"PART-I C

RETURN OF TOTAL INCOME/STATEMENT OF FINAL TAXATION UNDER THE INCOME TAX ORDINANCE, 2001 (FOR COMPANY)
1

IT-1
N NTN Reg/Inc No. Year Ending Date

Taxpayer's Name Bussiness Name Business Address Principal Activity Representative NTN
NTN City Code

Registration

2 3 4 5

Tax Year Res. Status Revised Assessed N N %

2012
Resident Non-Resident

Name

Share Holding

Share Holding

Top 10 Share Holders' Names

Capital

NTN

Top 10 Share Holders' Names

Capital

Remaining Share Holders Total 100%

9099 3999 4999 82

Gross Domestic Sales Subject to Final Tax Other Domestic Sales Domestic Commission/Brokerage Gross Exports Foreign Commission/Brokerage Rebates/Duty Drawbacks Others Cost of Sales [to be reconciled with Annex-D-1]
Local Raw Material/Components other than Stores/Spares Imported Raw Material/ Components other than Stores/Spares Annex H-1 Annex H-1

Total / Taxable Income Computation

Items Net Sales

Code
3101 31011 31013 31021 31012 31022 3107 31014 3116 310411 310421 311101 311102 311103
Annex H-1 Annex H-1

Amount

Total Income/ (Loss) Business Income/(Loss) Capital Gains Other Sources Income/ (Loss) Foreign Income/ (Loss) Deductible Allowances Workers Welfare Fund (WWF) Paid During the Year
Workers Profit Participation Fund (WPPF) Paid During the Year

83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98

Manufacturing/ Trading Account (Including Final/Fixed Tax)

9 10 11 12 13 14 15 16 17

Annex G-1 Annex F-1

5999 6399 9139 9122 64032 9124 9199 6199 6102 6103 312021 6106 6104 6105

Charitable Donations Admissible for Straight Deduction Taxable Income/ (Loss) Exempt Income Agricultural Income Business Income Share from AOP Capital gains on Securities held for more than 12 months Other Capital Gains Other Sources Total Assets Total Liabilities
Total Value of Transactions with Non-Residents/Associates

Cost of Goods Manufactured

18 19 20 21 22 23 24 25 26 27 28 29 30

Salaries,Wages Electricity Gas

Other Fuels/Power Stores/Spares

311104 311106 Balance Sheet 311107 311109 311110 311108 311118 3114 3115

Insurance Royalty Fee for Technical Services Repair & Maintenance Other Expenses Accounting Amortization Accounting Depreciation Decrease/Increase in Work in Process
Annex H-1 Annex H-1 Annex H-1

99 100 101 102

Annex E-1 Annex E-1 Annex J-1

Rate 5% 1% 2%

6107 6108 Yes 6110 No

Is total value of transactions with Non-Residents/Associates is more than Rs. 50 million.

Source
103 104 105 106 107 108 109 110
Insurance/Re-insurance (Non Resident) Media Services Payments received By NonResidents Gas consumption by CNG Station Distribution of cigaratte and pharmaceutical products

Code
64013 64011

Receipts/ Value

Code
65013 65011 65012 65015

Tax Due

Imports 64012 64015 315901 316001 64021 64143 640511 640512 640521 640611 640612 640613 640614 640631 640632 64071 64073 64076 64075 64091 64092 64101 64121 64122 64123

???? 310412 310422 3119 3139 31311 31311 31312 31313 31314 31315 31316 31317 3135 3136 3131 3189 3141 3144 3145 3148 3154 3153 3155 3157 3159 3162 3164 3160 3161 3163 3177

Finished Goods

31 32 33 34 35 36 37 38 39 40 41 42 43 44

Finished Goods Purchases (Local)

Finished Goods Purchases (Imports) Gross Profit/ (Loss) To be reconciled with Annex-D-1 Gross Receipts Profit on Debt (For Financial Institutions) Profit on Debt (For Other Companies) Leasing Oil & Gas Exploration Telecommunication Insurance Capital Gain u/s 37 Dividend Accounting Gain on Disposal of Intangibles Accounting Gain on Disposal of Assets Other Revenues/ Fee/ Charges for Services etc.

5% 10% 4% 1%

315902 316002 65021 92143 650511 650512

Final Tax Statement u/s 115(4)

111 Royalties 112 Fee for Technical Services 113 Contracts (Non-Resident) 114 Supply of Goods 115 Supply of Goods 116 Supply of Goods 117
Payment to Ginners for supply of cotton lint.

6% 3.50% 1.50%

650521 650611 650612 650613

1% 6%

650614 650631 650632

118 Contracts (Resident) 119 Contracts (Non Resident) 120 Exports/ Indenting 121 Commission/Export Services Exports/ Indenting Commission/Export 122 Services
Exports/ Indenting Commission/ Indirect Exports/ Export Services

Profit & Loss Account (Including Final/Fixed Tax)

45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75

1% 0.50%

65071 65073 65076

Management, Administrative, Selling & Financial expenses Rent/ Rates/ Taxes Salaries & Wages Travelling/ Conveyance Electricity/ Water/ Gas Communication Charges Repairs & Maintenance Stationery/ Office Supplies Advertisement/ Publicity/ Promotion Insurance Royalty Fee for Technical Services Professional Charges Profit on Debt (Markup/Interest) Donations Directors' Fees Workers Profit Participation Fund Loss on Disposal of Intangibles Loss on Disposal of Assets Accounting Amortization Accounting Depreciation Bad Debts Provision Other Provisions Obsolete Stocks/Stores/Spares Provision Diminution in Value of Investments Provision Bad Debts Written Off Obsolete Stocks/Stores/Spares Written Off Selling expenses(Freight outwards etc.) Others Net Profit/ (Loss) In-Admissible Deductions/Adjustments Admissible Deductions /Adjustments Taxable Income/Loss for the Year Loss for the year surrendered to Holding Company Loss acquired from Subsidiary Company and Adjusted
Annex L-1 Annex L-1

123 Foreign Indenting Commission Prizes/winnings of cross word 124 puzzles 125 Winnings - Others 126 Petroleum Commission 127 Brokerage/Commission 128 Advertising Commission 129 Total
Services to Exporters u/s 153(2)

5% 10% 20% 10% 10% 5% 1%

65075 65091 65092 65101 65121 65122 65123 6599

Source

Code
210101 210102 64033 64034

Receipts/Value

Rate

Code
920235 920236 65033 65034 9202

Tax Due

Fixed Tax

130 Property Income 131 132 133 Total

Services rendered / contracts executed outside Pakistan Capital gains on Securities held for < 6 months Capital gains on Securities held for >= 6 months and < 12 months

1%

3185 3186 3187 3188 31811 31810 31812 31813 31821 31822 31080 3170 3190 3191

Misc.

3179

Source
134 Dividend Income for Banks only 135 Total of Final and Fixed Tax Due 136 Tax Collected/Deducted as Final Tax 137

Code
64032

Receipts/Value

Rate 10%

Code
65032 94592 94591 6699

Tax Due

Balance Final and Fixed Tax Payable/Refundable to be transferred to Net Tax Payable

Tax Computation

138 Gross Tax on taxable income 139 Tax Credits & Reductions 140 Un-adjusted tax u/s 113 for previous 3-years 141 142

9201 9249 9250 920201

Adjustment of unadjusted minimum tax paid in previous 3-Years - Subject to a max. of [138 minus 139] Difference of minimum tax chargeable U/S 113 [142(iv) minus (138 minus 139 plus 141), if greater than zero, else zero]

(i)

Total Turnover

(iii) Reduction (*) @ (iv) Net Minimum tax

9217

(ii) Minimum tax @ 1%

143 Un-adjusted tax u/s 113 to be carried forward 144 Balance tax chargeable on taxable income [138 minus 139 minus 141 plus 142] 145

9218 9497 9299 9499 99991 9471 9999

Accounts Deductions/ Required Adjustments

76 77 78 79 80

Net Tax [137 plus 144] Tax Already paid including Adjustments Net Tax Payable [145 minus 146] Tax Paid as per CPR No. Bank City Branch Name & Code A/C Number WWF Payable

3199 3901 3902 3990

Payment/ Refund

3192

146 147 148

149 Net Tax Refundable; may be credited to my bank account as under: 150 151 152 153 154

Attach copy of Audited Accounts as required under subsection 2(a) of section 114 of the Income Tax Ordinance, 2001 and under clause 2 of the 2nd schedule of the Income Tax Rules 2002.

WWF I, _________________________________________________________________________

Bank A/C

81 Brought Forward Loss Adjusted/(Loss for the year Carry Forward)

9308

Deeclaration

holder of CNIC __________________________________________________

in my capacity as Principal Officer/Trustee /Representative (as defined in section 172 of the Income Tax Ordinance, 2001) of the Taxpayer named above, do solemnly declare that to the best of my knowledge and belief the information given in this Return/Statement u/s 115(4) and the attached Annex(es), Statement(s), Document(s) or Detail(s) is/are correct and complete in accordance with the provisions of the Income Tax Ordinance, 2001, Income Tax Rules, 2002 and the Companies Ordinance 1984. Date :

Signature

(*) Relevant clause to be selected from the dropdown list at the time of e-Filing of the return

S. No.

NTN

Depreciable Assets
Brought forward Written Down Value

Code Additions Amount (Rs) Rate

Extent

Total (Deletions) Amount (Rs) 50% 0% 50% 50% 0% 50% 50% 50% 30% 15% 15% 15% 15% 15% 15% 10% Amount (Rs) Amount (Rs) Total / Annual Rate Amount (Rs) Amount (Rs) Business Use Amount (Rs) Initial/Ist Year Allowance on additions, if any Depreciation

Written Down Value carried forward

Particulars/Description Amount (Rs)

1.

Building (all types)

8102

2.

Furniture including fittings

810303

3.

Machinery and plant (not otherwise specified)

810301

4.

Motor vehicles plying for hire

81042

5.

Motor vehicles not plying for hire

81041

6.

Ships

81043

7.

Technical or professional books

810304

8.

Computer hardware including printer, monitor and allied items

50% 30%

810302

9.

Machinery and equipment used in manufacture of IT products

90% 50% 0%
100%

810308

10. 30%

Plant & machinery on which 1st year allowance/accelerated depreciation is allowed 15%

810309

11.

Air crafts and aero engines

81044

Annex A-1

12. 50% 20%

810306

13.

810307

14.

Below ground installations of mineral oil concerns Off shore platforms and production installations of mineral oil concerns Any plant or machinery that has been used previously in Pakistan
0% 15%

810310

Reg./Inc. No.

Total

Depreciation, Initial Allowance and Amortization (Purchased Assets)

S. No.

Intangibles
Useful Life Year(s) Amount (Rs) dd/mm/yyyy

Signature:
Acquired on (Date) Original Cost

Remarks Annual Amount (Rs) Actual Usage Days Amount (Rs)

Particulars/Description

Code

Amortization Business Use Extent Amount (Rs)

1.

Intangibles

8105

2.

Any expenditure providing advantage or benefit for a period exceeding one

8107

3.

Others

8141

Total

2012

A-1

Annex B-1
Carry forward and brought forward of Unabsorbed Depreciation, Initial Allowance, Amortization and Business Losses (Other than Speculation Business)
NTN Reg/Inc No. Particulars Code 1. (a) Business income/(loss) for the year after depreciation and amortization 261111 (b) Business income/(Loss) for the year transferred to Return of Total Income for adjustement 261112 against (loss)/income for the year under any other head of income 3901 (c) Loss for the year surrendered in favour of a holding company Balance business income/(loss) for the year after depreciation and amortization [Add (d) 261114 1(a) minus 1(b) minus 1(c)] 2. (a) (b) (c) 3. (a) (b) (c) (d) (e) (f) (g)
Breakup of balance income/(loss) for the year after depreciation and amortization:

2012

B-1
Amount (Rs.)

261211 3900 3988 3987 261311 261312 261313 261314 261315 261316 261317 261318 Balance carried forward

Business income/(loss) for the year before depreciation/amortization Depreciation for the year including unabsorbed depreciation brought forward Amortization for the year including unabsorbed amortization brought forward
Details of adjustments of brought forward business losses, losses of subsidiary, depreciation and amortization including unabsorbed depreciation and amortizaton

Business income/(loss) for the year before depreciation and amotization [from 2(a) above] Adjustment of brought forward business losses Adjustment of losses of subsidiary Adjustment of depreciation including unabsorbed depreciation brought forward Adjustment of amortization including unabsorbed amortization brought forward Balance business Income after adjsutment transferred to Return of Total Income [3(a) minus 3(b) minus 3(c) minus 3(d) minus 3(e), if greater than zero, else Nil] Balance business loss after adjsutment carry forward [3(a) minus 3(b) minus 3(c) minus 3(d) minus 3(e), if less than zero, else Nil] Code Balance brought forward OR For the current year Of amalgamating Taxpayers own
company

Assessment Year / Tax Year (starting from earliest year)

Adjusted against the income for the current year

forward)

Lapsed(not available for carry /Attributtable to PTR income

Amount (Rs.) Amount (Rs.) Amount (Rs.) 4. Details / breakup of business losses brought forward and carried forward (a) (b) (c) (d) (e) (f) (g) (h) (i) (j) (k)
Current year - 10 Year Current year - 9 Year Current year - 8 Year Current year - 7 Year Current year - 6 Year Current year - 5 Year Current year - 4 Year Current year - 3 Year Current year - 2 Year Current year - 1 Year Current year 3900 3900 3900 3900 3900 3900 3900 3900 3900 3900 3900 262422

Amount (Rs.)

Amount (Rs.)

Total

5. Details / breakup of un-absorbed depreciation brought forward and carried forward 319288 (a) B/Forward 319288 (b) Current year
Total
262513

6. Details / breakup of un-absorbed amortization brought forward and carried forward (a) (b)
B/Forward
Current year 319287 319287 262613

Total

7. Details / breakup of losses of subsidiaries brought forward and carried forward (a) Current year - 2 Year 3904 (b) Current year - 1 Year 3904 3904 (c) Current year
Total 262714

Signature:

Annex C-1
Tax Already Paid Including Adjustments (Including Surcharge) NTN Reg/Inc No.

2012 C-1

Particulars Advance Tax U/S 147(1) (Cash Payments) 1. 2. 3. 4. 5. 6 7 8 9 10 First installment Second installment Third installment Fourth installment Sub-Total [Add 1 to 4] First installment Second installment Third installment Fourth installment Sub-Total [Add 1 to 4] CPR No. CPR No. CPR No. CPR No.
Evidence of payment attached Evidence of payment attached Evidence of payment attached Evidence of payment attached

Code 94611 94612 94613 94614 9461

Amount of Tax paid (Rs.)

Advance Tax U/S 147(5B) (Cash Payments) CPR No. CPR No. CPR No. CPR No.
Evidence of payment attached Evidence of payment attached Evidence of payment attached Evidence of payment attached

11 12 13 14

Tax Collected/Deducted at Source (Other than tax collected/deducted on receipts/value of goods subject to final taxation) On import of goods Evidence of payment attached
On Import of CBU motor vehicle by manufacturers Evidence of payment attached

Amount of Tax deducted (Rs.) 94019

94018

On dividend Income On profit on debt

Certificate/Account No. etc.

94039
Evidence of payment attached Bank Branch Share%

94049

94049 94049 94049 15 16 17 18 19 20 21

On Government securities On payments received by non-resident
Evidence of payment attached Evidence of payment attached Evidence of payment attached Evidence of payment attached Evidence of payment attached Evidence of payment attached Evidence of payment attached Bank Branch Share% 94043 940539 940619 940629 940630 ????? 94119

On payments for goods On payments for services On payments for execution of contracts On property income On cash withdrawal from bank
Certificate/Account No. etc.

22 23

On certain transactions in bank

On registration of new locally manufactured motor vehicle

Evidence of payment attached Evidence of payment attached Owner's Name Manufacturer Prticulars

94119 94119 94119 94120

94118

Registration No.

Engine / Seating Capacity

24 25 26 27

On commission paid to members of stock exchange On trading of shares at a Stock Exchange

Evidence of payment attached Evidence of payment attached Evidence of payment attached Evidence of payment attached Owner's Name Share%

On financing of carry over trade

With motor vehicle tax (Other than goods transport vehicles)

94179 94179 94179 94059 94138 94139

94149

Registration No.

Engine / Seating Capacity

94149 94149 94149 28 With bill for electricity consumption

Consumer No. Subscriber's CNIC Evidence of payment attached Subscriber's Name Share% 94159

94159 94159 94159 29

With telephone bills, mobile phone and pre-paid cards Subscriber's CNIC Number Evidence of payment attached Subscriber's Name Share% 94169

30 31 32 33 34

On sale by auction

94169 94169 94169 94180

On purchase of domestic air travel ticket Evidence of payment attached 94121 Others Sub-Total [Add 11 to 32] 94599 Adjustment of Prior Year(s) Refunds Determined by Department
Refund adjustments (To the extent adjustment is required against the current year's tax payable, if any)
Refund Assessed Tax Year (a) (b) (c) (d) Amount (Rs.) Previous Adjustments Tax Year Amount (Rs.)
Available for Adjustment

Current Adjustment Amount (Rs.)

Amount (Rs.)

94981 94981 94981 Sub-Total [Add 34(a) to 34(c)]

Evidence of refund due attached

9498 9499 9495

35 36

Total Tax Already Paid Including Adjustments Transfer to the Return of Income [Add 5 plus 10 plus 33 plus 34(d)] Workers Welfare Fund Already Paid
CPR No.
Evidence of payment attached

Signature

Annex D-1
Breakup of Sales in case of Multipe Business
Reg./Inc. No.
Taxpayer Name

2012
D-1
NTN Tax Year RTO/LTU

2012
Gross Profit/Loss (4) = (2) - (3)

Business Name

Business Name & Business Activity

Sr.

Sales (2)

Cost of Sales (3)

(1)
Business Name 1 Business Acitivity

BUSINESS WISE BREAKUP OF SALES

Business Name 2 Business Acitivity Business Name 3 Business Acitivity Business Name 4 Business Acitivity Business Name 5 Business Acitivity

Total [to be reconciled with Sr. 15 & 32 of the Main Return (IT-1)]

Signature:
Note : Grey blank fields are for official use

Annex E-1
Statement of Assets & Liabilities
Reg./Inc. No.
Taxpayer Name

2012
E-1
NTN Tax Year RTO/LTU

Business Name Assets

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 Code 8199 8101 8111 812101 8181 8131 812109 812103 8299 8251 8201 8221 8231 8241 8401 8402 8499

Amount
18 19 20 21 22 23 24 25 26 27 28 29 30

Liabilities Capital Paid-up Capital Reserves Accumulated Profits Surplus on Revaluation Long Term Liabilities Long Term Loans Deferred Liabilities Current Liabilities Trade & Other Payables Short Term Loans Other Liabilities Total Capital & Liabilities

Code
8699 8621 8641 8661 8671 8799 8701 8711 8899 8801 8821 8901 8999

Amount

Fixed Assets Land Building Plant & Machinery Capital Work-in-Progress Motor Vehicles Office Equipment Furniture & Fixtures Current Assets Investments Cash & Cash Equivalents Stock in Trade/Stores/Spares Trade Receivables Advances/Deposits/Prepayments/Other Receivables Intangible assets Other Assets Total Assets

Signature:

Annex F-1
Foreign Income
Reg./Inc. No.
Taxpayer Name

2012
F-1
NTN Tax Year RTO/LTU

2012
Code

Business Name
Code Code Code `

Particulars

Salary Income Amount (Rs.)

Business Income Amount (Rs.)

Property Income Amount (Rs.)

Capital Gains Amount (Rs.)

Other sources Amount (Rs.)

1. Foreign income/loss for the year Name of country (a) (b) (c) (d) Sub-total [Add 1(a) to 1(c)]
6311 6312 6313 6331 6332 6333 6321 6322 6323 6341 6342 6343 6351 6352 6353

6319

6339

6329

6349

6359

In case of income at 1(d) above transfer to row 2 below; and In case of loss at 1(d) above transfer the loss to "Details / breakup of foreign losses brought forward and carry forward" at 6(d) below 2. Income for the year 3. B/F losses * transferred
from 6(b) below
6319
63177

6339
63377

6329
63277

6349
63477

6359
63577

* under the respective head adjusted against the income under that head for the year

4. Balance income [2 minus 3] 5. Foreign taxes paid on above foreign income

6320

6340

6330

6350

6360

Transfer to return of income

6381

6383

6382

6384

6385

6. Details / breakup of foreign losses brought forward and carried forward (a) Foreign losses brought forward Tax year (i) (ii) (iii) (iv) (v) (vi) (vii)
Sub-total [Add 6(a)(i) to 6(a)(vi)]
63176 63175 63174 63173 63172 63171 63376 63375 63374 63373 63372 63371 63276 63275 63274 63273 63272 63271 63476 63475 63474 63473 63472 63471 63576 63575 63574 63573 63572 63571

6137

6337

6327

6347

6357

(b)

Adjusted against income transferred to 3 above

63177 63178

63377 63378

63277 63278

63477 63478

63577 63578

(c) Losses lapsed (d)

Loss for the year transferred from 1(d) above Foreign losses carried forward [6(a)(vii) minus 6(b) minus 6(c) plus 6(d)]

6319

6339

6329

6349

6359

(e)

6318

6338

6328

6348

6358

7.

Application for foreign tax credit

Attached

Yes

No

Documents and records maintained in support of foreign income declared 8. 9. 10. 11. 12.

Signature:

Annex G-1
Income / (Loss) from Other Sources
Reg./Inc. No.
Taxpayer Name

2012
G-1
NTN Tax Year RTO/LTU
Net Income / (Loss) Exempt Income / Balance (Loss) Income / (Loss)

2012

Business Name

Sr. Nature of Income 1 Royalty Applicable to resident persons only 2 Profit on debt (Interest, yield, etc.) 3 4 5 Rent from sub-lease of land or building Lease of building together with plant and machinery *
Loan, advance (other than advance against sale of goods or supply of services), deposit for issuance of shares or gift received otherwise than by a crossed cheque drawn on a bank or through banking channel from a person holding NTN card

Gross

Deductions

6 7

Any Other Total

8. * Deductions include depreciation or initial allowance

Yes

If, Yes Details Attached

Yes

No

Documents and records maintained in support of income from other sources declared 9. 10. 11. 12. 13.

Date :

Signature

Annex H-1 Stock Detail

Taxpayer Name Reg./Inc. No. Business Name Sr (1) Description (2) Opening Balance (3) Purchases (4) NTN Tax Year RTO/LTU Closing Balance (5)

2012
H-1
2012

Consumed 6=(3+4-5)

1 Local Raw material 2 Imported Raw Material 3 Stores and Spares 4 Fuel/Power 5 Work in progress 6 Finished Goods - Local Purchases 7 Finished Goods - Imported
8 9 10

Signature

Annex J-1
TRANSACTIONS WITH NON RESIDENTS (TO BE FILLED BY TAXPAYERS WHOSE TRANSACTIONS, IN AGGREGATE, WITH NON-RESIDENTS ARE MORE THAN 50 MILLION DURING THE TAX YEAR)
Reg/Inc No. Taxpayer Name Business Name Type Intangible Property Sr. Description Rents, Royalties, License fee Intangible property, acquired Managerial, financial Name of Non-Resident Address Country NTN Tax Year RTO/LTU Revenue From Non-Resident

2012

J-1
2012

Expenditure to Non-Resident

1 or Franchise Fee. 2 or disposed of

3 administrative, marketing ,
Services

4 construction, etc.

training, etc. technical, Engineering,

5 Research and Development 6 Commissions 7 Interest or profit on debt

Dividends(common stock,

Financial

8 preferred stock or deemed 9 10

dividend Insurance Guarantees provided to or from a non-resident

11 Others including derivatives 12

Reimbursement of expenses at cost Beginning Balance Loans & Investments Interest bearing Loans borrowed Interest bearing Loans 14 advanced Closing Balance

13

15 Interest free Loans advanced 16 Interest free Loans borrowed 17 Investment in any non resident

Tangible property (Associates only)

Sold to Non-Resident

Purchased from Non-Resident

18 Stock in trade or Raq material 19 Finished Goods 20 Others 21 Property of capital nature 22 Total Value of Transactions (Sum of 1 to 21 except beginning balances) [Transfer to Sr. xxxx of main return]
Yes If Yes, Pl. specify: Yes If Yes, Pl. specify: Yes If Yes, Pl. specify: No

Has the company received from or provided to any non-resident any non-monetary consideration for any 23 service, transfer of tangible or intangible property, or anything whatever, under an arrangement including exchange, swap, barter, bonus, discount etc.?

Others

24

Has the company received from or provided to any non-resident any service, transfer of tangible or intangible property, or anything whatever, for which there was nil consideration? Did a non-resident participate directly or indirectly in your capital, management or control during the tax year?

No

25

No

26 State the number of associates with which you had dealings during the tax year.

Date : ___________________

Signature

Annex - K-1
Bifurcation of Income/(Loss) from business attributable to Sales/Receipts etc. subject to Final Taxation Taxpayer Name NTN Particulars 1. Sales (net of brokerage, commission and discount)
(a) (b) (c) (d) (e) (f) (g) (h) Local sales/supplies - Out of imports (Trading) Local sales/supplies - Others Execution of contracts Export sales Others Sub-total [ Add 1(a) to 1(e)] Selling expenses (Freight outward, etc.) Net ex-factory or F.O.B. sales [ 1(f) minus 1(h)] CNIC (for individual)

2012

K-1

Total Code Amount (Rs.) 3010

30101 30102 30103 30104 30105 30106 30107 30108

Code
3010F 30101F 30102F 30103F 30104F 30105F 30106F 30107F

Subject to Final Taxation Amount (Rs.)

Subject to Normal Taxation Amount (Rs.)

(i) (ii)

30108F 3011F

2. Cost of sales
(a) Apportioned on the basis of:

3011

Actual / identifiable Average / proportionate to sales

(b) (c)

As per income statement Adjustment of inadmissible costs etc. (i) (ii) (iii) (iv) Accounting depreciation Accounting amortization Others

30111 30112
301121 301122 301123 301124

30111F 30112F 301121F 301122F 301123F 301124F

(d) (e)

Sub-total [Add c(i) to c(iv)] Revised cost of sales [2(b) minus 2(d)]

30113 30114

30113F 30114F 3012F 30121F 30122F 301221F 301222F 301223F 301224F 301225F 30123F 3013F

3. Gross profit/(loss) / other business revenues/receipts

(a) (b) Gross profit [ 1(h) minus 2(e)] Other business revenues/receipts (i) (ii) (iii) (iv) (v) (c) Brokerage and commission Transport services

3012
30121 30122
301221 301222

Royalty & fee for technical services (non-residents) 301223 301224 Others 301225 Other inclusions/exclusions in income

(i) (ii)

Total gross income [ Add 3(a) to 3(b)(v)]

30123

4. Administrative, selling, financial expenses etc.

(a) Apportioned on the basis of:

3013

Actual / identifiable Average / proportionate to gross income

(b) (c)

As per income statement Adjustment of inadmissible expenditures etc. (i) (ii) (iii) (iv) (v) (vi) Accounting depreciation Accounting amortization Markup lease financing Selling expenses (Freight outward, etc.) Other inadmissible deductions Others

30131 30132
301321 301322 301323 301324 301325 301326

30131F 30132F 301321F 301322F

301323F 301324F 301325F 301326F 30133F 30134F 301341F 301342F 301343F 301344F 301345F 30135F 30136F 3014F

(d) (e)

Sub-total [Add c(i) to c(vi)] Adjustment of admissible expenditures etc. (i) (ii) (iii) (iv) (v) Tax depreciation (Total) Tax amortization (Total) Lease rentals Other admissible deductions Others

30133 30134
301341 301342 301343 301344 301345

(f) (g)

Sub-total [Add e(i) to e(v)] Net expenditure [ 4(b) minus to 4(d) plus 4(f)]

30135 30136

5. Net profit/loss from business [3(c) minus 4(g)]

3014

Signature

___________________

Annex L-1
Admissible/Inadmissible Deductions and Adjustments

2012 L-1
Reg/Inc No

Taxpayer Name NTN Admissible Deductions/ Adjustments Sr. 1 2 3 4 5 6 7 8 9 10 11 12

Tax Amortization Tax Depreciation Tax Loss on disposal of depreciable assets/intangibles Income/(Loss) relating to Final and Fixed tax [Transfer from Annex J-1] Any other (please specify) Total [Add 1 to 5] to be transferred to Sr-77 of main return Cess, rate or tax that is levied on the profits or gains or assessed as a percentage or otherwise on the basis of profits or gains Salary, rent, brokerage or commission, profit on debt, payment to non-resident, payment for services or fee from which the company was liable to deduct tax at source unless the company has deducted and paid the tax as required by the Income Tax Ordinance, 2001 Entertainment expenditure in excess of prescribed limits Contribution to an un-recognized provident fund, pension fund, superannuation fund or gratuity fund Contribution to a provident fund or other fund established for the benefit of the employees, unless effective arrangements have been made to deduct tax at source in respect of which the recipient is chargeable to tax under the head "salary" Fine or penalty for the violation of any law, rule or regulation Personal expenditure Provisions or amounts carried to reserves or funds etc. or capitalised in any way Profit on debt, brokerage, commission, salary or other remuneration paid by an AOP to its members Any salary, rent, brokerage or commission, profit ondebt, payment to non-resident or payment for services or fee on which tax was required to be deducted and paid but was not deducted and paid Expenditure under a single account head which, in aggregate, exceeds Rs. 50,000 paid otherwise than by a crossed bank cheque or crossed bank draft (excluding expenditures not exceeding Rs. 10,000 or on account of freight charges, travel fare, postage, utilities or payment of taxes, duties, fees, fines or any other statutory obligation) Salary exceeding Rs. 10,000 per month paid otherwise than by a crossed cheque or direct transfer of the funds to the employee's bank account Capital expenditure Provisions for bad debts, obsolete stocks, etc. Provisions for Workers Participation Fund Apportionment of expenditure including profit on debt, financial cost and lease payments relatable or attributable to non-business activities [Transfer from Annex K-1] Mark-up on lease financing Tax Gain on disposal of Intangibles Tax Gain on disposal of Assets Accounting pre-commencement expenditure written off Accounting loss on disposal of depreciable assets / intangibles Accounting amortization Accounting depreciation Any other (please specify)

Particulars

Code
31901 31902 31903 31904 31905 31900 319101 319102 319103 319104 319105 319106 319107 319108 319109 319110 319111 319112 319113 319114 319115 319116 319117 319118 319119 319120 319121 319122 319123 319124

Amount (Rs.)

Deductions not allowed / inadmissible

13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30

31 Total [Add 7 to 30] to be transferred to Sr-76 of main return

319100

Signature ___________________________ "; and

RETURN OF TOTAL INCOME/STATEMENT OF FINAL TAXATION

UNDER THE INCOME TAX ORDINANCE, 2001 (FOR INDIVIDUAL / AOP) Taxpayer's Name
CNIC (for Individual) Business Name

IT-2 (Page 1 of 2)
N NTN
Gender Year Ending Tax Year Person Male Female

Registration

Business Address Res. Address E-Mail Address Principal Activity Employer Representative Authorized Rep.
NTN NTN NTN Name Name Name Phone Code

2012
IND
Non-Res.

AOP
Resident

Res. Status Birth Date Filing Section

RTO/LTU
Is authorized Rep. applicable?

Yes

No

NTN Ownership

Proprietor/Member/Partners' Name

% in Capital

Capital Amount

Others Total Items

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16

Net Sales (excluding Sales Tax/ Federal Excise Duty & Net of Commission/ Brokerage) Cost of Sales [3 + 4 + 5 - 6] Opening Stock Net Purchases (excluding Sales Tax/ Federal Excise Duty & Net of Commission/ Brokerage) Other Manufacturing/ Trading Expenses Closing Stock Gross Profit/ (Loss) [1-2] Transport Services U/S 153(1)(b) (Transferred from 40(c)) Other Services U/S 153(1)(b) (Transferred from 40(d)) Other Revenues/ Fee/ Charges for Professional and Other Services/ Commission Profit & Loss Expenses Net Profit/ (Loss) [(7 + 8 + 9 + 10) - 11] Inadmissible Deductions Admissible Deductions Unadjusted Loss from business for previous year(s) Un-absorbed Tax Depreciation for previous/ current year(s)

[to be reconciled with Annex-C] [to be reconciled with Annex-C]

[ Transfer from Sr-7 of Annex-G] [ to be reconciled with Annex-C ]

Transfer from Sr-24 of Annex-G] [Transfer from Sr-22 of Annex-E] [to be reconciled with Annex-E] [Transfer from Sr. 27 of Annex-A] [Transfer from Sr. 27 of Annex-A]

17 Total Income [Sum of 18 to 23] 18 Salary Income 19 20 21 22 23

Total / Taxable Income Computation

Business Income/ (Loss) [ (12 + 13) - 14 - 15 - 16 ] Share from AOP [Income/(Loss)] Capital Gains/(Loss) u/s 37 Other Sources Income/ (Loss) Foreign Income/ (Loss)

24 Deductible Allowances [25 + 26 + 27 + 28] 25 Zakat 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40

Workers Welfare Fund (WWF) Workers Profit Participation Fund (WPPF) Charitable donations admissible as straight deduction Taxable Income/ (Loss) [17 - 24] Exempt Income/ (Loss) [Sum of 31 to 37] Salary Income Property Income Business Income/ (Loss) Capital Gains/(Loss) Agriculture Income Foreign Remittances (Attach Evidence) Other Sources Income/ (Loss) Tax chargeable on Taxable Income Tax Reductions/Credits/Averaging (including rebate on Bahbood Certificates, etc.) Difference of minimum Tax Chargeable on business transactions [40(e)(v) minus 40(e)(iii)] (i) (ii) (iii)
Import Value/Services receipts subject to collection or deduction of tax at source

100% Code 3103 3116 3117 3106 3111 3118 3119 3121 3122 3131 3189 3190 3191 3192 3902 3988 9099 1999 3999 312021 4999 5999 6399 9139 9121 9122 9123 9124 9199 6199 6101 6102 6103 6104 6106 6107 6105 9201 9249

Total

Adjustments

Manufacturing/ Trading, Profit & Loss Account ( including Final/Fixed Tax)

(iv) Rate 3% 5% 2% 6%
Minimum tax

(v)
Higher of (iii) or (iv)

Proportionate Chargeable income

Proportionate tax*

9303

Tax Computation

(a) (b) (c) (d) (e)

Import of Edible Oil U/S 148(8) Import of Packing Material U/S 148(8) Transport Services U/S 153(1)(b) Other Services U/S 153(1)(b)

Total
* [(38 minus 39) divided by 29 multiply by 40(a)(ii) or 40(b)(ii) or 40(c)(ii) or 40(d)(ii), as the case may be]

41 Minimum tax on electricity consumption under section 235(4) Amount of tax collected along with electricity bill where the monthly bill amount is up to Rs. 30,000 42 Balance tax chargeable [ (38 minus 39 plus 40) or 41, whichever is higher 43 Minimum Tax Payable U/S 113 [43(iv) minus 41, if greater than zero, else zero]

9304 9305 9306 9307 9499 9999 9998 6109

Total Turnover (i) (ii) Minimum tax @ 1% 44 Net tax chargeable [42 + 43 + 90] 45 Total Tax Payments (Transfer from Sr. 28 of Annex-B)
47 Refund Adjustments (not exceeding current year's tax payable)

(iii) (iv)

Reduction @

Net Minimum tax

46 Tax Payable/ Refundable [44 - 45 + WWF Payable from Sr. 29 of Annex-B]

48 Annual personal expenses for individual only (transfer from Sr. 12 of Annex-D)

Net Tax Refundable, may be credited to my bank account as under:

Refund

A/C No. Bank

Branch Name & Code

Signature

RETURN OF TOTAL INCOME/STATEMENT OF FINAL TAXATION

UNDER THE INCOME TAX ORDINANCE, 2001 (FOR INDIVIDUAL / AOP) Taxpayer's Name CNIC
(for Individual)

IT-2 (Page 2 of 2)
N NTN

Tax Year RTO/LTU

2012
Tax Chargeable

Business Name

Source
49 Imports 50 51 52 53 Dividend 54 55 Profit on Debt 56 Royalties/Fees (Non-Resident) 57 58 Contracts (Non-Resident) 59 Insurance Premium (Non-Resident)

Code
64013 64011 64012 64015 64032 64033 64041 640511 640512 640521 640524 640525 640611 640612 640613 640614 640631 640632 640641 64072 64075 64091 64092 64101 64121 64122 64123

Receipts/Value

Rate (%)

Code
92013 92011 92012 92015 92032 92033 92041 920511 920512

5 2 1 3 10 7.5 10 15 6 5 10 3.5 1.5 1 6 1 0.5 1 5 10 20 10 10 5 1 4 1 1

920521 920524 920525 920611 920612 920613 920614 920631 920632 920641 92072 92075 92091 92092 92101 92121 92122 92123 92141

Final Tax

60 Advertisement Services (Non-Resident) 61 Supply of Goods 62 63 64 Payments to Ginners 65 Contracts (Resident) 66 67 Exports/related Commission/Service 68 69 Foreign Indenting Commission 70 Prizes/Winnings of cross word puzzles 71 Winnings - Others 72 Petroleum Commission 73 Brokerage/Commission 74 Advertising Commission 75 Services to Exporters u/s 153(2) 76 Goods Transport Vehicles 77 Gas consumption by CNG Station 78 Distribution of cigarette and pharmaceutical products 79 Retail Turnover upto 5 million 80 Retail Turnover above 5 million 81 Property Income 82
Capital gains on Securities held for < 6 months Capital gains on Securities held for >= 6 months and < 12 months Capital gains on Securities held for >= 12 months

64142 64143 310102 310103 210101 610401 610402 610403 310431 112001 112002 63311 118301

92142 92143 920202 920203 920235

Fixed Tax

83 84

10 8.00 0 2 2.5 5 1

961041 961042 961043 920208 920234 920237 920236 920211

85 Purchase of locally produced edible oil 86 Flying Allowance 87 88

Monetization of Transport Facility For Civil Servants

Services rendered / contracts executed outside Pakistan

89 Employment Termination Benefits 90 I, holder of CNIC No.

Final/Fixed Tax Chargeable (49 to 89)

, in my capacity as

9202 Acknowledgement

Verification

Self/ Partner or Member of Association of Persons/ Representative (as defined in section 172 of the Income Tax Ordinance, 2001) of Taxpayer named above, do solemnly declare that to the best of my knowledge and belief the information given in this Return/Statement u/s 115(4) and the attached Annex(es), Statement(s), Document(s) or Detail(s) is/are correct and complete in accordance with the provisions of the Income Tax Ordinance, 2001 and Income Tax Rules, 2002 (The alternative in the verification, which is not applicable, should be scored out).

Date :

Signatures:

Signatures & Stamp of Receiving Officer with Date

Annex-A

Description

Code 3202 320301 320302 320303 320304 320306 320307

WDV (BF)

Additions

Deletions

Rate (%) 50% 50% 50% 0% 50% 50% 50% 50% 0% 50% 50% 50% 90% 0% 0%

Initial Allowance Rate (%) 10% 15% 30% 15% 15% 100% 20% 30% 15% 15% 15% 30% 15% 50% 15%

Extent (%)

Depreciation

WDV (CF)

2012
Tax Year
Depreciable Assets

1 Building (all types) 2 Machinery and plant (not otherwise specified) 3 Computer hardware (including allied items) 4 Furniture (including fittings) 5 Technical and professional books 6 Below ground installations of mineral oil concerns 7 Off shore installations of mineral oil concerns

8 Machinery and equipment used in manufacture of IT products 320308 9 Motor vehicles (not plying for hire) 10 Motor vehicles (plying for hire) 11 Ships 12 Air crafts and aero engines Machinery and equipment Qualifying for 1st year 13 Allowance
Computer hardware including printer, monitor and allied items,

32041 32042 32043 32044 320309 320312 320310

Depreciation, Initial Allowance and Amortization

14 that have been used previously in Pakistan Any plant or machinery that has been used previously 15 in Pakistan 16 Any plant or machinery in relation to which a deduction has been allowed under another section for the entire cost of the asset in the tax year in which the asset is acquired. Total Description Intangibles 17 Intangibles 18 Expenditure providing long term advantage/benefit 19 Total Description 20 Pre commencement expenditure Description Unadjusted Business loss for previous year adjusted against Business income for current year 21 Brought Forward Adjustments Unadjusted Business loss for previous year adjusted against Business income for current year 22 Unadjusted Business loss for previous year adjusted against Business income for current year Unadjusted Business loss for previous year adjusted against Business income for current year

320311

0%

15%

Reg/Inc/CNIC No.

Code 3205 3207

Acquisition Date

Useful Life(Years)

Original Cost

Extent (%)

Amortization

Code 3206 Code 3902 Amount Tax Year 2006

Original Expenditure

Rate (%) 20%

Amortization

Description Unabsorbed Amortization of intangibles / expenditure providing long term advantage/benefit for previous year(s) adjusted against Total Income for current year Amortization of intangibles / expenditure providing long term advantage/benefit for current year adjusted against Total Income for current year Unabsorbed tax depreciation/initial allowance of fixed assets for previous year(s) adjusted against Total Income for current year Depreciation/initial allowance of fixed assets for current year adjusted against Total Income for current year

Code

Amount

Tax Year

3987

upto 2011

3902

2007

3987

2012

3902

2008

23

3988

upto 2011

3902

2009

24

3988

2012

Unadjusted Business loss for previous year adjusted 25 against Business income for current year Unadjusted Business loss for previous year adjusted 26 against Business income for current year

3902 3902

2010 2011 Total (Not exceeding the amount of Total Income available for adjustment) (transfer to Sr. 16 of Main Return)

NTN

Total (Not exceeding the amount of Business Income available for 27 adjustment) (transfer to Sr. 15 of Main Return)

Annex-B

2012
B
Code
94019 94029 94039 94043 Share% 94049

Tax Already Paid

NTN CNIC (for individual)

Particulars
1 2 3 4 5 On import of goods (other than tax deduction treated as final tax) From salary On dividend Income (other than tax deduction treated as final tax) On Government securities On profit on debt (other than tax deduction treated as final tax)
Certificate/Account No. etc.

Amount of Tax deducted (Rs.)

Bank

Branch

Tax Collected/Deducted at Source (Adjustable Tax only)

6 7 8 9 10 11 12

On payments received by non-resident (other than tax deduction treated as final tax) On payments for goods (other than tax deduction treated as final tax) On payments for services (other than tax deduction treated as final tax) On payments for execution of contracts (other than tax deduction treated as final tax) On property income

940539 940619 940629 940639 940640 94028

On withdrawal from pension fund

On cash withdrawal from bank
Certificate/Account No. etc.

Bank

Branch

Share%

94119

13 On certain transactions in bank 14 With Motor Vehicle Registration Fee

Registration No.
Engine / Seating Capacity

94120 94179 Manufacturer Particulars

Owner's Name

15 16 17 18

On sale/purchase of shares through a Member of Stock Exchange On trading of shares through a Member of Stock Exchange On financing of carry over trade With motor vehicle token tax (Other than goods transport vehicles)
Registration No.
Engine / Seating Capacity

94131 94138 94139 Share% 94149

Owner's Name

19 With bill for electricity consumption

Consumer No. Subscriber's CNIC Subscriber's Name Share%

94159

20 With telephone bills, mobile phone and pre-paid cards

Number Subscriber's CNIC Subscriber's Name Share%

94169

21 22 23 24

On Sale by Auction On purchase of domestic air travel ticket

94180 94121 94599 94591 9461

Total Tax Deductions at source (Adjustable Tax) [Sum of 1 to 22] Total Tax Deductions at source (Final Tax)

25 Advance Tax U/S 147(1) [ a + b + c + d] a. First installment b. Second installment c. Third installment d. Fourth installment a. First installment b. Second installment c. Third installment d. Fourth installment CPR No. CPR No. CPR No. CPR No.

Tax Payments

26 Advance Tax U/S 147(5B) [ a + b + c + d] CPR No. CPR No. CPR No. CPR No.

9461

27 Admitted Tax Paid U/S 137(1) CPR No. 28 Total Tax Payments [23 + 24 + 25 + 26+27] (Transfer to Sr. 45 of Main Return)
WWF Payable with Return (WWF payable will be

9471

29 adjusted against the excess payments made during

the current year)

9308

Note-1 : Grey blank fields are for official use

Annex C
Breakup of Sales in case of Multiple Businesses
Taxpayer Name CNIC/Reg.No. Business Name NTN Tax Year RTO/LTU

2012
C
0

2012
0

Business Name & Business Activity

Sr.

Sales (2)

Cost of Sales (3)

Gross Profit/Loss (4) = (2) - (3)

(1)
Business Name 1 Business Activity Business Name 2 Business Activity Business Name 3 Business Activity Business Name 4 Business Activity Business Name 5 Business Activity

BUSINESS WISE BREAKUP OF SALES

Total (to be reconciled with Sr. 1, 2 & 7 of Main Return)

Signature:
Note : Grey blank fields are for official use

Annex - D

Details of Personal Expenses (for individual)

Taxpayer Name NTN Sr 1 2 3 PERSONAL EXPENSES Description Residence electricity bills Residence telephone/mobile/internet bills Residence gas bills

2012 D

CNIC (for individual)

Expenses

4 Residence rent/ground rent/property tax/fire insurance/security services/water bills 5 Education of children/ spouse/ self (Optional, it can be included in Sr-9) 6 Travelling (foreign and local) (Optional, it can be included in Sr-9) 7 Running and maintenance expenses of Motor vehicle(s)

8 Club membership fees/bills 9 Other personal and household expenses 10 Total personal expenses (Sum of 1 to 9) 11 (Less) Contribution by family members 12 Net Personal Expenses (10 - 11) transfer to Sr-44 of Main Return Adults 13 Number of family members/dependents 1 Minor 3

Signature: _____________________

Annex - E
Deductions (Admissible & Inadmissible)

2012 E
CNIC (for individual)

Taxpayer Name NTN Admissible Deductions Sr. 1 2 3 4 5 1 2 3 4

Tax Amortization Tax Depreciation Income/(Loss) relating to Final and Fixed tax Other Admissible Deductions Total [Add 1 to 4] to be transferred to Sr-14 of main return Cess, rate or tax that is levied on the profits or gains or assessed as a percentage or otherwise on the basis of profits or gains Salary, rent, brokerage or commission, profit on debt, payment to non-resident, payment for services or fee from which the company was liable to deduct tax at source unless the company has deducted and paid the tax as required by the Income Tax Ordinance, 2001 Entertainment expenditure in excess of prescribed limits Contribution to an un-recognized provident fund, pension fund, superannuation fund or gratuity fund Contribution to a provident fund or other fund established for the benefit of the employees, unless effective arrangements have been made to deduct tax at source in respect of which the recipient is chargeable to tax under the head "salary" Fine or penalty for the violation of any law, rule or regulation Personal expenditure Provisions or amounts carried to reserves or funds etc. or capitalised in any way Profit on debt, brokerage, commission, salary or other remuneration paid by an AOP to its members Any salary, rent, brokerage or commission, profit ondebt, payment to non-resident or payment for services or fee on which tax was required to be deducted and paid but was not deducted and paid Expenditure under a single account head which, in aggregate, exceeds Rs. 50,000 paid otherwise than by a crossed bank cheque or crossed bank draft (excluding expenditures not exceeding Rs. 10,000 or on account of freight charges, travel fare, postage, utilities or payment of taxes, duties, fees, fines or any other statutory obligation) Salary exceeding Rs. 15,000 per month paid otherwise than by a crossed cheque or direct transfer of the funds to the employee's bank account Capital expenditure Provisions for bad debts, obsolete stocks, etc. Apportionment of expenditure including profit on debt, financial cost and lease payments relatable or attributable to non-business activities Mark-up on lease financing Accounting pre-commencement expenditure written off Accounting loss on disposal of depreciable assets / intangibles Accounting amortization Accounting depreciation [Transfer from Annex-F]

Particulars

Code
319287 319288 319289 319298 3192 319101 319102 319104 319105 319106 319107 319108 319109 319110 319110 319112 319113 319114 319115 319116 319118 319120 319121 319123 319124 319125

Amount (Rs.)

Deductions not allowed / inadmissible

5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20

21 Any other (please specify) 22 Total [Add 1 to 21] to be transferred to Sr-13 of main return

3191

Signature _______________________

Annex - F
Bifurcation of Income/(Loss) from business attributable to Sales/Receipts Etc. subject to Final Taxation

2012

Taxpayer Name NTN Particulars 1. Sales (net of brokerage, commission and discount)
(a) (b) (c) (d) (e) (f) (g) (h) (a) (b) (c) Local sales/supplies - Out of imports (Trading) Local sales/supplies - Others Execution of contracts Export sales Others Sub-total [ Add 1(a) to 1(e)] Selling expenses (Freight outward, etc.) Net ex-factory or F.O.B. sales [ 1(f) minus 1(h)] Apportioned on the basis of: As per income statement Adjustment of inadmissible costs etc. (i) (ii) (iii) (iv) (d) Sub-total [Add c(i) to c(iv)] Accounting depreciation Accounting amortization Others CNIC (for individual)

Total Code Amount (Rs.) 3010 30101 30102 30103 30104 30105 30106 30107 30108 3011
(i) (ii)

Code
3010F 30101F 30102F 30103F 30104F 30105F 30106F 30107F 30108F 3011F

Subject to Final Taxation Amount (Rs.)

Subject to Normal Taxation Amount (Rs.)

2. Cost of sales

Actual / identifiable Average / proportionate to sales

30111 30112
301121 301122 301123 301124

30111F 30112F 301121F 301122F 301123F 301124F

30113 30114 (e) Revised cost of sales [2(b) minus 2(d)] 3. Gross profit/(loss) / other business revenues/receipts 3012 (a) Gross profit [ 1(h) minus 2(e)] 30121 (b) Other business revenues/receipts 30122
(i) (ii) (iii) (iv) (v) (c) (a) (b) (c) Brokerage and commission Transport services 301221 301222

30113F 30114F 3012F 30121F 30122F 301221F 301222F 301223F 301224F 301225F 30123F 3013F

Royalty & fee for technical services (non-residents) 301223 301224 Others Other inclusions/exclusions in income 301225

Total gross income [ Add 3(a) to 3(b)(v)] Apportioned on the basis of: As per income statement Adjustment of inadmissible expenditures etc. (i) (ii) (iii) (iv) (v) (vi) Accounting depreciation Accounting amortization Markup lease financing Selling expenses (Freight outward, etc.) Other inadmissible deductions Others

4. Administrative, selling, financial expenses etc.

30123 3013
(i) (ii)

Actual / identifiable Average / proportionate to gross income

30131 30132
301321 301322 301323 301324 301325 301326

30131F 30132F 301321F 301322F

301323F 301324F 301325F 301326F 30133F 30134F 301341F 301342F 301343F 301344F 301345F 30135F 30136F 3014F

(d) (e)

Sub-total [Add c(i) to c(vi)] Adjustment of admissible expenditures etc. (i) (ii) (iii) (iv) (v) Tax depreciation (Total) Tax amortization (Total) Lease rentals Other admissible deductions Others

30133 30134
301341 301342 301343 301344 301345

(f) (g)

Sub-total [Add e(i) to e(v)] Net expenditure [ 4(b) minus to 4(d) plus 4(f)]

5. Net profit/loss from business [3(c) minus 4(g)]

30135 30136 3014

Signature _______________________

ANNEX-G Breakup of Expenses

(Separate form should be filled for each business)

2012

G
2012

Registry

Taxpayer Name CNIC Business Name Business Address

NTN Tax Year RTO/LTU Business City

Manufacturing & Trading Expenses

Sr. Description
1 2 3 4 5 6

Code
311101 311102 311103 311106 311108 311118

Amount

Salaries,Wages Electricity Gas Stores/Spares Repair & Maintenance Other Expenses Total [ Add 1 to 6] [Transfer to Sr. 5 of main Return]

7 8 9 10

31100
3141 3144 3145 3148 3154 3153 3155 3157 3159 3160 3161 3163 31821 31822 31080 31090

Rent/ Rates/ Taxes Salaries & Wages Travelling/ Conveyance Electricity/ Water/ Gas Communication Charges Repairs & Maintenance Stationery/ Office Supplies

Profit & Loss Account Expenses

11 12 13 14

15 Advertisement/ Publicity/ Promotion 16 17 18 19 20 21 22 Insurance Professional Charges Profit on Debt (Markup/Interest) Donations Bad Debts Written Off Obsolete Stocks/Stores/Spares Written Off Selling expenses(Freight outwards etc.)

23 Others 24 Total [ Add 8 to 23] [Transfer to Sr. 11 of main Return]

3170

Signature _______________________ "

RETAILER'S STATEMENT U/S 115 (4) OF THE INCOME TAX ORDINANCE, 2001
(For retailers (Individuals & AOPs) having annual turnover upto 5 million rupees

IT-4
(English)

but not having any other taxable source of income)

1 CNIC NTN (if available) Business Name Business Address Province 5 6 7 Principal Activity Phone No. Mobile No. Description Electricity No. Gas Ref. No. Amount District Gender Tax Year
Male

2012
Female

REGISTRATION COMPUTATION

2 3 4

8 9

Opening Stock Turnover during the year

10 Closing Stock 11 Turnover Tax payable u/s 113A @ 1 % of turnover (1% of Sr-9) 12 Turnover Tax Paid 13 CPR No.
CPR Date

Income from Other Sources

14 Agriculture Income 15 Foreign Remittance (along with proof) 16 Dividend income 17 Profit on debt Description 18 Residence electricity bills 19 Residence telephone/mobile/internet bills Expenses

PESONAL EXPENSES

20 Residence gas bills 21 Residence rent/ground rent/property tax/fire insurance/security services/water bills 22 Education of children/ spouse/ self (Optional, it can be included in Sr-26) 23 Travelling (foreign and local) (Optional, it can be included in Sr-24) 24 Running and maintenance expenses of Motor vehicle(s) 25 Club membership fees/bills 26 Other personal and household expenses 27 Total personal expenses (Sum of 18 to 26) (Less) Contribution by family members 28 29 Net Personal Expenses (27 - 28) 30 Number of family members/dependenets Adults Minors ACKNOWLEDGEMEN

VERIFICATION

I, ______________________________________ holder of CNIC No. _______________ in my capacity as Self/ Representative (as defined in section 172 of the Income Tax Ordinance, 2001) of Taxpayer named above, do solemnly declare that to the best of my knowledge and belief the information given in this Statement is correct and complete in accordance with the provisions of the Income Tax Ordinance, 2001 and Income Tax Rules, 2002 (The alternative in the verification, which is not applicable, should be scored out).

Signature & Stamp

of Receiving Officer with Date

Date :

Signature

Note-1 : Retailers having turnover of more than Rs. 5 million should file IT-2 Return instead of this Statement Note-2 : Retailers having any other source of income should file IT-2 Return instead of this Statement

"

"Part - II D WEALTH STATEMENT UNDER SECTION 116 OF THE INCOME TAX ORDINANCE, 2001
Taxpayer's Name CNIC Address Particulars/Description of assets and liabilities (Please read WS Notes for guidance)

WS 1/2
N
NTN Tax Year RTO/LTU Code 821311 Code 82131101 82131102 82131103 82131104 82131105 82131106 82131107 82131108 82131109 82131110 711111 Code 71111101 71111102 71111103 71111104 71111105 71111106 71111107 71111108 71111109 71111110 711211 Code 71121101 71121102 71121103 71121104 71121105 71121106 71121107 71121108 71121109 71121110 Amount (Rs.) Amount (Rs.) Amount (Rs.) -

2012

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

Business Capital (indicate name of business)

Name of Business

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

Non-Agricultural Property (indicate location, Size/Area & identification)

Location and Identification

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

Agricultural Property (indicate location, Size/Area & identification

Location and Identification

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

Agricultural Property (Tractor, Trolley, Loader, Tubewell, Turbine, Sprinkler, Planter, Harvester, Thrasher, Driller & other Agricultural Equipments etc. & Live Stock)

712111 Code 71211101 71211102 71211103 71211104 71211105 71211106 71211107 71211108 71211109 Amount (Rs.)

Property Name

10

71211110 Investments (Specify stocks, shares, debentures, unit certificates, other certificates, deposits and certificates of National Saving Schemes,mortgages, loans, advances, etc.) Description of Investments

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

712611 Code 71261101 71261102 71261103 71261104 71261105 71261106 71261107 71261108 71261109 71261110 712641 Code 71264101 71264102 71264103 71264104 71264105 71264106 71264107 71264108 71264109 71264110 712211 Code 71221101 71221102 71221103 71221104 71221105 71221106 71221107 71221108 71221109 71221110 712411 Code 71241101 71241102 71241103 71241104 71241105 71241106 71241107 71241108 71241109 71241110 712311 Code 71231101 71231102 71231103 Amount (Rs.) Amount (Rs.) Amount (Rs.) Amount (Rs.) Amount (Rs.) -

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

Loans and Advances, etc.

Creditor Name

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

Motor vehicles (Indicate make, model and registration number)

Registration No. Make Model with Year Engine Capacity (CC)

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

Jewellery (Indicate description and weight)

Description and weight with unit of measure (e.g 10 Tolas)

9.
Sr. 1 2 3

Furniture and Fittings - Residence

Description

4 5 6 7 8 9 10

71231104 71231105 71231106 71231107 71231108 71231109 71231110

Amount (Rs.) Amount (Rs.) -

10.

Cash & Bank Balances (a) Non-business cash in hand

7128 712811

712711 (b) Non-business bank balances, etc. in current/ deposit/ savings accounts or any other deposit) Sr. 1 2 3 4 5 6 7 8 9 10 Account No. Country Bank Name
City Name Br. Code

Branch Name

Code 71271101 71271102 71271103 71271104 71271105 71271106 71271107 71271108 71271109 71271110 7126 Code 71267101 71267102 71267103 71267104 71267105 71267106 71267107 71267108 71267109 71267110 713111 Code 71311101 71311102 71311103 71311104 71311105 71311106 71311107 71311108 71311109 71311110 719999

Amount (Rs.)

11.
Sr. 1 2 3 4 5 6 7 8 9 10

Any Other Assets

Description

12.
Sr. 1 2 3 4 5 6 7 8 9 10

Assets, if any, standing in the name of spouse, minor children & other dependents* Description

13. Total Assets [ Sum(1 to 12) ] 14. Liabilities (including mortgages, loans, overdrafts, advances,
borrowings, amounts due under hire purchase agreement )
Sr. 1 2 3 4 5 Business Name

8213 Code 72111101 72111102 72111103 72111104 72111105 Amount (Rs.)

6 7 8 9 10

72111106 72111107 72111108 72111109 72111110

Minors

15. 16. 17. 18. 19.

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

Total Liabilities [ sum( 14(a) to 14(b) ] Net Wealth of the current year [13 minus 15] Annual personal expenses ( To be Reconciled with Annex D/IT-4) Number of family members and dependents Assets, if any, transferred to any person
Description

729999 799999 749999 740000 714111 Code 71411101 71411102 71411103 71411104 71411105 71411106 71411107 71411108 71411109 71411110 Verification

Amount (Rs.) -

I, , holder of CNIC No. in my capacity as Self / Representative* of Taxpayer named above, do hereby solemnly declare that to the best of my knowledge and the assets and liabilities of myself, my spouse and of my personal expenditure for the year belief the information given in this statement ofor spouses, minor children and other dependents as on ended are correct and complete in accordance with the provisions of the Income Tax Ordinance, 2001 and Income Tax Rules, 2002. (The alternative in the verification, which is not applicable, should be scored out.) * As defined in section 172 of the Income Tax Ordinance, 2001 Date (dd/mm/yyyy): Signature

WEALTH RECONCILIATION STATEMENT N

Taxpayer's Name CNIC Address NTN Tax Year RTO/LTU

WS 2/2

2012
Amount (Rs.)

Particulars
1 2 3 4 Net assets as on 30-06-2012 Net assets as on 30-06-2011 Increase/Decrease [1 - 2] Income a) Income declared for the Tax Year - 2012 b) Exempt income including agriculture income c) Others i) ii) iii) iv) v) 5 Expenditures a) Personal expenditures b) Other expenditures i) ii) iii) iv) v) 6 Increase/ Decrease in wealth [4 - 5]

Code

Date :

Signature:

"