Sample ACKNOWLEDGE RECEIPT OF INCOME STATEMENT

ACKNOWLEDGE RECEIPT OF INCOME STATEMENT

Name of Taxpayer     : MD. SARWAR HOSSAIN                        Tax Year : 2011-2012

UTIN/T.I.N :

1

1

0

--

1

0

6

--

0

3

5

7

Circle : Cont-07         Tax  Zone-04

Total income shown in the return	: Taka 30,29,616/-			Paid up Tax : 6,20,404/-
Net Assets of the Taxpayer	: Taka 59,33,155/-
Receiving date of Income Statement	: 27/9/11			Serial No. of Return Registrar : 424
Nature of the Income Statement	Self-Assessment		General
				Sd/- Illegible 27/09/11 Deputy Commissioner of Taxes Contractor Circle-07 Tax Zone-4, Dhaka. Signature & Seal of the Receiving Officer