Tax Return Form Excel
Content
FORM OF RETURN OF INCOME UNDER THE INCOME TAX
ORDINANCE, 1984 (XXXVI OF 1984)
IT - 11GA
FOR INDIVIDUAL AND OTHER TAXPAYERS
(OTHER THAN COMPANY)
Photograph of the
Assessee
Be a Respectable Taxpayer
Submit return in due time
Avoid penalty
Under Section 82BB of ITO-1984
(to be attested on
Put the tick (ü) mark wherever applicable
Self
Universal Self ✓
Normal
the photograph)
1. Name of the Assesee :
MD. SHAMIM SARWAR
2. National ID No (if any) :
269755630079
3. UTIN (if any) :
-
4. TIN :
6
9
3
5. (a) Circle :
Salary Circle- 278
6. Assessment Year :
2014-2015
8. Status : Individual
✓ Firm
-
9
5
1
1
7
2
8
(b) Taxes Zone :
0
Taxes Zone-13, Dhaka
✓ Non-resident
7. Residential Status : Resident
Association of Persons
6
Hindu Undivided Family
9. Name of the employer/business (where applicable) :
Bashundhara Industrial Complex Ltd.
10. Wife/Husband`s Name (if assessee, please mention TIN) :
MOST. NAJNIN AKTER
11. Father`s Name :
MD. ABUL QUASEM
12. Mother`s Name :
MOMTAJ SAHANA
13. Date of Birth (in case of individual) :
3
0
0
Day
14. Address
(a) Present :
(b) Permanent :
6
Month
1
9
8
2
Year
E-2, 22/17, KHILJI ROAD, MOHAMMADPUR, DHAKA-1207
VILL: RAJARHUT, P.O: KALIGONJ, P.S: DEVIGONJ,
DIST:PANCHAGARH
1
15. Telephone : Office/Business :
Residential :
16. VAT Registration Number (if any) :
2
Satatement of inocme of the Assessee
Satement of income during the income year ended on
Serial no.
30th June, 2014
Heads of Income
Amount in Taka
1
Salaries : u/s 21 (as per schedule 1)
2
Interest on Securities : u/s 22
-
3
Income from house property : u/s 24 (as per schedule 2)
-
4
Agricultural income : u/s 26
-
5
Income from business or profession : u/s 28
-
6
Share of profit in a firm :
-
7
Income of the spouse or minor child as applicable : u/s 43(4)
-
8
Capital Gains : u/s 31
-
9
Income from other source : u/s 33
-
10
Total (Serial 1 to 9)
11
Foreign Income:
12
Total income (Serial 10 and 11)
(30,000)
13
Tax leviable on total income
(52,500)
14
Tax rebate: u/s 44(2)(b)(as per schedule-3)
15
Tax payable (difference between serial 13 and 14)
16
Tax Payment :
(a)
(30,000)
(30,000)
(1,350)
(51,150)
Tax deducted/collected at source
(Bank & Company)
+
0
+
0
(Please attach supporting documents/statement)
Tk.
(b)
Advance tax u/s 64/68 (Please attach challan)
(c)
Tax paid on the basis of this return (u/s 74)
(d)
-
Tk.
(Please attach challan/pay order/bank draft/cheque)
Tk.
Ajdustment of Tax Refund (if any)
Tk.
(51,150)
Total of (a), (b), (c) and (d)
17
Difference between serial no. 15 and 16 (if any)
18
Tax Exempted and tax free income
19
Income tax paid in the last assessment year
Tk.
(51,150)
30,000
*if needed, please use separate sheet.
I MD. SHAMIM SARWARfather/husband
MD. ABUL QUASEM
TIN: 549382644189
solemnly declare that to the best of my knowledge and belief the information given in this return and statements and
documents annexed herewith is correct and complete.
complete.
Place: Dhaka
Date: 21 September, 2014
3
Signature
MD. SHAMIM SARWAR
(Name in block letters)
Designation and
Seal (For other than individual)
4
SEHEDULES SHOWING DETAILS OF INCOME
Name of the Assessee:
MD. SHAMIM SARWAR
TIN 6 9 3 9 5 1 1 7 2 8 0 6
Schedule - 1 (Salaries)
Amount of
Income
(Tk)
Pay & Allowance
Amount of
exempted
income (Tk)
Net taxable
Income
(Tk)
Basic pay
-
Special pay
Dearness allowance
Conveyance allowance
30,000
(30,000)
House rent allowance
-
-
Medical allowance
-
-
Servant allowance
-
Leave allowance
-
Honorarium / Reward/ Fee
Overtime allowance
Bonus / Ex-gratia
-
Other allowances
-
Employee’s Contribution to Recognized Provident Fund
-
Interest accrued on Recognized Provident Fund
Deemed income for transport facility
Deemed income for free furnished/unfurnished
accommodation
Other (If any)
-
Net taxable income from salary
-
30,000
(30,000)
Schedule - 2 (House Property income)
Location and
Description of property
Particulars
Tk.
1. Annual rental income
2. Claimed Expenses :
Repair, Collection, etc.
Municipal or local tax
Land Revenue
Interest on loan/Mortgage/Capital charge
Insurance Premium
Vacancy allowance
Other, if any
Total =
5
Tk.
3. Net income ( difference between serial 1 and 2)
6
Schedule - 3 (Investment tax credit)
(Section 44(2)(b) read with part ‘B’ of Sixth Schedule)
1. Life insurance premium
Tk.
2. Contribution to deferred annuity
Tk.
3. contribution to Provident Fund to which Provident Fund Act,1925 applies
Tk.
4. Self contribution & employer’s contribution to Recognized Provident Fund
Tk.
5. Contribution to Super annuation Fund
Tk.
6. Investment in approved debenture or debenture stock, Stock or Shares
Tk.
7. Contribution to deposit pension scheme
Tk.
8. Contribution to Benevolent Fund and group insurance premium
Tk.
9. Contribution to Zakat Fund
Tk.
10. Others, if any ( give details ) Purchase of Laptop/ Desktop Computer
Tk.
Total
*Please attach certificates/documents of investment.
List of documens furnished
1.
2.
3.
4.
5.
BO account statement
Salary certificate
Bank statement
DPS
Deposit slip for investment as Director
7
Tk.
-
-
* Incomplete return is not acceptable
8
IT - 10B
Statement of Assets and Liabilities (as on 30 June, 2013)
Name of the Assessee:
1. (a)
TIN 6 9 3 9 5 1 1 7 2 8 0 6
MD. SHAMIM SARWAR
Tk.
Business Capital (Closing balance)
(b)
Directors Shareholdings in Limited Comapanies (at cost)
Name of Companies
Tk.
Number of shares
1.
1
2. Non-Agricultural Property (at cost with legal expenses) :
Land/House property (Description and location of property)
1.
2.
Tk.
3. Agricultural Property (at cost with legal expenses) :
Land (Total land and location of land property)
1.
2.
Tk.
4. Investments:
(a) Shares/Debentures
Cost Price of current holdings
Deposit for right share issue
-
Tk.
Tk.
(b) Saving Certificate/Unit Certificate/Bond
(c) Prize bond/Savings Scheme
(d) Loans given
3 relatives by Gentlemen's agreement
(e) Other Investment
1. Insurance
2. Provident Fund
Tk.
Tk.
-
Tk.
Tk.
-
Tk.
Tk.
Tk.
-
5. Motor Vehicles (at cost) :
Type of motor vehicle and Registration number
Tk.
6. Jewellery (quantity and cost) :
Tk.
Qty
Previous ( 30 Tola Gold)
Current Purchase
-
Cost
Tk.
Tk.
7. Furniture (at cost) :
Previous
Current Purchase
Tk.
Tk.
8. Electronic Equipments (at cost)
Previous
Current Purchase
Tk.
Tk.
9. Cash asset Outside Business:
(a) Cash in hand
(b) Cash at bank
(c) Other deposits
Tk.
Tk.
Tk.
-
Tk.
Tk.
9
-
-
Total =
10
Tk.
-
B/F =
Tk.
Tk.
-
Total Assets
Tk.
-
Tk.
-
12. Net wealth as on last date of this income year
(difference between total assets & total liabilities)
Tk.
-
13. Net wealth as on last date of previous income year
Tk.
14. Accretion in wealth (difference between serial no. 12 & 13)
Tk.
-
15. (a) Family Expenditure : (Total expenditure as per Form IT 10 BB)
(b) Number of dependent children of the family:
Tk.
-
Tk.
-
Tk.
-
Tk.
-
10. Any other assets
(Give details)
11. Less Liabilities:
(a) Mortgages secured on property or land
Tk.
(b) Unsecured loans
Tk.
(c) Net Bank loan
Tk.
(d) Others
Tk.
-
Total Liabilities
Adult
Child
16. Total accretion of wealth (total of serial 14 & 15)
17. Sources of Fund :
(i) Shown Return Income
Tk.
(30,000)
(ii) Tax exempted/Tax free Income
Tk.
30,000
(iii) Other receipts
Tk.
Total source of Fund =
18. Difference (between serial 16 & 17)
I solemnly declare that to the best of my knowledge and belief the information given in the IT-10B
is correct and complete.
MD. SHAMIM SARWAR
Name & Signature of the Assessee
Date : 21 September, 2014
l Assets and liabilities of self, spouse (if she/he is not an assessee), minor children and
dependant(s) to be shown in the above statements.
11
*if needed, please use separate sheet
12
Form No. IT - 10BB
FORM
Statement under section 75(2)(d)(i) and section 80 of the Income Tax Ordinance, 1984
(XXXVI of 1984) regarding particulars of life style
Name of the Assessee:
Serial No.
MD. SHAMIM SARWAR
TIN 6 9 3 9 5 1 1 7 2 8 0 6
Particulars of Expenditure
Amount of Tk.
Comments
1
Personal and fooding expenses
Tk.
2
Tax paid including deduction at source of the last financial
year
Tk.
3
Accommodation expenses
Tk.
4
Transport expenses
Tk.
5
Electric Bill for residence
Tk.
-
6
Wasa Bill for residence
Tk.
-
7
Gas Bill for residence
Tk.
-
8
Telephone Bill for residence
Tk.
9
Education expenses for children
Tk.
10
Personal expenses for Foreign travel
Tk.
11
Festival and other special expenses, if any
Tk.
Total Expenditure
Tk.
-
-
I solemnly declare that to the best of my knowledge and belief the information given in the
IT-10BB is correct and complete.
MD. SHAMIM SARWAR
Name and signature of the Assessee
Date : 21 September, 2014
*If needed, please use separate sheet
"
Acknowledgement Receipt of Income Tax Return
Name of the Assessee:
MD. SHAMIM SARWAR
Assessment Year:
2014-2015
Taxes Zone13, Dhaka
13
UTIN/TIN: 6 9 3 9 5 1 1 7 2 8 0 6
Circle:
14
Salary Circle- 278
Taxes Zone:
Taxes Zone13, Dhaka
Instructions to fill up the Return Form
Instractions:
(1)
This return of income shall be signed and verified by the individual assessee or person as prescribed
u/s 75 of the Income Tax Ordinance, 1984.
(2)
Enclose where applicable:
(a) Salary statement for salary Income; Bank statement for interest; Certificate for interest on
savings instruments; Rent agreement, receipts of municipal tax & land revenue, statement of
house property loan interest, insurance premium for house property income; Statement of
Professional income as per IT Rule-8; Copy of assessment/ income statement & balance
sheet for partnership income; Documents of capital gain; Dividend warrant for dividend
income; Statement of other income; Documents in support of investments in savings
certificates, LIP, DPS, Zakat, stock/share etc.
(b)
(c )
Statement of income and expenditure; Manufacturing A/C, Trading & Profit & Loss A/C and
Balance sheet;
Depreciation chart claiming depreciation as per THIRD SCHEDULE of the Income Tax
(d)
Ordinance, 1984;
Computation of income according to Income tax Law;
(3)
Enclose separate statement for:
(a) Any income of the spouse of the assessee (if she/he is not an assessee), minor children and
dependant;
(b) Tax exempted / tax free income.
(4)
Fulfillment of the conditions laid down in rule-38 is mandatory for submission of a return under
Self Assessment.
(5)
Documents furnished to support the declaration should be signed by the assessee or his/her
authorized representative.
(6)
The assesse shall submit his/her photograph with return after every five year.
(7)
Furnish the following information:
(a) Name, address & TIN of the partners if the assessee is a firm;
(b) Name of firm, address & TIN if the assessee is a partner;
(c) Name of the company, address & TIN if the assessee is a director.
(8)
Assets and liabilities of self, spouse (if she/he is not an assessee), minor children and dependant(s)
to be shown in the IT-10B.
(9)
Signature is mandatory for all the assessee or his/her authorized representative. For individual,
signature is also mandatory in I.T-10B & I.T-10BB.
(10)
If needed, please use separate sheet.
"
Total income shown in Return:
Tk.
(30,000)
Net Wealth of Assessee:
Tk.
0
Date of receipt of return :
21 September, 2014
Tax paid: Tk.
Serial No. in return register
15
(51,150)
Nature of Return :
Self
Universal Self ✓
Normal
Signature of Receiving
Officer with Seal
16
Computation of Tax Liability
Anexure-01
Assessee :
RASHEDUL IMAM
TIN:
Assessment Year :
Income Year :
2693624648601/Salary Circle- 278
2014 - 2015
2013 - 2014
Amount of
Income
(Tk)
INCOME FROM SALARY
Basic Salary
House Rent
Less : Exempted ( 50% of Basic or
Tk. 1,80,000/=which is less)
Medical Allowance
Less : Exempted (at actual)
Conveyance Allowance
Less : Exempted (up to Tk. 24,000)
Entertainment
Upkeep
Utilities
Others
Bonus
PF ( Employer)
Amount of
Exempted
Income
(Tk)
-
-
-
-
-
-
-
30,000
TOTAL INCOME FROM SALARY (A) Certificate enclosed
Net Taxable
Income (Tk.)
30,000
BANK INTEREST INCOME (B) Document enclosed
(30,000)
(30,000)
-
OTHER INCOME Dividend (C ) Document enclosed
TOTAL TAXABLE INCOME ( A+B+C)
-
30,000
(30,000)
ADMISSIBLE INVESTMENT ALLOWANCES FOR TAX CREDIT (As per PART- B of Sixth Schedule)
Life Insurance Premium
Employees & Employer's Cont.to P.F
Investment in approved stocks, shares etc.
Deposit Pension Scheme
Others/Laptop/ Computer
Total Actual Investment
Allowable limit 30% of Total Income (excluding employer's
(9,000)
Contribution to Recog PF) or Tk. 100,00,000/
(whichever is lower)
15% TAX CREDIT ON ABOVE INVESTMENT ALLOWANCE COMES
Tax
Computation
On first
On the next
On the next
On the next
On balance
Total
Taxable
Income
Tk.
(1,350)
Rate of
Tax
220,000
300,000
(550,000)
(30,000)
Nil
10%
15%
20%
25%
Income Tax
Payable
30,000
(82,500)
(52,500)
Tax
Liability (Tk)
(52,500)
TAX REBATE FOR DECLERATION OF MORE THAN 15% HIGHER INCOME
Taxable Income for the Assessment Year 2013 - 14
Taxable Income for the Assessment Year 2014 - 15
Tk.
Tk.
(30,000)
Higher Income Declared in the A/Y 2011 -12
25% Tax Comes on above Income (if more than 10%)
Less : 15% TAX REBATE ON
TAX CREDIT ON INVESTMENT (AS ABOVE)
TOTAL REBATE
Tk.
Tk.
NET TAX PAYABLE( after rebate)
Less : Tax deducted at source and deposited by Incepta Pharma Ltd
Less : Tax deducted at source by Bank & Financial Institution
BALANCE TAX PAYABLE/(REFUNDABLE)
(Pay order enclosed herewith)
(9,000)
(1,350)
(1,350)
(51,150)
(51,150)
________________
Rashedul Imam
Rashedul Imam
Calculation of Tax Rebate
For The Assessment Year 2013- 2014
U/S 82BB of ITO - 1984
Particulars
Shares of Public Ltd. Co
Recognized PF
Amount(Tk)
-
-
Share of public limited companies
Computer/Laptop purchase
Total
Maximum Limit of Investment or
30% of Total Taxable Income or
Actual Investment
Which is Lower
15% TAX REBATE
Total Rebate
________________
Rashedul Imam
-
10,000,000
(9,000)
(9,000)
(900)
(900)
Anexure-02
ORDINANCE, 1984 (XXXVI OF 1984)
IT - 11GA
FOR INDIVIDUAL AND OTHER TAXPAYERS
(OTHER THAN COMPANY)
Photograph of the
Assessee
Be a Respectable Taxpayer
Submit return in due time
Avoid penalty
Under Section 82BB of ITO-1984
(to be attested on
Put the tick (ü) mark wherever applicable
Self
Universal Self ✓
Normal
the photograph)
1. Name of the Assesee :
MD. SHAMIM SARWAR
2. National ID No (if any) :
269755630079
3. UTIN (if any) :
-
4. TIN :
6
9
3
5. (a) Circle :
Salary Circle- 278
6. Assessment Year :
2014-2015
8. Status : Individual
✓ Firm
-
9
5
1
1
7
2
8
(b) Taxes Zone :
0
Taxes Zone-13, Dhaka
✓ Non-resident
7. Residential Status : Resident
Association of Persons
6
Hindu Undivided Family
9. Name of the employer/business (where applicable) :
Bashundhara Industrial Complex Ltd.
10. Wife/Husband`s Name (if assessee, please mention TIN) :
MOST. NAJNIN AKTER
11. Father`s Name :
MD. ABUL QUASEM
12. Mother`s Name :
MOMTAJ SAHANA
13. Date of Birth (in case of individual) :
3
0
0
Day
14. Address
(a) Present :
(b) Permanent :
6
Month
1
9
8
2
Year
E-2, 22/17, KHILJI ROAD, MOHAMMADPUR, DHAKA-1207
VILL: RAJARHUT, P.O: KALIGONJ, P.S: DEVIGONJ,
DIST:PANCHAGARH
1
15. Telephone : Office/Business :
Residential :
16. VAT Registration Number (if any) :
2
Satatement of inocme of the Assessee
Satement of income during the income year ended on
Serial no.
30th June, 2014
Heads of Income
Amount in Taka
1
Salaries : u/s 21 (as per schedule 1)
2
Interest on Securities : u/s 22
-
3
Income from house property : u/s 24 (as per schedule 2)
-
4
Agricultural income : u/s 26
-
5
Income from business or profession : u/s 28
-
6
Share of profit in a firm :
-
7
Income of the spouse or minor child as applicable : u/s 43(4)
-
8
Capital Gains : u/s 31
-
9
Income from other source : u/s 33
-
10
Total (Serial 1 to 9)
11
Foreign Income:
12
Total income (Serial 10 and 11)
(30,000)
13
Tax leviable on total income
(52,500)
14
Tax rebate: u/s 44(2)(b)(as per schedule-3)
15
Tax payable (difference between serial 13 and 14)
16
Tax Payment :
(a)
(30,000)
(30,000)
(1,350)
(51,150)
Tax deducted/collected at source
(Bank & Company)
+
0
+
0
(Please attach supporting documents/statement)
Tk.
(b)
Advance tax u/s 64/68 (Please attach challan)
(c)
Tax paid on the basis of this return (u/s 74)
(d)
-
Tk.
(Please attach challan/pay order/bank draft/cheque)
Tk.
Ajdustment of Tax Refund (if any)
Tk.
(51,150)
Total of (a), (b), (c) and (d)
17
Difference between serial no. 15 and 16 (if any)
18
Tax Exempted and tax free income
19
Income tax paid in the last assessment year
Tk.
(51,150)
30,000
*if needed, please use separate sheet.
I MD. SHAMIM SARWARfather/husband
MD. ABUL QUASEM
TIN: 549382644189
solemnly declare that to the best of my knowledge and belief the information given in this return and statements and
documents annexed herewith is correct and complete.
complete.
Place: Dhaka
Date: 21 September, 2014
3
Signature
MD. SHAMIM SARWAR
(Name in block letters)
Designation and
Seal (For other than individual)
4
SEHEDULES SHOWING DETAILS OF INCOME
Name of the Assessee:
MD. SHAMIM SARWAR
TIN 6 9 3 9 5 1 1 7 2 8 0 6
Schedule - 1 (Salaries)
Amount of
Income
(Tk)
Pay & Allowance
Amount of
exempted
income (Tk)
Net taxable
Income
(Tk)
Basic pay
-
Special pay
Dearness allowance
Conveyance allowance
30,000
(30,000)
House rent allowance
-
-
Medical allowance
-
-
Servant allowance
-
Leave allowance
-
Honorarium / Reward/ Fee
Overtime allowance
Bonus / Ex-gratia
-
Other allowances
-
Employee’s Contribution to Recognized Provident Fund
-
Interest accrued on Recognized Provident Fund
Deemed income for transport facility
Deemed income for free furnished/unfurnished
accommodation
Other (If any)
-
Net taxable income from salary
-
30,000
(30,000)
Schedule - 2 (House Property income)
Location and
Description of property
Particulars
Tk.
1. Annual rental income
2. Claimed Expenses :
Repair, Collection, etc.
Municipal or local tax
Land Revenue
Interest on loan/Mortgage/Capital charge
Insurance Premium
Vacancy allowance
Other, if any
Total =
5
Tk.
3. Net income ( difference between serial 1 and 2)
6
Schedule - 3 (Investment tax credit)
(Section 44(2)(b) read with part ‘B’ of Sixth Schedule)
1. Life insurance premium
Tk.
2. Contribution to deferred annuity
Tk.
3. contribution to Provident Fund to which Provident Fund Act,1925 applies
Tk.
4. Self contribution & employer’s contribution to Recognized Provident Fund
Tk.
5. Contribution to Super annuation Fund
Tk.
6. Investment in approved debenture or debenture stock, Stock or Shares
Tk.
7. Contribution to deposit pension scheme
Tk.
8. Contribution to Benevolent Fund and group insurance premium
Tk.
9. Contribution to Zakat Fund
Tk.
10. Others, if any ( give details ) Purchase of Laptop/ Desktop Computer
Tk.
Total
*Please attach certificates/documents of investment.
List of documens furnished
1.
2.
3.
4.
5.
BO account statement
Salary certificate
Bank statement
DPS
Deposit slip for investment as Director
7
Tk.
-
-
* Incomplete return is not acceptable
8
IT - 10B
Statement of Assets and Liabilities (as on 30 June, 2013)
Name of the Assessee:
1. (a)
TIN 6 9 3 9 5 1 1 7 2 8 0 6
MD. SHAMIM SARWAR
Tk.
Business Capital (Closing balance)
(b)
Directors Shareholdings in Limited Comapanies (at cost)
Name of Companies
Tk.
Number of shares
1.
1
2. Non-Agricultural Property (at cost with legal expenses) :
Land/House property (Description and location of property)
1.
2.
Tk.
3. Agricultural Property (at cost with legal expenses) :
Land (Total land and location of land property)
1.
2.
Tk.
4. Investments:
(a) Shares/Debentures
Cost Price of current holdings
Deposit for right share issue
-
Tk.
Tk.
(b) Saving Certificate/Unit Certificate/Bond
(c) Prize bond/Savings Scheme
(d) Loans given
3 relatives by Gentlemen's agreement
(e) Other Investment
1. Insurance
2. Provident Fund
Tk.
Tk.
-
Tk.
Tk.
-
Tk.
Tk.
Tk.
-
5. Motor Vehicles (at cost) :
Type of motor vehicle and Registration number
Tk.
6. Jewellery (quantity and cost) :
Tk.
Qty
Previous ( 30 Tola Gold)
Current Purchase
-
Cost
Tk.
Tk.
7. Furniture (at cost) :
Previous
Current Purchase
Tk.
Tk.
8. Electronic Equipments (at cost)
Previous
Current Purchase
Tk.
Tk.
9. Cash asset Outside Business:
(a) Cash in hand
(b) Cash at bank
(c) Other deposits
Tk.
Tk.
Tk.
-
Tk.
Tk.
9
-
-
Total =
10
Tk.
-
B/F =
Tk.
Tk.
-
Total Assets
Tk.
-
Tk.
-
12. Net wealth as on last date of this income year
(difference between total assets & total liabilities)
Tk.
-
13. Net wealth as on last date of previous income year
Tk.
14. Accretion in wealth (difference between serial no. 12 & 13)
Tk.
-
15. (a) Family Expenditure : (Total expenditure as per Form IT 10 BB)
(b) Number of dependent children of the family:
Tk.
-
Tk.
-
Tk.
-
Tk.
-
10. Any other assets
(Give details)
11. Less Liabilities:
(a) Mortgages secured on property or land
Tk.
(b) Unsecured loans
Tk.
(c) Net Bank loan
Tk.
(d) Others
Tk.
-
Total Liabilities
Adult
Child
16. Total accretion of wealth (total of serial 14 & 15)
17. Sources of Fund :
(i) Shown Return Income
Tk.
(30,000)
(ii) Tax exempted/Tax free Income
Tk.
30,000
(iii) Other receipts
Tk.
Total source of Fund =
18. Difference (between serial 16 & 17)
I solemnly declare that to the best of my knowledge and belief the information given in the IT-10B
is correct and complete.
MD. SHAMIM SARWAR
Name & Signature of the Assessee
Date : 21 September, 2014
l Assets and liabilities of self, spouse (if she/he is not an assessee), minor children and
dependant(s) to be shown in the above statements.
11
*if needed, please use separate sheet
12
Form No. IT - 10BB
FORM
Statement under section 75(2)(d)(i) and section 80 of the Income Tax Ordinance, 1984
(XXXVI of 1984) regarding particulars of life style
Name of the Assessee:
Serial No.
MD. SHAMIM SARWAR
TIN 6 9 3 9 5 1 1 7 2 8 0 6
Particulars of Expenditure
Amount of Tk.
Comments
1
Personal and fooding expenses
Tk.
2
Tax paid including deduction at source of the last financial
year
Tk.
3
Accommodation expenses
Tk.
4
Transport expenses
Tk.
5
Electric Bill for residence
Tk.
-
6
Wasa Bill for residence
Tk.
-
7
Gas Bill for residence
Tk.
-
8
Telephone Bill for residence
Tk.
9
Education expenses for children
Tk.
10
Personal expenses for Foreign travel
Tk.
11
Festival and other special expenses, if any
Tk.
Total Expenditure
Tk.
-
-
I solemnly declare that to the best of my knowledge and belief the information given in the
IT-10BB is correct and complete.
MD. SHAMIM SARWAR
Name and signature of the Assessee
Date : 21 September, 2014
*If needed, please use separate sheet
"
Acknowledgement Receipt of Income Tax Return
Name of the Assessee:
MD. SHAMIM SARWAR
Assessment Year:
2014-2015
Taxes Zone13, Dhaka
13
UTIN/TIN: 6 9 3 9 5 1 1 7 2 8 0 6
Circle:
14
Salary Circle- 278
Taxes Zone:
Taxes Zone13, Dhaka
Instructions to fill up the Return Form
Instractions:
(1)
This return of income shall be signed and verified by the individual assessee or person as prescribed
u/s 75 of the Income Tax Ordinance, 1984.
(2)
Enclose where applicable:
(a) Salary statement for salary Income; Bank statement for interest; Certificate for interest on
savings instruments; Rent agreement, receipts of municipal tax & land revenue, statement of
house property loan interest, insurance premium for house property income; Statement of
Professional income as per IT Rule-8; Copy of assessment/ income statement & balance
sheet for partnership income; Documents of capital gain; Dividend warrant for dividend
income; Statement of other income; Documents in support of investments in savings
certificates, LIP, DPS, Zakat, stock/share etc.
(b)
(c )
Statement of income and expenditure; Manufacturing A/C, Trading & Profit & Loss A/C and
Balance sheet;
Depreciation chart claiming depreciation as per THIRD SCHEDULE of the Income Tax
(d)
Ordinance, 1984;
Computation of income according to Income tax Law;
(3)
Enclose separate statement for:
(a) Any income of the spouse of the assessee (if she/he is not an assessee), minor children and
dependant;
(b) Tax exempted / tax free income.
(4)
Fulfillment of the conditions laid down in rule-38 is mandatory for submission of a return under
Self Assessment.
(5)
Documents furnished to support the declaration should be signed by the assessee or his/her
authorized representative.
(6)
The assesse shall submit his/her photograph with return after every five year.
(7)
Furnish the following information:
(a) Name, address & TIN of the partners if the assessee is a firm;
(b) Name of firm, address & TIN if the assessee is a partner;
(c) Name of the company, address & TIN if the assessee is a director.
(8)
Assets and liabilities of self, spouse (if she/he is not an assessee), minor children and dependant(s)
to be shown in the IT-10B.
(9)
Signature is mandatory for all the assessee or his/her authorized representative. For individual,
signature is also mandatory in I.T-10B & I.T-10BB.
(10)
If needed, please use separate sheet.
"
Total income shown in Return:
Tk.
(30,000)
Net Wealth of Assessee:
Tk.
0
Date of receipt of return :
21 September, 2014
Tax paid: Tk.
Serial No. in return register
15
(51,150)
Nature of Return :
Self
Universal Self ✓
Normal
Signature of Receiving
Officer with Seal
16
Computation of Tax Liability
Anexure-01
Assessee :
RASHEDUL IMAM
TIN:
Assessment Year :
Income Year :
2693624648601/Salary Circle- 278
2014 - 2015
2013 - 2014
Amount of
Income
(Tk)
INCOME FROM SALARY
Basic Salary
House Rent
Less : Exempted ( 50% of Basic or
Tk. 1,80,000/=which is less)
Medical Allowance
Less : Exempted (at actual)
Conveyance Allowance
Less : Exempted (up to Tk. 24,000)
Entertainment
Upkeep
Utilities
Others
Bonus
PF ( Employer)
Amount of
Exempted
Income
(Tk)
-
-
-
-
-
-
-
30,000
TOTAL INCOME FROM SALARY (A) Certificate enclosed
Net Taxable
Income (Tk.)
30,000
BANK INTEREST INCOME (B) Document enclosed
(30,000)
(30,000)
-
OTHER INCOME Dividend (C ) Document enclosed
TOTAL TAXABLE INCOME ( A+B+C)
-
30,000
(30,000)
ADMISSIBLE INVESTMENT ALLOWANCES FOR TAX CREDIT (As per PART- B of Sixth Schedule)
Life Insurance Premium
Employees & Employer's Cont.to P.F
Investment in approved stocks, shares etc.
Deposit Pension Scheme
Others/Laptop/ Computer
Total Actual Investment
Allowable limit 30% of Total Income (excluding employer's
(9,000)
Contribution to Recog PF) or Tk. 100,00,000/
(whichever is lower)
15% TAX CREDIT ON ABOVE INVESTMENT ALLOWANCE COMES
Tax
Computation
On first
On the next
On the next
On the next
On balance
Total
Taxable
Income
Tk.
(1,350)
Rate of
Tax
220,000
300,000
(550,000)
(30,000)
Nil
10%
15%
20%
25%
Income Tax
Payable
30,000
(82,500)
(52,500)
Tax
Liability (Tk)
(52,500)
TAX REBATE FOR DECLERATION OF MORE THAN 15% HIGHER INCOME
Taxable Income for the Assessment Year 2013 - 14
Taxable Income for the Assessment Year 2014 - 15
Tk.
Tk.
(30,000)
Higher Income Declared in the A/Y 2011 -12
25% Tax Comes on above Income (if more than 10%)
Less : 15% TAX REBATE ON
TAX CREDIT ON INVESTMENT (AS ABOVE)
TOTAL REBATE
Tk.
Tk.
NET TAX PAYABLE( after rebate)
Less : Tax deducted at source and deposited by Incepta Pharma Ltd
Less : Tax deducted at source by Bank & Financial Institution
BALANCE TAX PAYABLE/(REFUNDABLE)
(Pay order enclosed herewith)
(9,000)
(1,350)
(1,350)
(51,150)
(51,150)
________________
Rashedul Imam
Rashedul Imam
Calculation of Tax Rebate
For The Assessment Year 2013- 2014
U/S 82BB of ITO - 1984
Particulars
Shares of Public Ltd. Co
Recognized PF
Amount(Tk)
-
-
Share of public limited companies
Computer/Laptop purchase
Total
Maximum Limit of Investment or
30% of Total Taxable Income or
Actual Investment
Which is Lower
15% TAX REBATE
Total Rebate
________________
Rashedul Imam
-
10,000,000
(9,000)
(9,000)
(900)
(900)
Anexure-02
