Get FORM OF RETURN INCOME TAX

(Translated True Copy)

IT 11Ga

FORM OF RETURN INCOME TAX UNDER THE INCOME TAX

Photograph of Assessee (To be attested on the photograph)

ORDINANCE, 1984 (XXXVI OF 1984)

 

For individual & other Assessee

(Except Company)

Be a respectable taxpayer submit return in due time avoid penalty

Put tick (ü) mark where applicable:

Self-Assessment

ü Universal Self-Assessment

Normal

1.	Name of Assessment							:		AL-HAJ KHANDAKER MOHIUDDIN
2.	National ID No. (If any)							:		2691649461306
3.	UTIN (if any)							:		4	5		3	9	1	8			5		1	6	0	8	2
4.	TIN							:		1	7		8	-	1	0			1		-	0	9	6	9
5.	(a) Circle: 115											(b) Taxes Zone: 06, Dhaka
6.	Assessment Year :		2015-2016			7. Resident Status: Resident												ü		/Non-Residence
8.	Status:	Individual		ü	Firm				Individual body								Hindu Undivided family
9.	Business Organization/Name of Employer (Where applicable): M/S. Richmond Trading Corporation
10.	Wife/Husband's Name (Mention TIN if they are taxpayer):  Al-Haj Sultana Arju (Taxpayer) Certify True copy Date of application: 23.11.15 Date of true copy prepared: 23.11.15 Certified copy delivers by: 23.11.15 Compared by: Sd/illegible
11.	Father's Name : Late Al-Haj Khandakor Mozibul Haquo
12.	Mother's Name : Late Monowara Begum

13.	Date of birth (In case of person)			1		6	0	1	1	9	5	8
				Day			Month		Year
14.	Address:	(a) Present	Fat No. 4B, House No. 50, Road No. 3/A, Dhanmondi, Dhaka
		(b) Permanent	Flat No. A/4, House No. 45, Road No. 2/A, Dhanmondi, Dhaka.
15.	Telephone : Office/Business-				Resident:
16.	VAT Registration Number (If any): Nil

(Translated True Copy)

INCOME STATEMENT OF ASSESSEE

Statements of income of the income year ended on 30.06.2015

Serial No.	Statements of Income	Amount of Taka
1.	Salaries: Under Section-21 (as per schedule-1)
2.	Interest on the security deposit : According to Section-22 Bank Interest
3.	Income from household property: Under section-24 (as per schedule-2)	1391239
4.	Agricultural income: Under Section-26
5.	Income from business or occupation: under section-28 (Hen sale)	975000
6.	Part of the income of firm: Zara  Industries Belts & Accessories
7.	In applicable case income of husband/wife or under aged children: Under Section-43(4)
8.	Capital Profit: Under Section-31 Partner Share
9.	Income from other source: Under Section-33, FDR Interest
10.	Total (from serial no. 1 to 9):	2366239
11.	Income from abroad:
12.	Total income (Serial no. 10 & 11)	2366239
13.	Imposable income tax on total income	389060
14.	Exemption of Tax: Under Section-44(2)(B) (According to schedule-3)
15.	Payable Tax : (Different of Serial no. 13 & 14)	389060
16.	Tax Paid:                                                                     Surcharge 15% a) Tax deducted/collected at source: After source from salary- (submit documents in support/statement)                                                                Tk. b) Advance tax paid under section-64/68 (Paid by bank)            Tk.75000 c) Tax paid according to this return (section-74) (Attach challan/ pay-order/Bank draft/cheque)                           Tk.372419 d) Adjustment with returnable tax (if any)                                                   Tk. Total (Ka), (Kha), (Ga) & Gha)	58359 447419 447419
17.	Difference of serial no. 15 % 16 (if any)
18.	Amount of tax exempted and tax free income
19.	Amount of tax paid in the previous assessment year

* If necessary extra paper may be used for detailed description.

DECLARATION

I, AL-HAJ KHANDAKER MOHIUDDIN, Son of Late Al-Haj Khandakor Mozibul Haquo UTIN/TIN: 453918516082- do hereby declare in sensible mind that the information that are given in this return and schedule and to the attached statement are true and full t the best of my belief and knowledge.

Place: Dhaka                                                                             Sd/Al-Haj Khandaker Mohiuddin

                                                                                                                    Sign

Date: 12/11/2015                                                                              (Name in clear letter)

                                                                                                                      

			Sd/ Illegible 23.11.15 Sonali Biswas Asst. Commissioner of Taxes Tex Circle-115, Tax Zone-6, Dhaka, Phone: 9341672
	Sd/ Illegible 23.11.15 Chief Assistant Asst. Commissioner of Taxes Circle-115, Tax Zone-6, Dhaka

 

(Translated True Copy)

Annexed schedule with extensive description of income

Tax payer Name: AL-HAJ KHANDAKER MOHIUDDIN

TIN

4

5

3

9

1

8

5

1

6

0

8

2

Schedule-1 (Salaried)

Salaries & Allowances	Amount of Income US$	Amount of Exempt income	Net taxable income
Basic salary
Special pay
Precious Allowance
Travel Allowance
House Rent Allowance
Medical Allowance
Attendant allowance	Seal
Leave allowance
Honor/reward/fee
Overtime allowance
Bonus/x Garcia
Miscellaneous allowance
subscription paid of acknowledgement future fund by employer
Earned interest to the acknowledge future fund
considered income for the convenience of transport
Considered income for free decorated or undecorated residence
Described others in any
Net Taxable income from the salary

Schedule-2 (Income of household properties)

Statement & location of household property	Description	Taka	Taka
	1. Annual income at the account of rent
	3. Demanded expenses :
	Repairing, realization, etc.
	Municipality tax or local tax
	Land revenue
	Interest/mortgage charge on capital on the credit
	Premium installment
	Demanded rebate due to emptiness of the household property
	others, if any
	3. Net income (difference of Sl. no, 2 from Sl. No. 1

3

(Translated true copy)

Schedule-3 (Rebate due to investment)

Legible section 44 (2) (b) of the income tax ordinance of schedule-6 of B part

1	Paid installment of life insurance	Tk.
2	Paid contribution with a view to receiving receivable annual allowance in future	Tk.
3	Acceding to future fund Act, 1925 paid contribution applicable to future fund	Tk.
4	Paid contribution by Self & employer to the recognized future fund	Tk.
5	Paid contribution to the approved age old fund	Tk.
6	Investment  to the share or stock or debenture stock or approved credit letter	Tk.
7	Paid contribution to deposit pension scheme	Tk.
8	Paid contribution to welfare fund & paid installment to family insurance scheme	Tk.
9	Paid contribution to Zakat fund	Tk.
10	Others, if any (give description)	Tk.
	Total	Tk.

* Please enclose certified copy/evidence letter of investment

List of submitted documents with income tax returns

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

Incomplete returns will not be accepted

4

I.T. 10B

Liabilities, Income & Expenditure details: (30/06/2015)

Name  of Assessee :

AL-HAJ KHANDAKER MOHIUDDIN

TIN:

4

5

3

9

1

8

5

1

6

0

8

2

1.	(a) Business Capital As per B/S
	(b) Investment of share in limited company as director (purchase value)		Tk.	
	Name of Companies                                                   Number of Shares		Tk.	
2	Non-Agricultural Property (Purchase value with legitimate expenditure) Land/Household Property (location & description of property)		Tk.
	(Ka) Flat No. A/4, House No. 45, Road No. 2/A, Dhanmondi, (previously) (Kha) Plot No. 60, Road No. 219, Secor# 20, Porbachal Shor Propolkpo, Rajuk -------------------------------------------------------------------		Tk. Tk.	2557500 825000
3	Agricultural Property (Purchase value with legitimate expenditure) Land (Total Land & Location of land)	-------------------------------	Tk.	Unknown 97899250
4	Investments:  Share Purchase
	(a) Shares/ Debentures                                           Tk.
	(b) Savings certificate/Unit certificates/ bond            Tk.
	(c) Prize bond/savings scheme FDR                          Tk.
	(d) Loan Granted                                                    Tk.
	(e) Others Investment                                              Tk.
	Total=		Tk.
5	Motor Vehicles (Purchase value) including Reg. cost & convention Dhaka Matro GHA 15-0151 Toyta Pado 2700 CC Type & Registration Number of Motor Vehicles: Model 2014 with Registration Purchase		Tk.	13234514
6	Jewellery  (Purchase value) 30 Tola marriage presentation (previously)		Tk.	value un known
7	Furniture (Purchase value)                                           Do		Tk.	100000
8	Electronics Goods (Purchase value)                             Do		Tk.	112000
9	Wealth & property out of business
	a) Cash :                                                                   Tk.               2671747		Tk.
	b) Deposited in Bank             (Family expenditure)       Tk.		Tk.
	c) Others                                                                   Tk.		Tk.
Certify True copy Date of application: 23.11.15 Date of true copy prepared: 23.11.15 Certified copy delivers by: 23.11.15 Compared by: Sd/illegible	Total=		Tk.	2671747

5

(Translated True Copy)

	BF of previous page	Tk.	1174000
10	Other Property :                                     Private goods (as per previous)	Tk.
	Total asset=	Tk.	117400011
	Total Property=	US$
11	Less: Liabilities
	(a) Mortgage of property or land    a. Phoenix Finance	Tk
	(b) Load without security Investment Ltd------------	Tk	6271120
	(c) bank (Balance of house building advance)   b. IDLC Finance Ltd--------	Tk	9876825
	(d) Others    c. IDLC Finance Ltd (Jointly)------	Tk	518717
	Total Liabilities=	Tk	16666662
12	Net Property in the last date of this income year (Deduction of total liability from total liabilities)	Tk	100733349
13	Net Property of last date of previous income year		100139448
14	Amount of property (Deduction from 12 to 13)		59390
15	(a) Family expenditure [Total expenses as per Form no. 10BB]		1592337
	(b) Numbers of the dependent members of the family :01

03
Adult		Children

16	Total amount of property (summation of 14 and 15)				Tk	2186238
17	Achieved funds:
	1) Shown Return income                                          Tk. 2366239    3186.375
	2) Tax exempt & tax tree income                             US$                1374.000
	3) Others achievement Gift value                              US$
	Total Achieved Fund=				Tk	2366239
18	Difference: (Deduction of 16 and 17)				Tk	180001
	I solemnly declare that, the information given in IT-10B is correct & complete so far my knowledge and belief is concern.                                                                                                                Sd/illegible                                                                                                 AL-HAJ KHANDAKER MOHIUDDIN                                                                                                     Name & sign of assessee                                                                                                                    Date:
Sd/ Illegible 23.11.15 Chief Assistant Asst. Commissioner of Taxes Circle-115, Tax Zone-6, Dhaka				Sd/ Illegible 23.11.15 Sonali Biswas Asst. Commissioner of Taxes Tex Circle-115, Tax Zone-6, Dhaka, Phone: 9341672
***		The assessee himself, his wife/her husband (if not submission of return) the assets and liabilities of under aged children to be showed on the above statements.
***		Use separate sheet if needed.

6

(Translated True Copy)

Form

Form No. IT-10BB

Income Tax ordinance, 1984 rule 75(2) (d) (1) and as rules 80 in details of person Tax payer life style

Name  of Assessee :

AL-HAJ KHANDAKER MOHIUDDIN

TIN:

4

5

3

9

1

8

5

1

6

0

8

2

Sl. No.	Details of expenditure	Amount of Taka	Remarks
1.	Personal maintenance cost	Tk. 480000
2.	Celebration tax deduction of the previous year paid taxes	Tk. 294937
3.	Residential cost	Tk. 72000
4.	Personal using vehicles cost	Tk. 240000	----------
5.	Residential electricity wages	Tk. 72000
6.	Residential WASA wages	Tk. 24000
7.	Residential Gas wages	Tk. 5400
8.	Residential Telephone Bill	Tk. 24000
9.	Educational expenses of children	Tk. 200000
10.	Celebration cost of various sauces, if any	Tk.
11.	Festival expenses with other special expenses, if any	Tk. 180000
	Total expenses	Tk.  1592337.00

I hereby declare that above mentioned stated is true and correct as the IT-10BB

Date of application: 18.04.16 Deposit amount of copy fee: 100/- Deposit of copy date: 17.04.16 Date of supply: 18.04.16

 

                                                                                                               Sd/illegible

                                                                                                AL-HAJ KHANDAKER MOHIUDDIN

                                                                                                    Name & sign of assessee

                                                                                                                   Date:

* If necessary use the extra sheet.

7

 (Translated True Copy)

IN THAT CASE THE FOLLOWING INSTRUCTIONS TO ACKNOWLEGEMENT OF RETURNS FORM

 

Instructions:

(1)        This income return is to be signed and declared by individual assessee or specific person under section-75 of income tax ordinance, 1984.

(2)        Attach where applicable:

(a)     Salary statement for salary income, bank statement for Bank interest, certificate of interest paying bank in case of interest on savings certificate, contract deed of rent out of income from household properties, receipt of municipal tax and revenue payment, certificate/statement from the loan issuing body if any interest is due on house loan, money receipt of insurance installment if any, statement of profession income under income tax rule-8 if any, income tax assessment on partnership if any, income expenditure and balance sheet of the firm, proof of capital income if any, certificate of income out of dividend if any, statement of income if any income from other source, proof of investment if any on savings certificate, LIP, DPs, Jakat, stock/share purchase etc.

(b)     Statements of income-expenditure, production accounts, commercial accounts, profit and loss accounts and balance sheet of the business if any.

(c)      Depreciation statement as per third schedule of income tax ordinance, 1984.

(d)     Statistics figure of income as per income tax rule.

(3)        Enclose separate statements:

(a)     If any income of assessee's husband or wife (if not assessee), children and dependent.

(b)     If any tax exempted and tax free income.

(4)        The conditions of income tax rule-38 are to be followed in case of submission of return in self-assessment scheme.

(5)        The documents submitted are to be signed by the assessee or his authorized representative.

(6)        The photograph of assessee is to be submitted with the return in every after 5 years.

(7)        Provide the following information:

(a)     If the assessee is a firm, the name and address of partners with their T.I.N

(b)     If the assessee is a partner, the name and address of firm with T.I.N

(c)      If the assessee is a director, the name and address of company/companies with T.I.N

(8)        Statement of assets and liabilities of assessee's own self, husband/ wife (if not assessee), minor children and dependents to be shown as per IT-10B.

(9)        Signature of assessee or his legal representative is compulsory, signature of individual assessee in IT-10B and IT-10BB is also compulsory.

(10)       If not accommodated in the space, separate sheets may be used if necessary.