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4 TIN : 3 0 9 - 1 0 4 - 6 0 3 1
10 Wife/Husband`s Name (If applicable, please mention TIN : Mrs. Shamama Naushin
0 8 6 - 1 0 3 - 7 9 6 4
11 Father`s Name : Md. Arfan Ali
Verification
I, Major. Md. Anisur Rahman (Rtd). Father / Husband Md. Arfan Ali
UTIN/TIN 3 0 9 - 1 0 4 - 6 0 3 1 solemnly declare that to the best of my knowledge
and belief the information given in this return and statements and documents annexed herewith is correct
and complete.
Signature
Name: Major. Md. Anisur Rahman (Rtd).
Designation and Seal for other than Individual
Schedule -1 (Salaries)
1 Salary Certificate
2 Martgage Balance
3 Bank Statement
4 DPS Copy
5 BO Account Copy
6
7
8
9
10
IT-10B
Statement of Assets and Liabilities as on 30-06-08
1 (a). Business Capital (Closing Balance) Invested in Partnership Business ( As Before) Tk. 500,000.00
(b). Directors Shareholdings in Limited Companies (At cost)
Name of Companies Number of Shares
4 Investments :
(a) Share/Debentures B.O. Account Tk. 310,000.00
(b) Savings Certificate/Unit Certificate/Bond (Wage Earner Bond) Tk. 1,000,000.00
Prize Bond/Savings Scheme Tk. 500,000.00
(d) Loans Given Tk. -
(e) Other Investment Tk. -
Total = Tk. 1,810,000.00
14 Accretion in Wealth (Difference Between Serial No. 12 & 13) Tk. (30,342.00)
15 (a) Family Expenditure : (Total Expenditure as per Form IT 10BB) Tk. 551,127.00
(b) Number of Dependant children of the family)
4
Adult Child
17 Sources of Fund
(i) Shown Return Income Tk. 346,667.00
(ii) Tax Exempted / Tax Free Income Tk. 174,118.00
(iii) Other Receipts Tk.
I solemnly declare that to the best of my knowlwdgw and belief the information given in the IT-10B is
Correct and Complete.
Statement Under Section 75(2)(d)(i) and Section 80 of the Income Tax Ordinance, 1984 (XXXVI of 1984)
Regarding Particulars of Life Style
I solemnly declare that to the best of my knowlwdgw and belief the information given in the IT-10B is
Correct and Complete.
"
Name of the Assessee : Major. Md. Anisur Rahman (Rtd). Assessment Year : 2008-09
Instructions :
(1). This return of Income shall be signed and verified by the individual assessee or person as prescribed u/s 75 of the Income Tax
2 Ordinance, 1984 Applicable:
Enclose where
(a) Salary Statement for Salary Income, Bank Statement for Interest, Certificate for Interest on Savings Instruments,
Rent Agreement,
(b) Statement receipts
of Income of Municipal Tax
and Expenditure, and Land Revenue,Statement
Manufacturing Account, Trading & for House
Profit Property
& Loss Loan
Account, andInterest,
Balance
Insurance
Sheet
DepriciationPremium for House
Chart claiming Property I as per THIRD SCHEDULE of the Income Tax Ordinance, 1984
Depreciation
(d) Computation of Income According to Income Tax Law
3 Enclose Separate Statement for :
(a) Any Income of the Spouse of the Assessee(if she/he is not an assessee), Minor Children and Dependant
(b) Tax Exempted/Tax Free Income
4 Fulfillment of the conditions laid down in rule -38 is mandatory for submission of a return under ~Self Assessment"
5 Documents furnished to support the declaration should be signed by the Assessee or his/her Authosized
6 Representative
The Assessee shall submit his/herphotograph with return after every five year.
7 Furnish the Following Information
(a) Name, Address & TIN of the Partners if the Assessee is a Firm
(b) Name of the Firm, Address & TIN if the Assessee is a Partner
name of the Company, Address & TIN if the Assessee is a Director
8 Assets and Liabilities of Self, Spouse(if she/he is not an assessee), minor Children and dependant(s) to be shown in
9 the IT-10Bis mandatory for all the assesseeor his /her authorized representative. For Individual, Signature is also
Signature
10 mandatory in I.T.-10B
If needed, please use & I.T. 10BB
separate sheet.
"
Total Income shown in Return : Tk. 346,667.00 Tax Paid :Tk. 22,667.00
-
FOR INDIVIDUAL & OTHER TAXPAYERS (OTHER THAN COMPANY)
4 TIN :
11 Father`s Name :
12 Mother`s Name:
(b) Permanent :
Verification
I, Father / Husband
UTIN/TIN solemnly declare that to the best of my knowledge
and belief the information given in this return and statements and documents annexed herewith is correct
and complete.
Signature
Name:
Designation and Seal for other than Individual
Schedule -1 (Salaries)
1
2
3
4
5
6
7
8
9
10
IT-10B
Statement of Assets and Liabilities as on 30-06-14
4 Investments :
(a) Share/Debentures Tk. 500,000.00
(b) Savings Certificate/Unit Certificate/Bond Tk. 700,000.00
Prize Bond/Savings Scheme T. BOND Tk. 80,000.00
(d) P.F. Tk. 600,000.00
(e) Other Investment DPS Tk. 90,000.00
Total = Tk. 1,970,000.00
14 Accretion in Wealth (Difference Between Serial No. 12 & 13) Tk. 5,344,000.00
15 (a) Family Expenditure : (Total Expenditure as per Form IT 10BB) Tk. 3,195,000.00
(b) Number of Dependant children of the family)
4
Adult Child
17 Sources of Fund
(i) Shown Return Income Tk. 11,577,966.00
(ii) Tax Exempted / Tax Free Income Tk. 1,352,000.00
(iii) Other Receipts Tk.
I solemnly declare that to the best of my knowlwdgw and belief the information given in the IT-10B is
Correct and Complete.
Name and Signature of the Assessee
Date:
Statement Under Section 75(2)(d)(i) and Section 80 of the Income Tax Ordinance, 1984 (XXXVI of 1984)
Regarding Particulars of Life Style
I solemnly declare that to the best of my knowlwdgw and belief the information given in the IT-10BB is
Correct and Complete.
"
Instructions :
(1). This return of Income shall be signed and verified by the individual assessee or person as prescribed u/s 75 of the Income Tax
2 Ordinance, 1984 Applicable:
Enclose where
(a) Salary Statement for Salary Income, Bank Statement for Interest, Certificate for Interest on Savings Instruments,
(b) Rent Agreement,
Statement receipts
of Income of Municipal Tax
and Expenditure, and Land Revenue,Statement
Manufacturing Account, Trading & for House
Profit Property
& Loss Loan
Account, andInterest,
Balance
Sheet
Depriciation Chart claiming Depreciation as per THIRD SCHEDULE of the Income Tax Ordinance, 1984
(d) Computation of Income According to Income Tax Law
3 Enclose Separate Statement for :
(a) Any Income of the Spouse of the Assessee(if she/he is not an assessee), Minor Children and Dependant
(b) Tax Exempted/Tax Free Income
4 Fulfillment of the conditions laid down in rule -38 is mandatory for submission of a return under ~Self Assessment"
5 Documents furnished to support the declaration should be signed by the Assessee or his/her Authosized
6 Representative
The Assessee shall submit his/herphotograph with return after every five year.
7 Furnish the Following Information
(a) Name, Address & TIN of the Partners if the Assessee is a Firm
(b) Name of the Firm, Address & TIN if the Assessee is a Partner
name of the Company, Address & TIN if the Assessee is a Director
8 Assets and Liabilities of Self, Spouse(if she/he is not an assessee), minor Children and dependant(s) to be shown in
9 the IT-10Bis mandatory for all the assesseeor his /her authorized representative. For Individual, Signature is also
Signature
10 mandatory in I.T.-10B
If needed, please use & I.T. 10BB
separate sheet.
"
TOTAL INCOME
REBATE -
Total
Relif if Any Taxable
- 320,000.00
160,000.00 -
- 26,667.00
160,000.00
346,667.00
346,667.00
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-
-
-
-
-
-
-
-
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