IT-11GA
Self -Fixation Method
1875 Seal
From - KA
Income tax Return From under
Income tax Ordinance, 1984 (1984 -XXXVI)
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Name : M/S. WAGONER ASSOCIATES, Proprietor of Md. Humayan Iqbal
TIN
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2
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1
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9
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-
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0
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0
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0
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-
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0
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4
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4
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8
|
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Year of tax : 2001-2002
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IT-11GA
Self -Fixation Method
1875 Seal
From - KA
Income tax Return From under
Income tax Ordinance, 1984 (1984 -XXXVI)
-----------------------------------------------------------------------------------------------------
Name : MRS. FATEMA YUSUF
TIN
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1
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5
|
7
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-
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1
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0
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5
|
-
|
1
|
0
|
8
|
4
|
Circle 57 Tax Area/From/District : 5
Year of tax : 2000-2001
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Date of Application for exact copy : 16/09/2001
Date of
preparation of the copy : 16/09/2001
Date of
Copying : 16/09/2001
Signature
of shorthand writer : Sd/- Illegible
Compared
by : Sd/- Illegible
Date :
of Delivery : 16/09/2001
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Maintainable Instructions :
1. At first fill up the
applicable schedules and then fill up the part 2 of the form.
2.Fill up the applicable clauses and
cut down the inapplicable clauses crosswise (x), put
up (v) sign where applicable.
3. Add if applicable :-
(a) Auditors certificate/Audited
Accounts Statement if the tax payer is a company;
(b) In case of other
tax payers statement of income & expenditure/Accounts of production
commercial Accounts, profit & loss Accounts' and the balance Sheet.
(c) Deprecation information list as
per the Income Tax
(d) calculation of in come on the
basis of income Tax Act;
(e) Statement of
assets, liability & expenditure.
4. If there is any other income as
has not been stated in prescribed schedule in that case please state that in
the black space of the seclude 4.
5. The return of the of the said
income should be signed and furnished by the personal Tax payer of the person
as has been slated under the section 75 of the ordinance of Income tax, 1984.
6. The attached
documents should be signed by the tax payer or the authorized person of the
tax payer.
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List of
attached Document :
1. Description of account 6.
2. Photocopy of Challan 7.
3. 8.
4. 9.
5. 10.
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Seal
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Part –1
Circle 57 Tax Area
town/District : 5
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Name : MD. FATEMA YUSUF.
T. I. N.
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3
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5
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7
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-
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1
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0
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5
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-
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1
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0
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8
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4
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VAT Registration no. (It any) : --------------------------------------
father's/husband's Name (if personal)/name
of the Manager (If Company/Name of the Managing partner) (If firm)/:
Address : (i) Present : MD. YUSUF ALI 391/2-C,
Khilgaon, Dhaka
(2) Permanent /Registered office (if
company) :
Date of birth Day month year Date of
incorporation/Date of formation (it company/Firm) year
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(if Person) No. of incorporation Day
Month Year
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Telephone : Office/Business 30,06,2001 Residential (optional) : Part- Description
of in come of income year ended on ..............................
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Income Tax Statement
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Amount money |
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1. Remuneration : As per the Section 21
(According to the Schedule-1)
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2. Interest on the Security deposit :
As per the Section 22
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3. Income from real-estate : As per the
Section 24 (According to the schedule –2)
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4. Income from Agriculture : As per the
Section 26
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5. Income of business or profession :
As per the Section 28 (Attach the accounts Statement in accordance with the
Section -3)
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1,20,000/=
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6. Part of income of the firm : Income
from the transport Sector
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7. If applicable as per the section 43
(4) the income of the husband/wife of the minor children :
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8. Profit from the capital : As per the
Section –31
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9. Income from other sources : As per
Section –33
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10. Total (From Sl. No. 1. to Sl. No.
9)
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1,20,000/=
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11. Income from abroad /foreign
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12. Total Income (Serial No. 10&11)
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1,20,000/=
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13. Impossible income tax on total
income income tax
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Tk. 2000/=
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14. As per schedule tax rebate (under
section-44 (Sur charge )
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Tk. 300/=
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15. Payment of tax (Difference of Sl.
13&14)
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2,300/=
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16. payment of tax before assessment :
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(a) deducted from the source/collected
tax cha -No. Cha/sha/2/62
(please submit the documents/statement
of proof of evidence) Date - 29/6/2000
Tk.2300/-
(b) paid advance tax as per section
64/68 Tk.
(attach invoice) Tk..
(c) Tax paid as per this return (Section74)Challan date
20/7/2000 (attach invoice)
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Surcharge
Tk.2300/=
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17. Claimed income exempted from income
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Tk.
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18. Amount of tax paid in the previous
year
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Tk.
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Schedule containing description
of detail income
schedule-1: (Salaries)
Employer/Name of office :
designation/post :
in present position
in present position
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Salary and allowances
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amount of total money
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amount of tax free money
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amount of net money
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Basic salary
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Special salary
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. Precious Allowance
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travelling Allowance
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5. House rent allowance
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Medical Allowance
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Servant Allowance
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Venerable/gratuity/fee
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Overtime
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Bonus
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Fee paid by the employer in the recognized
future fund
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interest earned in the recognized
future fund
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Premium paid by the employer
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The others (if any)
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2. Total net income
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3. considered income for decorated or undecorated
residence without cost
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4. Net income from salary (2+3)
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Schedule -2 : (income of
domestic property)
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1. Location and description of domestic
property :
1.
2.
3.
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Description
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Property No. 1 Tk.
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Property No. 2 Tk.
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Property No. 3 Tk.
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Total Tk.
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1. Yearly price
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2. Land revenue
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3. Premium
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4. Interest on loan/ mortgage/capital
charge
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5. Municipal tax or local tax
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6. Repair, collector etc.
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7. Claimed exemption for being vacant
of domestic property
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8. The others (if any)
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9.Total (Serial 2 to 8)
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10. Net income (deduction from 1
to 9)
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Schedule – 3 : (Income
from business or profession)
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1.
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Mode of Business/manner of occupation :
Different Commodities
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2.
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System of accounts, if any : without
account
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3.
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Net Income/Profit Tk. 1,20,000/= |
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4.
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Pleases provide the following
information :
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(a) Names & addresses of the
partners along with their TIN if the tax payer is a firm :
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(b) Name & address of the firm
along with TIN if the tax payer is a partner :
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(c) Name & address of the Directors along with
their TIN if the tax payer is a company :
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(d) Name & address of the Director along with the TIN
of the Company/Companies if the tax payer is a director :
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Schedule _4 : (Income
Statement which has not
been Shown in the previous Schedule (S), if any )
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Schedule of exemption of tax lending
(Section - 44 (2) (B) with part B of Schedule - 6 will be read)
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1. Paid premium of life insurance ..........................................................................Tk.
2. Refuted payment as yearly allowance in future : ..............................................Tk.
3. Paid fee in the applicable future
fund as per Future fund Act 1925 : .................Tk.
4. Fee paid by the tax payer or his employer in the approved
future fund : ........ Tk.
5. Fee paid in the approved age fund : .....................................................................Tk.
6. Investment in the share or stock, debenture stock or approved loan : .............. Tk.
7. Fee paid in the Deposit Pension Scheme
: .........................................................
Tk.
8. Installment paid under group insurance scheme or Fee
paid in the welfare fund. Tk.
9. Fee paid in the Jakat fund : ...................................................................................Tk.
10. The others, if any, (Give description)
: .....................................................Total Tk.
(Please attach documents of investments)
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Undertaking
I. MRS. FATEMA YUSUF, S/o. or W/O Md. Yusuf Ali hereby declare in my good sense that
information of this return and the
schedule & the attached statement is correct & complete in my faith
& knowledge I further declare that, the total amount of income &
attached other Particulars shown in this return have been mentioned here
correctly and all of them are related with the concerned income tax year
2000-2001.
Sd/-
Illegible
Place :
Dhaka.
(Name of Legible litters)
Date :
Designation (if not a person)
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