FORM OF RETURN OF INCOME UNDER THE INCOME TAX IT-11GA

ACT, 2023

FOR INDIVIDUAL AND OTHER TAX PAYERS

OTHER THAN COMPANY Photograph of
the Assessee
Be a Responsible Taxpayers
Submit Return in Due Time U/S 180 (to be attested on
Avoid penalty the photograph)

Self Universal Self Normal

1. Name of the Assessee: Khaled Ahammed

2. National ID No. (if any) 2848847881

3. UTIN (if any):

4. TIN: 8 4 3 1 5 1 7 0 2 7 1 0

5. (a) Circle: 282 (b) Taxes Zone: 13, Dhaka

6. Assessment year 2023-2024 7. Residential Status: Resident Non-Resident

8. Status: Individual Firm Association of Persons Hindu Undivided Family

9. Name of the Employer/Business (where Applicable):

10. Wife/Husband's Name with TIN:

11. Father's Name: Late Abdul Mannan (Sadu)

12. Mother's Name: Monowara Mannan

13. Date of Birth (In case of Individual) 1 2 0 3 1 9 7 5

Day Month Year

14. Address (a) Present: 70, Haji Nagar School Road, Sarulia, Demra, Dhaka
School Road, Sarulia, Demra, Dhaka

(b) Permanent:70, Haji Nagar School Road, Sarulia, Demra, Dhaka

School Road, Sarulia, Demra, Dhaka

15. Telephone: Office/Business ..................................... Resident:

…………………..
......

16. VAT Registration Number (if any) ..................................................................................

1
 Statement of Income of the Assessee
Statement of income during the income year ended on 30.06.2023
Sl. Heads of Income Amount in Taka
1 Salaries : 694,667
2 Interest on Securities : U/S 22 -
3 Income from house property : 431,250
4 Agricultural income : U/S 26 -
5 Income from Business or Profession : u/s 28
6 Share of profit in a firm : -
7 Income of the spouse or minor child as applicable : u/s 43(4) -
8 Capital Gains : u/s 31 Income from flat sale (1/2 part) U/S 163 Tk.34,00,000/- -
Income from other source : u/s 33
9
10 Total (serial no. 1 to 9) 1,125,917
11 Foreign Income : -
12 Total income (serial no. 10 and 11) 1,125,917
13 Tax Leviable on total income 91,388
14 15% Srucharge on Total Tax for Net Wealth Over 2.25 Crore -
15 Tax rebate : 21,134
16 Tax
Tax payable (difference between serial no. 13 and 14) 70,254
17 Paymen
ts:
(a) Tax deducted/collected at source (Salary) Tk. 30,772
(please attach supporting documents/statement)
(b) Advance Tax u/s 64/68 (Please attach challan) Tk. 15,750
(c) Tax Paid on the basis of this return (u/s 74) Tk. 23,732
Please attach challan/pay order/bank draft/cheque
(d) Please attach challan/pay order/bank draft/cheque Tk.
U/S 163 Tk. 321,875
Total of (a), (b), (c) and (d) Tk. 392,129
Difference between serial no. 16 and 17 (if any)
18 Tk. (321,875)
19 Tax exempted and Tax free income Tk.
20 Income tax paid in the last Assessment Year Tk. -
* if needed, please use separate sheet.

Verification
I, Khaled Ahammed Father / husband Late Abdul Mannan (Sadu)
UTIN/TIN: 8 4 3 1 5 1 7 0 2 7 1 0 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
Place : Dhaka Khaled Ahammed
Date:
Designation and
Seal (for other than individual)

2
 SCHEDULE OF SHOWING DETAILS OF INCOME

Name of the Assessee: Khaled Ahammed TIN 8 4 3 1 5 1 7 0 2 7 1 0

Schedule - 1 (Salaries)

Pay Amount Amount of Net

& 0f Exempted Taxable
Allowance Income (Tk.) Income (Tk.) Income (Tk.)
Basic Pay -
Special Pay -
Dearness Income -
Conveyance Allowance -
House Rent Allowance -
Medical Allowance -
Servant Allowance -
Leave Allowance Salary Certificate Attached Herewith
Honorarium/Reward/Fee -
Overtime Allowance -
Bonus / Ex-Gratia -
Other Allowance -
Employers contribution to Recognized Provident Fund -
Interest accrued on Recognized Provident Fund -
Deemed Income for transport facility -
Deemed Income for Free furnished / unfurnished
-
accommodation
Other, in any (give detail) -
Net Taxable Income from Salary - - -

Schedule - 2 (House property income)

Location and Particulars Tk. Tk.

description of property 1. Annual Rental income 1,150,000.00
2. Claimed Expenses
Repair, Collection, etc. 287,500.00
Municipal or Local Tax
Land Revenue
Interest on Loan/Mortgage/Capital Charge
Insurance Premium
Vacancy Allowance
Other, if any
Total = 287,500.00
3. Net Income (difference between item 1 and 2) 862,500.00
1/2 portion of rental income 431,250.00

3
 Schedule - 3 (Investment tax credit)
(Section 44(2) read with part 'B' of Sixth Schedule)

1. Life Insurance Premium ALICO Tk. 80,896

2. Contribution to deferred annuity Tk.
3. Contribution to Provident Fund to which Provident Fund act, 1925 applies Tk.
4. Self contribution and employer's contribution to Recognized provident Fun Tk.
5. Contribution to Super Annuation Fund Tk.
6. Investment in approved debenture or debenture stock, Stock or Shares Tk. -
7. Contribution to deposit pension scheme DPS Tk. 60,000
8. Contribution to Benevolent Fund and Group Insurance Premium Tk.
9. Contribution to Zalkat Fund Tk.
10. Other, if any ( give details) Tk.
TOTAL Tk. 140,896

* Please attach certificates/documents of investment.

List of documents furnished

1. Salary Certificate

2. Bank Loan Certificate

3. Pay order copy of Flat Sale (3 pcs)

4. DPS Statement

5. Sale Deed copy (3 pcs)

6. AIT Certificate from Walton

7. ALICO Premium copy

8.

9.

* Incomplete return is not acceptable

4
 IT - 10B

Statement of Assets and Liabilities as on JUNE 30, 2023

Name of Assessee: Khaled Ahammed TIN 8 4 3 1 5 1 7 0 2 7 1 -

1. (a) Business Capital (Closing Balance) Tk.

(b) Directors Shareholding in Limited Companies (at cost) Tk.

Name of the Companies Number of Shares

2. Non Agricultural Property (at cost with legal expenses) Tk. 23,000,000
i) Mouza-Gop Dokkhin, Demra, Dhaka, area of land 19.35
decimal (1/2 portion) inherent property Tk. Value Unknown
ii) 10-storied under construction building over above land
(jointly investment) As before and this year total
(180,00,000+50,00,000)
Tk. 23,000,000.00

Tk.
3. Agricultural Property (at cost with legal expenses) Tk.

4. Investments:
(a) Share/Debenture As before Tk. 324,920
(b) Saving Certificate/Unit Certificate/Prize Bond Tk. -
(d) ALICO Tk. 16,120
This year ALICO Tk. 80,896
(e) DPS (UCB Bank) Tk. 60,000
This year DPS Tk. 60,000
Total = Tk. 509,696

5. Motor Vehicle (at cost) : (Type of motor vehicle and registration number) Tk.

6. Jewellery (quantity and cost) : As Before (52 Vori Gold) Tk. Value Unknown

7. Furniture (at cost) : As Before Tk. Value Unknown

8. Electronic Equipment (at cost) : As Before Tk. Value Unknown

9. Cash Asset Outside Business:

As Before Tk. 2,973,073
(Add) Income from Salary Tk. 1,042,000
Tk. 4,015,073
(Add) House property Income Tk. 431,250
Tk. 4,446,323
(Add) Received from Flat Sale (1/2 portion) Tk. 3,400,000
Tk. 7,846,323
(Less) This year investment (DPS, ALICO) Tk. 140,896
Tk. 7,705,427
(Less) Investment for construction Tk. 5,000,000
Tk. 2,705,427
(Less) Bank interest and principal paid Tk. 292,729
Tk. 2,412,698
(Less) Family Expenses Tk. 380,000
(a) Cash in Hand Tk.
(b) Cash at Bank Tk. -
(c) Other Deposits Tk. - Total = Tk. 2,032,698

Grand Total= Tk. 25,542,394

5
 B.F = Tk. 25,542,394
10. Any other Assets Tk. -
(with details)
Total Assets = Tk. 25,542,394

11. Less: Liabilities:

(a) Mortgages secured on property or lanTk.
(b) Unsecured loans Tk.
(c) Bank loan DBBL Tk. 705,180
(d) Others Advance Rent received B/F Tk. 1,250,000
Total Liabilities = Tk. 1,955,180

12. Net Wealth as on last date of this income year

(Difference between total assets and total liabilities) Tk. 23,587,214

13. Net wealth as on last date of previous income year Tk. 19,214,076

14. Accretions in wealth (Difference between serial no 12 and 13) Tk. 4,373,138

15. (a) Family Expenditure : (Total Expenditure Tk. 500,112

as per Form IT 10 BB) including tax and bank interest
(b) Number of dependant children of the family:

Adult Child

16. Total Accretion of wealth (Total of serial 14 and 15) Tk. 4,873,250

17. Sources of Fund :

(i) Shown Return Income Tk. 1,125,917
(ii) Tax Exempted/Tax free Income Tk. 347,333
(iii) Other Receipts: Flat Sale U/S 163 Tk. 3,400,000

Total Source of Fund = Tk. 4,873,250

18. Difference (Between serial 16 and 17) Tk. -

I solemnly declare that to the best of my knowledge and belief the information given in the IT-10B is
correct and complete.

Khaled Ahammed
Name and Signature of the Assessee
Date: ………………………..
* Assets and liabilities of self, spouse (if she/he is not an assessee), minor children and dependant(s) to
be shown in the above statements
* If needed, please use separate sheet.

6
 Form No. IT 10 BB

FORM
Statement under section 168 of the Income Tax
Act, 2023 regarding particulars of life style

Name of Assessee: Khaled Ahammed TIN: 8 4 3 1 5 1 7 0 2 7 1 0

Sl No. Particulars of Expenditure Amount of Tk. Comments

1 Personal and Fooding Expenses Tk.
2 Tax paid including deduction at source of the last
financial year Tk.
3 Accommodation Expenses Tk.
4 Transport Expenses Tk.
5 Electricity Bill for Residence Tk.
6 WASA Bill for residence- Common Service Bill Tk.
7 Gas Bill for residence Tk.
8 Telephone Bill for residence Tk.
9 Education expenses for children Tk.
10 personal expenses for Foreign travel Tk.
11 Festival and other special expenses, if any Tk.
Total Expenses Tk. 500,112

I solemnly declare that to the best of my knowledge and belief the information given in the IT-10BB is correct and
complete.

Khaled Ahammed
Name and Signature of the Assessee
* If needed, please use separate sheet. Date

" ...........................................................................................................................................................................................................

Acknowledgement Receipt of income Statement

Name of the Assessee : Khaled Ahammed Assessment year 2023-2024

UTIN/TIN
Circle: 282 Taxes Zone: 13, Dhaka
8 4 3 1 5 1 7 0 2 7 1 0

7
 Instruction to fill up the Return Form

Instruction:
(1) The 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 wherever applicable:
(a) Salary statement for salary income, Bank statement for interest, Certificate for interest on savings
instrument, Rent Agreement, Receipts of Municipal Tax and land revenue, statement of house property
loan interest, insurance premium for house property income, Statement of professional Income as per
rule -8; copy of assessment/Income Statement and 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 certificate, LIP, DPS, Zakat, Stock/Share etc.

(b) Statement of Income and Expenditure, Manufacturing A/C, Trading and Profit and Loss A/C and
Balance Sheet.
(c) Depreciation 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 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 - 35 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) Assessee shall sub,it his/her photograph with return after every five year.
(7) Furnish the following information:
(a) Name, Address, and TIN of the partners if the assessee is a partner.
(b) Name of the firm, address and TIN if the assessee is a partner.
(c) Name of the Company, address and TIN if the assessee is a director.
(8) Assets, Liabilities of self, spouse (if she/he is not an assessee), minor children and depandant(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 - 10BB
(10) If needed please separate sheet.

" ..............................................................................................................................

Total Income Shown in the Return: Tk. 1,125,917 Tax Paid Tk. 392,129
Income from Flat Sale U/S 163 Tk. 3400000 U/S 163 Tk. 321,875

Net Wealth of the Assessee: Tk. 23,587,214

Date of Receipt of the Return: ...................... Serial No. in the Return Register ............................

Nature of Return : Self Universal Self Normal

Signature of Receiving
8 Officer with Seal