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"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

6

Top 10 Share Holders' Names

%

Capital

NTN

Top 10 Share Holders' Names

Capital

Remaining Share Holders Total 100%
9099 3999 4999 82

8

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

7

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

2 Year 3904 (b) Current year .7 Year Current year .6 Year Current year .Annex B-1 Carry forward and brought forward of Unabsorbed Depreciation.4 Year Current year .1 Year 3904 3904 (c) Current year Total 262714 Signature: .) Amount (Rs. losses of subsidiary. Details / breakup of losses of subsidiaries brought forward and carried forward (a) Current year .) Amount (Rs. (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. Particulars Code 1. Initial Allowance.) 4. Details / breakup of business losses brought forward and carried forward (a) (b) (c) (d) (e) (f) (g) (h) (i) (j) (k) Current year .3 Year Current year .9 Year Current year .8 Year Current year .2 Year Current year .) Total 5. 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). 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.) 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. if less 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). Details / breakup of un-absorbed depreciation brought forward and carried forward 319288 (a) B/Forward 319288 (b) Current year Total 262513 6.1 Year Current year 3900 3900 3900 3900 3900 3900 3900 3900 3900 3900 3900 262422 Amount (Rs.10 Year Current year . if greater than zero.) Amount (Rs. (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. Amortization and Business Losses (Other than Speculation Business) NTN Reg/Inc No.5 Year Current year . Details / breakup of un-absorbed amortization brought forward and carried forward (a) (b) B/Forward Current year 319287 319287 262613 Total 7.

Annex C-1 Tax Already Paid Including Adjustments (Including Surcharge) NTN Reg/Inc No. 4. 3. etc.) Available for Adjustment Current Adjustment Amount (Rs. 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. 2. CPR No. if any) Refund Assessed Tax Year (a) (b) (c) (d) Amount (Rs. CPR No. CPR No.) 94019 94018 On dividend Income On profit on debt Certificate/Account No. etc. 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. 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.) Amount (Rs. CPR No. CPR No. 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.) Advance Tax U/S 147(5B) (Cash Payments) CPR No. 5. Engine / Seating Capacity 94149 94149 94149 28 With bill for electricity consumption Consumer No. Evidence of payment attached Signature .) Previous Adjustments Tax Year Amount (Rs. 2012 C-1 Particulars Advance Tax U/S 147(1) (Cash Payments) 1. 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. 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. 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.) 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. CPR No.

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. No.Annex D-1 Breakup of Sales in case of Multipe Business Reg. Taxpayer Name 2012 D-1 NTN Tax Year RTO/LTU 2012 Gross Profit/Loss (4) = (2) .(3) Business Name Business Name & Business Activity Sr./Inc. 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: .

Signature: .Annex F-1 Foreign Income Reg. Taxpayer Name 2012 F-1 NTN Tax Year RTO/LTU 2012 Code Business Name Code Code Code ` Particulars Salary Income Amount (Rs. No. 12.) Property Income Amount (Rs. 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.) Business Income Amount (Rs. Application for foreign tax credit Attached Yes No Documents and records maintained in support of foreign income declared 8. 11. Balance income [2 minus 3] 5.) Capital Gains Amount (Rs. 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. 9. 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. 10. Foreign taxes paid on above foreign income 6320 6340 6330 6350 6360 Transfer to return of income 6381 6383 6382 6384 6385 6.) 1.) Other sources Amount (Rs. 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./Inc.

Date : Signature . advance (other than advance against sale of goods or supply of services). 11. * 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. yield. 12./Inc. etc. Nature of Income 1 Royalty – Applicable to resident persons only 2 Profit on debt (Interest. Taxpayer Name 2012 G-1 NTN Tax Year RTO/LTU Net Income / (Loss) Exempt Income / Balance (Loss) Income / (Loss) 2012 Business Name Sr.) 3 4 5 Rent from sub-lease of land or building Lease of building together with plant and machinery * Loan. 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. No. 10. 13.Annex G-1 Income / (Loss) from Other Sources Reg.

Imported 8 9 10 Signature .Annex H-1 Stock Detail Taxpayer Name Reg.Local Purchases 7 Finished Goods . 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 . No./Inc.

Engineering. barter.? Others 24 Has the company received from or provided to any non-resident any service. Pl. specify: Yes If Yes. under an arrangement including exchange. etc. Taxpayer Name Business Name Type Intangible Property Sr. or anything whatever. Royalties. IN AGGREGATE. transfer of tangible or intangible property. etc. marketing . Description Rents. xxxx of main return] Yes If Yes. WITH NON-RESIDENTS ARE MORE THAN 50 MILLION DURING THE TAX YEAR) Reg/Inc No.Annex J-1 TRANSACTIONS WITH NON RESIDENTS (TO BE FILLED BY TAXPAYERS WHOSE TRANSACTIONS. specify: Yes If Yes. bonus. transfer of tangible or intangible property. specify: No Has the company received from or provided to any non-resident any non-monetary consideration for any 23 service. Services 4 construction. acquired Managerial. or anything whatever. 2 or disposed of 3 administrative. 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. 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. swap. Pl. Pl. for which there was nil consideration? Did a non-resident participate directly or indirectly in your capital. training. Date : ___________________ Signature . technical. License fee Intangible property. discount etc. 5 Research and Development 6 Commissions 7 Interest or profit on debt Dividends(common stock. 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.

etc.B. sales [ 1(f) minus 1(h)] CNIC (for individual) 2012 K-1 Total Code Amount (Rs. (i) (ii) (iii) (iv) (v) (vi) Accounting depreciation Accounting amortization Markup lease financing Selling expenses (Freight outward. Sales (net of brokerage. selling. Administrative. etc.O. financial expenses etc. commission and discount) (a) (b) (c) (d) (e) (f) (g) (h) Local sales/supplies .K-1 Bifurcation of Income/(Loss) from business attributable to Sales/Receipts etc.Annex . 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.) 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) 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.) - (i) (ii) 30108F 3011F 2.Others Execution of contracts Export sales Others Sub-total [ Add 1(a) to 1(e)] Selling expenses (Freight outward. subject to Final Taxation Taxpayer Name NTN Particulars 1. (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.Out of imports (Trading) Local sales/supplies .) 3010 30101 30102 30103 30104 30105 30106 30107 30108 Code 3010F 30101F 30102F 30103F 30104F 30105F 30106F 30107F Subject to Final Taxation Amount (Rs. Net profit/loss from business [3(c) minus 4(g)] 3014 Signature ___________________ .) Subject to Normal Taxation Amount (Rs. 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.) Net ex-factory or F. (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.

Provisions for Workers Participation Fund Apportionment of expenditure including profit on debt. 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. 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. brokerage. duties. 10. 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.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. salary or other remuneration paid by an AOP to its members Any salary. 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. pension fund. commission. payment to non-resident. fees.000 paid otherwise than by a crossed bank cheque or crossed bank draft (excluding expenditures not exceeding Rs. rent. obsolete stocks. 10. postage. utilities or payment of taxes. 2001 Entertainment expenditure in excess of prescribed limits Contribution to an un-recognized provident fund. and .Annex L-1 Admissible/Inadmissible Deductions and Adjustments 2012 L-1 Reg/Inc No Taxpayer Name NTN Admissible Deductions/ Adjustments Sr. 50. or capitalised in any way Profit on debt. profit ondebt. rule or regulation Personal expenditure Provisions or amounts carried to reserves or funds etc. superannuation fund or gratuity fund Contribution to a provident fund or other fund established for the benefit of the employees. rent. brokerage or commission. etc.) 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 ___________________________ ". in aggregate. fines or any other statutory obligation) Salary exceeding Rs. exceeds Rs. 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. brokerage or commission. profit on debt.000 or on account of freight charges. 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. travel fare.

.

14 . whichever is higher 43 Minimum Tax Payable U/S 113 [43(iv) minus 41. may be credited to my bank account as under: Refund A/C No. 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. 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) . 12 of Annex-D) Net Tax Refundable. Address E-Mail Address Principal Activity Employer Representative Authorized Rep.RETURN OF TOTAL INCOME/STATEMENT OF FINAL TAXATION UNDER THE INCOME TAX ORDINANCE. 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 . Status Birth Date Filing Section RTO/LTU Is authorized Rep. 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. 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. if greater than zero.) 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.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.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. 27 of Annex-A] [Transfer from Sr. 29 of Annex-B] 48 Annual personal expenses for individual only (transfer from Sr. Bank Branch Name & Code Signature .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 . NTN NTN NTN Name Name Name Phone Code 2012 IND Non-Res. AOP Resident Res. 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).000 42 Balance tax chargeable [ (38 minus 39 plus 40) or 41.6] 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) .15 . 30. 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. etc.

2002 (The alternative in the verification.5 10 15 6 5 10 3.RETURN OF TOTAL INCOME/STATEMENT OF FINAL TAXATION UNDER THE INCOME TAX ORDINANCE.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 .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.5 1. holder of CNIC No. 2001 and Income Tax Rules.00 0 2 2. Statement(s). 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.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. 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. Date : Signatures: Signatures & Stamp of Receiving Officer with Date . should be scored out). Document(s) or Detail(s) is/are correct and complete in accordance with the provisions of the Income Tax Ordinance.5 1 6 1 0. Final/Fixed Tax Chargeable (49 to 89) . which is not applicable. 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).

16 of Main Return) NTN Total (Not exceeding the amount of Business Income available for 27 adjustment) (transfer to Sr. 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. monitor and allied items. 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. 15 of Main Return) . Code 3205 3207 Acquisition Date Useful Life(Years) Original Cost . 32041 32042 32043 32044 320309 320312 320310 Depreciation. 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.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.

Fourth installment CPR No. Second installment c. Amount of Tax deducted (Rs. 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.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. CPR No. 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. 28 Total Tax Payments [23 + 24 + 25 + 26+27] (Transfer to Sr.) 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. CPR No. Bank Branch Share% 94119 13 On certain transactions in bank 14 With Motor Vehicle Registration Fee Registration No. Subscriber's CNIC Subscriber's Name Share% 94159 20 With telephone bills. etc. CPR No. CPR No. etc. CPR No. Third installment d. Second installment c. Third installment d. 9461 27 Admitted Tax Paid U/S 137(1) CPR No. Engine / Seating Capacity 94131 94138 94139 Share% 94149 Owner's Name 19 With bill for electricity consumption Consumer No. First installment b. CPR No. Tax Payments 26 Advance Tax U/S 147(5B) [ a + b + c + d] CPR No. 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 . Fourth installment a.

Sales (2) Cost of Sales (3) Gross Profit/Loss (4) = (2) . 1.Annex C Breakup of Sales in case of Multiple Businesses Taxpayer Name CNIC/Reg. 2 & 7 of Main Return) Signature: Note : Grey blank fields are for official use . Business Name NTN Tax Year RTO/LTU 2012 C 0 2012 0 Business Name & Business Activity Sr.No.(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.

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: _____________________ .

) 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 _______________________ . etc. 50. 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. brokerage or commission. pension fund. postage. 15. rent. brokerage or commission. 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. payment to non-resident. duties. rule or regulation Personal expenditure Provisions or amounts carried to reserves or funds etc. fees. fines or any other statutory obligation) Salary exceeding Rs. utilities or payment of taxes. commission. 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. travel fare. 10. rent. profit on debt.000 or on account of freight charges. profit ondebt. 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.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. in aggregate. Apportionment of expenditure including profit on debt.E Deductions (Admissible & Inadmissible) 2012 E CNIC (for individual) Taxpayer Name NTN Admissible Deductions Sr. brokerage. obsolete stocks. superannuation fund or gratuity fund Contribution to a provident fund or other fund established for the benefit of the employees.Annex . 2001 Entertainment expenditure in excess of prescribed limits Contribution to an un-recognized provident fund. 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.000 paid otherwise than by a crossed bank cheque or crossed bank draft (excluding expenditures not exceeding Rs. exceeds Rs. 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. or capitalised in any way Profit on debt. salary or other remuneration paid by an AOP to its members Any salary.

) Other inadmissible deductions Others 4. (i) (ii) (iii) (iv) (v) (vi) Accounting depreciation Accounting amortization Markup lease financing Selling expenses (Freight outward.Annex . Net profit/loss from business [3(c) minus 4(g)] 30135 30136 3014 Signature _______________________ .F Bifurcation of Income/(Loss) from business attributable to Sales/Receipts Etc.Out of imports (Trading) Local sales/supplies . (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. selling. subject to Final Taxation 2012 F Taxpayer Name NTN Particulars 1.) - - - 2. sales [ 1(f) minus 1(h)] Apportioned on the basis of: As per income statement Adjustment of inadmissible costs etc.) Net ex-factory or F. etc. commission and discount) (a) (b) (c) (d) (e) (f) (g) (h) (a) (b) (c) Local sales/supplies .Others Execution of contracts Export sales Others Sub-total [ Add 1(a) to 1(e)] Selling expenses (Freight outward. etc. Administrative.B. financial expenses 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.) Subject to Normal Taxation Amount (Rs. 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. Sales (net of brokerage.O. 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. 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.) 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.

) 23 Others 24 Total [ Add 8 to 23] [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. 11 of main Return] 3170 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.

_______________ in my capacity as Self/ Representative (as defined in section 172 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. which is not applicable. 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. 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. should be scored out). Description Electricity No. 2002 (The alternative in the verification. Mobile No. ______________________________________ holder of CNIC No. Gas Ref. Signature & Stamp of Receiving Officer with Date Date : Signature Note-1 : Retailers having turnover of more than Rs. 2001 and Income Tax Rules. 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.28) 30 Number of family members/dependenets Adults Minors ACKNOWLEDGEMEN VERIFICATION I.RETAILER'S STATEMENT U/S 115 (4) OF THE INCOME TAX ORDINANCE. 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 " . 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 . No.

& Live Stock) 712111 Code 71211101 71211102 71211103 71211104 71211105 71211106 71211107 71211108 71211109 Amount (Rs. Sprinkler. Size/Area & identification) Location and Identification 3. Size/Area & identification Location and Identification 4. Sr. 1 2 3 4 5 6 7 8 9 10 Non-Agricultural Property (indicate location.) Amount (Rs. 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. 1 2 3 4 5 6 7 8 9 10 Business Capital (indicate name of business) Name of Business 2. Loader. Tubewell. Trolley. Driller & other Agricultural Equipments etc. Turbine. Sr. Planter. Thrasher. Sr. 1 2 3 4 5 6 7 8 9 10 Agricultural Property (indicate location. Sr.) - 2012 1. 1 2 3 4 5 6 7 8 9 Agricultural Property (Tractor.) - Property Name .II D WEALTH STATEMENT UNDER SECTION 116 OF THE INCOME TAX ORDINANCE.) Amount (Rs."Part . Harvester.

shares.10 71211110 Investments (Specify stocks. Sr.g 10 Tolas) 9. Sr. loans. advances. debentures.Residence Description .) Description of Investments - 5. model and registration number) Registration No. other certificates. 1 2 3 4 5 6 7 8 9 10 Motor vehicles (Indicate make. etc. etc. Make Model with Year Engine Capacity (CC) 8.mortgages.) Amount (Rs. 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. deposits and certificates of National Saving Schemes. 1 2 3 Furniture and Fittings .) - 6. Creditor Name 7. 1 2 3 4 5 6 7 8 9 10 Loans and Advances.) Amount (Rs. Sr.) Amount (Rs. unit certificates. 1 2 3 4 5 6 7 8 9 10 Jewellery (Indicate description and weight) Description and weight with unit of measure (e. Sr. Sr.) Amount (Rs.

Sr. loans.4 5 6 7 8 9 10 71231104 71231105 71231106 71231107 71231108 71231109 71231110 Amount (Rs. etc. if any. standing in the name of spouse. Cash & Bank Balances (a) Non-business cash in hand 7128 712811 712711 (b) Non-business bank balances. in current/ deposit/ savings accounts or any other deposit) Sr.) - . Total Assets [ Sum(1 to 12) ] 14. 1 2 3 4 5 6 7 8 9 10 Any Other Assets Description 12. overdrafts. minor children & other dependents* Description 13. Sr. 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. 1 2 3 4 5 6 7 8 9 10 Assets. advances. Liabilities (including mortgages. 1 2 3 4 5 Business Name 8213 Code 72111101 72111102 72111103 72111104 72111105 Amount (Rs. Country Bank Name City Name Br.) 11.) - 10. amounts due under hire purchase agreement ) Sr.) Amount (Rs. borrowings. 1 2 3 4 5 6 7 8 9 10 Account No.

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. (The alternative in the verification. do hereby solemnly declare that to the best of my knowledge and the assets and liabilities of myself. minor children and other dependents as on ended are correct and complete in accordance with the provisions of the Income Tax Ordinance. holder of CNIC No. 2002. 19.) - I. if any. 18. in my capacity as Self / Representative* of Taxpayer named above.6 7 8 9 10 72111106 72111107 72111108 72111109 72111110 Minors 15. .) * As defined in section 172 of the Income Tax Ordinance. 2001 and Income Tax Rules. which is not applicable. 17. my spouse and of my personal expenditure for the year belief the information given in this statement ofor spouses. transferred to any person Description 729999 799999 749999 740000 714111 Code 71411101 71411102 71411103 71411104 71411105 71411106 71411107 71411108 71411109 71411110 Verification Amount (Rs. should be scored out. Sr. 2001 Date (dd/mm/yyyy): Signature . 16.

) Particulars 1 2 3 4 Net assets as on 30-06-2012 Net assets as on 30-06-2011 Increase/Decrease [1 .WEALTH RECONCILIATION STATEMENT N° Taxpayer's Name CNIC Address NTN Tax Year RTO/LTU WS 2/2 2012 Amount (Rs.5] Code - - - - - Date : Signature: " .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 .2] Income a) Income declared for the Tax Year .