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SL Title
1 Name of the Assessee
2 Circle
3 Tax Zone
4 Assessment Year
5 Name of Employer
6 Wife / Husband Name
7 Father's Name
8 Mother's Name
9 Present Address
10
11 Permanent Address
12
13 Phone Office
14 Residential
15 End Date of Tax Year
16 Assessee Gender
17 Tax Free Income - Male
18 Tax Free Income - Female
19 Tax Submission Date
20 Proceed to Calculation
Input Values SL No
Mohammad Enamul Whab 1
261 2
12, DHAKA 3
2022-2023
Sonali Intellect Limited
Kamrun Nahar Bilkis
Mohammad Alim Uddin
Saleha Khatun
SONALI INTELLECT LIMITED, 35 Kemal Ataturk Avenue, Abedin Tower
(7th Floor), Banani C/A, Dhaka-1213
14, North Bashabo, Shaleha Monzil Dhaka-1214
Medical Other
SL No Month Gross Salary Basic Salary House Rent Conveyance
Allowance Allowance
Note: Input Monthwise salary breakup details using payslip (Match Grand total with HR provided Salary Certificat
provided by HR
ar : 2022-2023
TIN No 579106822866
Leave
Passage Free Provident TAX
Encashmen Festival Bonus WPPF
Travel (LFA) Fund Deduction
t
- 4,746.00 2,158.00
- 4,746.00 2,158.00
- 4,746.00 2,158.00
- 4,746.00 2,158.00
47,456.00 - 4,746.00 2,158.00
47,456.00 - 4,746.00 2,158.00
- 4,746.00 2,158.00
- 4,746.00 2,158.00
- 4,746.00 2,158.00
- - 4,746.00 2,158.00
- 4,746.00 2,158.00
- - 4,746.00 2,158.00
Additional Tax Deduction 0.00
Tax Refund 0.00
- - 94,912.00 - 56,940.00 25,889.00
4. TIN: 5 7 9 1 0 6 8 2 2 8 6 6
10. Wife/√Husband's Name (if assessee, please mention TIN): Kamrun Nahar Bilkis
14. Address (a) Present: SONALI INTELLECT LIMITED, 35 Kemal Ataturk Avenue, Abedin Tower
15. Telephone: Office/ Business +880 966 6910800 EXT 806 Residential: +8801911021626
1
Statement of income of the Assessee
Verification
Place: Dhaka
Date : 12/Nov/22
2
SCHEDULES SHOWING DETAILS OF INCOME
Schedule-1 (Salaries)
1. Annual Income
2. Claimed Expenses
Repair,Collection, etc.
Municipal or Local Tax
Land Revenue
Interest on Loan/Mortgage/Capital
Charge
Insurance premium
Vacancy Allowance
Other, If any
Total=
3. Net income (difference between item 1 and 2
3
Schedule-3 (Investment tax credit)
(Section 44(2)(b) read with part ‘B’ of Sixth Schedule)
4
IT-10B
Statement of assets and liabilities as on 6/30/2022
4. Investments:
(a) Shares/Debentures - - -
(b) Saving Certificate/Unit Certificate/Bond - - -
(c) Prize bond/Savings Scheme - - Tk. -
(d) Loan given - - Tk. -
(e) Other Investment (Deposit Pension Scheme) 120,000.00 60,000.00 180,000.00
Provident Fund (PF) 136,527.00 113,880.00 Tk. 250,407.00
Life Insurance Premium - - -
FDR / DBS / TBS / MES - - -
- - -
Total of section 4= Tk. 430,407.00
5
B/F= Tk. 1,024,698.14
10. Any other assets
(Give details) (Last Year Balance of Schedule-3) - - Tk. -
12. Net wealth as on last date of this income year Tk. 1,024,698.14
(Difference between total assets and total liabilities)
13. Net wealth as on last date of previous income year Tk. 843,122.00
14. Accretion in wealth (Difference between serial no. 12 and 13) Tk. 181,576.28
15. (a) Family expenditure: (Total expenditure as per Form IT 10BB) Tk. 989,195.72
2 2
Adult Child
16. Total Accretion in wealth (Total of serial no. 14 and 15) Tk. 1,170,772.00
I solemnly declare that to the best of my knowledge and belief the information given in the
IT-10B is correct and complete.
* Assets and liabilities of self, spouse (if she/he is not an assessee), minor children and
dependendant (s) to be shown in the above statements.
6
Form No. IT-10BB
FORM
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 knowledge and belief the information given in the
IT-10BB is correct and complete.
" .....................................................................................................................................................................................
7
Instructions to fill up the Return Form
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 Ordinance, 1984.
(2) Enclose where applicable:
(a) Salary statement for salary Income; Bank statement for interest; Certificate for interest on savings instruments; Rent
agreement, receipts of municipal tax & land revenue, statement of house property loan interest, insurance premium for
house property income; Statement of Professional income as per IT Rule-8; Copy of assessment/ income statement &
balance sheet for partnership income; Documents of capital gain; Dividend warrant for dividend income; Statement of
other income; Documents in support of investments in savings certificates, LIP, DPS, Zakat, stock/share etc.
(b) Statement of income and expenditure; Manufacturing A/C, Trading & Profit & Loss A/C and Balance sheet;
(c) Depreciation chart claiming depreciation as per THIRD SCHEDULE of the Income Tax Ordinance, 1984;
(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 authorized representative.
(6) The assesse shall submit his/her photograph 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 firm, address & TIN if the assessee is a partner;
(c) 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 the IT-
10B.
(9) Signature is mandatory for all the assessee or his/her authorized representative. For individual, signature is also mandatory
in I.T-10B & I.T-10BB.
..................................................................................................................................................................
Signature of Receiving
8 Officer with seal