Income Tax Return Form

 

IT 11Ga

[universal Self-assessment]

INCOME TAX RETURN FORM

OF UNDER INCOME TAX ORDINANCE, 1984 (ORDINANCE NO. 36 OF 1984)

	Photograph of Taxpayer   [Attestation on the photograph]

 

 

For individual & other assessee (Except Company)

             

Be honorable assessee. Submit return in time get rid of penalty.

 

Five                 Bangladesh Taka                Court Fee

 

 

PUniversal Self-Assessment

Normal

Self-Assessment

Put tick (P) mark where applicable

 

 

1. Name of Assessee: Shajahan Chowdhury.       2. National ID Number (If any): 2696653250653   3. UTIN (If any): E-TIN                                                     4. TIN:   2 2 9 3 0 1 6 5 3 6 8 1   5. (a) Circle: 130,         (b) Taxes Zone: 6,  Dhaka                     6. Assessment Year: 2019-2020 7. Resident Status: Residence P / Non-Residence     8. Status: Individual P Firm   Individual body   Hindu Undivided Family     9. Business Organization/Name of Employer (Where applicable):   9 A   10. Wife/Husband’s Name (mention TIN if they are taxpayer): Farzana Chowdhury   11. Father’s Name: LATE HABIBUR RAHMAN CHOWDHURY   12. Mother’s Name: Rowshan Ara Chowdhury        13. Date of birth (In case of person):                    Day Month Year   14. Address:    (a) Present:       20/6, North Dhanmondi, Panthapath, Dhaka-1205.                                                   (b) Permanent: House No.-17/1, Flat No.-A-4, Easkaton Garden Road, Ramna, Dhaka-                                     1205. 15. Telephone: Office/Business: .................................,  Residence: .....................................................   16. Vat Registration Number (If any): .........................................................................................

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Statements of Income of Assessee

 

 

 

 

 

 

 

 

True Copy Application Date: 06.9.2020 Preparation Date: 10.9.2020 Issued Date: 10.09.2020 Verifier Signature: ...............

INCOME STATEMENT OF ASSESSEE

Statements of income of the income year ended on 30/06/2019

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
3.	Income from household property: Under Section-24 (As per Schedule-2)
4.	Agricultural income : Under Section-26
5.	Income from Business or occupation : Under  Section-28
6.	Part of the income of firm :
7.	In applicable case income of husband/wife or under aged children: Under Section-43 (4).
8.	Capital profit : Under Section-31
9.	Income from other source: Under Section-33.   Bank Interest		747500/-
10.	Total (From Serial No.1 to 9)		747500/-
11.	Income from abroad:
12.	Total income (Serial No.10 & 11)		747500/-
13.	Imposable income tax on total income		54625/-
14.	Exemption of tax: Under Section-44(2) (B) (According to Schedule-3)
15.	Payable Tax: (Difference of Serial No. 13 & 14)		54625/-
16.	Tax paid :		74750/- (-) 15000/- ------------------ 20125/-       Tk.
a)	Tax deducted/collected at source:        (Attach proof/statement)	Tk.1500+74750/-
b)	Advance tax paid under Section-64/68  (attach invoice)	Tk.
c)	Tax paid according to this return (Section-74)  (Attach invoice/pay-order/Bank draft/Cheque)	Tk.
e)	Adjustment with returnable tax (if any)	Tk.
	Total [(a), (b), (c) & (d)]
17.	Difference of Serial No. 15 & 16 (If any)		Tk.
18.	Amount of tax exempted and tax free income		Tk.
19.	Amount of tax paid in the previous assessment year		Tk

 

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

DECLARATION

I, Shajahan Chowdhury, Father/Husband of LATE HABIBUR RAHMAN CHOWDHURY, UTIN/TIN: 229301653681, 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 to the best of my belief and knowledge.

Place:  Dhaka Date:  10.9.2020

Sd./-Shajahan Chowdhury Date: 10.09.2020 Name, designation and seal (if not individual)

 

                                                                                                                                

 

Schedule with the statement of detail income

Taxpayer:

Shajahan Chowdhury

TIN:

2

2

9

3

0

1

6

9

3

6

8

1

 

Schedule-1: (Salaries)

Salaries and allowances	Amount of Total Income (Taka)	Amount of Tax-free Income (Taka)	Net Amount (Taka)
Basic Salary    AS per separate Sheet
Special Salary
High priced allowance
Conveyance allowance
House rent allowance
Medical allowance
Servant allowance
Leave allowance
Honorary/Prize/Fees
Overtime
Bonus/Ex--Gratia
Other allowance
Donation paid by the employer recognized future fund
Interest earned in the recognized future fund
Installment of insurance paid by the employer
Other, if any (give the description)
Net taxable income from salary

Schedule-2 (Income from Household Property)

Location & Description  of Household Property	Description		Taka	Taka
	1. Annual Income
	2. Claim expenditure:
	Repairs, collection etc. 30%
	Municipal Tax or Local Tax
	Land Revenue
	Interest on Loan/Mortgage/Capital charge
	Insurance of Installment
	Claiming exemption for remaining rent free house
	Other if any
	Total =
	3. Net income (Subtraction of Serial 2 from Serial 1)

 

 

 

 

Schedule-3 (Exemption of investment Tax)

[Sec. 44(2) (B) will have to be read with part of B of Schedule-6]

1.	Life Insurance premium
2.	Contribution to differed annuity
3.	Contribution to provident fund to which provident fund act, 1925 applies
4.	Self contribution and employer’s contribution to recognized provident fund
5.	Contribution to super annuation fund
6.	Investment in approved debenture or debenture stock, stock or  shares
7.	Contribution to deposit pension scheme
8.	Contribution to Benevolent fund and group Insurance premium
9.	Contribution to Zakat Fund
10.	Others if any (give details)
	Total =

 

* Please attach certificate/proof of investments.

 

List of the enclosed Documents

 

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

 

 

Incomplete return will not be acceptable.

 

 

 

 

 

I.T. 10B

Liabilities, Income & Expenditure Details: (30/06/2019)

Taxpayer:

Shajahan Chowdhury

TIN:

2

2

9

3

0

1

6

9

3

6

8

1

 

1.	(a) Business Capital                                                                               (b) Investment of share in limited company as director (Purchase value) Company's Name                                           Share Quantity
2.	Non-Agricultural Property (with father)                                                 Land/Household Property (Location & Description of Property) House No.-17/1-A Eskaton Garden Road Project House, Dhaka-1000, 1265 sft, space with one car parking space as an before		Tk.70,000/-
3.	Agricultural Property (Purchase value with lawful expense) Land (Total land & Location of Land)
4.	Investments: (As per enclosed sheet)                                     a) Shares/Debentures                                                              b) Savings Certificate/Unit Certificates/Bond                                c) Prize Bond/Savings Scheme                                                d) Loan                       FDR. BF                                                              e) Others Investment	Tk.7500000/-
5.	Motor Vehicles (Purchase value) Toyata Corolla 1500 CC Model 2004, Dhaka- Metro GA 79-1023 areas  as before                 Type & Registration Number of Motor Vehicles		Tk.1430000/-
6.	Ornament (Quantity and Purchase value)  20 tolas golden marriage gift  BF		Value Unknown
7.	Furniture and Fittings (Purchase value)   (as before)	As before	Tk.250,000/-
8.	Electronics Goods (Purchase value)	As before	Tk.75000/-
9.	Wealth & Property out of Business  (As per enclosed sheet)
	a)  Cash                                                            b) Deposited in Bank                                       c) Others
		Total =

 

 

       

       

True Copy Application Date: 06.9.2020 Preparation Date: 10.9.2020 Issued Date: 10.09.2020 Verifier Signature: ...............

                                                      

 

                                                               

                                                                                                                                       

         

       

               

 

	BF of previous page			Tk.15272162/-
10.	Other Property (Give description)
	Total Property =			Tk.15272162/-
11.	Less: Liabilities  a) Mortgage of property or land                       b) Load without security                                  c) Bank                                                            d) Others .
	Total Liability =
12.	Net property in the last date of this income year (Difference between total assets and total liabilities)			Tk.15292162/-
13.	Net property of last date of previous income year			Tk.15156662/-
14.	Accretion in wealth (Difference between serial no.-12 and 13)			Tk.135500/-
15.	a) Family Expenditure [Total expense as per Form No. 10BB] b) Numbers of the dependent members of the Family:          Adult   Children			Tk.612000/-
16.	Total amount of property (Deduction of 14 to 15)			Tk.747500/-
17.	Source of Funds: (1)  Shown Return Income                   (2) Tax exempt & tax-free income (House Rent+ Conveyance Allowance + Medical Allowance) (3) Others receipts		Tk.747500/-
	Total Source of Fund =			Tk.747500/-
18.	Difference: (Deduction of 16 and 17)
	I solemnly declare that, the information given in IT-10B is correct & complete so far my knowledge and belief is concern.
		Sd./-Illegible Name and Sign of the taxpayer Date:
	·         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.
	Sd./-Illegible Date: 10.09.2020	Sd./-Illegible Date: 10.09.2020 Assistant Commissioner of Tax [Seal]

 

 

 

 

 

           

Form

I.T. 10BB

Income Tax Ordinance, 19884 rules 75(2)(D)(I) and as rules 80 in details of Person Tax payer life style

Taxpayer:

Shajahan Chowdhury

TIN:

2

2

9

3

0

1

6

9

3

6

8

1

 

Sl. No.	Details of Expenditure	Amount of Taka	Remarks
1.	Personal maintain cost	Tk.160000/-
2.	Celebration tax deduction of the previous year paid taxes	Tk.102000/-
3.	Residential cost	Living in own flat
4.	Personal using vehicles cost	Tk.148000/-
5.	Residential electricity wages	Tk.24000/-
6.	Residential wasa wages	Tk.9000/-
7.	Residential Gas wages	Tk.10800/-
8.	Residential Telephone bill	Tk.8000/-
9.	Educational expenses of children	Tk.120,000/-
10.	Celebration cost of various sauces, if any
11.	Festival Expenses with other special expenses, if any	Tk.30200/-
	Total Expenses	Tk.612000/-

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

Sd./-Illegible Name and signature of the taxpayer Date:

 

 

• If necessary use the extra sheet

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INSTRUCTIONS TO BE FOLLOWED TO FILL-UP THE 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)   Statement 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 statement:         (a)   If any income of assessee’s husband or wife (if not assessee), minor children and dependent. (b)   If any tax exempted and tax free income.   (4)   The conditions of Income Tax Rule-38 is 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.