Form Income Tax-D-11-03-0162

INCOME TAX RETURN

ANNEX 2
CALCULATION OF TAX FOR ENTITIES
Fiscal Year: ______________________________________
Estimate Return

Revised Estimate Return

IRO Name __________________________________________________

Jeopardy Assessment Return as per Income Tax Act 2002, Section 96.5

Tax Assessment Return

Review/Appeal

Instalment Revision, Jeopardy Assessment, Amended Assessment

TAXPAYER DETAILS

PAN
Name

TAX CALCULATION TABLE

Type of Income

Inclusions

Income (or Loss)

Assessable Income

Donations to
Exempt Organisations

Taxable Income
Columns D-E

Tax Rate
(in %)

Concession
(in %)

Tax Liability
Columns F*G*H

Foreign Taxes paid

current FY

Foreign Tax Credits

from previous FYs

Foreign Tax Credits

used

Net Tax Liability

NEPAL SOURCE INCOME

2

Income from Business

Income from Investment

SUBTOTAL OF COLUMNS B-D
Rows 2+3
Income from Business
of different Tax Rate
Income from Business
of different Tax Rate
Loss from the Disposal of Business Assets

4
5
6
7
8

25%

Exempt Income

SUBTOTAL
Rows 4+5+6+7+8
FOREIGN SOURCE INCOME OF RESIDENTS
Income from Business
10
st
1 Country:
Income from Investment
11
st
1 Country:
SUBTOTAL OF COLUMNS B-D
12
Rows 10+12
Income from Banking & Insurance
13
st
1 Country
Loss from the Disposal of Business As14
sets
SUBTOTAL
15
Rows 13+14
Income from Business
16
nd
2 Country:
Income from Investment
17
nd
2 Country:
SUBTOTAL OF COLUMNS B-D
18
Rows 16-17
Income from Banking & Insurance
19
nd
2 Country
Loss from the Disposal of Business As20
sets
SUBTOTAL
21
Rows 18+19 +20
9

22

Repatriated Income

23

TOTAL
Rows 9+15+21+22

25%
30%

25%
30%

10%

TAXPAYER CERTIFICATION

Signature Taxpayer/Representative

Signature Auditor

Date

Date
***For Instructions, read Brochure Income Tax Forms Instructions***

Page 1 of 1