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Manual Income Tax Return Forms for Individual and AOPS for Tax Year 2021

SRO 1073(I)/2021Return forms

SRO 1073(I)/2021 is an Income Tax SRO dated 27 August 2021, listed by FBR as "Manual Income Tax Return Forms for Individual and AOPS for Tax Year 2021".

The text below was extracted automatically from the text layer of the official PDF, and any machine-read text layer FBR added to a scan can contain misread characters. 2 of 24 pages are scanned images with no text layer; those pages are marked and have not been transcribed. Check the official PDF before relying on any wording or figure.

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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

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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:

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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:

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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

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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:

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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:

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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

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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

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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

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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:

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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

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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:

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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

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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:

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