Tax Return
Content
TAX YEAR HEAD NTN NO. BUSINESS NAME BUSINESS ADDRESS RTO/ LTO AUTHORISED NAME CNIC NO RESIDENTIAL ADDRESS TELEPHONE NO.1 NATURE OF BUSINESS PARTNER PARTICULAR NAME 1 NTN NO. % OF SHARES NAME 2 NTN NO. % OF SHARES NAME 3 NTN NO. % OF SHARES NAME 4 NTN NO. % OF SHARES TAX YEAR HEAD NTN NO. BUSINESS NAME BUSINESS/ RESIDENTAL ADDRESS RTO/ LTO AUTHORISED NAME CNIC NO STATUS( IND/ AOP) SECTION (137 WITH RETURN) SECTION IN NAME 0428801
TAX RETURN 2008 PARTICULARS -
ISLAMABAD HAYAT MUHAMMAD 61101-9893509-3
HOUSE NO 164, STREET NO 24, SECTOR I-9/1, ISLAMABAD.
444917
TAX CHALLAN 2008 PARTICULARS 0428801 HOUSE NO 164, STREET NO 24, SECTOR I-9/1, ISLAMABAD. ISLAMABAD HAYAT MUHAMMAD 61101-9893509-3 IND 137 DUE WITH RETURN
RETURN OF TOTAL INCOME/STATEMENT OF FINAL TAXATION
UNDER THE INCOME TAX ORDINANCE, 2001 (FOR INDIVIDUAL / AOP)
CNIC
(for Individual)
IT-2 (Page 1 of 2)
N°
Taxpayer's Name
61101-9893509-3 HAYAT MUHAMMAD HOUSE NO 164, STREET NO 24, SECTOR I-9/1, ISLAMABAD. Phone 444917
Code NTN NTN NTN Name Name Name
NTN
Gender Year Ending Tax Year Person Res. Status Birth Date Filing Section
0428801
Male
Female
Registration (*)
Bussines Name Business Address Res. Address E-Mail Address Principal Activity Employer Representative Authorized Rep.
30-06-2009 2009
IND
Non-Res.
AOP
Resident
RTO/LTU
% in Capital
ISLAMABAD Capital Amount
Authorized Rep. applicable
NTN Ownership -
Proprietor/Member/Partners' Name -
0% 0% 0% 1 Code 3103 3116 3117 3106 3111 3118 3119 3131 3189 3190 3191 3192 3902 3988 9099 1999 3999 312021 4999 5999 6399 9139 9121 9122 9124 6199 6101 6102 6103 6104 6105 6106 9199 9201 9249 9303 920206 920207 9299 9499 9999 9998 Total -
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17
18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34
35 36 37 38 39 40 41
Refund
Others Total Items Net Sales (excluding Sales Tax/ Federal Excise Duty & Net of Commission/ Brokegare) Cost of Sales [3 + 4 + 5 - 6] Opening Stock Net Purchases (excluding Sales Tax/ Federal Excise Duty & Net of Commission/ Brokegare) Manufacturing/ Trading Expenses Closing Stock Gross Profit/ (Loss) [1-2] Other Revenues/ Fee/ Charges for Professional and Other Services/ Commission Profit & Loss Expenses Net Profit/ (Loss) [(7 + 8) - 9] Inadmissible Deductions (including Accounting Depreciation) Admissible Deductions (excluding tax depreciatio/ including proportionate PTR income Unadjusted Loss from business for previous year(s) [Treansfer from 24 of Annex-A] Un-absorbed Tax Depriciation for previous/ current year(s) (Annex-A) Total Income [Sum of 16 to 21] Salary Income including Arrears Business Income/ (Loss) [ (10 + 11) - 12 - 13 - 14 ] Share from AOP Capital Gains Other Sources Income/ (Loss) Foreign Income/ (Loss) Deductible Allowances [23 + 24 + 25] Zakat Workers Welfare Fund Charitable donations admissible as straight deduction Exempt Income/ (Loss) [Sum of 27 to 31] Salary Income Property Income/ (Loss) Business Income/ (Loss) Capital Gains Other Sources Income/ (Loss) Agriculture Income Taxable Income/ (Loss) [15 - 22 ] 0% Tax chargable on Taxable Income @ Tax Reductions/Credits/Averaging (including rebate on Bahbood Certificates, etc.) Minimum Tax Chargeable under Section 233A(2) Minimum Tax Chargeable under Section 235(4) IDP Tax Total Tax Chargable [(33-34) or (35+36), whichever is higher] + 37+77 Total Tax Payments (Transfer from 23 of Annex-B) Tax Payable/ Refundable [38 - 39] Refund Adjustments (not exceeding current year's tax payable) Net Tax Refundable, may be credited to my bank account as under: A/C No. Bank
Branch Name & Code
Manufacturing/ Trading, Profit & Loss Account ( including Final/Fixed
-
-
Adjustments
Total / Taxable Income Computation
NIL -
-
NIL NIL
Tax Computation
NIL NIL NIL
Signature
(*) Attach TRF-01 Form for making change in particulars
Note-1 : Grey blank fields are for official use
RETURN OF TOTAL INCOME/STATEMENT OF FINAL TAXATION
UNDER THE INCOME TAX ORDINANCE, 2001 (FOR INDIVIDUAL / AOP)
IT-2 (Page 2 of 2)
N°
CNIC
(for Individual)
61101-9893509-3 HAYAT MUHAMMAD
Rate (%)
NTN T.Y
0428801
Taxpayer's Name
2009
ISLAMABAD Tax Chargeable
-
Business Name
0 RTO/LTU Code
64011 64012 64015
Source
42 Imports 43 44 Dividend 45 46 Profit on Debt 47 Royalties/Fees (Non-Resident) 48 49 Contracts (Non-Resident) 50 Insurance Premium (Non-Resident) 51 Advertisement Services (Non-Resident) 52 Supply of Goods 53 54 55 Payments to Ginners 56 Services 57 Transport Services 58 Contracts (Resident) 59 Exports/related Commission/Service 60 61 Foreign Indenting Commission 62 Property Income subject to WHT 63 Prizes 64 Winnings 65 Petroleum Commission 66 Brokerage/Commission 67 Advertising Commission 68 Goods Transport Vehicles 69 Gas consumption by CNG Station 70 Retail Turnover upto 5 million 71 Retail Turnover above 5 million
Receipts/Value
Code
92011 92012 92015
2 1 10 7.5 10 15 6 5 10 3.5 1.5 1 6 2 6 0.5 1 5 10 20 10 10 5 4 0.5
64032 64033 64041 640511 640512 640521 640524 640525 640611 640612 640613 640614 640621 640622 640623 640631 640641 64072 64075 64081 64091 64092 64101 64121 64122
92032 92033 92041 920511 920512 920521 920524 920525 920611 920612 920613 920614 920621 920622 920623 920631 920641 92072 92075 92081 92091 92092 92101 92121 92122 92141
Final Tax
64142 310102 310103 210101 310431 112001 63311 118301
92142 920202 920203 920235
Fixed Tax
72 Property Income not subject to WHT 73 Purchase of locally produced edible oil 74 Flying Allowance Services rendered / contracts 75 executed outside Pakistan 76 Employment Termination Benefits
2 2.5 1
920208 920234 920236 920211
77 Final/Fixed Tax Chargeable (42 to 76) I, HAYAT MUHAMMAD , in my capacity as
9202 Acknowledgement
holder of CNIC No. 61101-9893509-3
Verification
Self/ Partner or Member of Association of Persons/ Representative (as defined in section 172 of the Income Tax Ordinance, 2001) of Taxpayer named above, do solemnly declare that to the best of my knowledge and belief the information given in this Return/Statement u/s 115(4) and the attached Annex(es), Statement(s), Document(s) or Detail(s) is/are correct and complete in accordance with the provisions of the Income Tax Ordinance, 2001 and Income Tax Rules, 2002 (The alternative in the verification, which is not applicable, should be scored out).
Date :
Note-1 : Grey blank fields are for official use
Signatures
Signatures & Stamp of Receiving Officer with Date
WEALTH STATEMENT UNDER SECTION 116 OF THE INCOME TAX ORDINANCE, 2001
Tax Year
2009
0428801
(For Individuals only)
W1/1
LTU/RTO/MTU/Zone Code ISLAMABAD Circle Code NTN CNIC Code
821311 821321
(Please mark in the relevant box/Use additional sheets where necessary)
Particulars/Description of assets and liabilities 1. Business Capital (a) (b) 2. Non-Agricultural Property (a) (b) (c) (d) 3. Agricultural Property - Land (a) (b) (c) 4. Agricultural Property (a) (b) 5. Investments (a) (b) (c) 6. Loans and Advances, etc. (a) (b) 7. Motor vehicles (Indicate make, model and registration number) (a) (b) 8. 9.
10.
(Specify stocks, shares, debentures, Unit certificates, other certificates, deposits and certificates of National Saving Schemes, mortgages, loans, advances, etc.) (Specify equipment, live stock, seeds, seedlings, fertilizer, etc.)
Amount (Rs.)
(indicate name of business)
(indicate location & identification)
711111 711121 711131 711141
(indicate location & identification)
711211 711221 711231
712111 712121
712611 712621 712631
712641 712651
712211 712221
Jewellery (Indicate description and weight)
712411
Furniture and Fittings - Residence
712311
Cash & Bank Balances (a) (b) (i) (ii) (iii) (iv)
Non-business cash in hand
Non-business bank balances, etc. in current/ deposit/ savings accounts or any other deposit) 712811
Name of bank, etc.
Branch and address
Account Number, etc.
712711 712721 712731 712741
11.
Any Other Assets (a) (b) (c) (d)
Accumulated balance of life insurance premium actually paid
Accumulated balance of employees contribution to a Provident fund or any other fund 712661 712671 712681 712691
12.
Assets, if any, standing in the name of spouse, minor children & other dependents*
(a) (b) (c)
13.
713111 713121 713131
Total Assets [ Sum(1 to 12) ]
719999
-
For Assistance - Call Help line Center at Tele: 0800-00-227, 051-111-227-227 and E-mail at [email protected]
Tax Year LTU/RTO/MTU/Zone Code Circle Code NTN CNIC
2009
W1/2
(For Individuals Only)
Particulars/Description of assets and liabilities
14.
Code
Amount (Rs.)
Liabilities (a) (i) (ii) (b) (i) (ii) Others (including mortgages, loans, overdrafts, advances, borrowings,
amounts due under hire purchase agreement or any other debt)
721111 721211 729999 799999 749999 740000
Business Capital - Overdrawn (indicate name of business)
821331 821341
15. 16.
Total Liabilities [ sum( 14(a) to 14(b) ]
Net Wealth of the current year [13 minus 15]
Adults Minors
17. Annual personal expenses.
18. 19.
Number of family members and dependents Assets, if any, transferred to any person (a) (b) (c) Verification
714111 714121 714131
I,
, holder of CNIC No.
in my
capacity as Self / Representative* of Taxpayer named above, do hereby solemnly declare that to the best of my knowledge and belief the information given in this statement of the assets and liabilities of myself, my spouse or spouses, minor c
Date (dd/mm/yyyy)
(Notes on reverse)
Signature Notes
1. If the space provided in the form is found to be inadequate, additional sheet or sheets may be used. 2. All assets should be valued at cost. 3. If any exact figure cannot be inserted, an estimate should be made, mark it clearly "ESTIMATE". 4. (a) If balance sheet in respect of any business has been submitted to the Department, the entry of "Business Capital" should consist of the net balance on capital, current and loan accounts as shown in those Balance Sheets on the specified date, if such net a Where no Balance Sheet has been submitted, the assessed should list, on a separate sheet of paper attached to this form, the assets and liabilities of the business on the specified date. The excess of assets listed, should be entered as "Business Capital" If the net balance at (a) above is a debit balance, it should be included in liabilities.
(b)
(c)
5. Agricultural equipment, such as irrigation pumps and tube-wells etc., should be detailed at cost with description. 6. Give details of stocks, shares and debentures, e.g., number, face value, name of the company and type. 7. Give details of assets of the spouse, minor children and other dependents and state whether such asset was transferred directly or indirectly to the spouse or minor children or other dependents or was acquired by them with funds provided by you. 8. In the case of assets acquired under a Hire Purchase agreement, the total price should be shown under the appropriate head in the assets and the balance amount due should be shown under the liabilities. 9. Where the statement is being field for the first time or covers more than one tax year, separate re-conciliation of the increase/(decrease) in wealth and of the sources and applications should be provided for each year.
For Assistance - Call Help line Center at Tele: 0800-00-227, 051-111-227-227 and E-mail at [email protected]
Annex-A
Description
Code 3202 320301 320302 320303 320304 320306 320307
WDV (BF)
Additions
Deletions
Rate (%) 50% 50% 50% 50% 50% 50% 50% 50% 0% 50% 50% 50%
Initial Allowance Rate (%) . 10% 15% 30% 15% 15% 100% 20% 30% 15% 15% 15% 30%
Extent (%)
Depreciation -
WDV (CF) -
2009
1 2 3 4 Depreciable Assets 5 6 7 8 9
Building (all types) Machinery and plant (not otherwise specified) Computer hardware (including allied items) Furniture (including fittings) Technical and professional books Below ground installations of mineral oil concerns Off shore installations of mineral oil concerns
61101-9893509-3
Tax Year
Machinery and equipment used in manufacture of IT products 320308 Motor vehicles (not plying for hire) 32041 32042 32043 32044 Description Code 3205 3207 Description Code 3206 Code Amount Tax Year Original Expenditure Original Cost
Depreciation, Initial Allowance and Amortization
10 Motor vehicles (plying for hire) 11 Ships
Reg/Inc/CNIC No.
12 Air crafts and aero engines 13 Total
Acquisition Date Useful Life(Years)
Extent (%)
Amortization -
Intangibles
14 Intangibles 15 Expenditure providing long term advantage/benefit 16 Total
.
Rate (%) 20%
Amortization Code Amount Tax Year
17 Pre commencement expenditure Description Unadjusted Business loss for previous year adjusted against Business income for current year 18 Brought Forward Adjustments Unadjusted Business loss for previous year adjusted against Business income for current year 19 Unadjusted Business loss for previous year adjusted against Business income for current year Unadjusted Business loss for previous year adjusted against Business income for current year
Description Unabsorbed Amortization of intangibles / expenditure providing long term advantage/benefit for previous year(s) adjusted against Total Income for current year Amortization of intangibles / expenditure providing long term advantage/benefit for current year adjusted against Total Income for current year Unabsorbed tax depreciation/initial allowance of fixed assets for previous year(s) adjusted against Total Income for current year Depreciation/initial allowance of fixed assets for current year adjusted against Total Income for current year
3902
2003
3987
upto 2008
3902
2004
3987
2009
0428801
20
3902
2005
3988
upto 2008
21
3902 3902 3902 -
2006 2007 2008
3988
2009
Unadjusted Business loss for previous year adjusted 22 against Business income for current year Unadjusted Business loss for previous year adjusted 23 against Business income for current year
NTN
Total (Not exceeding the amount of Business Income available 24 for adjustment) (transfer to 13 of Return)
Total (Not exceeding the amount of Total Income available for adjustment) (transfer to 14 of Return)
Annex-B
Tax Already Paid
NTN 0428801 Reg/Inc/CNIC No.
2009
B
61101-9893509-3 Code 94019
94028
Particulars
1 On import of goods (other than tax deduction treated as final tax) 2 On withdrawal from pension fund 3 From salary (a + b) a. U/S 149 b. IDP Tax 4 On dividend Income (other than tax deduction treated as final tax) 5 On Government securities 6 On profit on debt (other than tax deduction treated as final tax)
Certificate/Account No. etc.
Amount of Tax deducted (Rs.)
94029
94039
94043 Share%
Bank
Branch
94049
-
Tax Collected/Deducted at Source (Adjustable Tax only)
7 8 9 10 11
On payments received by non-resident (other than tax deduction treated as final tax) On payments for goods (other than tax deduction treated as final tax) On payments for services (other than tax deduction treated as final tax) On payments for execution of contracts (other than tax deduction treated as final tax) On cash withdrawal from bank
Certificate/Account No. etc.
940539 940619 940629 940639 Share%
Bank
Branch
94119
-
12 13 14 15
On sale/purchase of shares through a Member of Stock Exchange On trading of shares through a Member of Stock Exchange On financing of carry over trade With motor vehicle token tax (Other than goods transport vehicles)
Registration No.
Engine / Seating Capacity
94131 94138 94139
Owner's Name Share%
94149
-
16 With bill for electricity consumption
Consumer No. Subscriber's CNIC Subscriber's Name Share%
94159
-
17 With telephone bills, mobile phone and pre-paid cards
Number Subscriber's CNIC Subscriber's Name Share%
94169
-
18 With Motor Vehicle Registration Fee
Registration No.
Engine / Seating Capacity
Owner's Name
94179
Manufacturer Prticulars -
19 Total Tax Deductions at source (Adjustable Tax) [Sum of 1 to 18] 20 Total Tax Deductions at source (Final Tax) 21 Advance Tax U/S 147(1) [ a + b + c + d]
94599 94591 9461
-
-
Tax Payments
a. First installment CPR No. b. Second installment CPR No. c. Third installment CPR No. d. Fourth installment CPR No. Admitted Tax U/S 137(1) Liability Paid [ Sum of a and b] 22 a. U/S 137 (1) CPR No. b. IDP Tax CPR No. 23 Total Tax Payments [19 + 20 + 21 + 22] (Transfer to Sr-39 of Main Return)
9471
-
-
Note-1 : Grey blank fields are for official use
TAX RETURN 2008 PARTICULARS -
ISLAMABAD HAYAT MUHAMMAD 61101-9893509-3
HOUSE NO 164, STREET NO 24, SECTOR I-9/1, ISLAMABAD.
444917
TAX CHALLAN 2008 PARTICULARS 0428801 HOUSE NO 164, STREET NO 24, SECTOR I-9/1, ISLAMABAD. ISLAMABAD HAYAT MUHAMMAD 61101-9893509-3 IND 137 DUE WITH RETURN
RETURN OF TOTAL INCOME/STATEMENT OF FINAL TAXATION
UNDER THE INCOME TAX ORDINANCE, 2001 (FOR INDIVIDUAL / AOP)
CNIC
(for Individual)
IT-2 (Page 1 of 2)
N°
Taxpayer's Name
61101-9893509-3 HAYAT MUHAMMAD HOUSE NO 164, STREET NO 24, SECTOR I-9/1, ISLAMABAD. Phone 444917
Code NTN NTN NTN Name Name Name
NTN
Gender Year Ending Tax Year Person Res. Status Birth Date Filing Section
0428801
Male
Female
Registration (*)
Bussines Name Business Address Res. Address E-Mail Address Principal Activity Employer Representative Authorized Rep.
30-06-2009 2009
IND
Non-Res.
AOP
Resident
RTO/LTU
% in Capital
ISLAMABAD Capital Amount
Authorized Rep. applicable
NTN Ownership -
Proprietor/Member/Partners' Name -
0% 0% 0% 1 Code 3103 3116 3117 3106 3111 3118 3119 3131 3189 3190 3191 3192 3902 3988 9099 1999 3999 312021 4999 5999 6399 9139 9121 9122 9124 6199 6101 6102 6103 6104 6105 6106 9199 9201 9249 9303 920206 920207 9299 9499 9999 9998 Total -
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17
18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34
35 36 37 38 39 40 41
Refund
Others Total Items Net Sales (excluding Sales Tax/ Federal Excise Duty & Net of Commission/ Brokegare) Cost of Sales [3 + 4 + 5 - 6] Opening Stock Net Purchases (excluding Sales Tax/ Federal Excise Duty & Net of Commission/ Brokegare) Manufacturing/ Trading Expenses Closing Stock Gross Profit/ (Loss) [1-2] Other Revenues/ Fee/ Charges for Professional and Other Services/ Commission Profit & Loss Expenses Net Profit/ (Loss) [(7 + 8) - 9] Inadmissible Deductions (including Accounting Depreciation) Admissible Deductions (excluding tax depreciatio/ including proportionate PTR income Unadjusted Loss from business for previous year(s) [Treansfer from 24 of Annex-A] Un-absorbed Tax Depriciation for previous/ current year(s) (Annex-A) Total Income [Sum of 16 to 21] Salary Income including Arrears Business Income/ (Loss) [ (10 + 11) - 12 - 13 - 14 ] Share from AOP Capital Gains Other Sources Income/ (Loss) Foreign Income/ (Loss) Deductible Allowances [23 + 24 + 25] Zakat Workers Welfare Fund Charitable donations admissible as straight deduction Exempt Income/ (Loss) [Sum of 27 to 31] Salary Income Property Income/ (Loss) Business Income/ (Loss) Capital Gains Other Sources Income/ (Loss) Agriculture Income Taxable Income/ (Loss) [15 - 22 ] 0% Tax chargable on Taxable Income @ Tax Reductions/Credits/Averaging (including rebate on Bahbood Certificates, etc.) Minimum Tax Chargeable under Section 233A(2) Minimum Tax Chargeable under Section 235(4) IDP Tax Total Tax Chargable [(33-34) or (35+36), whichever is higher] + 37+77 Total Tax Payments (Transfer from 23 of Annex-B) Tax Payable/ Refundable [38 - 39] Refund Adjustments (not exceeding current year's tax payable) Net Tax Refundable, may be credited to my bank account as under: A/C No. Bank
Branch Name & Code
Manufacturing/ Trading, Profit & Loss Account ( including Final/Fixed
-
-
Adjustments
Total / Taxable Income Computation
NIL -
-
NIL NIL
Tax Computation
NIL NIL NIL
Signature
(*) Attach TRF-01 Form for making change in particulars
Note-1 : Grey blank fields are for official use
RETURN OF TOTAL INCOME/STATEMENT OF FINAL TAXATION
UNDER THE INCOME TAX ORDINANCE, 2001 (FOR INDIVIDUAL / AOP)
IT-2 (Page 2 of 2)
N°
CNIC
(for Individual)
61101-9893509-3 HAYAT MUHAMMAD
Rate (%)
NTN T.Y
0428801
Taxpayer's Name
2009
ISLAMABAD Tax Chargeable
-
Business Name
0 RTO/LTU Code
64011 64012 64015
Source
42 Imports 43 44 Dividend 45 46 Profit on Debt 47 Royalties/Fees (Non-Resident) 48 49 Contracts (Non-Resident) 50 Insurance Premium (Non-Resident) 51 Advertisement Services (Non-Resident) 52 Supply of Goods 53 54 55 Payments to Ginners 56 Services 57 Transport Services 58 Contracts (Resident) 59 Exports/related Commission/Service 60 61 Foreign Indenting Commission 62 Property Income subject to WHT 63 Prizes 64 Winnings 65 Petroleum Commission 66 Brokerage/Commission 67 Advertising Commission 68 Goods Transport Vehicles 69 Gas consumption by CNG Station 70 Retail Turnover upto 5 million 71 Retail Turnover above 5 million
Receipts/Value
Code
92011 92012 92015
2 1 10 7.5 10 15 6 5 10 3.5 1.5 1 6 2 6 0.5 1 5 10 20 10 10 5 4 0.5
64032 64033 64041 640511 640512 640521 640524 640525 640611 640612 640613 640614 640621 640622 640623 640631 640641 64072 64075 64081 64091 64092 64101 64121 64122
92032 92033 92041 920511 920512 920521 920524 920525 920611 920612 920613 920614 920621 920622 920623 920631 920641 92072 92075 92081 92091 92092 92101 92121 92122 92141
Final Tax
64142 310102 310103 210101 310431 112001 63311 118301
92142 920202 920203 920235
Fixed Tax
72 Property Income not subject to WHT 73 Purchase of locally produced edible oil 74 Flying Allowance Services rendered / contracts 75 executed outside Pakistan 76 Employment Termination Benefits
2 2.5 1
920208 920234 920236 920211
77 Final/Fixed Tax Chargeable (42 to 76) I, HAYAT MUHAMMAD , in my capacity as
9202 Acknowledgement
holder of CNIC No. 61101-9893509-3
Verification
Self/ Partner or Member of Association of Persons/ Representative (as defined in section 172 of the Income Tax Ordinance, 2001) of Taxpayer named above, do solemnly declare that to the best of my knowledge and belief the information given in this Return/Statement u/s 115(4) and the attached Annex(es), Statement(s), Document(s) or Detail(s) is/are correct and complete in accordance with the provisions of the Income Tax Ordinance, 2001 and Income Tax Rules, 2002 (The alternative in the verification, which is not applicable, should be scored out).
Date :
Note-1 : Grey blank fields are for official use
Signatures
Signatures & Stamp of Receiving Officer with Date
WEALTH STATEMENT UNDER SECTION 116 OF THE INCOME TAX ORDINANCE, 2001
Tax Year
2009
0428801
(For Individuals only)
W1/1
LTU/RTO/MTU/Zone Code ISLAMABAD Circle Code NTN CNIC Code
821311 821321
(Please mark in the relevant box/Use additional sheets where necessary)
Particulars/Description of assets and liabilities 1. Business Capital (a) (b) 2. Non-Agricultural Property (a) (b) (c) (d) 3. Agricultural Property - Land (a) (b) (c) 4. Agricultural Property (a) (b) 5. Investments (a) (b) (c) 6. Loans and Advances, etc. (a) (b) 7. Motor vehicles (Indicate make, model and registration number) (a) (b) 8. 9.
10.
(Specify stocks, shares, debentures, Unit certificates, other certificates, deposits and certificates of National Saving Schemes, mortgages, loans, advances, etc.) (Specify equipment, live stock, seeds, seedlings, fertilizer, etc.)
Amount (Rs.)
(indicate name of business)
(indicate location & identification)
711111 711121 711131 711141
(indicate location & identification)
711211 711221 711231
712111 712121
712611 712621 712631
712641 712651
712211 712221
Jewellery (Indicate description and weight)
712411
Furniture and Fittings - Residence
712311
Cash & Bank Balances (a) (b) (i) (ii) (iii) (iv)
Non-business cash in hand
Non-business bank balances, etc. in current/ deposit/ savings accounts or any other deposit) 712811
Name of bank, etc.
Branch and address
Account Number, etc.
712711 712721 712731 712741
11.
Any Other Assets (a) (b) (c) (d)
Accumulated balance of life insurance premium actually paid
Accumulated balance of employees contribution to a Provident fund or any other fund 712661 712671 712681 712691
12.
Assets, if any, standing in the name of spouse, minor children & other dependents*
(a) (b) (c)
13.
713111 713121 713131
Total Assets [ Sum(1 to 12) ]
719999
-
For Assistance - Call Help line Center at Tele: 0800-00-227, 051-111-227-227 and E-mail at [email protected]
Tax Year LTU/RTO/MTU/Zone Code Circle Code NTN CNIC
2009
W1/2
(For Individuals Only)
Particulars/Description of assets and liabilities
14.
Code
Amount (Rs.)
Liabilities (a) (i) (ii) (b) (i) (ii) Others (including mortgages, loans, overdrafts, advances, borrowings,
amounts due under hire purchase agreement or any other debt)
721111 721211 729999 799999 749999 740000
Business Capital - Overdrawn (indicate name of business)
821331 821341
15. 16.
Total Liabilities [ sum( 14(a) to 14(b) ]
Net Wealth of the current year [13 minus 15]
Adults Minors
17. Annual personal expenses.
18. 19.
Number of family members and dependents Assets, if any, transferred to any person (a) (b) (c) Verification
714111 714121 714131
I,
, holder of CNIC No.
in my
capacity as Self / Representative* of Taxpayer named above, do hereby solemnly declare that to the best of my knowledge and belief the information given in this statement of the assets and liabilities of myself, my spouse or spouses, minor c
Date (dd/mm/yyyy)
(Notes on reverse)
Signature Notes
1. If the space provided in the form is found to be inadequate, additional sheet or sheets may be used. 2. All assets should be valued at cost. 3. If any exact figure cannot be inserted, an estimate should be made, mark it clearly "ESTIMATE". 4. (a) If balance sheet in respect of any business has been submitted to the Department, the entry of "Business Capital" should consist of the net balance on capital, current and loan accounts as shown in those Balance Sheets on the specified date, if such net a Where no Balance Sheet has been submitted, the assessed should list, on a separate sheet of paper attached to this form, the assets and liabilities of the business on the specified date. The excess of assets listed, should be entered as "Business Capital" If the net balance at (a) above is a debit balance, it should be included in liabilities.
(b)
(c)
5. Agricultural equipment, such as irrigation pumps and tube-wells etc., should be detailed at cost with description. 6. Give details of stocks, shares and debentures, e.g., number, face value, name of the company and type. 7. Give details of assets of the spouse, minor children and other dependents and state whether such asset was transferred directly or indirectly to the spouse or minor children or other dependents or was acquired by them with funds provided by you. 8. In the case of assets acquired under a Hire Purchase agreement, the total price should be shown under the appropriate head in the assets and the balance amount due should be shown under the liabilities. 9. Where the statement is being field for the first time or covers more than one tax year, separate re-conciliation of the increase/(decrease) in wealth and of the sources and applications should be provided for each year.
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Annex-A
Description
Code 3202 320301 320302 320303 320304 320306 320307
WDV (BF)
Additions
Deletions
Rate (%) 50% 50% 50% 50% 50% 50% 50% 50% 0% 50% 50% 50%
Initial Allowance Rate (%) . 10% 15% 30% 15% 15% 100% 20% 30% 15% 15% 15% 30%
Extent (%)
Depreciation -
WDV (CF) -
2009
1 2 3 4 Depreciable Assets 5 6 7 8 9
Building (all types) Machinery and plant (not otherwise specified) Computer hardware (including allied items) Furniture (including fittings) Technical and professional books Below ground installations of mineral oil concerns Off shore installations of mineral oil concerns
61101-9893509-3
Tax Year
Machinery and equipment used in manufacture of IT products 320308 Motor vehicles (not plying for hire) 32041 32042 32043 32044 Description Code 3205 3207 Description Code 3206 Code Amount Tax Year Original Expenditure Original Cost
Depreciation, Initial Allowance and Amortization
10 Motor vehicles (plying for hire) 11 Ships
Reg/Inc/CNIC No.
12 Air crafts and aero engines 13 Total
Acquisition Date Useful Life(Years)
Extent (%)
Amortization -
Intangibles
14 Intangibles 15 Expenditure providing long term advantage/benefit 16 Total
.
Rate (%) 20%
Amortization Code Amount Tax Year
17 Pre commencement expenditure Description Unadjusted Business loss for previous year adjusted against Business income for current year 18 Brought Forward Adjustments Unadjusted Business loss for previous year adjusted against Business income for current year 19 Unadjusted Business loss for previous year adjusted against Business income for current year Unadjusted Business loss for previous year adjusted against Business income for current year
Description Unabsorbed Amortization of intangibles / expenditure providing long term advantage/benefit for previous year(s) adjusted against Total Income for current year Amortization of intangibles / expenditure providing long term advantage/benefit for current year adjusted against Total Income for current year Unabsorbed tax depreciation/initial allowance of fixed assets for previous year(s) adjusted against Total Income for current year Depreciation/initial allowance of fixed assets for current year adjusted against Total Income for current year
3902
2003
3987
upto 2008
3902
2004
3987
2009
0428801
20
3902
2005
3988
upto 2008
21
3902 3902 3902 -
2006 2007 2008
3988
2009
Unadjusted Business loss for previous year adjusted 22 against Business income for current year Unadjusted Business loss for previous year adjusted 23 against Business income for current year
NTN
Total (Not exceeding the amount of Business Income available 24 for adjustment) (transfer to 13 of Return)
Total (Not exceeding the amount of Total Income available for adjustment) (transfer to 14 of Return)
Annex-B
Tax Already Paid
NTN 0428801 Reg/Inc/CNIC No.
2009
B
61101-9893509-3 Code 94019
94028
Particulars
1 On import of goods (other than tax deduction treated as final tax) 2 On withdrawal from pension fund 3 From salary (a + b) a. U/S 149 b. IDP Tax 4 On dividend Income (other than tax deduction treated as final tax) 5 On Government securities 6 On profit on debt (other than tax deduction treated as final tax)
Certificate/Account No. etc.
Amount of Tax deducted (Rs.)
94029
94039
94043 Share%
Bank
Branch
94049
-
Tax Collected/Deducted at Source (Adjustable Tax only)
7 8 9 10 11
On payments received by non-resident (other than tax deduction treated as final tax) On payments for goods (other than tax deduction treated as final tax) On payments for services (other than tax deduction treated as final tax) On payments for execution of contracts (other than tax deduction treated as final tax) On cash withdrawal from bank
Certificate/Account No. etc.
940539 940619 940629 940639 Share%
Bank
Branch
94119
-
12 13 14 15
On sale/purchase of shares through a Member of Stock Exchange On trading of shares through a Member of Stock Exchange On financing of carry over trade With motor vehicle token tax (Other than goods transport vehicles)
Registration No.
Engine / Seating Capacity
94131 94138 94139
Owner's Name Share%
94149
-
16 With bill for electricity consumption
Consumer No. Subscriber's CNIC Subscriber's Name Share%
94159
-
17 With telephone bills, mobile phone and pre-paid cards
Number Subscriber's CNIC Subscriber's Name Share%
94169
-
18 With Motor Vehicle Registration Fee
Registration No.
Engine / Seating Capacity
Owner's Name
94179
Manufacturer Prticulars -
19 Total Tax Deductions at source (Adjustable Tax) [Sum of 1 to 18] 20 Total Tax Deductions at source (Final Tax) 21 Advance Tax U/S 147(1) [ a + b + c + d]
94599 94591 9461
-
-
Tax Payments
a. First installment CPR No. b. Second installment CPR No. c. Third installment CPR No. d. Fourth installment CPR No. Admitted Tax U/S 137(1) Liability Paid [ Sum of a and b] 22 a. U/S 137 (1) CPR No. b. IDP Tax CPR No. 23 Total Tax Payments [19 + 20 + 21 + 22] (Transfer to Sr-39 of Main Return)
9471
-
-
Note-1 : Grey blank fields are for official use
