income tax 2002 amendment

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"PART-II D(a)
RETURN OF TOTAL INCOME/STATEMENT OF FINAL TAXATION
UNDER THE INCOME TAX ORDINANCE, 2001 (FOR INDIVIDUAL / AOP) Taxpayer's Name
CNIC (for Individual) Business Name

IT-2 (Page 1 of 2)
N° NTN
Gender Year Ending Tax Year Person Male Female

Registration

Business Address Res. Address E-Mail Address Principal Activity Employer's Employee/PA Number Representative Authorized Rep.'s
NTN NTN Name Name NTN Name Phone Code

2013
IND
Non-Res.

AOP
Resident

Res. Status Birth Date Filing Section

RTO/LTU
Is authorized Rep. applicable?

Yes Yes

No

NTN Ownership

Proprietor/Member/Partners' Name

% in Capital

Capital Amount

Others Total Items
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

Net Sales (excluding Sales Tax/ Federal Excise Duty) Cost of Sales [3 + 4 + 5 - 6] Opening Stock Net Purchases (excluding Sales Tax/ Federal Excise Duty) Other Manufacturing/ Trading Expenses Closing Stock Gross Profit/ (Loss) [1-2] Transport Services U/S 153(1)(b) (Transferred from Row 1 Column 5 of Annex H) Other Services U/S 153(1)(b) (Transferred from Row 1 Column 6 of Annex H) Other Revenues/ Fee/ Charges for Professional and Other Services/ Commission Profit & Loss Expenses Net Profit/ (Loss) [(7 + 8 + 9 + 10) - 11] Inadmissible Deductions Admissible Deductions Unadjusted Loss from business for previous year(s) Un-absorbed Tax Depreciation for previous/ current year(s) Total Income (18+31) Total Income u/s 10(a) [Sum of 19 to 24] Salary Income Business Income/ (Loss) [ (12 + 13) - 14 - 15 - 16 ] Share from AOP [Income/(Loss)] Capital Gains/(Loss) u/s 37 Other Sources Income/ (Loss) Foreign Income/ (Loss) Deductible Allowances [Sum of 26 to 29] Zakat Workers Welfare Fund (WWF) Workers Profit Participation Fund (WPPF) Charitable donations admissible as straight deduction Taxable Income/ (Loss) [18 - 25] Exempt Income/ (Loss) u/s 10(b) [Sum of 32 to 38] Salary Income Property Income Business Income/ (Loss) Capital Gains/(Loss) Agriculture Income Foreign Remittances (Attach Evidence) Other Sources Income/ (Loss) Tax Payable on Taxable Income

[to be reconciled with Annex-C] [to be reconciled with Annex-C]

[ Transfer from Sr-7 of Annex-G] [ to be reconciled with Annex-C ]

Transfer from Sr-25 of Annex-G] [Transfer from Sr-22 of Annex-E] [to be reconciled with Annex-E] [Transfer from Sr. 27 of Annex-A] [Transfer from Sr. 27 of Annex-A]

100% Code 3103 3116 3117 3106 3111 3118 3119 3121 3122 3131 3189 3190 3191 3192 3902 3988 9099 1999 3999 312021 4999 5999 6399 9139 9121 9122 9123 9124 9199 6199 6101 6102 6103 6104 6106 6107 6105 9201 9249 9303

Total

Total / Taxable Income Computation

Adjustments

Manufacturing/ Trading, Profit & Loss Account ( including Final/Fixed Tax)

Average Rate of Tax

40 Tax Reductions/Credits/Averaging (including rebate on Bahbood Certificates, etc.) 41

Difference of minimum Tax Payable on business transactions Annex - H
Yes No
If, Yes, Do you want to avail Normal Tax Regime

42 a) Do you fall under PTR Regime Tax Computation

Yes

No
Eligible
Not Eligible

b) In order to Determine your eligibility for availing Normal Tax Regime, Click Annex-J
43 Minimum tax on electricity consumption ( where monthly bill amount is up to Rs. 30,000) u/s 235 (4) 44 Balance tax chargeable [ (39 minus 40 plus 41) or 43, whichever is higher 45

9304 9305 9306 9309 9307 9499 9999 9998 6109

Minimum Tax Payable U/S 113 [45(iv) minus 44, if greater than zero, else zero] Total Turnover (i) (iii) Reduction @ (ii) Minimum tax @ 0.5% (iv) Net Minimum tax

Full Time Teacher/Researcher's Rebate Net tax payable [44 + 45 - 46 + 95] 48 Total Tax Payments (Transfer from Sr. 31 of Annex-B)
46 47 49 50 51

Tax Payable/ Refundable [45 - 46 + WWF Payable from Sr. 32 of Annex-B] Refund Adjustments (not exceeding current year's tax payable), if not adjusted against Income Support Levey (ISL) Annual personal expenses for individual only (transfer from Sr. 12 of Annex-D) Net Tax Refundable, may be credited to my bank account as under:

Refund

A/C No. Bank
Branch Name & Code

Signature

RETURN OF TOTAL INCOME/STATEMENT OF FINAL TAXATION
UNDER THE INCOME TAX ORDINANCE, 2001 (FOR INDIVIDUAL / AOP) Taxpayer's Name CNIC
(for Individual)

IT-2 (Page 2 of 2)
N° NTN

Tax Year RTO/LTU

2013
Tax Chargeable

Business Name

Source
52 Imports 53 54 55 56 Dividend 57 58 Profit on Debt 59 Royalties/Fees (Non-Resident) 60 61 Contracts (Non-Resident) 62 Insurance Premium (Non-Resident)

Code
64013 64011 64012 64015 64032 64033 64041 640511 640512 640521 640524 640525 640611 640612 640613 640614 640631 640632 640641 64072 64075 64091 64092 64101 64121 64122 64123

Receipts/Value

Rate (%)

Code
92013 92011 92012 92015 92032 92033 92041 920511 920512

5 2 1 3 10 7.5 10 15 6 5 10 3.5 1.5 1 6 1 0.5 1 5 10 20 10 10 5 1 4 1 1

920521 920524 920525 920611 920612 920613 920614 920631 920632 920641 92072 92075 92091 92092 92101 92121 92122 92123 92141

Final Tax

63 Advertisement Services 64 Supply of Goods 65 66 67 Payments to Ginners 68 Contracts (Resident) 69

(Non-Resident)

70 Exports/related Commission/Service 71 72 Foreign Indenting Commission 73 Prizes/Winnings of cross word puzzles 74 Winnings - Others 75 Petroleum Commission 76 Brokerage/Commission 77 Advertising Commission 78 Services to Exporters u/s 153(2) 79 Goods Transport Vehicles 80 Gas consumption by CNG Station 81
Distribution of cigarette and pharmaceutical products

64142 64143 310102 310103 210101 610401 610402 610403 610404 610405 310431 112001 112002 63311 118301

92142 92143 920202 920203 920235

82 Retail Turnover upto 5 million 83 Retail Turnover above 5 million 84 Property Income 85 86 87 88 89
Capital gains on Securities held for < 6 months Capital gains on Securities held for >= 6 months and < 12 months Capital gains on Securities held for >= 12 months

10 8.00 0 10 5 2 2.5 5 0.50

961041 961042 961043 961044 961045 920208 920234 920237 920236 920211

Fixed Tax

Capital gains arising on disposal of immovable property held upto 1 year Capital gains arising on disposal of immovable property held for > 1 year and upto 2 year

90 Purchase of locally produced edible oil 91 Flying Allowance 92
Monetization of Transport Facility For Civil Servants

Services rendered / contracts executed 93 outside Pakistan 94 Employment Termination Benefits

95 Final/Fixed Tax Chargeable (52 to 94)
Documents Required

9202

1. Balance Sheet in case of income from business (in case declared/assesed turnover Attached for the tax year 2012 or any subsequent year is Rs. 5 million or more. 2. Wealth Statement (Return will not be accpeted without attachment of these documents) I, holder of CNIC No. , in my capacity as Attached

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).

Acknowledgement

Verification

Date :

Signatures:

Signatures & Stamp of Receiving Officer with Date

Annex - A
Depreciation, Initial Allowance and Amortization
NTN
Description 1 2 3 4 5 6 7 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 Machinery and equipment used in manufacture of IT products Motor vehicles (not plying for hire) Code 3202 320301 320302 320303 320304 320306 320307 320308 32041 32042 32043 WDV (BF) Additions Deletions Rate (%) 25% 50% 50% 0% 50% 50% 50% 50% 0% 50% 50%

2013
A
CNIC for Individual
Initial Allowance Rate (%) 10% 15% 30% 15% 15% 100% 20% 30% 15% 15% 15% Extent (%) Depreciation WDV (CF)

Depreciable Assets

8 9

10 Motor vehicles (plying for hire) 11 Ships

12 Air crafts and aero engines 13 Machinery and equipment Qualifying for 1st year Allowance

32044 320309

50% 90% 0%

30% 15% 50%

320312 14 Computer hardware including printer, monitor and allied items, that have been used previously in Pakistan

320310 0% 15% 15 Any plant or machinery that has been used previously in Pakistan 16 320311 0% Any plant or machinery in relation to which a deduction has been allowed under another section for the entire cost of the asset in the tax year in which the asset is acquired. 15% Total Descripti on Useful Life(Years) Extent (%)

Code 3205 3207

Acquisition Date

Original Cost

.

Amortization

Intangibles

17 Intangibles 18 Expenditure providing long term advantage/benefit

19 Total

Description
20 Pre commencement expenditure

Code

Original Expenditure

.

Rate (%)

Amortization

3206

20%

Description

Code
3902

Amount

Tax Year 2007

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

Code

Amount

Tax Year

21

3987

upto 2012

Brought Forward Adjustments

3902

2008

22

3987

2013

23

Unadjusted Business loss for previous year (s) adjusted against Business income for current year

3902

2009

3988

upto 2012

3902

2010

24
3902

3988

2013

2011

25
3902

2012 Total (Not exceeding the amount of Total Income available for adjustment) (transfer to Sr. 16 of Main Return)

26

Total (Not exceeding the amount of Business Income available for
27 adjustment) (transfer to Sr. 15 of Main Return)

Signature

Annex-B

2013
B
Code
94019 94029 94039 94043

Tax Already Paid
NTN CNIC (for individual)

Particulars
1 2 3 4 5 6 7 8 On import of goods (other than tax deduction treated as final tax) From salary On dividend Income (other than tax deduction treated as final tax) On Government securities On sale or Transfer of Immovable Property @ 0.5% u/s 236C On Sale to traders and distributors u/s 153A @ 0.5% On disposal of listed securities u/s 100B (Collected by NCCPL) On profit on debt (other than tax deduction treated as final tax)
Certificate/Account No. etc.

Amount of Tax deducted (Rs.)

94040 94041 94042
Share% 94049

Bank

Branch

Tax Collected/Deducted at Source (Adjustable Tax only)

9 10 11 12 13 14 15

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 property income

940539 940619 940629 940639 940640 94028

On withdrawal from pension fund
On cash withdrawal from bank
Certificate/Account No. etc.

Bank

Branch

Share%

94119

16 On certain transactions in bank 17 With Motor Vehicle Registration Fee
Registration No.
Engine / Seating Capacity

94120 94179 Manufacturer Particulars

Owner's Name

18 19 20 21

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 Share% 94149

Owner's Name

22 With bill for electricity consumption
Consumer No. Subscriber's CNIC Subscriber's Name Share%

94159

23 With telephone bills, mobile phone and pre-paid cards Subscriber's CNIC 3 Number

Subscriber's Name

Share%

94169

24 25 26 27

On Sale by Auction On purchase of domestic air travel ticket

94180 94121 94599 94591 9461

Total Tax Deductions at source (Adjustable Tax) [Sum of 1 to 25] Total Tax Deductions at source (Final Tax)

28 Advance Tax U/S 147(1) [ a + b + c + d] a. First installment CPR No. b. Second installment CPR No. c. Third installment CPR No. d. Fourth installment CPR No. 29 Advance Tax U/S 147(5B) [ a + b + c + d] a. First installment b. Second installment c. Third installment d. Fourth installment CPR No. CPR No. CPR No. CPR No.

Tax Payments

9461

30 Admitted Tax Paid U/S 137(1) CPR No. 31 Total Tax Payments [26 + 27 + 28 + 29+30] (Transfer to Sr. 48 of Main Return) 32 year)
WWF Payable with Return (WWF payable will be adjusted against the excess payments made during the current

9471

9308

Annex C
Breakup of Sales in case of Multiple Businesses
Taxpayer Name CNIC/Reg.No. Business Name NTN Tax Year RTO/LTU

2013
C 2013
Gross Profit/Loss (4) = (2) - (3)

Business Name & Business Activity
Sr.
Business Name 1

Sales (2)

Cost of Sales (3)

(1)

BUSINESS WISE BREAKUP OF SALES

Business Activity

Business Name 2 Business Activity

Business Name 3 Business Activity

Business Name 4 Business Activity

Business Name 5 Business Activity

Total (to be reconciled with Sr. 1, 2 & 7 of Main Return)

Signature:

Annex - D

Details of Personal Expenses (for individual)
Taxpayer Name NTN Sr 1 2 3 Description Residence electricity bills Residence telephone/mobile/internet bills Residence gas bills Residence rent/ground rent/property tax/fire insurance/security services/water bills Education of children/ spouse/ self (Optional, it can be included in Sr-9) Travelling (foreign and local) (Optional, it can be included in Sr-9) Running and maintenance expenses of Motor vehicle(s) Club membership fees/bills Other personal and household expenses

2013 D

CNIC (for individual)

Expenses

PERSONAL EXPENSES

4 5 6 7 8 9

10 Total personal expenses (Sum of 1 to 9) 11 (Less) Contribution by family members 12 Net Personal Expenses (10 - 11) transfer to Sr-51 of Main Return Adults 13 Number of family members/dependents Minor

Signature: _____________________

Annex - E
Deductions (Admissible & Inadmissible)

2013 E
CNIC (for individual)

Taxpayer Name NTN Admissible Deductions Sr. 1 2 3 4 5 1 2 3 4
Tax Amortization Tax Depreciation Income/(Loss) relating to Final and Fixed tax Other Admissible Deductions Total [Add 1 to 4] to be transferred to Sr-14 of main return Cess, rate or tax that is levied on the profits or gains or assessed as a percentage or otherwise on the basis of profits or gains Salary, rent, brokerage or commission, profit on debt, payment to non-resident, payment for services or fee from which the company was liable to deduct tax at source unless the company has deducted and paid the tax as required by the Income Tax Ordinance, 2001 Entertainment expenditure in excess of prescribed limits Contribution to an un-recognized provident fund, pension fund, superannuation fund or gratuity fund Contribution to a provident fund or other fund established for the benefit of the employees, unless effective arrangements have been made to deduct tax at source in respect of which the recipient is chargeable to tax under the head "salary" Fine or penalty for the violation of any law, rule or regulation Personal expenditure Provisions or amounts carried to reserves or funds etc. or capitalised in any way Profit on debt, brokerage, commission, salary or other remuneration paid by an AOP to its members Any salary, rent, brokerage or commission, profit ondebt, payment to non-resident or payment for services or fee on which tax was required to be deducted and paid but was not deducted and paid Expenditure under a single account head which, in aggregate, exceeds Rs. 50,000 paid otherwise than by a crossed bank cheque or crossed bank draft (excluding expenditures not exceeding Rs. 10,000 or on account of freight charges, travel fare, postage, utilities or payment of taxes, duties, fees, fines or any other statutory obligation) Salary exceeding Rs. 15,000 per month paid otherwise than by a crossed cheque or direct transfer of the funds to the employee's bank account Capital expenditure Provisions for bad debts, obsolete stocks, etc. Apportionment of expenditure including profit on debt, financial cost and lease payments relatable or attributable to non-business activities Mark-up on lease financing Accounting pre-commencement expenditure written off Accounting loss on disposal of depreciable assets / intangibles Accounting amortization Accounting depreciation [Reconciled with Annex-F]

Particulars

Code
319287 319288 319289 319298 3192 319101

Amount (Rs.)

319102

319104 319105 319106 319107 319108 319109 319110 319110

Deductions not allowed / inadmissible

5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20

319112

319113 319114 319115 319116 319118 319120 319121 319123 319124 319125

21 Any other (please specify) 22 Total [Add 1 to 21] to be transferred to Sr-13 of main return

3191

-

Signature _______________________

Annex - F
Bifurcation of Income/(Loss) from business attributable to Sales/Receipts Etc. subject to Final Taxation
Taxpayer Name NTN Particulars 1. Sales (net of brokerage, commission and discount)
(a) (b) (c) (d) (e) (f) (g) (h) (a) (b) (c) Local sales/supplies - Out of imports (Trading) Local sales/supplies - Others Execution of contracts Export sales Others Sub-total [ Add 1(a) to 1(e)] Selling expenses (Freight outward, etc.) Net ex-factory or F.O.B. sales [ 1(f) minus 1(h)] Apportioned on the basis of: As per income statement Adjustment of inadmissible costs etc. (i) (ii) (iii) (iv) (d) Sub-total [Add c(i) to c(iv)] Accounting depreciation Accounting amortization Others CNIC (for individual)

2013 F

Total Code Amount (Rs.) 3010 30101 30102 30103 30104 30105 30106 30107 30108 3011
(i) (ii)

Code
3010F 30101F 30102F 30103F 30104F 30105F 30106F 30107F 30108F 3011F

Subject to Final Taxation Amount (Rs.)

Subject to Normal Taxation Amount (Rs.)

-

-

-

2. Cost of sales

Actual / identifiable Average / proportionate to sales


-

30111 30112
301121 301122 301123 301124

-

30111F 30112F 301121F 301122F 301123F 301124F

30113 (e) Revised cost of sales [2(b) minus 2(d)] 30114 3. Gross profit/(loss) / other business revenues/receipts 3012 (a) Gross profit [ 1(h) minus 2(e)] 30121 (b) Other business revenues/receipts 30122
(i) (ii) (iii) (iv) (v) (c) (a) (b) (c) Brokerage and commission Transport services

-

30113F 30114F 3012F 30121F 30122F 301221F 301222F 301223F 301224F 301225F 30123F 3013F

301221 301222

Royalty & fee for technical services (non-residents) 301223 301224 Others Other inclusions/exclusions in income

301225

Total gross income [ Add 3(a) to 3(b)(v)] Apportioned on the basis of: As per income statement Adjustment of inadmissible expenditures etc. (i) (ii) (iii) (iv) (v) (vi) Accounting depreciation Accounting amortization Markup lease financing Selling expenses (Freight outward, etc.) Other inadmissible deductions Others

4. Administrative, selling, financial expenses etc.

30123 3013
(i) (ii)

-

-

Actual / identifiable Average / proportionate to gross income


-

30131 30132
301321 301322 301323 301324 301325 301326

-

30131F 30132F 301321F 301322F

-

301323F 301324F 301325F 301326F 30133F 30134F 301341F 301342F 301343F 301344F 301345F 30135F 30136F 3014F

(d) (e)

Sub-total [Add c(i) to c(vi)] Adjustment of admissible expenditures etc. (i) (ii) (iii) (iv) (v) Tax depreciation (Total) Tax amortization (Total) Lease rentals Other admissible deductions Others

30133 30134
301341 301342 301343 301344 301345

(f) (g)

Sub-total [Add e(i) to e(v)] Net expenditure [ 4(b) minus to 4(d) plus 4(f)]

5. Net profit/loss from business [3(c) minus 4(g)]

30135 30136 3014

Signature _______________________

ANNEX-G Breakup of Expenses
(Separate form should be filled for each business)

2013

G
2013

Registry

Taxpayer Name CNIC Business Name Business Address

NTN Tax Year RTO/LTU Business City

Manufacturing & Trading Expenses

Sr. Description
1 2 3 4 5 6

Code
311101 311102 311103 311106 311108 311118

Amount

Salaries,Wages Electricity Gas Stores/Spares Repair & Maintenance Other Expenses Total [ Add 1 to 6] [Transfer to Sr. 5 of main Return]

7 8 9 10

31100
3141 3144 3145 3148 3154 3153 3155 3157 3159 3160 3161 3163 31821 31822 31080 31081 31090

Rent/ Rates/ Taxes Salaries & Wages Travelling/ Conveyance Electricity/ Water/ Gas Communication Charges Repairs & Maintenance Stationery/ Office Supplies Advertisement/ Publicity/ Promotion Insurance Professional Charges Profit on Debt (Markup/Interest) Donations Bad Debts Written Off Obsolete Stocks/Stores/Spares Written Off Selling expenses(Freight outwards) Commission/Brokerage on sales Others Total [ Add 8 to 24] [Transfer to Sr. 11 of main Return]

Profit & Loss Account Expenses

11 12 13 14 15 16 17 18 19 20 21 22 23 24 25

3170

Signature _______________________

Annex H
Determination of minimum Tax Payable on certain transactions
Taxpayer Name CNIC/Reg.No. Business Name NTN Tax Year RTO/LTU

2013 H 2013
Other Services U/S 153(1)(b)
(6)

Sr. Description

Import of Edible Oil U/S 148(8) (2)
(3)

Import of Packing Material U/S 148(8)
(4)

Transport Services U/S 153(1)(b)
(5)

Total

(1) 1 2 3

(7) = (3 + 4 + 5 + 6)

Import Value/Services receipts subject to collection or deduction of tax at source Taxable Income [Transferred from Sr-30 ] Income relateable to the transcations subject to payment of minimum tax a. Calculated on actual basis b. Calculated on proportionate basis

4 5

Proportionate tax
Minimum Tax 3% 5% 2% 6%

-

a) Rate of Minimum Tax b) Minimum Tax [ 4(a) * (1) ]
6 7

Higher of (3) and 4(b)

Difference of minimum Tax Payable on business transactions (Transfer to Sr. 41 of Main Return)

Signature ______________________

Annex J
Request of Taxpayers falling under PTR Regime for availing Normal Tax Regime (NTR)
Taxpayer Name CNIC/Reg.No. Business Name NTN Tax Year RTO/LTU

2013 J 2013

Imports u/s 148(7) Exports u/s 154(4) Sr. Description
(1) 1 2 3 4 5 6 7 8

Sales/ Payments u/s 153(1) & u/s 169(1)b TOTAL
(5) (6) = (3 + 4 + 5)

(2) Net Sales (Transferred from Sr-1 of Main Return) Total Tax Payable (Trasferred from Sr-39 of Main Return) Value of Import/Export & Indent Comm/Sale of Goods subject to collection/deduction of tax at source Actual value of Sales/Exports Tax Collected/Collectable/Deducted /Deductible at Source Proportionate Tax Payable [ (4 / 1) * 2 ]
%age of Tax Deducted at Source for Qulaifying for NTR

(3)

(4)

60%

50%

70%

-

Minimum Tax required for eligiblity for NTR (8 = 5 * 7)
Qualified for NTR (Yes/No), if (8) Greater than or equqauls to (6) (Transfer to Sr. 42 of Main Return) Yes No Yes No Yes No

9

Note :

Based on the Qulaification under Normal Tax Regime (NTR), the respective Columns of PTR Portion will be disbaled in the e-Filing System. However, the persons filing paper returns, should strike out the relevant columns of PTR Portion (Imports, Exports, Sales/ Purchases) of the IT-2 Return Form on the basis of their eligibility for NTR.

Signature _______________________

Part - II D(b) WEALTH STATEMENT UNDER SECTION 116 OF THE INCOME TAX ORDINANCE, 2001
Taxpayer's Name CNIC Address Particulars/Description of assets and liabilities (Please read WS Notes for guidance)

WS 1/5

NTN Tax Year RTO/LTU Code

2013

A. IMMOVABLE ASSETS 1. Business Capital (indicate name of business)
Sr. 1 2 3 4 5 6 7 8 9 10 Name of Business

821311 Code 82131101 82131102 82131103 82131104 82131105 82131106 82131107 82131108 82131109 82131110 711111 Location Code 71111101 71111102 71111103 71111104 71111105 71111106 71111107 71111108 71111109 71111110

Amount (Rs.) -

2.
Sr. 1 2 3 4 5 6 7 8 9 10

Non-Agricultural Property (indicate location, Size/Area & identification)
Type Status Size Land Unit Covered Area Unit District

Amount (Rs.) -

3.
Sr. 1 2 3 4 5 6 7 8 9 10

Agricultural Property (indicate location, Size/Area & identification
Size Land Unit Province District Location

711211 Code 71121101 71121102 71121103 71121104 71121105 71121106 71121107 71121108 71121109 71121110

Amount (Rs.) -

A. MOVEABLE ASSETS

4.
Sr. 1 2 3 4 5 6 7 8 9 10

Agricultural Moveable Property (Tractor, Trolley, Loader, Planter, Harvester, Thrasher, Driller & other Agricultural Equipments etc. & Live Stock)

712111 Code 71211101 71211102 71211103 71211104 71211105 71211106 71211107 71211108 71211109 71211110 Amount (Rs.) -

Property Name

Quantity

Description

5.
Sr. 1 2 3 4 5 6 7 8 9 10

Investments (Specify stocks, shares, debentures, unit certificates, other certificates, deposits and certificates of National Saving Schemes,mortgages, loans, advances, etc.) Invesments

712611 Code 71261101 71261102 71261103 71261104 71261105 71261106 71261107 71261108 71261109 71261110 Amount (Rs.) -

Description

WEALTH STATEMENT UNDER SECTION 116 OF THE INCOME TAX ORDINANCE, 2001
Taxpayer's Name CNIC Address Particulars/Description of assets and liabilities (Please read WS Notes for guidance)

WS 2/5

NTN Tax Year RTO/LTU Code

2013

6.
Sr. 1 2 3 4 5 6 7 8 9 10

Loans and Advances, etc.
Creditor Name

712641 Code 71264101 71264102 71264103 71264104 71264105 71264106 71264107 71264108 71264109 71264110 712211 Code 71221101 71221102 71221103 71221104 71221105 71221106 71221107 71221108 71221109 71221110 712411 Code 71241101 71241102 71241103 71241104 71241105 71241106 71241107 71241108 71241109 71241110 712311 Code 71231101 71231102 71231103 71231104 71231105 71231106 71231107 71231108 71231109 71231110 7128 712811 712711 Code 71271101 71271102 71271103 71271104 71271105 71271106 71271107 71271108 71271109 71271110

Amount (Rs.) -

7.
Sr. 1 2 3 4 5 6 7 8 9 10

Motor vehicles (Indicate make, model and registration number)
Registration No. Make Model with Year Engine Capacity (CC)

Amount (Rs.) -

8.
Sr. 1 2 3 4 5 6 7 8 9 10

Jewellery (Indicate description weight and value)
Description and weight with unit of measure (e.g 10 Tolas)

Amount (Rs.) -

9.
Sr. 1 2 3 4 5 6 7 8 9 10

Furniture and Fittings - Residence
Description

Amount (Rs.) -

10.

Cash & Bank Balances (a) (b) Non-business cash in hand
Non-business bank balances, etc. in current/ deposit/ savings accounts or any other deposit)

Sr. 1 2 3 4 5 6 7 8 9 10

Account No. Country

Bank Name

City Name Br. Code

Branch Name

Amount (Rs.) -

WEALTH STATEMENT UNDER SECTION 116 OF THE INCOME TAX ORDINANCE, 2001
Taxpayer's Name CNIC Address Particulars/Description of assets and liabilities (Please read WS Notes for guidance)

WS 3/5

NTN Tax Year RTO/LTU Code 7126 Code 71267101 71267102 71267103 71267104 71267105 71267106 71267107 71267108 71267109 71267110 713111 Code 71311101 71311102 71311103 71311104 71311105 71311106 71311107 71311108 71311109 71311110 719999

2013

11. Any Other Assets
Sr. 1 2 3 4 5 6 7 8 9 10 Description

Amount (Rs.) -

12.
Sr. 1 2 3 4 5 6 7 8 9 10

Assets, if any, standing in the name of spouse*, minor children & other dependents Description

Amount (Rs.) -

13. Total Assets [ Sum(1 to 12) ] 14. Liabilities (including mortgages, loans, overdrafts, advances, borrowings,
amounts due under hire purchase agreement ) Liabilities Sr. Description
1 2 3 4 5 6 7 8 9 10

8213 Code 72111101 72111102 72111103 72111104 72111105 72111106 72111107 72111108 72111109 72111110 729999 799999 749999 740000 714111 Code 71411101 71411102 71411103 71411104 71411105 71411106 71411107 71411108 71411109 71411110
Minors

Amount (Rs.) -

15. 16. 17. 18. 19.
Sr. 1 2 3 4 5 6 7 8 9 10

Total Liabilities [ sum( 14(a) to 14(b) ] Net Wealth of the current year [13 minus 15] Annual personal expenses ( To be Reconciled with Annex D/IT-4) Number of family members and dependents Assets, if any, transferred to any person
Description

Amount (Rs.) -

WEALTH STATEMENT UNDER SECTION 116 OF THE INCOME TAX ORDINANCE, 2001
Taxpayer's Name CNIC Address Particulars/Description of assets and liabilities (Please read WS Notes for guidance)

WS 4/5

NTN Tax Year RTO/LTU Code

2013

20. Computation of Income Support Levy (ISL) under the Income Support Levy Act. 2013 1. Declared value of moveable assets 2. Liabilities claimed against moveable assets
Basis of Liability Computation against moveable assets
Proportionate basis Actual/Identifiable basis

3. Net moveable wealth (1 - 2) 4. Income Support Levy Payable (4 = 3 * 0.5%)
a) ISL adjusted against refund in Sr-49 of the IT-2 Return b) ISL paid with wealth statement as per CPR(s) given below i) CPR No. ii) CPR No. iii) CPR No. Amount Paid Amount Paid Amount Paid

Verification
I, _______________________________________________, holder of CNIC No. ______________________________ in my capacity as Self/ Representative* of the 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 children and other dependents as on _______________ and of my personal expenditure for the year ended ________ are correct and complete in accordance with the provisions of the Income Tax Ordinance, 2001, Income Tax Rules, 2002 and Income Support Levy Act, 2013.

Date (dd/mm/yyyy): * The spouse who has not filed return of income along with wealth statement independently

Signature

WEALTH RECONCILIATION STATEMENT N°
Taxpayer's Name CNIC Address NTN Tax Year RTO/LTU

WS 5/5

2013
Amount (Rs.)

Particulars
1 2 3 4 Net assets as on 30-06-2013 Net assets as on 30-06-2012 Increase/Decrease [1 - 2] Income a) Income declared for the Tax Year - 2013 b) Exempt income including agriculture income c) Others i) ii) iii) iv) v) 5 Expenditures a) Personal expenditures b) Other expenditures i) ii) iii) iv) v) 6 Increase/ Decrease in wealth [4 - 5]

Code

-

-

-

-

-

Date :

Signature:

WEALTH STATEMENT UNDER SECTION 116 OF THE INCOME TAX ORDINANCE, 2001 (Notes on reverse) Notes
1. If the space provided in the form is found to be inadequate, additional sheet(s) may be used. 2. All assets should be valued at cost. 3. If any exact figure can not be inserted, an estimate should be made, mark it clearly "ESTIMATE". If balance sheet in respect of any business has been submitted to the Department, the entry of "Business Capital" should 4. (a) consist of the net balance on capital, current and loan accounts as shown in those Balance Sheets on the specified date, if such net amount is a credit balance. Where no Balance Sheet has been submitted, the assessed should list, on a separate sheet of paper attached to this form, (b) the assets and liabilities of the business on the specified date. The excess of assets listed, should be entered as "Business Capital". (c) If the net balance at (a) above is a debit balance, it should be included in liabilities. 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 filed 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]

RETAILER'S STATEMENT U/S 115 (4) OF THE INCOME TAX ORDINANCE, 2001
(For retailers (Individuals & AOPs) having annual turnover upto 5 million rupees

IT-4
(English)

but not having any other taxable source of income)
1 CNIC NTN (if available) Business Name Business Address Province 5 6 7 Principal Activity Phone No. Mobile No. District Electricity No. Gas Ref. No. Gender Tax Year
Male

2013
Female

REGISTRATION

2 3 4

COMPUTATION

8 9 10 11 12

Description Opening Stock Turnover during the year Closing Stock Turnover Tax payable u/s 113A @ 1 % of turnover (1% of Sr-9) Turnover Tax Paid
CPR Date

Amount

13 CPR No.

Income from Other Sources

14 15 16 17

Agriculture Income Foreign Remittance (along with proof) Dividend income Profit on debt

18 19 20 21 22 23 24 25 26 27 28 29

Description Residence electricity bills Residence telephone/mobile/internet bills Residence gas bills Residence rent/ground rent/property tax/fire insurance/security services/water bills Education of children/ spouse/ self (Optional, it can be included in Sr-26) Travelling (foreign and local) (Optional, it can be included in Sr-24) Running and maintenance expenses of Motor vehicle(s) Club membership fees/bills Other personal and household expenses Total personal expenses (Sum of 18 to 26) (Less) Contribution by family members Net Personal Expenses (27 - 28) Adults Minors ACKNOWLEDGEMENT

Expenses

PESONAL EXPENSES VERIFICATION

30 Number of family members/dependenets

I,

holder of CNIC No.

in my capacity as Self/ 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 Statement is 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 :

Signature & Stamp
of Receiving Officer with Date

Signature

Note-1 : Retailers having turnover of more than Rs. 5 million should file IT-2 Return instead of this Statement Note-2 : Retailers having any other source of income should file IT-2 Return instead of this Statement

"

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