Elite Insurance Brokerage Co. (LLC)
Licensed Insurance Broker - IA License: IA-BRK-2024-089
ZATCA VAT Reg #: 310123456700003
الرياض، طريق الملك فهد، ص.ب 12345
ZATCA PHASE 1 & 2 COMPLIANT
TAX INVOICE
INV-2026-0081
Buyer Information:
Modern Contracting Holding Co.
VAT Number: 310987654300003
CRN / ID: 1010234567
Address: Riyadh، حي الصحافة، طريق الملك فهد
Issue Date: 2026-06-06 08:54:35
UUID: f2d5bb7f-1538-4112-a96f-7b959fc8be02
| # | Service Description | Qty | Unit Price | VAT % | VAT Amount | Total with VAT |
|---|---|---|---|---|---|---|
| 1 | Brokerage & Advisory Commission - Medical Policy #POL-2026-MED-1001 | 1 | 85,000.00 SAR | 15% | 12,750.00 SAR | 97,750.00 SAR |
Bank Wire Payment Details:
Beneficiary: شركة النخبة لوساطة التأمين
Bank: مصرف الراجحي (Al Rajhi Bank)
IBAN: SA0380000000608010167890
Subtotal (Excl. VAT):
85,000.00 SAR
15% VAT Total:
12,750.00 SAR