Draft Income tax Return Forms Manual for Individual and AOPs for Tax Year 2021
SRO 1022(I)/2021 is an Income Tax SRO dated 16 August 2021, listed by FBR as "Draft Income tax Return Forms Manual for Individual and AOPs for Tax Year 2021".
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"Individual Paper Return for Tax Year 2021
RETURN OF TOTAL INCOME UNDER THE INCOME TAX ORDINANCE, 2001 (T-1B)
(FOR INDIVIDUAL, DERIVING INCOME UNDER ANY HEAD OTHER THAN SALARY / BUSINESS)
Name* Tax Year 2021
CNIC* NTN
Address*
Amount
Exempt from Amount Total Tax/ Subject Subject to Amount to Fixed / Normal Tax
Sr. Description Code Final Tax
A B C
1 Income/(loss) from property 2000
2 Gains ((Loss) from Capital Assets 4000
3 Income / (Loss) from Other Sources 5000
4 Foreign Income 6000
5 Share in untaxed Income from AOP 3131
6 Share in Taxed Income from AOP 3141
7 Total Income* 9000
Total Inadmissible Admissible
8 Deductible Allowances [9+10+11] 9009
9 Zakat u/s 60 9001
10 Deductible Allowance for Profit on Debt u/s 60C 9007DeductibleAllowances 11 Educational expenses u/s 60D 9008
12 Taxable Income [74]* 9100
13 Tax Chargeable [Col.0 14-15+25] 9200
14 Normal Income Tax 920000
15 Tax Credits 9329
16 Tax Paid [Sr. 18 + 19 + 25 + Sr.1 Annex-A] 64220057
17 Advance Income Tax 9202
18 Admitted Income Tax 9203
19 Refundable Income Tax [13-17 if <01 9210 Computations 20 Demanded Income Tax [13-17 if >0] 9204
21 Refund Adjustment of Other Year(s) against Demand of this Year [=20] 92101
22 Agriculture Income 6100
23 Agriculture Income Tax 9291
Tax
Collected/
Receipts / Deducted/Pai Tax
Value d Chargeable
24 Final / Fixed / Minimum / Average / Relevant / Reduced Income Tax 640001
25 Import of Mobile u/s 148 64120045
26 Dividend u/s 150 @7.5% 64030052
27 Dividend u/s 150 @ 15% 64030055 Regime 28 Yield on Bahbood certificates/Pensioners benefit account 64030071
29 Profit on Debt u/s 78 64310056
Rate 30 Income from property u/s 15(6) 64080052
31 Prize on Prize Bond u/s 156 64090051
32 Winnings from Crossword Puzzle u/s 156 64090052
33 Winnings from Raffle u/s 156 64090053 Reduced ! 34 Winnings from Lottery u/s 156 64090054
35 Winnings from Quiz u/s 156 64090055
36 Winnings from Sale Promotion u/s 156 64090056
37 Dividend in specie u/s 2365 @ 7.5% 64151802 Relevant I 38 Dividend in specie u/s 2368 @15% 64151807
39 Advance tax on registering or attesting transfer of immovable property u/ 64151951
40 Capital Gains on Immovable Property u/s 37(1A) @0% 64220051
41 Capital Gains on Immovable Property u/s 37(1A) 64220052 Average I 42 Capital Gains on Securities u/s 37A @ 0% 64220151
Fixed 4344 CapitalCapital GainsGains onon SecuritiesSecurities u/su/s 37A37A @@ 5%7.5% 6422015364220157
I 45 Capital Gains on Securities u/s 37A @ 10% 64220158
46 Capital Gains on Securities u/s 37A @ 12.5% 64220155 Final 47 Capital Gains on Securities u/s 37A@ 15% 64220156
, CNIC No. , in my capacity as Self /
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 & belief the information given in this Return is correct & complete in accordance with the provisions of the
Income Tax Ordinance, 2001 & Income Tax Rules, 2002.
Date: Verification
Signature:
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RETURN OF TOTAL INCOME UNDER THE INCOME TAX ORDINANCE, 2001 (IT-2) 2/2
FOR INDIVIDUAL DERIVING INCOME UNDER THE HEAD BUSINESS & ANY OTHER HEAD EXCEPT SALARY
Name* Tax Year 2021
CNIC* NTN
Tax
Receipts I Collected/
Sr. Description Code Value! Deducted/Pai Tax
Number d Chargeable
A B C
Final! Fixed / Minimum / Average / Relevant! Reduced Income
54 Tax [Sum of 52 to 1451 640001
55 Attributable income from controlled foreign company u/s 109A @15% 64030055
56 Import u/s 148 ©1% 64010052
57 Import u/s 148 @2% 64010054
58 Import u/s 148 @3% 64010056
59 Import u/s 148 @4% 64010058
60 Import u/s 148 @5.5% 64010061
61 Import u/s 148 @ 4.125% 64010083
62 Import of Edible Oil u/s 148 @5.5% 64010161
63 Import of Packing Material u/s 148 @5.5% 64010181
64 Import of Mobile u/s 148 64120045
65 Dividend u/s 150 ©7.5% 64030052
66 Dividend u/s 150 @15% 64030055
Yield on Behbood Certificates / Pensioner's Benefit
67 Account/Shuhada Family Welfare Account 64030071
68 Return on investment in sukuks Ws 5AA 64030098
69 Dividend to a Non-Resident covered under ADDT u/s 150 / u/s 5 64030099
Royalty / Fee for Technical Services to a Non-Resident u/s 152(1) /
70 Division IV, Part I, 1st Schedule 64050051
Payment for Contracts for Construction Assembly or Installation to aRegime
71 Non-Resident u/s 152(1A)(a) / Division II, Part III, 1st Schedule 64050052
Rate Payment for Services, Contracts to a Non-Resident u/s 152(1A)(b) /
72 Division II, Part III, 1st Schedule 64050053
Fee for Advertisement Services to a Non-Resident u/s 152(1A)(c) /
73 Division II, Part III, 1st Schedule 64050054Reduced Insurance / Reinsurance Premium to a Non-Resident u/s 152(IAA) /
74 Division II, Part III, 1st Schedule 64050055
Fee for Advertisement Services to a Non-Resident u/s 152(1AAA) /
75 Division II, Part III, 1st Schedule 64050056Relevant!
/ 76 Profit on Debt u/s 152(2) / u/c (5A), Part II, 2nd Schedule 64050096
Royalty / Fee for Technical Services to a Non-Resident covered
77 under ADDT 64050097Average/ Payment for Goods, Services, Contracts, Rent, etc. to a Non-
Fixed 78 ResidentPayment coveredfor foreignunderproducedADDTcommercials to a non- 64050098
/ 79 resident u/s 152A 64050100
Payment for transport services to a PE of a non-resident u/sFinal 80 152(2A)(b) @2% 64050094
Payment for other services to a PE of a non-resident u/s 152(2A)(b)
81 @ 10% 64050095
82 Fee for offshore digital servies to a non-resident u/s 152(1C) 64050057
83 Payment for Goods u/s 153(1)(a) @1% 64060052
84 Payment for Goods u/s 153(1)(a) @1.5% 64060053
85 Payment for Goods u/s 153(1)(a) @2.5% 64060055
86 Payment for Goods u/s 153(1)(a) @4.5% 64060059
87 Payment for Services u/s 153(1)(b) @1% 64060152
88 Payment for services u/s 153(1)(b) @ 1.5% 64060153
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89 Payment for Services u/s 153(1)(b) @2% 64060154
90 Payment for Services u/s 153(1)(b) @ 10% 64060170
91 Receipts from Contracts u/s 153(1)(c) @7.5% 64060265
92 Receipts from Contracts u/s 153(1)(c) @10% 64060270
93 Fee for Export related Services u/s 153(2) @1% 64060352
94 Deduction of Tax from Yarn Traders u/s 153(1)(a) 6406081
95 Deduction of Tax from Yarn Traders u/s 153(1)(b) 6406082
96 Export Proceeds u/s 154 @1% 64070054
97 Foreign Indenting Commission u/s 154(2) @5% 64070151
98 Sale proceeds of goods to exporter u/s 154(3) 64070152
Sale proceeds of goods by industrial undertaking u/s
99 154(3A) 64070153
100 Contract payments to indirect exporter u/s 154(38) 64070154
101 Export Proceeds u/s 154(3C) 64070155
102 Income from Property u/s 15(6) 64080052
103 Prize on Prize Bond u/s 156 64090051
104 Winnings from Crossword Puzzle u/s 156 64090052
105 Winnings from Raffle u/s 156 64090053
106 Winnings from Lottery u/s 156 64090054
107 Winnings from Quiz u/s 156 64090055
108 Winnings from Sale Promotion u/s 156 64090056
109 Commission / Discount on petroleum products u/s 156A @ 12% 64090151
110 Brokerage / Commission Ws 233 @5% 64120060
111 Brokerage / Commission u/s 233 @8% 64120066
112 Brokerage / Commission u/s 233 @10% 64120070
64120074 Regime 113 Brokerage / Commission u/s 233 @12%
114 CNG Station Gas Bill u/s 234A 64130151
Rate 115 Electricity Bill of Commercial Consumer u/s 235 64140051
116 Electricity Bill of Industrial Consumer u/s 235 64140052
117 Lease of rights to collect tolls u/s 236A(3) 64150102 Reduced 118 Sale of certain petroleum products u/s 236HA @ 0.5% 64151653
119 Payment for rent / right to use machinery / equipment u/s 236Q 64151651
120 Rent of machinery & equipment u/s 236Q(2) 64151652
121 Dividend in specie u/s 236S @7.5% 64151802Relevant!
/ 122 Dividend in specie u/s 236S @ 15% 64151807
123 Capital Gains on Immovable Property u/s 37(1A) @0% 64220051
124 Capital Gains on Immovable Property u/s 37(1A) 64220052 (Average 125 Capital Gains on Securities u/s 37A @0% 64220151
Fixed 126127 CapitalCapital GainsGains onon SecuritiesSecurities u/su/s 37A37A @@ 75%5% 6422015364220157
/ 128 Capital Gains on Securities u/s 37A @10% 64220158
129 Capital Gains on Securities u/s 37A @ 12.5% 64220155 Final
130 Capital Gains on Securities u/s 37A @15% 64220156
Purchase of Locally Produced Edible OilNegitable Ghee u/s 148A
131 @2% 64310053
132 Receipts from shipping business of a resident person u/s 7A 64310055
133 Profit on Debt u/s 7B 64310056
Fee for transport services outside Pakistan under clause(3),Part-II,
134 Second Schedule @ 1% 64310061
Fee for advertising services by electronic and print media outside
135 Pakistan under clause (3), Part-II, Second Schedule @0.75% 64310062
Fee for other services outside Pakistan under clause (3), Part-II,
136 Second Schedule @ 5% 64310063
Receipts for Contracts outside Pakistan u/c (3), Part II, 2nd Schedule
137 @3.75% 64310071
Fee for Carriage Services by Oil Tanker/Goods Transport Contractor
138 u/c (43D) and (43E), Part IV, 2nd Schedule 64320051
Signs ture Date:
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Annex-A
Adjustable Tax Collected / Deducted
Name* Tax Year 2021
CNIC* NTN
Receipts / Tax Collected 1
Sr. Description Code Value Deducted / Paid
A 8
1 Adjustable Tax [Sum of 2 to 61] 640000
2 Import u/s 148 ©1% 64010002
3 Import u/s 148 ©2% 64010004
4 Import u/s 148 ©3% 64010006
5 Import u/s 148 © 4% 64010008
6 Import u/s 148 ©5.5% 64010011
7 Directorship Fee u/s 149(3) ©20% 64020005
8 Tax with held u/s 151 (if amount u/s 76 exceeds 36 million) 64040005
9 Payment for Goods, Services, Contracts, Rent, etc. to a Non-Resident u/s 152(2) 64050007
10 Profit on Debt to a Non-Resident u/s 152(2) 64050008
11 Payment for Goods to a PE of a Non-Resident u/s 152(2A)(a) / Division II, Part III, 1st Schedule 64050009
12 Payment for Contracts to a PE of a Non-Resident u/s 152(2A)(c) / Division II, Part III, 1st Schedule 64050012
13 Payment for Goods u/s 153(1)(a) ©1% 64060002
14 Payment for Goods u/s 153(1)(a) ©1.5% 64060003
15 Payment for Goods u/s 153(1)(a) ©2.5% 64060005
16 Payment for Goods u/s 153(1)(a) ©4.5% 64060009
17 Payment of Royalty to resident person u/s 153B © 15% 64060232
18 Cash Withdrawal from Bank u/s 231A 64100101
19 Certain Banking Transactions u/s 231AA 64100201
20 Motor Vehicle Registration Fee u/s 2318(1) 64100301
21 Motor Vehicle Transfer Fee u/s 2316(2) 64100302
22 Motor Vehicle Sale u/s 2318(3) 64100303
23 Motor Vehicle Leasing u/s 231B(1A) ©4% 64100304
24 Margin Financing, Margin Trading or Securities Lending u/s 233M 64120201
25 Goods Transport Public Vehicle Tax u/s 234 64130001
26 Passenger Transport Public Vehicle Tax u/s 234 64130002
27 Private Vehicle Tax u/s 234 64130003
28 Electricity Bill of Domestic Consumer u/s 235A 64140101
29 Telephone Bill u/s 236(1)(a) 64150001
30 Cellphone Bill u/s 236(1)(a) 64150002
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31 Prepaid Telephone Card u/s 236(1)(b) 64150003
32 Phone Unit u/s 236(1)(c) 64150004
33 Internet Bill u/s 236(1)(d) 64150005
34 Prepaid Internet Card u/s 236(1)(e) 64150006
35 Purchase by Auction u/s 236A 64150101
36 Domestic Air Ticket Charges u/s 236B 64150201
37 Sale / Transfer of Immovable Property u/s 236C 64150301
Issuance of License to 1PTV, FM Radio, MMDS, Mobile TV, Mobile Audio, Satellite TV Channel and
38 Landing Rights u/s 236F 64150603
39 Purchase of other commodities by Distributors / Dealers / Wholesalers u/s 236G 64150701
40 Purchase of Fertilizer by Distributors / Dealers / Wholesalers u/s 236G 64150702
41 Purchase by Retailers u/s 236H 64150801
42 Purchase by others from Retailers u/s 23611 64150804
43 Educational Institution Fee u/s 2361 64150901
44 Purchase / Transfer of Immovable Property u/s 236K 64151101
45 Purchase of International Air Ticket u/s 236L 64151201
46 Banking transactions otherwise than through cash u/s 236P 64151501
47 Advance tax on extraction of minerals u/s 236V 64152101
48 Advance tax on reimittance through credit, debit, prepaid cards u/s 236Y 64151905
Signature: Date:
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Annex-B 1/2
Manufacturing / Trading / Profit & Loss Account ( including Revenues subject to Final! Fixed Tax)
(Separate form should be filled for each business)
Name* Tax Year 2021
CNIC* NTN
Busine
Amount Amount Total Subject to Subject to Amount Sr. Description Code Final Tax Normal Tax
A B C
a) Net Revenue (excluding Sales Tax, Federal Excise, = c 1 Brokerage, Commission, Discount, Freight Outward) [2-3] 3029 0
0> 2 Gross Revenue (excluding Sales Tax, Federal Excise) 3009
rt Selling Expenses (Freight Outward, Brokerage, Commission,
3 Discount, etc.) 3019
4 Cost of Sales! Services [(sum of 5 to 15)-16] 3030
5 Opening Stock 3039
6 Net Purchases (excluding Sales Tax, Federal Excise) 3059
7 Salaries / Wages 3071
8 Fuel 3072 Services/ 9 Power 3073
10 Gas 3074
11 Stores / Spares 3076 Sales 12 Repair/Maintenance 3077of 13 Other Direct Expenses 3083
Cost 14 Accounting Amortization 3087 15 Accounting Depreciation 3088
16 Closing Stock 3099
17 Gross Profit / (Loss) [1-4] 3100
18 Other Revenues [Sum of 19 to 22] 3129
19 Accounting Gain on Sale of Intangibles 3115
20 Accounting Gain on Sale of Assets 3116
21 Others 3128
22 Share in untaxed Income from AOP 3131
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23 Share in Taxed Income from AOP 3141
Management, Administrative, Selling & Financial Expenses
24 [Sum of 25 to 441 3199
25 Rent 3151
26 Rates/Taxes / Cess 3152
27 Salaries / Wages / Perquisites / Benefits 3154
28 Traveling / Conveyance / Vehicles Running / Maintenance 3155
29 Electricity / Water! Gas 3158
30 Communication 3162
31 Repair/Maintenance 3165
32 Stationery / Printing / Photocopies / Office Supplies 3166
33 Advertisement / Publicity / Promotion 3168
34 Insurance 3170Expenses
35 Professional Charges 3171
36 Profit on Debt (Financial Charges! Markup / Interest) 3172
37 Brokerage / Commission 3178Indirect
38 Irrecoverable Debts written off 3186
39 Obsolete Stocks / Stores / Spares! Fixed Assets written off 3187
40 Other Indirect Expenses 3180
41 Accounting (Loss) on Sale of Intangibles 3195
42 Accounting (Loss) on Sale of Assets 3196
43 Accounting Amortization 3197
44 Accounting Depreciation 3198
45 Accounting Profit! (Loss) [17+18-24] 3200
Signature: Date:
Annex-B 2/2
Manufacturing! Trading! Profit & Loss Account ( including Revenues subject to Final! Fixed Tax)
(Separate form should be filled for each business)
Tax Year 2021Name*
CNIC" NTN*
Amount Amount Total Subject to Subject to Amount Normal Final Taxation
Sr. Description Code Taxation
Page 9
A B C
Income / (Loss) from Business before adjustment of Admissible
Depreciation / Initial Allowance / Amortization for current /
46 previous years 3270
47 Unadjusted (Loss) from Business for 2015 327015
48 Unadjusted (Loss) from Business for 2016 327016
49 Unadjusted (Loss) from Business for 2017 327017
50 Unadjusted (Loss) from Business for 2018 327018
51 Unadjusted (Loss) from Business for 2019 327019
I Statement of Affairs / Balance Sheet
52 Total Assets [Sum of 54 to 59] 3349
53 Land 3301
54 Building (all types) 3302
55 Plant / Machinery / Equipment / Furniture (including fittings) 3303
Advances / Deposits / Prepayments/ Trade Debtors /Assets
56 Receivables 3312
57 Stocks / Stores / Spares 3315
58 Cash! Cash Equivalents 3319
59 Total Equity / Liabilities [Sum of 61 to 63] 3399 co
a 60 Capital 3352 r. = 61 Borrowings! Debt / Loan 3371 _a
es Advances / Deposits / Accrued Expenses/ Trade Creditors! rt 62 Payables 3384
Signature: Date:
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Annex-C
Inadmissible / Admissible Deductions
Name* Tax Year 2021
CNIC* NTN
Sr. Description Code Amount
1 Inadmissible Deductions [Sum of 2 to 29] 3239
2 Add Backs u/s 29(2) Provision for Doubtful Debts 3201
3 Add Backs Provision for Obsolete Stocks / Stores / Spares / Fixed Assets 3202
4 Add Backs Provision for Diminution in Value of Investment 3203
5 Add Backs u/s 21(a) Gess / Rate / Tax levied on Profits / Gains 3205
6 Add Backs u/s 21(b) Amount of Tax Deducted at Source 3206
7 Add Backs u/s 21(c) Payments liable to deduction of tax at source but tax not deducted / paid 3207
8 Add Backs u/s 21(d) Entertainment Expenditure above prescribed limit 3208
9 Add Backs u/s 21(e) Contributions to Unrecognized / Unapproved Funds 3209
Add Backs u/s 21(f) Contributions to Funds not under effective arrangement for deduction of tax at
10 source 3210
11 Add Backs u/s 21(g) Fine / penalty for violation of any law / rule / regulation 3211
12 Add Backs u/s 21(h) Personal Expenditure 3212
Add Backs u/s 21(i) Provision for Reserves / Funds /Amount carried to Reserves / Funds or
13 Capitalized 3204
Add Backs u/s 21(j) Profit on Debt / Brokerage / Commission / Salary / Remuneration paid by an
14 AOP to its member 3213 Deductions Add Backs u/s 21(l) Expenditure under a single account head exceeding prescribed amount not paid
15 through prescribed mode 3215
16 Add Backs u/s 21(m) Salary exceeding prescribed amount not paid through prescribed mode 3216
17 Add Backs u/s 21(n) Capital Expenditure 3217
18 Add Backs u/s 67(1) Expenditure attributable to Non-Business Income 3218Inadmissible 19 Add Backs u/s 34(5) Liabilities allowed Previously as deduction not Paid within three Years 3219
20 Add Backs u/s 28(1)(b) Lease Rental not admissible 3220
Add Backs u/s 21(o) Sales promotion, advertisement and publicity expenses of pharmaceutical
21 manufacturers exceeding prescribed limit 3224
22 Add Backs Tax Gain on Sale of Intangibles 3225
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23 Add Backs Tax Gain on Sale of Assets 3226
Add Backs u/s 21(ca) commission in excess of 0.2% of grass amount of supplies to a person not
24 appearing in ATL in third schedule to Sales Tax Act, 1990. 3227
25 Add Backs Pre-Commencement Expenditure / Deferred Cost 3230
26 Add Backs Accounting (Loss) on Sale of Intangibles 3235
27 Add Backs Accounting (Loss) on Sale of Assets 3236
28 Add Backs Accounting Amortization 3237
29 Add Backs Accounting Depreciation 3238
1 30 Other Inadmissible Deductions 3234
31 Admissible Deductions [Sum of 31 to 40] 3259
32 Accounting Gain on Sale of Intangibles 3245
33 Accounting Gain on Sale of Assets 3246
34 Tax Amortization for Current Year 3247
35 Tax Depreciation / Initial Allowance for Current Year 3248 Deductions 36 Pre-Commencement Expenditure / Deferred Cost 3250
37 Other Admissible Deductions 3254
38 Tax (Loss) on Sale of Intangibles 3255
39 Tax (Loss) on Sale of Assets 3256Admissible 40 Unabsorbed Tax Amortization for Previous Years 3257
41 Unabsorbed Tax Depreciation for Previous Years 3258
Sia nature: Date:
Page 12
Annex-D
Depreciation, Initial Allowance, Amortization
Tax Year 2021Name*
NTN CNIC*
Addition
(Used
Previously Extent Addition Extent Initial Depreciatio
Sr. Description Code WDV (BF) Deletion in Pakistan) of Use (New) of Use Rate Allowance Rate n WDV (CF)
A B C D E F G H I
Building (all types) 3302 100% 100% 15% 10%
2 Ramp for Disabled Persons 330204 100% 100% 100% 100%
3 Plant / Machinery (not otherwise specified) 330301 100% 100% 25% 15%
Computer Hardware / Allied Items /
Equipment used in manufacture of IT
4 products 330302 100% 100% 25% 30%
5 Furniture (including fittings) 330303 100% 100% 0% 15%
6 Technical / Professional Books 330304 100% 100% 25% 15%
Below ground installations of mineral oil
7 concerns 330305 100% 100% 25% 100%
Offshore Installations of mineral oil
8 concerns 330306 100% 100% 25% 20%Depreciation 9 Office Equipment 330307 100% 100% 25% 15%
Machinery / Equipment eligible for 1st year
10 Allowance 330308 100% 100% 90% 15%
11 Motor Vehicle (not plying for hire) 33041 100% 100% 0% 15%
12 Motor Vehicle (plying for hire) 33042 100% 100% 25% 15%
13 Ships 33043 100% 100% 25% 15%
14 Aircrafts / Aero Engines 33044 100% 100% 25% 30%
Tax Depreciation! Initial Allowance for
I 15 Current Year 3248 100% 100%
Remaining Extent of
Description Code WDV (BF) Useful Life Use Amortization
A B C D
16 Intangible 3305
17 Intangible 3305
18 Intangible 3305
Expenditure providing Long Term Amortization
19 Advantage/Benefit 330516
20 Tax Amortization for Current Year 3247
21 Pre-Commencement Expenditure 3306 --. i Signature:
Page 13
Annex-E
Name* Tax Year 2021
CNIC* NTN
Tax on
Tax Attributable Attributable Minimum
Receipts / Collectible / Taxable Taxable Tax
Sr. Description Code Value Deductible Income Income Chargeable
1 Minimum Tax Chargeable [Col.E Sum of 2 to 61 A B C D E
2 mport u/s 148 @1% 64010052
3 Import u/s 148 @2% 64010054
4 Import u/s 148 @3% 64010056
5 Import u/s 148 @4°/0 64010058
6 Import u/s 148 @6% 64010062
7 Import of Edible Oil u/s 148 @5.5% 64010161
8 Import of Packing Material u/s 148 @5.5% 64010181
9 Import of Plastic Raw Material u/s 148 @ 1.75% 64010081
10 Import u/s 148 @ 4.125% 64010083
11 Import u/s 148 @ 2.75% 64010082
12 Import of ships by ship breakers u/s 148(8A) @-5% 64010059
Payment for contracts for consruction, assembly of
13 instalation to a non-resident u/s 152(1A) 64050052
Payment for transport services to a PE of a non-
14 resident u/s 152(2A)(b) 64050094
Payment for services contracts to a non-resident u/s
15 152(1A)(b) 64050053Chargeable Fee for Advertisement Services to a non-resident u/s
Tax 16 152(1A)O 64050054
Insurance/re-instruance premium to a non-resident u/s
17 152(IAA) 64050055
Payment for other services for PE of a non-resident u/sMinimum 18 152(2A)(b) 64050095
19 Payment for Services u/s 153(1)(b) @1% 64060152
20 Payment for goods u/s 153(1a) @ 0.25% 64060082
21 Payment for goods u/s 153(1a) @2.5% 64060055
22 Payment for goods u/s 1530a) @ 4 5% 64060059
23 Payment for Services u/s 153(1)(b) @1.5% 64060153
24 Payment for specified for Services u/s 153(1)(b) @3% 64060156
25 Payment for Services u/s 153(1)(b) @2% 64060154
26 Payment for Services u/s 153(1)(b) @10% 64060170
27 Payment for Services u/s 153(1)(b) @15% 64060180
28 Receipts from Contracts ids 153(1)(c) @7.5% 64060265
29 Receipts from Contracts u/s 153(1)(c) @10% 64060270
30 Payment for Goods u/s 153(1)(a) @1% 64060052
31 Payment for Goods u/s 153(1)(a) @1.5% 64060053
32 Payment for Goods u/s 153(1)(a) @4.5% 64060059
Page 14
33 Fee for Export related Services u/s 153(2) @1% 64060352
34 Deduction of Tax from yarn u/s 153(1)(a) 64060281
35 Deduction of Tax from yarn u/s 153(1)(b) 64060282
36 Brokerage / Commission u/s 233 @8% 64120066
37 Brokerage / Commission u/s 233 @10% 64120070
38 Brokerage / Commission u/s 233 @12% 64120074
39 Brokerage / Commission u/s 233 @5% 64120060
Number of imported mobile phones u/s 148 upto 30$
40 @ Rs.70 64120045
Number of imported mobile phones u/s 148 exceeding
41 30$ upto 100$ @ Rs.100 64120046
Number of imported mobile phones u/s 148 exceeding
42 100$ upto 200$ @ Rs.930 64120047
Number of imported mobile phones u/s 148 exceeding
43 200$ upto 350$ @ Rs.970 64120048
Number of imported mobile phones u/s 148 exceeding
44 350$ upto 500$ @ Rs.3000 64120049
Number of imported mobile phones u/s 148 exceeding
45 500$ @ Rs.50200 64120050
46 CNG Station Gas Bill u/s 234A 64130151
Fee for Goods Transport Contractor u/c (43E), Part IV
47 Second Schedule 64320053
Fee for Carriage Services by Oil Tanker u/c (43D), Part
48 IV Second Scheule 64320051
Tax on
Attributable Attributable Difference
Receipts / Final Tax Taxable Taxable (Option
Sr. Description Code Value Chargeable Income Income Valid if <=0)
A B C D E
49 Export Proceeds u/s 154(1) @1% 64070054
50 Foreign Indenting Commission u/s 154(2) 64070151
51 Sale Proceeds of goods to exporter u/s 154(3) 64070152
Sale Proceeds of of goods by industrial undertaking u/s
52 154(3A) 64070153
53 Contract Payments to indirect exporter u/s 154(36) 64070154
54 Export Proceeds u/s 154(3C) 64070155
Commission / Discount on petroleum products u/s
55 156A@12% 64090151
Signature: Date:
Page 15
Annex-F
Personal Expenses
Name* Tax Year 2021
CNIC* NTN
Sr. Description Code Amount
1 Personal Expenses [Sum of 2 to 16 minus 17] 7089
2 Rent 7051
3 Rates / Taxes / Charge / Cess 7052
4 Vehicle Running / Maintenence 7055
5 Travelling 7056
6 Electricity 7058
7 Water 7059
8 Gas 7060
9 Telephone 7061
10 Asset Insurance / Security 7066Expenses 11 Medical 7070
12 Educational 7071
7072Personal 13 Club
14 Functions / Gatherings 7073
15 Donation, Zakat, Annuity, Profit on Debt, Life Insurance Premium, etc. 7076
16 Other Personal / Household Expenses 7087
17 Contribution in Expenses by Family Members [Sum of 18 to 21] 7088
CNIC No. Name*
18
19
20
21
Signature: Date:
Page 16
WEALTH STATEMENT UNDER SECTION 116 OF THE INCOME TAX ORDINANCE, 2001 1/4
Name* Tax Year 2021
CNIC* NTN
Residen
Busines
1 Agricultural Property [Sum of 1 i to 1 x] 7001
Form
(irrigated! Unirrigated Mauza / Village / Area
/ Uncultivable) Chak No. Tehsil District (Acre) Share % Code Value at Cost
i 7001
ii 7001 Property iii 7001
iv 7001
v 7001 Agricultural vi 7001
vii 7001
viii 7001
ix 7001
x 7001
2 Commercial, Industrial, Residential Property (Non-Business) [Sum of 2 i to 2 x] 7002
Form
(House, Flat, Shop, Unit No. / Area /
Plaza, Factory, Complex / Street Locality / Area Share
Workshop, etc.) / Block / Sector Road City (Marla / sq. yd.) % Code Value at Cost Property
i 7002
ii 7002 IndustrialI, iii 7002
Page 17
iv 7002
7002Commercial vi 7002
vii 7002
viii 7002 Residential,
ix 7002
x 7002
3 Business Capital 7003
Enter name, share percentage & capital amount in each AOP Share % Code Value at Cost
7003 Capital i
ii 7003
iii 7003 Business
1 i Enter consolidated capital amount of all Sole Proprietorships 100% 7003
4 Equipment, etc. (Non-Business) [Sum of 4 i to 4 iv] 7004
Description Code Value at Cost
i 7004
7004 ii Equipment
iii 7004
7004 iv
Signatures: Date:
WEALTH STATEMENT UNDER SECTION 116 OF THE INCOME TAX ORDINANCE, 2001 2/4
Name* Tax Year 2021
CNIC* NTN
Page 18
5 Animal (Non-Business) [Sum of 5 i to 5 iv] 7005
Description Code Value at Cost
73 . i Livestock 7005 E
*E 7005 < ii Pet
iii Unspecified 7005
iv Unspecified 7005
6 Investment (Non-Business) [Sum of 6 i to 6 xiii] 7006
Account! Share
Form Instrument No. Institution Name/Individual CNIC % Code Value at Cost
i Account 7006
Current 7006
Current 7006
Fixed Deposit 7006
Fixed Deposit 7006
Profit! Loss Sharing 7006
Profit! Loss Sharing 7006
Saving 7006
Saving 7006
ii Annuity 7006
iii Bond 7006
iv Certificate 7006
v Debenture 7006
vi Deposit 7006
Term Deposit 7006
Term Deposit 7006
vii Fund 7006
7006Investment viii Instrument
ix Insurance Policy 7006
x Security 7006
Page 19
xi Stock / Share 7006
7006 xii Unit
7006 xiii Others
7 Debt (Non-Business) [Sum of 7 i to 7 vii] 7007
Institution Name / Individual Share
Form No. CNIC % Code Value at Cost
i Advance 7007
7007 ii Debt
7007 iii Deposit
7007 iv Prepayment
v Receivable 7007
vi Security 7007
vii Others 7007
8 Motor Vehicle (Non-Business) [Sum of 8 i to 8 yin] 7008
Form
(Car,Jeep,Motor
Cycle,Scooter,Van) E&TD Registration No. Maker Capacity Code Value at Cost
i 7008
Vehicle iiiii 70087008
iv 7008 Motor
v 7008
vi 7008
vii 7008
viii 7008
Sig atu res: Date:
Page 20
WEALTH STATEMENT UNDER SECTION 116 OF THE INCOME TAX ORDINANCE, 2001 3/4
Name* Tax Year 2021
CNIC* NTN
9 Precious Possession [Sum of 9 i to 9 iii] 7009
Description Code Value at Cost Posession
1 Antique / Artifact 7009
ii Jewelry / Ornament / Metal I Stone 7009 Precious iii Others (Specify) 7009
10 Household Effect [Sum of 10 i to 10 iv] 7010
Description Code Value at CostEffect
i Unspecified 7010
ii Unspecified 7010 Household iii Unspecified 7010
1 iv Unspecified 7010
11 Personal Item [Sum of 11 i toll iv]* 7011
Description Code Value at Cost Item
i Unspecified 7011
ii Unspecified 7011 Personal
iii Unspecified 7011
iv Unspecified 70111
Cash 12 Cash (Non-business) [Sum of 12 i to 12 x] 7012
Notes & Coins 7012
Page 21
13 Any Other Asset [Sum of 13 i to 13 iv] 7013
Description Code Value at Cost Asset
7013
Other ii 7013
7013 Any ill
7013 iv
Name 14 Assets in Others' Name [Sum of 14 i to 14 iv] 7014
Description Code Value at Cost
i 7014 Others'
in ii 7014
7014 iii Assets iv 7014
1 15 Total Assets inside Pakistan [Sum of Ito 14] 7015
16 *Assets held outside Pakistan [Sum of 16 (i) to 16 (iv)] 7016
Description Code Value at CostPakistan
7016outside iii 7016
7016 iii Assets 7016 iv
17 Total Assets [15+16] 7019
* Serial # 16 has been separated from Any Other Assets at Serial # 13 for clarity.
Sianatures- Date:
Page 22
WEALTH STATEMENT UNDER SECTION 116 OF THE INCOME TAX ORDINANCE, 2001 4/4
Name* Tax Year 2021
CNIC* NTN
18 Credit (Non-Business) [Sum of 18 (i) to 18 (viii)] 7021
Form Creditor's NTN / CNIC Creditor's Name Code Value at Cost
i Advance 7021
ii Borrowing 7021
iii Credit 7021
7021Loan iv Loan
v Mortgage 7021
vi Overdraft 7021
vii Payable 7021
viii Others 7021
1 19 Total Liabilities 7029
20 Net Assets Current Year [17-19] 703001
21 Net Assets Previous Year 703002
22 Increase / Decrease in Assets [20-21] 703003
23 Inflows [Sum of 23 (i) to 23(x)] 7049
i Income declared as per Return for the year subject to normal tax 7031
ii Income declared as per Return for the year exempt from tax 7032
Assets iii Income Attributable to Receipts, etc. Declared as per Return for the year subject to Final / Fixed Tax 7033
Net
A iv Adjustments in Income Declared as per Return for the year 7034
Page 23
c
vi Foreign Remittance 7035
vii Inheritance 7036
viii Gift 7037Reconciliation ix Gain on Disposal of Assets, excluding Capital Gain on Immovable Property 7038
x Others 7048
24 Personal Expenses [Transfer from Sri Annex-F] 7089
25 Outflows [Sum of 25 (i) to 25 (iii)] 7099
i Gift 7091
ii Loss on Disposal of Assets 7092
iii Others 7098
26 Unreconciled Amount [23-24-25] 703000
27 Assets Transferred / Sold / Gifted / Donated during the year [Sum of 27 (i) to 27 (ii)] 703004 Assets
Description Code Value at Cost
i 703004 Disposed ii 7030041
CNIC No. , in my capacity
as Self / Representative (as defined in section 172 of the Income Tax Ordinance, 2001) of Taxpayer named above, do hereby
solemnly declare that to the best of my knowledge & belief the information given in this statement of the assets & liabilities of myself, Verification my spouse(s), minor children & other dependents as on 30.06.2021 & of my personal expenditure for the year ended 30.06.2021 are
correct & complete in accordance with the provisions of the Income Tax Ordinance, 2001, Income Tax Rules, 2002.
Signatures: Date:
Page 24
No text layer on this page. See page 24 of the official file.
Related Income Tax SROs on return forms
- SRO 1073(I)/202127 August 2021Manual Income Tax Return Forms for Individual and AOPS for Tax Year 2021
- SRO 853(I)/20211 July 2021Income Tax Return Forms for Salaried Persons, AOPs, Business Individual and Companies for Tax Year 2021
- SRO 730(I)/202111 June 2021Draft Income Tax Return Forms for Salaried Persons, AOPs, Business Individual and Companies for Tax Year 2021
- SRO 1316(I)/20209 December 2020Simplified Income Tax Return for manufacturers having turnover less than Rs. 500 millions
- SRO 1261(I)/202026 November 2020Draft Simplified Income Tax Return for Manufacturers having turnover less than Rs. 50 millions
- SRO 1185(I)/20206 November 2020Rules in respect of prescribing time limit for notifying Income Tax Return forms