 64 222,60 Less: Primary rebate [section 6(2)(a)] (13 635,00) 50 587,60 Less: MTC [section 6A(2)] (9 720,00) 40 867,60 Less: AMTC [section 6B(3)(b)] (see calculation below) (19 867,77) Net normal tax 20 999,83 Less: Employees' tax (40 864,00) Due to Y (19 864,17) Calculation of AMTC A = R46 900 (contributions to a medical aid or fund) B = R9 720 (MTC) C = R41 923 (qualifying medical expenses of R32 691 + R9 232) Formula to calculate AMTC: AMTC = 33,3% × {[A – (3 × B)] + C} = 33,3% × [R46 900 – (3 × R9 720)] + R41 923 = 33,3% × [R46 900 – R29 160] + R41 923 = 33,3% × (R17 740 + R41 923) = 33,3% × R59 663 = R19 867,77 Notes: 1. The payment for the two hearing aids will be a qualifying medical expense since the amount was necessarily incurred and paid for the taxpayer's child in consequence of the child's physical disability. 2. The amount of R24 000 paid by the employer for the employee's benefit represents a taxable benefit under paragraph 2(j), read with paragraph 12B. This amount must be included in gross income.

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