"Part-II H Instructions for Filling in Return Form & Wealth Statement Sr. Instruction The following persons are required to furnish a return of income for a tax year: (a) Every company; ($) Every person (other than a company) whose taxa$le income for the year exceeds ./ 10; (c) Every non-profit organiation as defined in clause (!") of section #; (d) Every welfare institution approved under clause (>5) of art 6 of the
Form
(g) Every person who owns immova$le property with a land area of two hundred and fifty square yards or more or owns any flat located in areas falling within the municipal limits existing immediately $efore the commencement of ?ocal Government laws in the provinces; or areas in a antonment; or the 6slama$ad apital Territory; Territory; (h) Every person who owns immovea$le property with a land area of five hundred square yards or more located in a rating area; (i) Every person who owns a flat having covered area of two thousand square feet or more located in a rating area; (&) Every person who owns a motor vehicle having engine capacity a$ove ' ; (*) Every person who has o$tained +ational Tax +um$er; (l) Every person who is the holder of commercial or industrial connection of electricity where the amount of annual $ill exceeds rupees five hundred thousand; (m) Every person who is registered with any cham$er of commerce and industry or any trade or $usiness association or any mar*et comm ittee or any professional $ody including a*istan Engineering ouncil0 a*istan Bedical and @ental ouncil0 a*istan ,ar ouncil or any rovincial ,ar ouncil0 6nstitute of hartered ccountants of a*istan or 6nstitute of ost and Banagement ccountants ccountants of a*istan; (n) Every individual whose income under the head ,usiness exceeds ./ !0 $ut does not exceed ./ 10 in a tax year2 The following errors 3 omissions shall render a /eturn invalid 4 ma*e the taxpayer a non-filer 4 lia$le to penalty under section '5#('): (a) /eturn on which +6 is missing or incorrect or invalid; ($) /eturn on which mandatory fields mar*ed $y 7 are empty; (c) /eturn which is not signed $y the Taxpayer or his /epresentative (as defined in section '8# of the 6ncome Tax %rdinance0 #'); (d) /eturn which is not filed in the prescri$ed 9orm; (e) /eturn which is not fil ed in the prescri$ed mode2
General
6ndividuals deriving income under the head roperty0 roperty0 apital Gains 4 %ther
' '''-##8-##8 ,y visiting the nearest Taxpayer 9acilitation entre (T9)0 list of which can $e downloaded from 9,/ we$site at http:33www2f$r2gov2p* Tax Tax can $e paid in any authoried $ranch of +, 4 < , at any time $efore filing of return2 ?ist of authoried $raches of +, 4 <, can $e downloaded from http:33www2f$r2gov2p*2 6T-', 6T-# 6T-', 6T-# 6T-', 6T-#
'! %nly 9oreign 6ncome (+ot ?oss) should $e declared2 #8 !1 %nly griculture 6ncome (+ot ?oss) should $e declared2 >8 #" Tax redits include Tax redits for the following: 1' ",)0 (>")0 (>"@)0 (>"E)0 (>"9)0 (>"G)0 art 6A0
nnex-E nnex-9
%nly ersonal 3 =ousehold =ousehold (+on-,usiness) (+on-,usiness) expenses expenses should $e $e declared2
nnex-9 ealth ealth
Expenses $orne $y more than one person must $e declared in total $y each person2 9or example0 if in one family more than one mem$er is conti$uting to expenses or if more than one family is l iving &ointly 4 within each family more than one mem$er is contri$uting to expenses0 total expenses under each head must $e declared $y each mem$er of each family filing his wealth statement 4 then contri$ution $y other family '5 mem$ers $e deducted to arrive at own contri$ution2 6f rows rows prov provide ided d in any any segmen segmentt are ina inadeq dequa uate0 te0 add additio itional nal row rows s may $e inse inserte rted2 d2 ll assets assets must must $e $e dela delared red at cost0 cost0 incl includ uding ing ancill ancillary ary expe expense nses2 s2 6f an asset is acquired under a =ire urchase greement0 greement0 total price should $e declared as asset under the appropriate head 4 $alance paya$le amount should $e declared as lia$ility2 6f ealth ealth
ealth
1
Equipment0 lant0 Bachinery Bachinery (+on-,usiness) must $e declared with description0 description0 for example0 example0 Generator Generator00 Tu$ewe Tu$ewell0 ll0 =arvestor0 =arvestor0 Tractor0 Tractor0 Trolley Trolley00 etc2
ssets created0whether created0whether in a*istan or a$road0 a$road0 in the name of of spouse(s)0 children 4 other other dependents should $e declared only only if acquired $y them '1 with funds provided $y you (,enami ssets)2 separate separate column for assets held held outside a*istan has $een added wherein wherein any3all assets assets held a$road are to to $e declared at cost in a* /upee '" Aalue
RETURN F TT! IN#$E % ST!TE$ENT F FIN! T!!TIN UN'ER THE IN#$E T! R'IN!N#E( )**+ ,IT-+ ,FR IN'I/I'U!( 'ERI/IN0 IN#$E UN'ER !N1 HE!' THER TH!N S!!R1 % USINESS
Name2
Ta3 1ear
#NI#2
NTN
!55ress2
)*+4
RETURN F TT! IN#$E % ST!TE$ENT F FIN! T!!TIN UN'ER THE IN#$E T! R'IN!N#E( )**+ ,IT-+ ,FR IN'I/I'U!( 'ERI/IN0 IN#$E UN'ER !N1 HE!' THER TH!N S!!R1 % USINESS
Name2
Ta3 1ear
#NI#2
NTN
)*+4
!55ress2
Sr.
'
7 t r e 6 o r P
'escri6tion
Income % ,oss from Pro6ert7 8Sum of ) to 49 - 8Sum of : to +*9
)***
#
/ent /ent /ece /eceiv ived ed or or /ec /ecei eiva$ va$le le
)**+
!
'3'th '3'th of amoun amountt not not ad&us ad&usta$l ta$le e again against st /ent /ent
)**)
1
9orfeited 9orfeited @eposit @eposit under under a ontract ontract for
)**;
>
/ecovery /ecovery of Cnpaid Cnpaid 6rrecover 6rrecovera$le a$le /ent allowed allowed as deductio deduction n
)**<
"
Cnpaid Cnpaid ?ia ?ia$il $ilit itie ies s exceedi exceeding ng three three years years
)**=
8
'3>th of /ent /ent of of ,uildi ,uilding ng for /epairs /epairs D(#! D(#!1)7# 1)7#F F
)*;+
5
6nsu 6nsurrance ance rem remiium
)*;)
H
?ocal ?ocal /at /ate e 3 Tax Tax 3 har harge ge 3 es ess s
)*;;
' %ther %ther @educ @educti tions ons against against /ent /ent
! e l @ i t c u 5 e '
s n o i t a t u 6 m o #
<***
'#
Income % ,oss from ther Sources
=***
'!
Foreign Income
4***
;+<+
'"
Total Income2
>***
'8
'e5ucti@le !lloAances 8+?D+>D)*9
>**>
'5 Ia*a Ia*att u3s u3s "
>**+
'H @educti$l @educti$le e llowanc llowance e for rofi rofitt on @e$t @e$t u3s "1
>**:
# harita$le harita$le @onations @onations u3c u3c "'0 art 60 #nd
>**<
#'
Ta3a@le Income 8+4-+:92
>+**
##
Ta3 #hargea@le 8#ol.# );-)<-)=-)4D):9
#!
Normal Income Ta3
#1
Tax /educti /eduction on for
>;*;
#>
Tax /educti /eduction on for @isa$led @isa$led Taxpayer axpayer
>;*<
#8
#5
Ta3 Pai5 8Sr.)> #ol. DSr.;* #ol. DSr.;4 #ol. DSr.+ #ol. !nne3-!9
#
Total
Ina5missi@le Ina5missi@ le
!5missi@le
Recei6ts % /alue
Ta3 #ollecte5% 'e5ucte5%Pai5
Ta3 #hargea@le
>;)> >)*:**
>)*) >)*;
!'
Refun5a@le Income Ta3 8))-)? if *9
>)+*
!#
'eman5e5 Income Ta3 8))-)? if *9
!!
/efund d&ustment of %ther Lear(s) Lear(s) against @emand of this Lear Lear DM!'
!1
!griculture Income
!"
>)**
! dmitted 6ncome 6ncome Tax
Final % Fi3e5 % $inimum % !Berage % ReleBant % Re5uce5 Income Ta3 8Sum of ;: to =)9
!
>)****
#H dvance 6ncome 6ncome Tax Tax
!> gricu gricult lture ure 6ncome 6ncome Tax
!mount !mount E3em6t from Ta3 % Su@Cect to Su@Cect to Normal Ta3 Ta3 Fi3e5 % Final Ta3
;+;+
'>
#" Tax red rediits
Total !mount
)*>?
'' 0ains % ,oss from #a6ital !ssets
'1
s e c n a A o l l
#o5e
>)*< >)+*+ 4+** >)>+
4<***+
!8 @ivi @ivide dend nd u3s u3s '> '> J82 J82>F >F
4<*;**=)
!5 @ivi @ivide dend nd u3s u3s '> J'F J'F
4<*;**=;
!H @ivi @ivide dend nd u3s u3s '> '> J '#2> '#2>F F
4<*;**=<
e m 1 rof rofit it on @e$t @e$t u3s u3s 8, 8, 4<;+**=4 i g e rie on ri rie e ,ond u3s '>" 4<*>**=+ R 1' rie e t 1# innin innings gs from from rossw rossword ord u ule le u3s '>" '>" 4<*>**=) a R 1! innin innings gs from from /affl /affle e u3s u3s '>" '>" 4<*>**=; 5 e c u 11 innin innings gs from from ?otter ?ottery y u3s u3s '>" '>" 4<*>**=< 5 e innings gs from from Kui Kui u3s '>" 4<*>**== R 1> innin % t 1" innin innings gs from from " 4<*>**=4 n a B e 18 6ssuance of ,onus apital Gains on 6mmova$le roperty u3s !8(') J>F 4<))**=; B ! % >' apital Gains on 6mmova$le roperty u3s !8(') J'F 4<))**== 5 e 3 i ># apital Gains on F 4<))*+=4 F % l 6 0 0 + 6 + o 2 0 in my capacity as
*nowledge 4 $elief the information given in this /eturn 3 (1) is correct 4 complete in accordance with the provisions of the 6ncome Tax Tax %rdinance0 #' 4 6ncome Tax Tax /ules0 ##2 @ate:
n o i t a c i f i r e /
RETURN F TT! IN#$E % ST!TE$ENT F FIN! T!!TIN UN'ER THE IN#$E T! R'IN!N#E( )**+ ,IT-)
+%)
FR IN'I/I'U! 'ERI/IN0 IN#$E UN'ER THE HE!' USINESS & !N1 THER HE!' E#EPT S!!R1 S!!R1
Name2
Ta3 1ear
)*+4
RETURN F TT! IN#$E % ST!TE$ENT F FIN! T!!TIN UN'ER THE IN#$E T! R'IN!N#E( )**+ ,IT-+ ,FR IN'I/I'U!( 'ERI/IN0 IN#$E UN'ER !N1 HE!' THER TH!N S!!R1 % USINESS
Name2
Ta3 1ear
#NI#2
NTN
)*+4
!55ress2
Sr.
'
7 t r e 6 o r P
'escri6tion
Income % ,oss from Pro6ert7 8Sum of ) to 49 - 8Sum of : to +*9
)***
#
/ent /ent /ece /eceiv ived ed or or /ec /ecei eiva$ va$le le
)**+
!
'3'th '3'th of amoun amountt not not ad&us ad&usta$l ta$le e again against st /ent /ent
)**)
1
9orfeited 9orfeited @eposit @eposit under under a ontract ontract for
)**;
>
/ecovery /ecovery of Cnpaid Cnpaid 6rrecover 6rrecovera$le a$le /ent allowed allowed as deductio deduction n
)**<
"
Cnpaid Cnpaid ?ia ?ia$il $ilit itie ies s exceedi exceeding ng three three years years
)**=
8
'3>th of /ent /ent of of ,uildi ,uilding ng for /epairs /epairs D(#! D(#!1)7# 1)7#F F
)*;+
5
6nsu 6nsurrance ance rem remiium
)*;)
H
?ocal ?ocal /at /ate e 3 Tax Tax 3 har harge ge 3 es ess s
)*;;
' %ther %ther @educ @educti tions ons against against /ent /ent
! e l @ i t c u 5 e '
s n o i t a t u 6 m o #
<***
'#
Income % ,oss from ther Sources
=***
'!
Foreign Income
4***
;+<+
'"
Total Income2
>***
'8
'e5ucti@le !lloAances 8+?D+>D)*9
>**>
'5 Ia*a Ia*att u3s u3s "
>**+
'H @educti$l @educti$le e llowanc llowance e for rofi rofitt on @e$t @e$t u3s "1
>**:
# harita$le harita$le @onations @onations u3c u3c "'0 art 60 #nd
>**<
#'
Ta3a@le Income 8+4-+:92
>+**
##
Ta3 #hargea@le 8#ol.# );-)<-)=-)4D):9
#!
Normal Income Ta3
#1
Tax /educti /eduction on for
>;*;
#>
Tax /educti /eduction on for @isa$led @isa$led Taxpayer axpayer
>;*<
#8
#5
Ta3 Pai5 8Sr.)> #ol. DSr.;* #ol. DSr.;4 #ol. DSr.+ #ol. !nne3-!9
#
Total
Ina5missi@le Ina5missi@ le
!5missi@le
Recei6ts % /alue
Ta3 #ollecte5% 'e5ucte5%Pai5
Ta3 #hargea@le
>;)> >)*:**
>)*) >)*;
!'
Refun5a@le Income Ta3 8))-)? if *9
>)+*
!#
'eman5e5 Income Ta3 8))-)? if *9
!!
/efund d&ustment of %ther Lear(s) Lear(s) against @emand of this Lear Lear DM!'
!1
!griculture Income
!"
>)**
! dmitted 6ncome 6ncome Tax
Final % Fi3e5 % $inimum % !Berage % ReleBant % Re5uce5 Income Ta3 8Sum of ;: to =)9
!
>)****
#H dvance 6ncome 6ncome Tax Tax
!> gricu gricult lture ure 6ncome 6ncome Tax
!mount !mount E3em6t from Ta3 % Su@Cect to Su@Cect to Normal Ta3 Ta3 Fi3e5 % Final Ta3
;+;+
'>
#" Tax red rediits
Total !mount
)*>?
'' 0ains % ,oss from #a6ital !ssets
'1
s e c n a A o l l
#o5e
>)*< >)+*+ 4+** >)>+
4<***+
!8 @ivi @ivide dend nd u3s u3s '> '> J82 J82>F >F
4<*;**=)
!5 @ivi @ivide dend nd u3s u3s '> J'F J'F
4<*;**=;
!H @ivi @ivide dend nd u3s u3s '> '> J '#2> '#2>F F
4<*;**=<
e m 1 rof rofit it on @e$t @e$t u3s u3s 8, 8, 4<;+**=4 i g e rie on ri rie e ,ond u3s '>" 4<*>**=+ R 1' rie e t 1# innin innings gs from from rossw rossword ord u ule le u3s '>" '>" 4<*>**=) a R 1! innin innings gs from from /affl /affle e u3s u3s '>" '>" 4<*>**=; 5 e c u 11 innin innings gs from from ?otter ?ottery y u3s u3s '>" '>" 4<*>**=< 5 e innings gs from from Kui Kui u3s '>" 4<*>**== R 1> innin % t 1" innin innings gs from from " 4<*>**=4 n a B e 18 6ssuance of ,onus apital Gains on 6mmova$le roperty u3s !8(') J>F 4<))**=; B ! % >' apital Gains on 6mmova$le roperty u3s !8(') J'F 4<))**== 5 e 3 i ># apital Gains on F 4<))*+=4 F % l 6 0 0 + 6 + o 2 0 in my capacity as
*nowledge 4 $elief the information given in this /eturn 3 (1) is correct 4 complete in accordance with the provisions of the 6ncome Tax Tax %rdinance0 #' 4 6ncome Tax Tax /ules0 ##2 @ate:
n o i t a c i f i r e /
RETURN F TT! IN#$E % ST!TE$ENT F FIN! T!!TIN UN'ER THE IN#$E T! R'IN!N#E( )**+ ,IT-)
+%)
FR IN'I/I'U! 'ERI/IN0 IN#$E UN'ER THE HE!' USINESS & !N1 THER HE!' E#EPT S!!R1 S!!R1
Name2
Ta3 1ear
)*+4
RETURN F TT! IN#$E % ST!TE$ENT F FIN! T!!TIN UN'ER THE IN#$E T! R'IN!N#E( )**+ ,IT-)
+%)
FR IN'I/I'U! 'ERI/IN0 IN#$E UN'ER THE HE!' USINESS & !N1 THER HE!' E#EPT S!!R1 S!!R1
Name2
Ta3 1ear
#NI#2
NTN2
)*+4
!55ress2
Sr.
7 t r e 6 o r P
'escri6tion
'
Income from usiness
;***
#
Income % ,oss from Pro6ert7 8Sum of ; to :9 -8Sum of ? to ++9
)***
!
/ent /eceived or /eceiva$le
)**+
1
'3' '3'th th of amou amount nt not not ad&u ad&ust sta$ a$le le agai agains nstt /ent /ent
)**)
>
9orf 9orfei eite ted d @epo @eposi sitt unde underr a ont ontra ract ct for for
)**;
"
/ecov /ecover ery y of of Cnp Cnpai aid d 6rr 6rrec ecove overa ra$l $le e /en /entt all allow owed ed as dedu deduct ctio ion n
)**<
8
Cnpai npaid d ?ia$ ?ia$il ilit itie ies s exce excee edin ding thr three ee ye years ars
)**=
5
'3>th of /ent of ,uilding for /epairs 8,;D
)*;+
H
6nsurance remium
)*;)
'
?oca ?ocall /a /ate 3 Tax 3 har harg ge 3 ess ess
)*;;
''
%the %therr @educ educttions ions agai agains nstt /en /ent
)*>?
'#
0ains % ,oss from #a6ital !ssets ,inclu5ing securities
<***
'!
Inco Income me % ,o ,oss ss fr from the therr Sou Sourrces ces 8Su 8Sum m of of +< +< to to );9 );9 - 8Su 8Sum m of of )< )< to to )49 )49
=*** =***
'1 /e /eceipts from %ther Lield on ,eh$ood ertificates 3 ensionerNNs ,enefit ccount
s e c r u o S r e h t
'8 rofit on @e$t (6nterest0 Lield0 etc)
>!
'5 Ground /ent
>1
'H /ent from su$ lease of ?and or ,uilding
>>
# /ent from lease of ,uilding with lant and Bachinery
>"
#' ,onus 3 ,onus
>'#
## ?oan0 dvance0 @eposit or Gift received in ash
>'"
#! %ther /eceipts
>#5
#1 @eductions from %ther
>5H
#> ccounting @epreciation
>"1
#" %ther @eductions
>55
#8
4***
#5
;+;+
#H
;+<+
!
>***
Total Income2 'e5ucti@le !lloAances 8;)D;;D;
>**>
Ia*at u3s "
>**+
or or* er ers e elfare 9 un und u3 u3s " "
>**)
!1 harita$le harita$le @onations @onations u3c u3c "'0 art 60 #nd #nd
>**<
!> @educti$le @educti$le llowance llowance for for rofit rofit on @e$t u3s "1 "1
>**:
!"
Ta3a@le Income 8;*-;+92
>+**
!8
Ta3 #hargea@le
>)**
!5
Normal Income Ta3
!H
Tax /eduction for
>;*;
1
Tax /eduction for @isa$led Taxpayer
>;*<
1' Tax red redit its s 1#
@ifference of Binimum Tax hargea$le u3s ''!, ''!, 3 '15(5) 3 '>!(!)($)
>)****
>;)> >);+>)
1! d&ustment of Binimum Tax aid u3s ''! in earlier earlier Lear(s) Lear(s) DOM (!5-!H-1-1'1#)
>);+>?
11 @ifference @ifference of Binimum Binimum Tax Tax hargea$l hargea$le e on Electricity Electricity ,ill u3s u3s #!>
>);+>;
1> @ifference @ifference of of Binimum Binimum Tax Tax hargea hargea$le $le u3s u3s ''! ''!
>);+><
1" Turnover Turnover 3 Tax hargea$ hargea$le le u3s ''! ''! J2#F J2#F
>);+=)
18 Turnover Turnover 3 Tax hargea$ hargea$le le u3s ''! ''! J2#>F J2#>F
>);+4;
15 Turnover Turnover 3 Tax hargea$ hargea$le le u3s ''! ''! J2>F J2>F
>);+==
1H Turnover Turnover 3 Tax hargea$ hargea$le le u3s ''! ''! J'F J'F
>);+4*
>
>)*:**
>'
Ta3 Pai5 8 as 6er =) D !nne3G!G9
!
#
Total Total
Ina5missi@le
!5missi@le
>!1' >#
Foreign Income
!mount E3em6t !mount from Ta3 % Su@Cect to Su@Cect to Normal Fi3e5 % Final Ta3 Ta3 Ta3
>#H
'" /oyalty
e e l !' @ c i n t a c s u A !# o 5 l e l !! ' !
s n o i t a t u 6 m o #
#o5e
Total !mount
># dva dvanc nce e 6nco 6ncome me Tax
>)*)
>!
Refun5a@le Income Ta3 8;:-=+ if *9
>)+*
>1
'eman5e5 Income Ta3 8;:-=+ if *9
>)*<
>>
/efund d&ustment of %ther Lear(s) Lear(s) against @emand of this Lear DM >1
>)+*+
>" 9 >8
!griculture Income
>5 gricul gricultur ture e 6nco 6ncome me Tax
>)*>** 4+** >)>+
n 60 ( #NI# No. 0 in my capacity o i t a c i Taxpayer named a$ove0 do solemnly declare that to the $est of m y f as (1) '' >(1) are correct 4 complete in accordance with the provisions of the 6ncome Tax e / %rdinance0 #' 4 6ncome Tax /ules0 ##2
@ate:
RETURN F TT! IN#$E % ST!TE$ENT F FIN! T!!TIN UN'ER THE IN#$E T! R'IN!N#E( )**+ ,IT-)
)%)
FR IN'I/I'U!%!P 'ERI/IN0 IN#$E UN'ER THE HE!' USINESS & !N1 THER HE!'
Name2
Ta3 1ear
#NI#2
NTN
Sr.
>H
e m i g e R e t a R 5 e c u 5 e R % t n a B e l e R % e g a r e B ! % 5 e 3 i F % l a n i F
'escri6tion
Final % Fi3e5 % $inimum % !Berage % ReleBant % Re5uce5 Income Ta3 8Sum of <: to +*:9
#o5e
4<***+
" 6mport u3s '15 J'F
4<*+**=)
"' 6mport u3s '15 J#F
4<*+**=<
"# 6mport u3s '15 J!F
4<*+**=4
"! 6mport u3s '15 J12>F
4<*+**=>
"1 6mport u3s '15 J>2>F
4<*+**4+
"> 6mport u3s '15 J"F
4<*+**4)
"" 6mport of Edi$le %il u3s '15 J>2>F
4<*+*+4+
"8 6mport of ac*ing Baterial u3s '15 J>2>F
4<*+*+?+
"5 @ividend u3s '> J82>F
4<*;**=)
"H @ividend u3s '> J'F
4<*;**=;
8 @ividend u3s '> J '#2>F
4<*;**=<
8' @ividend to a +on-/esident covered under @@T u3s '> 3 u3s >
4<*;**>>
8# rofit on @e$t u3s 8, /oyalty 3 9ee for Technical #(') 3 @ivision 6A0 art 8! 60 'st #(')(a) 3 @ivision 660 art 6660 'st #(')($) 3 @ivision 660 art 8> 6660 'st #(')(c) 3 @ivision 660 art 8" 6660 'st #(') 3 @ivision 660 art 88 6660 'st #(') 3 @ivision 660 art 85 6660 'st
4<;+**=4
8H rofit on @e$t u3s '>#(#) 3 u3c (>)0 art 660 #nd
4<*=**>4
5 /oyalty 3 9ee for Technical
4<*=**>:
5# ayment for Goods u3s '>!(')(a) J'F
4<*4**=)
5! ayment for Goods u3s '>!(')(a) J'2>F
4<*4**=;
51 ayment for Goods u3s '>!(')(a) J12>F
4<*4**=>
5> ayment for Goods u3s '>!(')(a) J"2>F
4<*4**4;
5" ayment for !(')($) J 'F
4<*4*+*)
58 ayment for !(')($) J #F
4<*4*+=<
55 ayment for !(')($) J 'F
4<*4*+:*
5H /eceipts from ontracts u3s '>!(')(c) J82>F
4<*4*)4=
H 9ee for Export related !(#) J'F
4<*4*;=)
H' Export roceeds u3s '>1 J'F
4<*:**=<
H# 9oreign 6ndenting ommission u3s '>1(#) J>F
4<*:*+=+
H! rie on rie ,ond u3s '>"
4<*>**=+
H1 innings from rossword ule u3s '>"
4<*>**=)
H> innings from /affle u3s '>"
4<*>**=;
H" innings from ?ottery u3s '>"
4<*>**=<
H8 innings from Kui u3s '>"
4<*>**==
H5 innings from "
4<*>**=4
HH ommission 3 @iscount on petroleum products u3s '>" J '#F
4<*>*+*+
' ,ro*erage 3 ommission u3s #!! J'F
4<+)**)*
'' ,ro*erage 3 ommission u3s #!! J'#F
4<+)**:<
'# +G
4<+;*+=+
'! Electricity ,ill of ommercial onsumer u3s #!>
4<+<**=+
'1 Electricity ,ill of 6ndustrial onsumer u3s #!>
4<+<**=)
'> 6ssuance of ,onus
4<+=+;=+
'" @ividend in specie u3s #!"<
4<+=+?*+
'8 6ssuance of ,onus
4<+=+<=+
'5 ayment for rent 3 right to use machinery 3 equipment u3s #!"K
4<+=+4=+
'H apital Gains on 6mmova$le roperty u3s !8(') JF
4<))**=+
'' apital Gains on 6mmova$le roperty u3s !8(') J>F
4<))**=;
4<*=**=+ 4<*=**=) 4<*=**=; 4<*=**=< 4<*=**== 4<*=**=4
4<*=**>?
)*+4
Recei6ts % /alue % Num@er
Ta3 #ollecte5% 'e5ucte5%Pai5
Ta3 #hargea@le
!
#
''' apital Gains on 6mmova$le roperty u3s !8(') J'F
4<))**==
''# apital Gains on F
4<))*+=4
''! 9ee for
4<;+**=+
''1 /eceipts for ontracts outside a*istan u3c (!)0 art 660 #nd
4<;+**=)
''> urchase of ?ocally roduced Edi$le %il u3c ('!)0 art 660 #nd
4<;+**=;
9ee for arriage F
4<;)**=+
''8 6ncome of =a&& Group %perators u3c (8#)0 art 6A0 #nd
4<;)**=)
@ate:
!nne3-! !5Custa@le Ta3 #ollecte5 % 'e5ucte5 Name2
Ta3 1ear
#NI#2
NTN
Sr.
'
'escri6tion
!5Custa@le Ta3 8Sum of ) to <)9 8#ol. !55 to #ol. Sr.;: of Return9
#o5e
6mport u3s '15 J'F
4<*+***)
!
6mport u3s '15 J#F
4<*+***<
1
6mport u3s '15 J!F
4<*+***4
>
6mport u3s '15 J12>F
4<*+***>
"
6mport u3s '15 J>2>F
4<*+**++
8
6mport u3s '15 J"F
4<*+**+)
5
6mport of Edi$le %il u3s '15 J>2>F
4<*+*+4+
H
6mport of ac*ing Baterial u3s '15 J>2>F
4<*+*+?+
'
ayment for Goods0 #(#)
4<*=***:
''
4<*=***?
'>
rofit on @e$t to a +on-/esident u3s '>#(#) ayment for Goods to a E of a +on-/esident u3s '>#(#)(a) 3 @ivision 660 art 6660 'st #(#)($) 3 @ivision 660 art 6660 'st #(#)($) 3 @ivision 660 art 6660 'st #(#)(c) 3 @ivision 660 art 6660 'st
'"
ayment for Goods u3s '>!(')(a) (@PC
4<*4****
'# '! '1
'8
ayment for !(')($) J 'F
Ta3 #ollecte5 % 'e5ucte5 % Pai5
!
4<*=***> 4<*=**+* 4<*=**++ 4<*=**+)
4<*4*+*)
'5
/ent of roper ty u3s '>>
4<*?***+
'H
ithdrawal from ension 9und u3s '>",
4<*>*)*+
#
ash ithdrawal from ,an* u3s #!'
4<+**+*+
#'
ertain ,an*ing Transactions u3s #!'
4<+**)*+
##
Botor Aehicle /egistration 9ee u3s #!',(')
4<+**;*+
#!
Botor Aehicle Transfer 9ee u3s #!',(#)
4<+**;*)
#1
Botor Aehicle
4<+**;*;
#>
Aalue of
4<+)*+*+
#"
Aalue of
4<+)*+*)
#8
Aalue of
4<+)*+*;
#5
Bargin 9inancing0 Bargin Trading or
4<+)*)*+
#H
Goods Transport u$lic Aehicle Tax u3s #!1
4<+;***+
!
assenger Transport u$lic Aehicle Tax u3s #!1
4<+;***)
!'
rivate Aehicle Tax u3s #!1
4<+;***;
!#
Electricity ,ill of @omestic onsumer u3s #!>
4<+<*+*+
!!
Telephone ,ill u3s #!"(')(a)
4<+=***+
!1
ellphone ,ill u3s #!"(')(a)
4<+=***)
!>
repaid Telephone ard u3s #!"(')($)
4<+=***;
!"
hone Cni t u3s #!"(') (c)
4<+=***<
!8
6nternet ,ill u3s #!"(')(d)
4<+=***=
!5
repaid 6nternet ard u3s #!"(')(e)
4<+=***4
!H
urchase $y uction u3s #!"
4<+=*+*+
1
@omestic ir Tic*et harges u3s #!",
4<+=*)*+
1'
4<+=*;*+
1#
9unctions 3 Gatherings harges u3s #!"@
4<+=*<*+
1!
ertification of 9oreign-roduced TA lays 3
4<+=*=*+
11
6ssuance 3 /enewal of ?icense to a$le %peartors 3 Electronic Bedia u3s #!"9
4<+=*4*+
1>
urchase of other commodities $y @istri$utors 3 @ealers 3 holesalers u3s #!"G
4<+=*:*+
1"
urchase of 9ertilier $y @istri$utors 3 @ealers 3 holesalers u3s #!"G
4<+=*:*)
18
urchase $y /etailers u3s #!"=
4<+=*?*+
15
Educational 6nstitution 9ee u3s #!"6
4<+=*>*+
1H
6ssuance 3 /enewal of ?icense to @ealers 3 ommission gents 3 rhatis u3s #!"P
4<+=+**+
>
urchase 3 Transfer of 6mmova$le roperty u3s #!".
4<+=++*+
>'
urchase of 6nternational ir Tic*et u3s #!"?
4<+=+)*+
>#
,an*ing transactions otherwise than through cash u3s #!"
4<+=+=*+
>!
Education related expenses remitted a$road u3s #!"/
4<+=+:*+
>1
4<+=+>*+
Recei6ts % /alue
4<****
#
)*+4
@ate:
!nne3- $anufacturing % Tra5ing % Profit & oss !ccount , inclu5ing ReBenues su@Cect to Final (Separate form should be filled for each business) Name2 #NI#2 usiness Name2
Sr.
'escri6tion
#o5e
Total !mount
! e u n e B e R
'
s e s n e 6 3 E
;*)>
#
Gross /evenue (excluding
;**>
!
;*+>
1
s e c i B r e S % s e l a S f o t s o #
Net ReBenue ,e3clu5ing Sales Ta3( Fe5eral E3cise( roerage( #ommission( 'iscount( Freight utAar5 8)-;9
#ost of Sales % SerBices 8,sum of = to +=-+49
;*;*
>
%pening
;*;>
"
+et urchases (excluding
;*=>
8
;*:+
5
9uel
;*:)
H
ower
;*:;
'
Gas
;*:<
''
;*:4
'#
/epair 3 Baintenance
;*::
'!
%ther @irect Expenses
;*?;
'1
ccounting mortiation
;*?:
'>
ccounting @epreciation
;*??
'"
losing
;*>>
'8 0ross Profit % ,oss 8+-<9
;+**
'5 ther ReBenues 8Sum of +> to ))9
;+)>
'H
ccounting Gain on
!''>
#
ccounting Gain on
!''"
#'
%thers
!'#5
##
;+;+
#!
;+<+
$anagement( !5ministratiBe( Selling & Financial E36enses 8Sum of ); ## to <)9
;+>>
#!
/ent
;+=+
#1
/ates 3 Taxes 3 ess
;+=)
#>
;+=<
#"
Traveling 3 onveyance 3 Aehicles /unning 3 Baintenance
;+==
#8
Electricity 3 ater 3 Gas
;+=?
#5
ommunication
;+4)
#H
/epair 3 Baintenance
;+4=
!
;+44
!'
dvertisement 3 u$licity 3 romotion
;+4?
!#
6nsurance
;+:*
t c e r i 5 n I
!!
rofessional harges
;+:+
!1
rofit on @e$t (9inancial harges 3 Bar*up 3 6nterest)
;+:)
!>
,ro*erage 3 ommission
;+:?
!"
6rrecovera$le @e$ts written off
;+?4
!8
%$solete
;+?:
!5
%ther 6ndirect Expenses
;+?*
!H
ccounting (?oss) on
;+>=
1
ccounting (?oss) on
;+>4
1'
ccounting mortiation
;+>:
1#
ccounting @epreciation
;+>?
1! !ccounting Profit % ,oss 8+:D+?-))9
;)**
!nne3- $anufacturing % Tra5ing % Profit & oss !ccount , inclu5ing ReBenues su@Cect to Final (Separate form should be filled for each business) Name2 #NI#2
Sr.
#o5e
'escri6tion
Total !mount
! 6ncome 3 (?oss) from ,usiness $efore ad&ustment of dmissi$le @epreciation 11 3 6nitial llowance 3 mortiation for current 3 previous years
;):*
1>
Cnad&usted (?oss) from ,usiness for #'
;):*+*
1"
Cnad&usted (?oss) from ,usiness for #''
;):*++
18
Cnad&usted (?oss) from ,usiness for #'#
;):*+)
15
Cnad&usted (?oss) from ,usiness for #'!
;):*+;
1H
Cnad&usted (?oss) from ,usiness for #'1
;):*+<
>
Cnad&usted (?oss) from ,usiness for #'>
;):*+= Statement of !ffairs % alance Sheet
s t e s s !
s e i t i l i @ a i "
>' Total !ssets 8Sum of =) to =:9
;;<>
># ?and
;;*+
>! ,uilding (all types)
;;*)
>1 lant 3 Bachinery 3 Equipment 3 9urniture (including fittings)
;;*;
>> dvances 3 @eposits 3 repayments3 Trade @e$tors 3 /eceiva$les
;;+)
>"
;;+=
>8 ash 3 ash Equivalents
;;+>
>5 Total EJuit7 % ia@ilities 8Sum of => to 4+9
;;>>
>H apital
;;=)
" ,orrowings 3 @e$t 3 ?oan
;;:+
"' dvances 3 @eposits 3 ccrued Expenses3 Trade reditors 3 aya$les
;;?<
+%)
Fi3e5 Ta3
Ta3 1ear
)*+4
NTN
!mount Su@Cect to Final Ta3
!mount Su@Cect to Normal Ta3
#
@ate:
)%)
Fi3e5 Ta3
Ta3 1ear
)*+4
NTN2 !mount Su@Cect to Final Ta3ation
!mount Su@Cect to Normal Ta3ation
#
@ate:
!nne3-# Ina5missi@le % !5missi@le 'e5uctions Name2
Ta3 1ear
#NI#2
NTN
Sr.
'escri6tion
'
Ina5missi@le 'e5uctions 8Sum of ) to )?9
;);>
#
dd ,ac*s u3s #H(#) rovision for @ou$tful @e$ts
;)*+
!
dd ,ac*s rovision for %$solete
;)*)
1
dd ,ac*s rovision for @iminution in Aalue of 6nvestment
;)*;
>
dd ,ac*s u3s #'(a) ess 3 /ate 3 Tax levied on rofits 3 Gains
;)*=
"
dd ,ac*s u3s #'($) mount of Tax @educted at
;)*4
8
dd ,ac*s u3s #'(c) ayments lia$le to deduction of tax at source $ut tax not deducted 3 paid
;)*:
5
dd ,ac*s u3s #'(d) Entertainment Expenditure a$ove prescri$ed limit
;)*?
H
s n o i t c u 5 e ' e l @ i s s i m 5 a n I
s n o i t c u 5 e ' e l @ i s s i m 5 !
#o5e
dd ,ac*s u3s #'(e) ontri$utions to Cnrecognied 3 Cnapproved 9unds dd ,ac*s u3s #'(f) ontri$utions to 9unds not under effective arrangement for deduction of tax ' at source
;)*>
'' dd ,ac*s u3s #'(g) 9ine 3 penalty for violation of any law 3 rule 3 regulation
;)++
'# dd ,ac*s u3s #'(h) ersonal Expenditure dd ,ac*s u3s #'(i) rovision for /eserves 3 9unds 3 mount carried to /eserves 3 9unds or '! apitalied dd ,ac*s u3s #'(&) rofit on @e$t 3 ,ro*erage 3 ommission 3
;)+)
;)+*
;)*< ;)+;
dd ,ac*s u3s #'(l) Expenditure under a single account head exceeding prescri$ed amount not '> paid through prescri$ed mode
;)+=
'" dd ,ac*s u3s #'(m)
;)+4
'8 dd ,ac*s u3s #'(n) apital Expenditure
;)+:
'5 dd ,ac*s u3s "8(') Expenditure attri$uta$le to +on-,usiness 6ncome
;)+?
'H dd ,ac*s u3s !1(>) ?ia$ilities allowed reviously as deduction not aid within three Lears
;)+>
# dd ,ac*s u3s #5(')($) ?ease /ental not admissi$le
;))*
#' dd ,ac*s Tax Gain on
;))=
## dd ,ac*s Tax Gain on
;))4
#! dd ,ac*s re-ommencement Expenditure 3 @eferred ost
;);*
#1 dd ,ac*s ccounting (?oss) on
;);=
#> dd ,ac*s ccounting (?oss) on
;);4
#" dd ,ac*s ccounting mortiation
;);:
#8 dd ,ac*s ccounting @epreciation
;);?
#5 %ther 6nadmissi$le @eductions
;);<
#H !5missi@le 'e5uctions 8Sum of ;* to ;>9
;)=>
! ccounting Gain on
;)<=
!' ccounting Gain on
;)<4
!# Tax mortiation for urrent Lear
;)<:
!! Tax @epreciation 3 6nitial llowance for urrent Lear
;)
!1 re-ommencement Expenditure 3 @eferred ost
;)=*
!> %ther dmissi$le @eductions
;)=<
!" Tax (?oss) on
;)==
!8 Tax (?oss) on
;)=4
!5 Cna$sor$ed Tax mortiation for revious Lears
;)=:
!H Cna$sor$ed Tax @epreciation for revious Lears
;)=? 'ateK
)*+4
!mount
!nne3-' 'e6reciation( Initial !lloAance( !mortiLation Name2 #NI#2
Sr.
n o i t a i c e r 6 e '
'escri6tion
'
,uilding (all types)
# !
#o5e
W'/ ,F
'eletion
!55ition ,Use5 PreBiousl7 in Paistan
!
#
E3tent of E3tent Use !55ition ,NeA of Use '
E
Rate
F
;;*)
'F
'F
'>F
/amp for @isa$led ersons
;;*)*<
'F
'F
'F
;;*;*+
'F
'F
#>F
1
lant 3 Bachinery (not otherwise specified) omputer =ardware 3 llied 6tems 3 E quipment used in manufacture of 6T products
;;*;*)
'F
'F
#>F
>
9urniture (including fittings)
;;*;*;
'F
'F
F
"
Technical 3 rofessional ,oo*s
;;*;*<
'F
'F
#>F
8
,elow ground installations of mineral oil concerns
;;*;*=
'F
'F
#>F
5
%ffshore 6nstallations of mineral oil concerns
;;*;*4
'F
'F
#>F
%ffice Equipment Bachinery 3 Equipment eligi$le for 'st year ' llowance
;;*;*:
'F
'F
#>F
;;*;*?
'F
'F
HF
'' Botor Aehicle (not plying for hire)
;;*<+
'F
'F
F
'# Botor Aehicle (plying for hire)
;;*<)
'F
'F
#>F
'!
;;*<;
'F
'F
#>F
'1 ircrafts 3 ero Engines
;;*<<
'F
'F
#>F
Ta3 'e6reciation % Initial !lloAance for #urrent '> 1ear
;)
H
'escri6tion n o i t '" 6ntangi$le a L i '8 6ntangi$le t r o m '5 6ntangi$le
Expenditure providing ?ong Term dvantage 3 'H ,enefit
#o5e
;;*= ;;*= ;;*=
;;*=+4
# Ta3 !mortiLation for #urrent 1ear
;)<:
#' re-ommencement Expenditure
;;*4
+**
W'/ ,F
Remaining Useful ife
E3tent of Use
!mortiLati on
!
#
'
Expenditure providing ?ong Term dvantage 3 'H ,enefit
;;*=+4
# Ta3 !mortiLation for #urrent 1ear
;)<:
#' re-ommencement Expenditure
;;*4
Ta3 1ear
)*+4
NTN Initial !lloAance
Rate
0 'F 'F '>F !F '>F '>F 'F #F '>F '>F '>F '>F '>F !F +**
'e6reciation
W'/ ,#F
H
I
Ta3 1ear
)*+4
NTN Initial !lloAance
Rate
'e6reciation
W'/ ,#F
H
I
0 'F 'F '>F !F '>F '>F 'F #F '>F '>F '>F '>F '>F !F +**
@ate:
@ate:
!nne3-E
Name2
Ta3 1ear
#NI#2
NTN
Sr.
e l @ a e g r a h # 3 a T m u m i n i $
'escri6tion
$inimum Ta3 #hargea@le 8#ol.E Sum of ) to 4 Transfer to Sr.)? of Return9
#
Binimum Tax on ?and @evelopers u3s ''!,
4<*4*+:+
!
6mport of Edi$le %il u3s '15 J>2>F
4<*+*+4+
1
6mport of ac*ing Baterial u3s '15 J>2>F
4<*+*+?+
>
ayment for !(')($) J'F
4<*4*+=)
"
ayment for !(')($) J#F
4<*4*+=<
5
ayment for !(')($) J'F
4<*4*+:*
Sr.
R T P f o t u o n o i t 6
#o5e
'
H
)*+4
'escri6tion
#o5e
6mport u3s '15 J 'F
4<*+**=)
' 6mport u3s '15 J #F
4<*+**=<
''
4<*+**=4
6mport u3s '15 J !F
'# 6mport u3s '15 J 12>F
4<*+**=>
'! 6mport u3s '15 J >2>F
4<*+**=>
'1 6mport u3s '15 J "F
4<*+**4)
'> ayment for Goods u3s '>!(')(a) J'2>F
4<*4**=;
'" ayment for Goods u3s '>!(')(a) J12>F
4<*4**=>
'8 /eceipts from ontracts u3s '>!(')(c) J82>F
4<*4*)4=
'5 9ee for Export related !(#) J'F
4<*4*;=)
'H Export roceeds u3s '>1 J'F
4<*:**=<
# 9oreign 6ndenting ommission u3s '>1(#) J>F
4<*:*+=+
#' ommission 3 @iscount on petroleum products u3s '>" J '#F
4<*>*+*+
Recei6ts % /alue
Ta3 #ollecti@le % 'e5ucti@le
!ttri@uta@le Ta3a@le Income
Ta3 on !ttri@uta@le Ta3a@le Income
!
#
'
E
Recei6ts % /alue
Final Ta3 #hargea@le
!ttri@uta@le Ta3a@le Income
Ta3 on !ttri@uta@le Ta3a@le Income
'ifference ,6tion /ali5 if M*
!
#
'
E
$inimum Ta3 #hargea@le
!nne3-E
Name2
Ta3 1ear
#NI#2
NTN
Sr.
e l @ a e g r a h # 3 a T m u m i n i $
'escri6tion
' #
Binimum Tax on ?and @evelopers u3s ''!,
4<*4*+:+
!
6mport of Edi$le %il u3s '15 J>2>F
4<*+*+4+
1
6mport of ac*ing Baterial u3s '15 J>2>F
4<*+*+?+
>
ayment for !(')($) J'F
4<*4*+=)
"
ayment for !(')($) J#F
4<*4*+=<
5
ayment for !(')($) J'F
4<*4*+:*
Sr.
R T P f o t u o n o i t 6
#o5e
$inimum Ta3 #hargea@le 8#ol.E Sum of ) to 4 Transfer to Sr.)? of Return9
H
'escri6tion
#o5e
6mport u3s '15 J 'F
4<*+**=)
' 6mport u3s '15 J #F
4<*+**=<
''
4<*+**=4
6mport u3s '15 J !F
'# 6mport u3s '15 J 12>F
4<*+**=>
'! 6mport u3s '15 J >2>F
4<*+**=>
'1 6mport u3s '15 J "F
4<*+**4)
'> ayment for Goods u3s '>!(')(a) J'2>F
4<*4**=;
'" ayment for Goods u3s '>!(')(a) J12>F
4<*4**=>
'8 /eceipts from ontracts u3s '>!(')(c) J82>F
4<*4*)4=
'5 9ee for Export related !(#) J'F
4<*4*;=)
'H Export roceeds u3s '>1 J'F
4<*:**=<
# 9oreign 6ndenting ommission u3s '>1(#) J>F
4<*:*+=+
#' ommission 3 @iscount on petroleum products u3s '>" J '#F
4<*>*+*+
##
,ro*erage 3 ommission u3s #!! J'F
4<+)**)*
#!
,ro*erage 3 ommission u3s #!! J'#F
4<+)**:<
)*+4
Recei6ts % /alue
Ta3 #ollecti@le % 'e5ucti@le
!ttri@uta@le Ta3a@le Income
Ta3 on !ttri@uta@le Ta3a@le Income
!
#
'
E
Recei6ts % /alue
Final Ta3 #hargea@le
!ttri@uta@le Ta3a@le Income
Ta3 on !ttri@uta@le Ta3a@le Income
'ifference ,6tion /ali5 if M*
!
#
'
E
@ate:
$inimum Ta3 #hargea@le
!nne3-F Personal E36enses Name2
Ta3 1ear
#NI#2
NTN
Sr.
s e s n e 6 3 E l a n o s r e P
'escri6tion
#o5e
'
Personal E36enses 8Sum of ) to +4 minus +:9
:*?>
#
/ent
:*=+
!
/ates 3 Taxes 3 harge 3 ess
:*=)
1
Aehicle /unning 3 Baintenence
:*==
>
Travelling
:*=4
"
Electricity
:*=?
8
ater
:*=>
5
Gas
:*4*
H
Telephone
:*4+
' sset 6nsurance 3
:*44
'' Bedical
:*:*
'# Educational
:*:+
'! lu$
:*:)
'1 9unctions 3 Gatherings
:*:;
'> @onation0 Ia*at0 nnuity0 rofit on @e$t0 ?ife 6nsurance remium0 etc2
:*:4
'" %ther ersonal 3 =ousehold Expenses
:*?:
'8 #ontri@ution in E36enses @7 Famil7 $em@ers 8Sum of +? to )+9
:*??
#NI# No.
Name2
'5 'H # #'
@ate:
)*+4
!mount
WE!TH ST!TE$ENT UN'ER SE#TIN ++4 F THE IN#$E T! R' Name2 #NI#2 Resi5ence !55ress2
usiness !55ress2 +
!gricultural Pro6ert7 8Sum of + i to + 39 Form (Irrigated / Unirrigated / Uncultivable)
7 t r e 6 o r P l a r u t l u c i r g !
Mauza / Village / Chak No.
Tehsil
District
i ii iii iv v vi vii viii ix x )
7 t r e 6 o r P l a i r t s u 5 n I ( l a i c r e m m o # ( l a i t n e 5 i s e R
#ommercial( In5ustrial( Resi5ential Pro6ert7 ,Non-usiness 8Sum of ) i to ) 39 Form (House, Flat, Shop, laza, Factory, !orkshop, etc."
i ii iii iv v vi vii viii ix x ;
usiness #a6ital
#$it No. / Comple% / Street / &lock / Sector
'rea / ocality / )oa*
City
l a t i 6 a # s s e n i s u -
t n e m 6 i u J E
+$ter $ame, share perce$tage capital amou$t i$ each '- i ii iii i
+$ter co$soli*ate* capital amou$t o all Sole roprietorships
<
EJui6ment( etc. ,Non-usiness 8Sum of < i to < iB9 Descriptio$
i ii iii iv
WE!TH ST!TE$ENT UN'ER SE#TIN ++4 F THE IN#$E T! R' Name2 #NI#2 =
!nimal ,Non-usiness 8Sum of = i to = iB9 Descriptio$
l a m i n !
i
?ivestoc*
ii
et
iii
Cnspecified
iv
Cnspecified
4
InBestment ,Non-usiness 8Sum of 4 i to 4 3iii9 'ccou$t / Form $strume$t No.
i
ccount urrent urrent 9ixed @eposit 9ixed @eposit rofit 3 ?oss
t n e m t s e B n I
ii
nnuity
iii
,ond
iv
ertificate
v
@e$enture
vi
@eposit Term @eposit Term @eposit
vii
9und
viii
6nstrument
ix
6nsurance olicy
x
xi
xii
Cnit
$stitutio$ Name / $*i0i*ua
xiii :
%thers 'e@t ,Non-usiness 8Sum of : i to : Bii9 Form
i
dvance
ii
@e$t
iii
@eposit
iv
repayment
v
/eceiva$le
vi
vii
%thers
?
$otor /ehicle ,Non-usiness 8Sum of ? i to ? Biii9 Form (Car,Jeep,Motor Cycle,Scooter,an)
i e l c i h e / r o t o $
No.
ii iii iv v vi vii viii
+TD )egistratio$ No.
$stitutio$ Name
Ma
WE!TH ST!TE$ENT UN'ER SE#TIN ++4 F THE IN#$E T! R' Name2 #NI#2 n o i s s e s o P s u o i c e r P
t c e f f E 5 l o h e s u o H
>
Descriptio$ i
ntique 3 rtifact
ii
Pewelry 3 %rnament 3 Betal 3
iii
%thers (
+*
Househol5 Effect 8Sum of +* i to +* iB9
Descriptio$ i
Cnspecified
ii
Cnspecified
iii
Cnspecified
iv
Cnspecified
++ m e t I l a n o s r e P
h s a #
Precious Possession 8Sum of > i to > iii9
Personal Item 8Sum of ++ i to ++ iB9 2 Descriptio$ i
Cnspecified
ii
Cnspecified
iii
Cnspecified
iv
Cnspecified
+) #ash ,Non-@usiness 8Sum of +) i to +) 39 +otes 4 oins +; !n7 ther !sset 8Sum of +; i to +; iB9
t e s s ! r e h t 7 n !
'escri6tion i ii iii iv
e m a N G s r e h t n i s t e s
+<
!ssets in thersG Name 8Sum of +< i to +< iB9 'escri6tion
i ii iii
s !
n a t s i a P e 5 i s t u o s t e s s !
iv +=
Total !ssets insi5e Paistan 8Sum of + to +<9
+4
2!ssets hel5 outsi5e Paistan 8Sum of +4 ,i to +4 ,iB9 'escri6tion
i ii iii iv +: Total !ssets 8+=D+49 ! Serial " #$ has been separated from %ny &ther %ssets at Serial " #' for clarity
WE!TH ST!TE$ENT UN'ER SE#TIN ++4 F THE IN#$E T! R' Name2 #NI#2 +?
#re5it ,Non-usiness 8Sum of +? ,i to +? ,Biii9 Form
n a o "
i
dvance
ii
,orrowing
iii
redit
iv
?oan
v
Bortgage
vi
%verdraft
vii
aya$le
viii
%thers
Cre*itor1s NTN / CNC
Cr
+> Total ia@ilities )* Net !ssets #urrent 1ear 8+:-+>9 )+ Net !ssets PreBious 1ear )) Increase % 'ecrease in !ssets 8)*-)+9 ); InfloAs 8Sum of ); ,i to );,39
s t e s s ! t e N f o n o i t a i l i c n o c e R
i
6ncome declared as per /eturn for the year su$&ect to normal tax
ii
6ncome declared as per /eturn for the year exempt from tax
iii
6ncome ttri$uta$le to /eceipts0 etc2 @eclared as per /eturn for the year su$&ect to 9inal 3 9ixe
iv
d&ustments in 6ncome @eclared as per /eturn for the year
vi
9oreign /emittance
vii
6nheritance
viii
Gift
ix
Gain on @isposal of ssets0 excluding apital Gain on 6mmova$le roperty
x
%thers
)<
Personal E36enses 8Transfer from Sr.+ !nne3-F9
)= utfloAs 8Sum of )= ,i to )= ,iii9
s t e s s ! 5 e s o
i
Gift
ii
?oss on @isposal of ssets
iii
%thers
)4
Unreconcile5 !mount 8);-)<-)=9
):
!ssets Transferre5 % Sol5 % 0ifte5 % 'onate5 5uring the 7ear 8Sum of ): ,i to ): ,ii9 'escri6tion
i
s i '
ii
n 60 0 +6 +o2 o i t a as
Tax /ules0 ##2
IN!N#E( )**+
+%< Ta3 1ear
)*+4
NTN
:**+
'rea ('cre"
Share 2
#o5e
/alue at #ost
:**+ :**+ :**+ :**+ :**+ :**+ :**+ :**+ :**+ :**+
:**)
'rea (Marla / s3. y*."
Share 2
#o5e :**) :**) :**) :**) :**) :**) :**) :**) :**) :**) :**;
/alue at #ost
Share 2
#o5e
/alue at #ost
:**; :**; :**;
4552
:**; :**< #o5e :**< :**< :**< :**< 'ateK
/alue at #ost
IN!N#E( )**+
)%< Ta3 1ear
)*+4
NTN :**= #o5e
/alue at #ost
:**= :**= :**= :**= :**4 l CNC
Share 2
#o5e :**4 :**4 :**4 :**4 :**4 :**4 :**4 :**4 :**4 :**4 :**4 :**4 :**4 :**4 :**4 :**4 :**4 :**4 :**4 :**4 :**4 :**4
/alue at #ost
:**4 :**: / $*i0i*ual CNC
Share 2
#o5e
/alue at #ost
:**: :**: :**: :**: :**: :**: :**: :**?
ker
Capacity #o5e :**? :**? :**? :**? :**? :**? :**? :**? 'ateK
/alue at #ost
IN!N#E( )**+
;%< Ta3 1ear
)*+4
NTN :**> #o5e
/alue at #ost
:**> :**> :**> :*+* #o5e
/alue at #ost
:*+* :*+* :*+* :*+* :*++ #o5e
/alue at #ost
:*++ :*++ :*++ :*++ :*+) :*+) :*+; #o5e
/alue at #ost
:*+; :*+; :*+; :*+; :*+< #o5e :*+< :*+< :*+<
/alue at #ost
:*+< :*+= :*+4 #o5e :*+4 :*+4 :*+4 :*+4 :*+>
'ateK
/alue at #ost
IN!N#E( )**+
<%< Ta3 1ear
)*+4
NTN :*)+ e*itor1s Name
#o5e
/alue at #ost
:*)+ :*)+ :*)+ :*)+ :*)+ :*)+ :*)+ :*)+ :*)> :*;**+ :*;**) :*;**; :*<> :*;+ :*;) Tax
:*;; :*;< :*;= :*;4 :*;: :*;? :* :*>> :*>+ :*>) :*>?
:*;***
:*;**<
#o5e :*;**<
/alue at #ost
