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1[24. Return of income.-
(1) The return of the income required to be filed by an assessee under, the Ordinance shall be in the following form and verified in the manner indicated therein:
PART 1
Basic information
01 | Assessment Year
2000- |
02 | Return submitted under section 82BB?(tick one) | ||
Yes | No | ||||
03 | Name of the Assessee | 04 | Gender | ||
05 | Twelve-digit TIN | o6 | Old TIN | ||
07 | Circle | o8 | Zone | ||
09 | Resident Status (tick one ) | Resident | Non-resident | ||
10 | Tick on the box (es) below if you are: | ||||
10A | gazetted war-wounded Freedom fighter | 10B | A person with disability | ||
10C | Aged 65 years or more | 10D | A parent of a person with disability | ||
11 |
Date of birth (DDMMYYYY) 20 |
12 |
Income year to |
||
13 | If employed, employer’s name | ||||
14 | Spouse Name | 15 | Souse TIN (if any) | ||
16 | Father’s Name | 17 | Mother’s Name | ||
18 | Present Address | 19 | Permanent Address | ||
20 | Contact Telephone | 21 | |||
22 | National Identification | 23 | Business Identification Numbers |
PART II
Particulars of Income and Tax
TIN
Particulars of Total Income Amount৳
24 | Salaries (annex Schedule 24A) | S.21 | |
25 | Interest on securities | S.22 | |
26 | Income from house property (annex Schedule 24B) | S.24 | |
27 | Agricultural income | S.26 | |
28 | Income from business or profession (annex Schedule 24C) | S.28 | |
29 | Capital gains | S.31 | |
30 | Income from other sources | S.33 | |
31 | Share of income from firm or AOP | ||
32 | Income of minor or spouse under section 43(4) | S.43 | |
33 | Foreign income | ||
34 | Total income (aggregate of 24 to 33) |
Tax Computation and Payment Amount৳
35 | Gross tax before tax rebate | |
36 | Tax rebate (annex Schedule 24D) | |
37 | Net tax after tax rebate | |
38 | Minimum tax | |
39 | Net wealth surcharge | |
40 | Interest or any other amount under the Ordinance (if any) | |
41 | Total amount payable | |
42 | Tax deducted or collected at source (attach proof) | |
43 | Advance tax paid(attach proof) | |
44 | Adjustment of tax refund [mention assessment year(s) of refund] | |
45 | Amount paid with return (attach proof) | |
46 | Total amount paid and adjusted (42+43+44+45) | |
47 | Deficit or excess (refundable) (41-46) | |
48 | Tax exempted income |
PART III
Instruction,Enclosures and Verification
TIN
49 | Instructions 1. Statement of assets, liabilities and expenses (IT-10B) and statement of life style expense (IT-10BB) must be furnished with the return unless you are exempted from furnishing such statement (s) under section 80. 2. Proof of payments of tax, including advance tax and withholding tax and the proof of investment for tax rebate must be provided along with return. 3. Attach account statements and other documents where applicable |
|||
50 | If you are a parent of a person with disability, has your spouse availed the extended tax exemption threshold?(tick one) | Yes | No | |
51 | Are you required to submit a statement of assets, liabilities and expenses (IT-10B) under section80(1)?(Tick one) | Yes | No | |
52 | Schedules annexed (tick all that are applicable) |
24A 24B 24C 24D |
||
53 | Statements annexed (tick all that are applicable ) | IT-10B2016 IT10BB2016 | ||
54 | Other statements, documents, etc. attached (list all ) |
Verification and signature
55 | Verification I solemnly declare that to the best of my knowledge and belief the information given in this return and statements and documents annexed or attached herewith are correct and complete. | |
Name | Signature | |
Date of Signature (DDMMYY) 20 |
Place of Signature |
For official use only
Return Submission Information
Date of Submission (DD-MM-YYYY) 20 |
Tax Office Entry Number |
National Board of Revenue Individual
WWW.nbr gob.bd
ACKNOWLEDGEMENT RECEIPT OF
RETURN OF INCOME
Assessment Year 20- |
|||
Return under section 82BB? (tick one) Yes…………………..No
|
|||
Name of the Assessee | |||
Twelve-digit TIN | Old TIN | ||
Circle | Taxes Zone | ||
Total income shown (serial34) ৳ |
|||
Amount payable (serial 41)৳ | Amount paid and adjusted (serial 46)৳ | ||
Amount of net wealth shown in IT10B ৳ | Amount of net wealth surcharge paid ৳ | ||
Date of submission (DD-MM-YYYY) | Tax office entry Number | ||
Signature and seal of the official receiving the return | |||
Date of Signature | Contact Number of Tax Office |
(2) The return of income required to be filed by a company assesseee under the Ordinance shall be in the following form and verified in the manner indicated therein:
1[(1A) an individual assessee who has inco,e and gross wealth not exceeding TK. 4,00,000/- and TK. 40,00,000/- respectivly may submit the retyrn of income in the following form and verified in the manner indicate there in:
Provided that an assessee who owns a motor car or has an investment in house property or an apartment in any city corporation area shall not be eligible for this return.
IT-GHA 2020 Form of Return of Income Under Income Tax ordinance, 1984 (Ord, xxxvi of 1984) Office Register No.
1. Name:......................................... 2. TIN:............................................. 3. Cirde:.......................................... 4. Zone:................................. 5. Resident: 6. Non-resident: 7. Assessment Year:............................... 8. President Address and Mobile No. 9. Permanent Address NID No. ............................................................................................................................................. ............................................................................................................................................. 10. Taxable Income: TK......................... 11. Grows Wealth: TK........................ 12. Amount of Tax: TK......... 13. Source of Income: Bank & Challan No. & Date......................
* Please show tax computation, Name List of documents attached herewith and brisf discription of your wealth and leabilities over leaf.
1 Ins. Sub-rule (1A) and form by S.R.O No. 165-AIN/Income/2020, Date: 22/06/2020 RETURN OF INCOME |
01 |
|
02 | Return submitted under section(tick one) | ||||||||||
82BB | 82(proviso) | Other | |||||||||||
03 | Name of the Assessee | ||||||||||||
04 | Address | 05 | Phone(s) | ||||||||||
06 | |||||||||||||
07 | Type (tick one ) | ||||||||||||
07A | Public limited | 07B | Private limited | ||||||||||
07C | Local authority | 07D | Other | ||||||||||
If other, mention the type | |||||||||||||
08 | 12-digit TIN | 09 | Old TIN | ||||||||||
10 | Circle | 11 | Zone | ||||||||||
12 | Incorporation number | 13 | Incorporation date | ||||||||||
14 | Income year
to |
||||||||||||
15 | Resident status (tick one) | Resident | Non-resident | ||||||||||
16 | Main business | 17 | Business Identificaton Number (s) | ||||||||||
18 | Any export in the income year? (tick the box if YES) | 19 | Main export item (if applicable) | ||||||||||
20 | Name of auditor(s) | 21 | Audit report date |
PART II
Particulars of Total Income
Prticular of total income Amount৳
22 | Interest on securities | S.22 | |
23 | Income from house property (annex Schedule 24B) | S.24 | |
24 | Agricultural income | S.26 | |
25 | Income from business or profession | S.28 | |
26 | Capital gains | S.31 | |
27 | Income from other sources | S.33 | |
28 | Total income (22+23+24+25+26+27) |
B. Tax Computation and Payment Amount৳
29 | Tax computed on total income | |
30 | Net tax after tax rebate (if any) | |
31 | Minimum tax | |
32 | Interest or any other amount under the Ordinance (if any) | |
33 | Total amount payable | |
34 | Tax deducted or collected at source (attach proof) | |
35 | Advance tax paid (attach proof) | |
36 | Adjustment of tax refund [mention assessement year (s) fund] | |
37 | Amount paid with return (attach proof) | |
38 | Total amount paid and adjusted (34+35+36+37) | |
39 | Deficit or excess (refundable) (33-38) |
PART III
Particulars of Tax Benefits
TIN
A. Income enjoying tax exemption (provide additional paper if necessary)
40 | Income exempted from tax | ||||
Source | Section | SRO | Amount ৳ | ||
1 | |||||
2 | |||||
3 |
B. Income enjoying reduced tax rate (s) (provide additional paper if necessary)
41 | Income subject to reduced rate of tax | ||||
Source | Section | SRO | Amount ৳ | ||
1 | |||||
2 | |||||
3 |
42 | Tax payable if there were no exemption or reduced rate | |
43 | Tax payable with exemption or reduced rate | |
44 | Amount of tax benefits (42-43) | |
45 | Tax rebate | |
46 | Tax benefits and rebate (44+45) |
PART IV
Financial Statements
TIN
A. Income Statement | Current IncomeYear৳ | Previous IncomeYear৳ | ||
47
|
Sales/Turnover/Receipts | |||
48 | VAT (if any) | |||
49 | Net sales/ Turnover/Receipts (47-48) | |||
50 | Cost of Sales | |||
51 | Gross Profit (49-50) | |||
52 | Other operation income | |||
53 | General & Administrative expenses | |||
53A | Expenses paid in cash | |||
54 | Selling & Marketing expenses | |||
54A | Expenses paid in cash | |||
55 | Other operating expenses | |||
55A | Expenses paid in cash | |||
56 | Profit from operation{(51+52)-(53+54+55)} | |||
57 | Financial expenses | |||
57A | Expenses paid to non-resident | |||
58 | Income from associates/subsidiaries | |||
59 | Any other business income | |||
60 | Profit before tax |
TIN
B.Balance Sheet | Current IncomeYear৳ | Previous IncomeYear৳ | |||
61 | Non-current assets (61A+61B+61C+61D+61E) | ||||
61A | Property, plant and equipment, software, etc. | ||||
61B | Intangible assets | ||||
61C | Financial assets (other than 61D) | ||||
61D | Investments and loans to affiliated entities | ||||
61E | Other non-current assets | ||||
62 | Current assets (62A 62B+62C+62D+62E) | ||||
62A | nventories | ||||
62B | Trade and other receivables | ||||
62C | Advance, deposits and prepayments | ||||
62D | Cash, bank and cash equivalents | ||||
62E | Other current assets | ||||
63 | Total Assets (61+62) | ||||
64 | Equity (64A+64B+64C+) | ||||
64A | Paid-up capital | ||||
64B | Reserves & Surplus | ||||
64C | Retained earnings | ||||
65 | Non-current liabilities (65A+65B+65C) | ||||
65A | Bonds/Debentures | ||||
65B | Long term borrowings | ||||
65C | Loans from affiliated entities | ||||
65D | Other non-current liabilities | ||||
66 | Current liabilities (66A+66B+66C+66D) | ||||
66A | Short term borrowings | ||||
66B | Creditors/Payables | ||||
66C | Provisions | ||||
66D | Others | ||||
67 | Total Equity and Liabilities (64+65+66) |
PART VOther Particulars
TIN
A. Particulars of bank accounts (provide additional paper if more names )
68 | Name of bank (s) | Account number(s) | Branch name (if applicable) | |
1 | ||||
2 | ||||
3 | ||||
4 | ||||
5 |
B. Particulars of directors (provide additional paper if more names )
69 | Name of directors (s) | TIN | % of share in | |
1 | ||||
2 | ||||
3 | ||||
4 | ||||
5 |
C. Particulars of affiliated entities (provide additional paper if more names )
70 | Name(s) of affiliated entity | TIN | Type (company, firm etc.) | |
1 | ||||
2 | ||||
3 | ||||
4 | ||||
5 |
PART VI
Instruction, Enclosures and Verification
TIN
71 | Instructions (1) The Return shall be: (a) signed and verified by the person as specified in section 75, and (b) accompanied by- (i) statements of accounts audited by a Chartered Accountant; (ii) depreciation chart as per THIRD SCHEDULE of the Ordinance; (iii) computation of income in accordance with the provisions of the Ordinance; (iv) Schedule B of rule 24 if the assessee has income from house property; (2) In this return, if two entities shall be affiliated entities if they belong to a common group of companies or have more than twenty five percent common shareholders or directors or run by a common management; (3) All amounts shall be in rounded up taka(৳) |
72 | Schedules, statements, documents, etc. attached (list) |
73 | Verification I solemnly declare that- (a) to the best of my knowledge and belief the information given in this return and statements and documents annexed or attached herewith are correct and compete; (b) I am signing this return in my copacity as——————- And I am competent to sign this return and verify it. |
|
Name | Signature | |
Designation | ||
Date of Submission (DD-MM-YYYY) 20- |
For official use only
Return submission Information
Date of Submission (DD-MM-YYYY) 20 |
Tax Office Entry Number |
National Board of Revenue Company
www.nbr.gov.bd
ACKNOWLEDGEMENT RECEIPT OF
RETURN OF INCOME
Assessment Year 20 - |
Return submitted under section(tick one) | ||
82BB | 82(proviso) | Other | |
Name of the Assessee | |||
Twelve-digit TIN | Old TIN | ||
Circle | Taxes Zone | ||
Total income shown (serial 28)৳ | |||
Amount payable (serial 33) ৳ | Amount paid (serial 38) ৳ | ||
Date of submission (DD-MM-YYYY) | Tax Office Entry Number | ||
Signature and seal of the official receiving the return | |||
Date of Signature | Contact Number of Tax Office. |
(3) The return of income by a required to be filed by an assessee other than an individual or a company under the Ordinance shall be in the following form and verified in the manner indicated therein:
National Board of Revenue IT-11CHA2016
www.nbr.gov.bd
RETURN OF INCOME
For an assessee other than an individual or a company
The following schedules shall be the integral part of this return and must be annexed to return in the following cases:
Schedule 24A if you have income from salaries
Schedule 24B if you have income from house property
Schedule 24C if you have income from business or profession
Schedule 24D if you have investment and claim tax rebate
PART I
Basic information
01 | Assessment Year
|
02 | Return under section 82BB | |||||||||
Yes
|
No
|
|||||||||||
03 | Name of the Assessee | |||||||||||
04 | Type of the assessee (tick one) | |||||||||||
04A | A firm
|
O4B | An association of person
|
|||||||||
04C | Other | If other, mention type | ||||||||||
04 | Address | |||||||||||
06 | Phone | 07 | ||||||||||
08 | Twelve-digit TIN | 09 | Old TIN | |||||||||
10 | Circle | 11 | Zone | |||||||||
12 | Income year | |||||||||||
13 | Resident status (tick one) | Resident | Non-resident | |||||||||
14 | Commencement/Registration authority | 15 | Commencement/Registration number | |||||||||
16 | Registering authority (if applicable) | |||||||||||
17 | Business Identification Number(s) |
PART II
Particulars of income and Tax
(some particulars are related only to Hindu Undivided Family)
TIN
A. Particulars of Total Income | Amount ৳ | ||
18 | Salaries (annex Schedule24A) | S.21 | |
19 | Interest on securities | S.22 | |
20 | Income from house property (annex Schedule 24B) | S.24 | |
21 | Agricultural income | S.26 | |
22 | Income from business or profession | S.33 | |
23 | Capital gains | S.31 | |
24 | Income from other sources | S.33 | |
25 | Share of income from firm or AOP (Where applicable) | ||
26 | Income of minor or spouse under section 43(4) | S.43 | |
27 | Foreign income | ||
28 | Total income (aggregate of 18 to 27) |
B. Tax Computation and Payment | Amount ৳ | |
29 | Gross tax before tax rebate | |
30 | Tax rebate in applicable case (annex Schedule24D) | |
31 | Net tax after tax rebate | |
32 | Minimum tax | |
33 | Interest or any other amount under the Ordinance (if any) | |
34 | Total amount payable | |
35 | Tax deducted or collected at source (attach proof) | |
36 | Advance tax paid (attach proof) | |
37 | Adjustment of tax refund [mention assessment year (s) of refund] | |
38 | Amount paid with return (attach proof) | |
39 | Total amount paid and adjusted (35+36+37+38) | |
40 | Deficit or excess (refundable) (34-39) | |
41 | Tax exempted income |
PART II
Particulars of income and Tax
TIN
42 | Main business or profession (type) | |||
43 | Name of the business (as in the trade licence) | |||
44A | Are the accounts audited? | Yes | No | |
44B | If Yes, the name of auditor(s) | |||
44C | Audit report date |
45 | Name of partners or members in case of firm or AOP (provide additional paper if more names) | TIN |
1. | ||
2. | ||
3. | ||
4. |
C. Income Statement | Amount ৳ | |
46 | Sales/ Turnover/ Receipts | |
47 | VAT(if any) | |
48 | Net Sales/ Turnover/Receipts (46-47) | |
49 | Cost of sales | |
50 | Gross profit (48-49) | |
51 | General & Administrative expenses | |
52 | Selling & Marketing expenses | |
53 | Other expenses | |
54 | Net profit (50-51-52-53) | |
55 | Any other income from business or profession | |
56 | Profit before tax (54+55) |
TIN
D. Balance Sheet | Amount ৳ | ||
57 | Non-courrent assets (57A+57B+57C+57D) | ||
57A | Property, plant and equipment, software, etc. | ||
57B | Intangible assets | ||
57C | Financial assets | ||
57D | Other non-current assets | ||
58 | Current assets (58A+58B+58C+58D+58E) | ||
58A | Inventories | ||
58B | Trade and other receivables | ||
58C | Advance, deposits and prepayments | ||
58D | Cash, bank and cash equivalents | ||
58E | Other current assets | ||
59 | Total Assets (57+58) | ||
60 | Capital (60A+60B+60C) | ||
60A | Opening capital | ||
60B | Net profit | ||
60C | Withdrawals | ||
61 | Non-Current liabilities (61A+61B+61C) | ||
61A | Bank loans | ||
61B | Other borrowings | ||
61C | Other non-current liabilities | ||
62 | Current liabilities (62A+62B+62C) | ||
62A | Short term borrowings | ||
62B | Creditors/Payables | ||
62C | Other current liabilities | ||
63 | Total Equity and Liabilities (60+61+62) |
PART IV
Enclouseres and Verification
64 | Are the accounts required to be audited? | Yes | No |
65 | Have you submitted audited accounts? | Yes | No |
66 |
Schedules annexed 24A 24B 24D (tick all that are applicable) |
||
67 | Other statements, documents, etc. attached (list all) |
68 | Verification I solemnly declare that- (a) to the best of my knowledge and belief the information given in this return and statements and documents annexed or attached herewith are correct and compete; (b) I am signing this return in my copacity as——————- And I am competent to sign this return and verify it. |
||||||||||||
Name | Signature | ||||||||||||
Designation | |||||||||||||
Date of Submission (DD-MM-YYYY)
|
Place of Signature
|
For official use only
Return submission Information
Date of Submission (DD-MM-YYYY)
|
Tax Office Entry Number |
National Board of Revenue Other than individual
www.nbr.gov.bd or company
ACKNOWLEDGEMENT RECEIPT OF
RETURN OF INCOME
Assessment Year
|
Return submitted under section(tick one) | ||||||||
Yes | No | ||||||||
Name of the Assessee | |||||||||
Twelve-digit TIN | Old TIN | ||||||||
Circle | Taxes Zone | ||||||||
Total income shown (serial 28)৳ | |||||||||
Amount payable (serial 33) ৳ | Amount paid (serial 38) ৳ | ||||||||
Date of submission (DD-MM-YYYY) | Tax Office Entry Number | ||||||||
Signature and seal of the official receiving the return | |||||||||
Date of Signature | Contact Number of Tax Office. |
(4)The return of income under section 82D shall be in the following form and verified in the manner indicated therein:
Form of return of income under the Income-tax Ordinance,1984 1.Name of the Assessee:……………………………………………….
Vdrification Place:……………………. |
N.B Please see the brief instructions overleaf before filling up the return.
………………………………………………………………………………………………………………………………………………………………..
Brief Instructions for calculating income of an individual assessee.
If required, please get help from Income-tax Ordinance, 1984 (Ord. XXXVI of 1984),and Income Tax Rules, 1984.
1.Particulars of Income and Tax | Amount in Tk. | ||
A.Income from business/Profession: | |||
(a)Total sale/receipts/commision/(as per section 28): | |||
(b)Total expenses of business or profession (As per manufacturing/trading/profit-loss accounts) (section 29): | |||
(c)Net profit/income[(a)-(b)]: | |||
Net tax payable | |||
B.Rate of tax In case of business: |
|||
Initial capital to be shown | Rate of Tax (Tk.) | Applicability | |
Upto Tk 6 lakh | 3,000/- | For the assessee not located under any city corporation or any paurashava of district headquarters; | |
Upto Tk 7 lakh | 3,500/- | For the assessee located at paurashava in district headquarters and other area excluding city corporation; | |
Upto Tk 8 lakh | 4,000/- | For assessee of any area | |
Upto Tk 10 lakh | 5,000/- | For assessee of any area | |
Upto Tk 15 lakh | 10,000/- | For assessee of any area | |
In case of profession: | |||
Length of profesison | Rate of Tax (Tk.) | Applicability | |
Upto 3 Years | 3,000/- | For the assessee not located under any city corporation or any paurashava of district headquarters; | |
Upto 4 Years | ,500/- | For the assessee located at paurashava in district headquarters and other area excluding city corporation; | |
Upto 5 Years | 4,000/- | For assessee of any area | |
Upto 10 Years | 5,000/- | For assessee of any area. |
………………………………………………………………………………………………………………………………………………………..
Acknowledgement Receipt
Serial No. in return register:……….Date of submission of Return:…………..
Received income tax return from Mr./Mrs. ………… TIN …………… for the Assessment Year…………..
Income shown in the return Tk………..and tax paid Tk………….
Seal | Signature of the Dputy Commissioner of Taxes/Officer in Charge Circle……………. Taxes Zone…………. |
(5)The schedules required to be annexed to the returns in applicable cases shall be in the following form:
SCHEDULE 24A
Particulars of income from salaries
Annex this Schedule to the return of income if you have income from salaries
01 | Assessment Year | 02 | TIN |
Particulars | Amount (A) | Tax exempted (B) | Taxable (C=A-B) | ||
03 | Basic pay | ||||
04 | Special pay | ||||
05 | Arrear pay (if not included in taxable income carlier) | ||||
06 | Dearness allowance | ||||
07 | House rent allowance | ||||
08 | Medical allowance | ||||
09 | Canveyance allowance | ||||
10 | Festival allowance | ||||
11 | Allowance for support staff | ||||
12 | Leave allowance | ||||
13 | Honorarium/Reward/Fee | ||||
14 | Overtime allowance | ||||
15 | Bonus/Ex-gratia | ||||
16 | Other allowances | ||||
17 | Employer’s contribution to a recognized provident fund | ||||
18 | Interest accrued on a recognized provident fund | ||||
19 | Deemed income for transport facility | ||||
20 | Deemed income for free furnished/unfurnished accommodation | ||||
21 | Other, if any (give detail) | ||||
22 | Total |
All figures of amount are in taka (৳)
Name | Signature & Date |
SCHEDULE 24B
Particulars of income from house property
Annex this Schedule to the return of income if you have income from house property
01 | Assessment Year | 02 | TIN |
For each house property
03 | Description of the house propertyr | |||
03A | Address of the property | 03B | Total Area | |
03C | Share of the asessee(%) |
Income from house property | Amount | ||
04 | Annual Value | ||
05 | Deductions (aggregate of 05A to 05G) | ||
05A | Repair, Collection, etc. | ||
05B | Municipal or Local Tax | ||
05C | Land Revenue | ||
05D | Interest on Loan/Mortgage/Capital Charge | ||
05E | Insurance Premium | ||
05F | Vacancy Allowance | ||
05G | Other, if any | ||
06 | Income from house property (04-05) | ||
07 | If case of partial ownership., the share of income |
Provide information if income from more than one house property
08 | Aggregate of income of all house properties (1+2+3+—) (provide additional papers if necessary ) |
৳ | |
1 | (Income from house property 1) | ৳ | |
2 | (Income from house property 2) | ৳ | |
3 | (Income from house property 3) | ৳ |
Name | Signature & Date |
Summary of income from business or profession
To be annexed to return by an assessee having income
from business or profession
01 | Assessment Year | 02 | TIN |
03 | Type of min business or profession |
04 | Name (s) of the business or profession (as in trade licence) |
05 | Address(es) |
Use serial numbers if more names and addresses
Summary of Income Amount
06 | Sales/Turnover/Receipts | |
07 | Gross Profit | |
08 | General, administrative, selling and other expenses | |
09 | Net Profit (07-08) |
Summary of Balance Sheet Amount
10 | Cash in hand & at bank | |
11 | Inventories | |
12 | Fixed assets | |
13 | Other assets | |
14 | Total assets (10+11+12+13) | |
15 | Opening capital | |
16 | Net profit | |
17 | Withdrawals in the income year | |
18 | Closing capital (15+16+17) | |
19 | Liabilities | |
20 | Total capital and liabilities (18+19) |
Name | Signature & Date |
Particulars of tax credit/rebate To be annexed to return by an assessee claiming investment tax credit
(Attach the proof of claimed investment, contribution, etc.)
01 | Assessment Year | 02 | TIN |
Particulars ofrebatable investment, contribution,etc. Amount
03 | Life insurance premium | ||
04 | Contribution to deposti pension scheme (not exceeding allowable limit) | ||
05 | Investment in approved savings certificate | ||
06 | Investment in approved debenture or debenture stock, Stock or Shares | ||
07 | Contribution to provident fund to which Provident Fund Act , 1925 applies | ||
08 | Self contribution and employer’s contribution to Recognized Provident fund | ||
09 | Contribution to Super Annuation Fund | ||
10 | Contribution to Benevolent fund and Group Insurance Premium | ||
11 | Contribution to Zakat fund | ||
12 | Others, if any (give details ) | ||
13 | Total allowable investment, contribution etc. | ||
14 | Eligible amount for rebate (the lesser of 14A, 14B or 14C ) | ||
14A | Total allowable investment, contribution, etc. (as in 13) | ||
14B | ..% of the total income (excluding any income for which a tax exemption or a reduced rate is applicable under sub-section (4) of section 44 or any income from any source or sources mentioned in clause (a) of sub-section (2) of section 82C.) |
||
14C | Total allowable investment, contribution, etc. (as in 13) | ||
15 | Amount of tax rebate calculated on eligible amount (Serial 14)Under section 44 (2)(b) |
Name | Signature & Date |
(6) An Application for time extension under sub-section (6) of section 75 shall be in the following form:
Applicants Copy
Assessment
– |
01 | Name of the Assessee | 02 | Address | ||||||
01 | Name of the Assessee | ||||||||
01 | Name of the Assessee | 02 | Address | ||||||
06 | Applied Extension upto (DD-MM-YYYY) |
|
|||||||
07 | Reasons for time extension | ||||||||
08 | Signature and Date | ||||||||
Name | Signature
(to be signed by the person who will sign the return |
||||||||
Date of signature | Place of signature | ||||||||
09 | Time extender upto (DD-MM-YYYY)
|
10 | Tax Office Entry Number | ||||||
11 | Signature and seal of the Deputy Commissioner of |
[section 75(6) of the Income Tax Ordinance, 1984 (XXXVI of 1984)]
Office Copy
Assessment
– |
01 | Name of the Assessee | 02 | Address | ||||||
01 | Name of the Assessee | ||||||||
01 | Name of the Assessee | 02 | Address | ||||||
06 | Applied Extension upto (DD-MM-YYYY) |
|
|||||||
07 | Reasons for time extension | ||||||||
08 | Signature and Date | ||||||||
Name | Signature
(to be signed by the person who will sign the return |
||||||||
Date of signature | Place of signature | ||||||||
09 | Time extender upto (DD-MM-YYYY)
|
10 | Tax Office Entry Number | ||||||
11 | Signature and seal of the Deputy Commissioner of |
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