Draft Return Forms and Wealth Statement for Tax Year 2015

"Part-II F Instructions for Filling in Return Form & Wealth Statement Form Sr. Instruction General The following errors / omissions shall render a Return invalid & make the taxpayer a non-filer & liable to penalty under section 182(1): Return on which CNIC is missing or incorrect or invalid; Return on which mandatory fields marked by * are empty; Return which is not signed by the Taxpayer or his Representative (as defined in section 172 of the Income Tax Ordinance, 2001); Return which is not filed in the prescribed Form; Return which is not filed in the prescribed mode. Individuals deriving income under the head Property, Capital Gains & Other Sources (excluding Salary / Business) & Income subject to fixed / General final tax have to file one page Return in IT-1B Form with Annex-A, Annex-F & Wealth Statement if required to be filed. Individuals deriving income under the head business or falling under Final Tax Regime (FTR) such as Commercial Importers, Exporters, Contractors, etc. have to file two page Return in IT-2 Form with Annex-A, Annex-B, Annex-F & Wealth Statement if required to be filed. Annex- C, Annex-D & Annex-E are required only where Depreciation / Amortization, Admissible / Inadmissible Deductions & Minimum Tax Chargeable General / Option out of Presumptive Tax Regime are involved. Individuals, including members of AOPs or directors of Companies, whose last declared or assessed income or declared income for the General current tax year is equal to or more than PKR 1,000,000 or the final tax paid is equal to or more than PKR 0, must file Wealth Statement. General Taxpayers may file Return of Total Income / Statement of Final Taxation & Wealth Statement through the following modes: Electronically at FBR Portal (https://iris.fbr.gov.pk/infosys/workflow/inboxWorkFlowView.xhtml) which is mandatory for all Companies, AOPs, Sales Tax Registered Persons, Refund Claimants & Individuals having income under the head Salary. However, all others are also encouraged to file the returns electronically; Manually on paper at Taxpayer Facilitation Counter of the respective Regional Tax Office. Paper Return Form can be downloaded from FBR Website http://www.fbr.gov.pk. General Taxpayers may seek guidance through the following modes: By calling Helpline 0800 00 227, 051 111-227-227 By visiting the nearest Taxpayer Facilitation Centre (TFC), list of which can be downloaded from FBR website at http://www.fbr.gov.pk Tax can be paid in any authorized branch of NBP & SBP at any time before filing of return. List of authorized braches of NBP & SBP can be General downloaded from http://www.fbr.gov.pk. IT-1B 13 Only Foreign Income (Not Loss) should be declared. IT-2 14 IT-1B 46 Only Agriculture Income (Not Loss) should be declared. IT-2 41 IT-1B 26 Tax Credits include Tax Credits for the following: IT-2 28 Share in Taxed Income from AOP; Charitable Donations u/s 61; Investment in Shares of Public Companies listed on a Stock Exchange in Pakistan (only for Original Allottee other than a Company) u/s 62; Life Insurance Premim (only for Resident Individual deriving income from Salary / Business) u/s 62; 63; Profit or Share in Rent or Share in Appreciation of Value of Property paid on loan invested in property u/s 64. Taxpayers wanting to opt out of Presumptive Tax Regime (PTR) u/c (56B), (56C), (56D), (56E), (56F), (56G), Part IV, Second Schedule, must Annex-E file Annex-E. Annex-F Only Personal / Household (Non-Business) expenses should be declared. Expenses borne by more than one person must be declared in total by each person. For example, if in one family more than one member is contibuting to expenses or if more than one family is living jointly & within each family more than one member is contributing to expenses, total expenses under each head must be declared by each member of each family filing his wealth statement & then contribution by other family Annex-F 18 members be deducted to arrive at own contribution. Statement If rows provided in any segment are inadequate, additional rows may be inserted. Statement All assets must be delared at cost, including ancillary expenses. Wealth If an asset is acquired under a Hire Purchase Agreement, total price should be declared as asset under the appropriate head & balance Statement payable amount should be declared as liability. Statement If Wealth Statement is filed for the first time, separate Reconciliation Statement must be filed for each previous year. Wealth Equipment, Plant, Machinery (Non-Business) must be declared with description, for example, Generator, Tubewell, Harvestor, Tractor, Trolley, Statement 4 etc. Wealth Assets created in the name of spouse(s), children & other dependents should be declared only if acquired by them with funds provided by you Statement 14 (Benami Assets).

RETURN OF TOTAL INCOME / STATEMENT OF FINAL TAXATION UNDER THE INCOME TAX ORDINANCE, 2001 (IT-1B) (FOR INDIVIDUAL, DERIVING INCOME UNDER ANY HEAD OTHER THAN SALARY / BUSINESS) Name* Tax Year 2015 CNIC* NTN Address* Amount Exempt Amount Total from Tax / Subject Subject to Normal Sr. Description Code Amount to Fixed / Final Tax Tax A B C 1 Income / (Loss) from Property [Sum of 2 to 6] - [Sum of 7 to 10] 2000 - - - 2 Rent Received or Receivable 2001 - 3 1/10th of amount not adjustable against Rent 2002 - 4 Forfeited Deposit under a Contract for Sale of Property 2003 - 5 Recovery of Unpaid Irrecoverable Rent allowed as deduction 2004 - Property 6 Unpaid Liabilities exceeding three years 2005 - 7 1/5th of Rent of Building for Repairs [(2+3+6)*20%] 2031 - - - 8 Insurance Premium 2032 - 9 Local Rate / Tax / Charge / Cess 2033 - 10 Other Deductions against Rent 2098 - 11 Capital Gains / (Loss) 4000 - 12 Income / (Loss) from Other Sources 5000 - 13 Foreign Income 6000 - 14 Share in Un-Taxed Income from AOP 3131 15 Share in Taxed Income from AOP 3141 - 16 Total Income* 9000 - - - Total Inadmissible Admissible 17 Deductible Allowances [18+19] 9009 - - - 18 Zakat u/s 60 9001 - Deductible Allowances 19 Charitable Donations u/c 61, Part I, 2nd Schedule 9004 - - 20 Taxable Income [16-17]* 9100 - 21 Tax Chargeable [Col.C 22-23-24-25-26+26A+27] 9200 - 22 Normal Tax 920000 #VALUE! 23 Tax Reduction for Full Time Teacher / Researcher 9302 FALSE 24 Tax Reduction for Senior Taxpayer 9303 FALSE Computations 25 Tax Reduction for Disabled Taxpayer 9304 FALSE 26 Tax Credits / Averaging 9329 26A Super Tax Payable 9200A Tax Collected/ Receipts / Value Deducted/Paid Tax Chargeable 27 Final / Fixed / Average / Relevant / Reduced Rate Regime [Sum of 28 to 41] 920100 - - Rate 28 Dividend u/s 150 / Clause(b) of Division III, Part I, 1st Schedule @10% - 29 Dividend u/s 150 / Clause(a) of Division III, Part I, 1st Schedule @7.5% - Dividend u/s 150 / 1st Proviso to Clause (b) of Division III, Part I, 1st ScheduleReduced/ 30 @ 12.50% 31 Profit on Debt u/s 151 / Division I, Part III, 1st Schedule @10% - 32 Profit on Debt u/s 152(2) / u/c (5A), Part II, 2nd Schedule @10% -Relevant/ 33 Prizes on Prize Bonds / Winnings of Crossword Puzzles u/s 156 @15% - Regime 34 Winnings from Raffle, Lottery, Quiz or Sale Promotion u/s 156 @20% - 35 Capital Gains on Immovable Property held for <=1 year u/s 37(1A) @10% -Average / 36 Capital Gains on Immovable Property held for >1 & <=2 year u/s 37(1A) @5% - 37 Capital Gains on Immovable Property held for >2 years u/s 37(1A) @0%Fixed / 38 Capital Gains on Securities held for < 12 months u/s 37A @12.5% - Final 39 Capital Gains on Securities held for >=12 & <24 months u/s 37A @10% - 40 Capital Gains on Securities held for >=24 months u/s 37A @0% - 41 Bonus shares/bonus u/s 39(1)(m) / 236M / 236N @5% 42 Tax Collected / Deducted / Paid [From Sr.1 Col.B Annex-A+Sr.27 Col. B] - s 43 Tax Refundable [21-42 if <0] 9210 - 44 Tax Payable [21-42 if >0] 9204 -Computation 45 Refund Adjustment of other year(s) against Demand of this year [=44] 92101 46 Agriculture Income 6100 - 47 Agriculture Income Tax Paid 9291 I, , 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 / Statement u/s 115(4) is correct & complete in accordance with the provisions of the Income Tax Verification Ordinance, 2001 & Income Tax Rules, 2002. Signature: Date:

RETURN OF TOTAL INCOME / STATEMENT OF FINAL TAXATION UNDER THE INCOME TAX ORDINANCE, 2001 (IT-2) 1/2 FOR INDIVIDUAL DERIVING INCOME UNDER THE HEAD BUSINESS & ANY OTHER HEAD EXCEPT SALARY Name* Tax Year 2015 CNIC* NTN* Address* Amount Exempt Amount Total from Tax / Subject Subject to Normal Sr. Description Code Amount to Fixed / Final Tax Tax A B C 1 Income from Business [From Sr.57 Annex-B or Sr.60 Annex-B] 3000 - - - 2 Income / (Loss) from Property [Sum of 3 to 7] -[Sum of 8 to 11] 2000 - - - 3 Rent Received or Receivable 2001 - 4 1/10th of amount not adjustable against Rent 2002 - 5 Forfeited Deposit under a Contract for Sale of Property 2003 - 6 Recovery of Unpaid Irrecoverable Rent allowed as deduction 2004 - Property 7 Unpaid Liabilities exceeding three years 2005 - 8 1/5th of Rent of Building for Repairs [(3+4+7)*20%] 2031 - - - 9 Insurance Premium 2032 - 10 Local Rate / Tax / Charge / Cess 2033 - 11 Other Deductions against Rent 2098 - 12 Capital Gains / (Loss) 4000 - 13 Income / (Loss) from Other Sources 5000 - 14 Foreign Income 6000 - 15 Share in Un-Taxed Income from AOP 3131 16 Share in Taxed Income from AOP 3141 - 17 Total Income* 9000 Total Inadmissible Admissible 18 Deductible Allowances [19+20+21] 9009 - - - 19 Zakat u/s 60 9001 - 20 Workers Welfare Fund u/s 60A 9002 -Deductible Allowances 21 Charitable Donations u/c 61, Part I, 2nd Schedule 9004 - - 22 Taxable Income [17-18]* 9100 - - - Tax Chargeable 23 [Col.C 31 or 32 or sum(33 to 36), whichever is highest+31A+43] 9200 - 24 Normal Tax 920000 25 Tax Reduction for Full Time Teacher / Researcher 9302 FALSE 26 Tax Reduction for Senior Taxpayer 9303 FALSE 27 Tax Reduction for Disabled Taxpayer 9304 FALSE 28 Tax Credits / Averaging 9329 Difference of Minimum Tax Chargeable u/s 148(8) / 153(3)(b) [From Sr.2 Col.E minus Col.D of Annex-E, if >0 plus Sr.3 Col.E minus Col.D of Annex-E, if >0 plus Sr.3 Col.E minus Col.D of Annex-E, if >0 plus Sr.4 Col.E minus Col.D of Annex-E, if >0 plus Sr.5 Col.E minus Col.D 29 of Annex-E, if >0 plus Sr.6 Col.E minus Col.D of Annex-E, if >0] 923192 - Adjustment of Minimum Tax Paid in earlier year(s) [Not exceeding (24-25-26-27- 30 28+29)] 923198 31 Balance [24-25-26-27-28+29-30] - Computations 31A Super Tax @ 3% 9200A 32 Tax Chargeable on Electricity Bill u/s 235 923193 33 Tax Chargeable on Turnover u/s 113 @0.2% 923152 - 34 Tax Chargeable on Turnover u/s 113 @0.25% 923163 - 35 Tax Chargeable on Turnover u/s 113 @0.5% 923155 - 36 Tax Chargeable on Turnover u/s 113 @1% 923160 - 37 Tax Collected / Deducted / Paid [From Sr.1 Col.B Annex-A+Sr.43 Col. B] 9400 - 38 Tax Refundable [23-37 if <0] 9210 - 39 Tax Payable [23-37 if >0] 9204 - 40 Refund Adjustment of other year(s) against Demand of this year [= 39] 92101 41 Agriculture Income 6100 - 42 Agriculture Income Tax Paid 9,291 I, , CNIC No. , in my capacity as Self / Member of Association of Persons / 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 / Statement u/s 115(4) are correct & complete in accordance with Verification the provisions of the Income Tax Ordinance, 2001 & Income Tax Rules, 2002. Signature: Date:

RETURN OF TOTAL INCOME / STATEMENT OF FINAL TAXATION UNDER THE INCOME TAX ORDINANCE, 2001 (IT-2) 2/2 FOR INDIVIDUAL/AOP DERIVING INCOME UNDER THE HEAD BUSINESS & ANY OTHER HEAD Name* Tax Year 2014 CNIC* NTN NTN* Receipts / Value / Tax Collected/ Sr. Description Code Number Deducted/Paid Tax Chargeable A B C 43 Final / Seperate Rate Regime [Sum of 44 to 88] 920100 - - 44 Import u/s 148 @1% - 45 Import u/s 148 @1.5% 46 Import u/s 148 @2% - 47 Import u/s 148 @3% - 48 Import u/s 148 @4.5% 49 Import u/s 148 @5.5% - 50 Import u/s 148 @6% - 51 Import u/s 148 @6.5% 52 Import u/s 148 @8% 53 Import u/s 148 @9% 54 Dividend u/s 150 / Clause (a) of Division III, Part I, 1st Schedule @7.5% - 55 Dividend u/s 150 / Clause (b) of Division III, Part I, 1st Schedule @10% - Dividend u/s 150 / 1st Proviso to Clause (b) of Division III, Part I, 1st Schedule @ 56 12.50% - 57 Profit on Debt u/s 151 / Division I, Part III, 1st Schedule @10% - Royalty / Fee for Technical Services to a Non-Resident u/s 152(1) / Division IV, 58 Part I, 1st Schedule @15% - Payment for Contracts / Services to a Non-Resident u/s 152(1A) / Division II, Part 59 III, 1st Schedule @6% - Insurance / Reinsurance Premium to a Non-Resident u/s 152(1AA) / Division II, Regime 60 Part III, 1st Schedule @5% - Rate 61 FeeIII, 1stforScheduleAdvertisement@10%Services to a Non-Resident u/s 152(1AAA) / Division II, Part - 62 Profit on Debt u/s 152(2) / u/c (5A), Part II, 2nd Schedule @10% - 63 Payment for Goods u/s 153(1)(a) @1% - Reduced / 64 Payment for Goods u/s 153(1)(a) @1.5% - 65 Payment for Goods u/s 153(1)(a) @4.5% - 66 Receipts from Contracts u/s 153(1)(c) @7.5% - Relevant / 67 Receipts from Contracts u/s 153(1)(c) @10% - 68 Fee for Export related Services u/s 153(2) @1% - Average 69 Export Proceeds u/s 154 @1% - / 70 Foreign Indenting Commission u/s 154(2) @5% - Fixed 71 Prizes on Prize Bonds / Winnings of Crossword Puzzles u/s 156 @15% - / 72 Winnings from Raffle, Lottery, Quiz or Sale Promotion u/s 156 @20% - Final 73 Commission / Discount on petroleum products u/s 156A @12% - 74 Brokerage / Commission u/s 233 / u/c (a) of Division II of Part IIV of 1st Schedule @7.5% - Brokerage / Commission u/s 233 / u/c (b) of Division II of Part IIV of 1st Schedule 75 @12% - 76 CNG Station Gas Bill u/s 234A @4% - 77 Capital Gains on Immovable Property held for <=1 year u/s 37(1A) @10% - 78 Capital Gains on Immovable Property held for >1 & <=2 year u/s 37(1A) @5% - 79 Capital Gains on Immovable Property held for >2 years u/s 37(1A) @0% - 80 Capital Gains on Securities held for < 12 months u/s 37A @12.5% - 81 Capital Gains on Securities held for >=12 & <24 months u/s 37A @10% - 82 Capital Gains on Securities held for >=24 months u/s 37A @0% - 83 Bonus shares/bonus u/s 39(1)(m) / 236M / 236N @5% 84 Purchase of Locally Produced Edible Oil u/c (13C), Part II, 2nd Schedule @2% - 85 Fee for Services outside Pakistan u/c (3), Part II, 2nd Schedule @1% - 86 Receipts for Contracts outside Pakistan u/c (3), Part II, 2nd Schedule @1% - Fee for Carriage Services by Oil Tanker/Goods Transport Contractor u/c (43D) and 87 (43E), Part IV, 2nd Schedule @2.5% - 88 Income of Hajj Group Operators u/c (72A), Part IV, 2nd Schedule @5000 - Signature: Date:

Annex-A Adjustable Tax Collected / Deducted / Paid Name* Tax Year 2014 CNIC* NTN Tax Collected / Sr. Description Code Receipts / Value Deducted / Paid A B 1 Tax Collected / Deducted / Paid [Sum of 2 to 41+46] [Transfer Col B to Sr.37 of Return] - 2 Import u/s 148 3 Import of Edible Oil u/s [email protected]% 4 Import of Packing Material u/s [email protected]% Payment for Contracts / Services to a Non-Resident covered under ADDT u/s 152(1A) / 5 Division II, Part III, 1st Schedule 6 Royalty / Fee for Technical Services to a Non-Resident covered under ADDT u/s 152(2) 7 Profit on Debt to a Non-Resident u/s 152(2) 8 Payment for Goods, Services, Contracts, Rent, etc. to a Non-Resident u/s 152(2) Payment for Goods to a PE of a Non-Resident u/s 152(2A)(a) / Division II, Part III, 1st 9 Schedule Payment for Transport Services to a PE of a Non-Resident u/s 152(2A)(b) / Division II, 10 Part III, 1st Schedule Payment for Other Services to a PE of a Non-Resident u/s 152(2A)(b) / Division II, Part 11 III, 1st Schedule Payment for Contracts to a PE of a Non-Resident u/s 152(2A)(c) / Division II, Part III, 1st 12 Schedule 13 Payments for Services u/s 153(1)(b)@10% 14 Payments for Services u/s 153(1)(b)@15% 15 Payments for Services u/s 153(1)(b)@2% 16 Payment for Goods u/s 153(1)(a) 17 Export Proceeds u/s 154 18 Foreign Indenting Commission u/s 154(2) Paid / 19 Rent of Property u/s 155 20 Certain Banking Transactions u/s 231AA 21 Shares traded through a member of a stock exchange u/s 233A (1)(a) / (b) Deducted / 22 Margin Financing, Margin Trading or Securities Lending u/s 233AA 23 Purchase by Auction u/s 236A 24 Domestic Air Ticket Charges u/s 236B Collected 25 Sale / Transfer of Immovable Property u/s 236C Tax 26 International Air Ticket Charges u/s 236L 27 Purchase / Transfer of Immovable Property u/s 236K 28 Functions / Gatherings Charges u/s 236D Adjustable 29 Certification of Foreign-Produced TV Plays / Serials u/s 236E 30 Issuance / Renewal of License to Cable Opeartors / Electronic Media u/s 236F 31 Purchase by Distributors / Dealers / WholeSalers u/s 236G 32 Purchase by Retailers u/s 236H 33 Educational Institution Fee u/s 236I 34 Issuance / Renewal of License to Dealers / Commission Agents / Arhatis u/s 236J 35 Cash Withdrawal from Bank u/s 231A 36 Motor Vehicle Registration Fee u/s 231B 37 Motor Vehicle Token Tax u/s 234 38 Electricity Bill u/s 235 39 Electricity Bill u/s 235A 40 Phone Bill / Pre-Paid Card / Units u/s 236 41 Tax Paid in Advance u/s 147 [Sum of 42 to 45] 9202 - 42 First installment CPR No. 43 Second installment CPR No. 44 Third installment CPR No. 45 Fourth installment CPR No. 46 Tax Paid on Declared Income u/s 137(1) CPR No. 9203 47 WWF paid CPR No. 9495 Signature: Date:

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 Tax Year CNIC* NTN NTN* Business Name* Amount Total Amount Subject to Normal Amount Subject to Final Tax Sr. Description Code Tax A B C 1 Net Revenue [2-3] 3029 - - - Gross Revenue (including Fee for Services & excluding Sales Tax, Federal 2 Excise) 3009 - Revenue Selling Expenses (Freight Outward, Brokerage, Commission, Discount, 3 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 - 9 Power 3073 - Services / 10 Gas 3074 - Sales 11 Stores / Spares 3076 - of Cost 12 Repair / Maintenance 3077 - 13 Other Direct Expenses 3083 - 14 Accounting Amortization 3087 - 15 Accounting Depreciation 3088 - 16 Closing Stock 3099 - 17 Gross Profit / (Loss) [1-4] 3100 - - - 18 Other Revenues 3128 - Management, Administrative, Selling & Financial Expenses [Sum of 20 19 to 37] 3199 - - - 20 Rent 3151 - 21 Rates / Taxes / Cess 3152 - 22 Salaries / Wages / Perquisites / Benefits 3154 - 23 Traveling / Conveyance / Vehicles Running / Maintenance 3155 - 24 Electricity / Water / Gas 3158 - 25 Communication 3162 - 26 Repair / Maintenance 3165 - 27 Stationery / Printing / Photocopies / Office Supplies 3166 - Expenses 28 Advertisement / Publicity / Promotion 3168 - 29 Insurance 3170 - Indirect 30 Professional Charges 3171 - 31 Profit on Debt (Financial Charges / Markup / Interest) 3172 - 32 Brokerage / Commission 3178 - 33 Irrecoverable Debts written off 3186 - 34 Obsolete Stocks / Stores / Spares / Fixed Assets written off 3187 - 35 Other Indirect Expenses 3180 -

36 Accounting Amortization 3197 - 37 Accounting Depreciation 3198 - 38 Accounting Profit / (Loss) [17+18-19] 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) 2014Name* Tax Year CNIC* NTN* Amount Amount Total Subject to Final Subject to Normal Amount Sr. Description Code Taxation Taxation A B C 39 Inadmissible Deductions [Transfer from Sr.1 Annex-C] 3239 - - 40 Admissible Deductions [Transfer from Sr.26 Annex-C] 3259 - - 41 Adjusted Profit & Loss Expenses [19-39+40] 3260 - - - 42 Chargeable Income / (Loss) from Business [17+18-41] 3269 - - - Income from Business before adjustment of Admissible Depreciation / Initial 43 Allowance / Amortization [(42 + Sr.31 Annex-C + Sr.32 Annex-C) if >0] 3270 - - (Loss) under the head Property & Other Sources [Transfer from Sr.8 & 19 of Return 44 <= Income available for adjustment at 43] - - - Adjusted (Loss) from Business for Previous Years [Sum of 46 to 51 <= 45 Income available for adjustment at 43-44] - - - 46 Unadjusted (Loss) from Business for 2009 327009 - 47 Unadjusted (Loss) from Business for 2010 327010 - 48 Unadjusted (Loss) from Business for 2011 327011 - 49 Unadjusted (Loss) from Business for 2012 327012 - 50 Unadjusted (Loss) from Business for 2013 327013 - Adjustments 51 Unadjusted (Loss) from Business for 2014 327014 - Adjusted Tax Amortization / Depreciation / Initial Allowance for Previous / Current Years [Sum of 53 to 56 <= Income available for adjustment at 43- 52 44-45] - - - 53 Unabsorbed Tax Amortization for Previous Years 3257 - 54 Unabsorbed Tax Depreciation / Initial Allowance for Previous Years 3258 - 55 Tax Amortization for Current Year [Transfer from Sr.20 Annex-D] 3247 - - Tax Depreciation / Initial Allowance for Current Year [Transfer from Sr.15 56 Annex-D] 3248 - - Income from Business [43-44-45-52+44 if > 0] [Transfer to Sr.1 of 57 Return] - - - (Loss) from Business before adjustment of Admissible Amortization / 58 Depreciation / Initial Allowance [(42 -Sr.31 Annex-C - Sr.32 Annex-C) if <0] 3270 - - - Income under the head Capital Gains, Other Sources and Foreign Sources [Transfer from Sr.19, 20 and 21 of Return <= (Loss) available for adjustment at Sr.58] Transfer 59 to Sr. 1 of Return - - - 60 (Loss) from Business [=59] [Transfer to Sr.1 of Return] - - - Statement of Affairs 1 Total Assets [Sum of 2 to 5] 3349 - 2 Land / Building / Plant / Machinery 3 Advances / Deposits / Prepayments/ Trade Debtors / Receivables 3312 Assets 4 Stocks / Stores / Spares 3315 5 Cash / Cash Equivalents 3319 6 Total Equity / Liabilities [Sum of 7 to 9] 3399 - 7 Capital 3352 Liabilities 8 Borrowings / Debt / Loan 3371 9 Advances / Deposits / Accrued Expenses/ Trade Creditors / Payables 3384 Signature: Date:

Annex-C Inadmissible / Admissible Deductions Name* Tax Year 2015 CNIC* NTN NTN* Sr. Description Code Amount 1 Inadmissible Deductions [Sum of 2 to 25] (Transfer to Sr. 39 Annex-B) 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 Add Backs u/s 21(i) Provision for Reserves / Funds / Amount carried to Reserves / Funds or 4 Capitalised in any way 3204 5 Add Backs u/s 21(a) Cess / Rate / Tax levied on Profits / Gains 3205 6 Add Backs u/s 21(c) Payments liable to deduction of tax at source but tax not deducted / paid 3207 7 Add Backs u/s 21(d) Entertainment Expenditure above prescribed limit 3208 8 Add Backs u/s 21(e) Contributons to Unrecognized / Unapproved Funds 3209 Add Backs u/s 21(f) Contributons to Funds not under effective arrangement for deduction of tax 9 at source 3210 10 Add Backs u/s 21(g) Fine / penalty for violation of any law / rule / regulation 3211 11 Add Backs u/s 21(h) Personal Expenditure 3212 Add Backs u/s 21(j) Profit on Debt / Brokerage / Commission / Salary / Remuneration paid by 12 an AOP to its Member 3213 Deductions Add Backs u/s 21(l) Expenditure under a single account head exceeding prescribed amount not 13 paid through prescribed mode 3215 14 Add Backs u/s 21(m) Salary exceeding prescribed amount not paid through prescribed mode 3216 Inadmissible 15 Add Backs u/s 21(n) Capital Expenditure 3217 16 Add Backs u/s 67(1) Expenditure attributable to Non-Business Income 3218 17 Add Backs u/s 28(1)(b) Lease Rental not admissible 3220 18 Add Backs Tax Gain on Sale of Intangibles 3225 19 Add Backs Tax Gain on Sale of Assets 3226 20 Add Backs Pre-Commencement Expenditure / Deferred Cost 3230 21 Add Backs Accounting (Loss) on Sale of Intangibles 3235 22 Add Backs Accounting (Loss) on Sale of Assets 3236 23 Add Backs Accounting Amortization 3237 24 Add Backs Accounting Depreciation / Initial Allowance 3238 25 Other Inadmissible Deductions 3234 26 Admissible Deductions [Sum of 27 to 33] (Transfer to Sr. 40 Annex-B) 3259 - 27 Accounting Gain on Sale of Intangibles 3245 28 Accounting Gain on Sale of Assets 3246 Deductions 29 Tax (Loss) on Sale of Intangibles 3255 30 Tax (Loss) on Sale of Assets 3256 31 Tax Amortization including Unabsorbed Amortization [Sr.53+Sr.55 Annex-B] 3251 - Admissible 32 Tax Depreciation including Unabsorbed Depreciation [Sr.54+Sr.56 Annex-B] 3252 - 33 Other Admissible Deductions 3254 Signature: Date:

Annex-D Depreciation, Initial Allowance, Amortization Name* Tax Year 2015 CNIC* NTN NTN* Addition (Used Previously in Extent of Extent Initial Sr. Description Code WDV (BF) Deletion Pakistan) Use Addition (New) of Use Rate Allowance Rate Depreciation WDV (CF) A B C D E F G H I 1 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 4 used in manufacture of IT products 330302 100% 100% 25% - 30% - - 5 Furniture (including fittings) 330303 100% 100% 0% - 15% - - 6 Technical / Professional Books 330304 100% 100% 25% - 15% - - 7 Below ground installations of mineral oil concerns 330305 100% 100% 25% - 100% - - 8 Offshore Installations of mineral oil 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 Current 15 Year [Transfer to Sr.56 Annex-B] 100% - 100% - - Original Cost / Amortizati Description Code Useful Years Expenditure Extent of Use on A B C D 16 Intangible 3305 - 17 Intangible 3305 - 18 Intangible 3305 - Amortization Expenditure providing Long Term Advantage / 19 Benefit 330516 - Tax Amortization for Current Year [Transfer to 20 Sr.55 Annex-B] - 21 Pre-Commencement Expenditure @20% 3306 - Signature: Date:

Annex-E Name* Tax Year 2015 CNIC* NTN NTN* Tax on Tax Collectible / Attributable Attributable Minimum Tax Sr. Description Code Receipts / Value Deductible Taxable Income Taxable Income Chargeable A B C D E Minimum Tax Chargeable [Col.E Sum of 2 to 5 Transfer to Sr.35 of 1 Return] - - - 2 Import of Edible Oil u/s 148 @5.5% - - Chargeable 3 Import of Packing Material u/s 148 @5.5% - - Tax 4 Payments for Services u/s 153(1)(b) @2% - - 5 Payments for Services u/s 153(1)(b) @10% Minimum 6 Payments for Services u/s 153(1)(b) @15% - - Tax on Difference Final Tax Attributable Attributable (Option Valid if Sr. Description Code Receipts / Value Chargeable Taxable Income Taxable Income <=0) A B C D E 7 Import u/s 148 @1% - - 8 Import u/s 148 @1.5% 9 Import u/s 148 @2% - - 10 Import u/s 148 @3% - - 11 Import u/s 148 @4.5% 12 Import u/s 148 @6% FTR 13 Import u/s 148 @6.5% - - of 14 Import u/s 148 @9% out 15 Payment for Goods u/s 153(1)(a) @1% - - 16 Payment for Goods u/s 153(1)(a) @1.5% - - Option 17 Payment for Goods u/s 153(1)(a) @4.5% - - 18 Payment for Execution of Contracts u/s 153(1)(c) @ 7.5% 19 Payment for Execution of Contracts u/s 153(1)(c) @ 10% 20 Fee for Export related Services u/s 153(2) @1% 21 Commission / Discount on petroleum products u/s 156A @12% 22 Brokerage / Commission u/s 233 @7.5% 23 Brokerage / Commission u/s 233 @12% Signature: Date:

Annex-F Personal Expenses Name* Tax Year 2015 CNIC* NTN Sr. Description Code Amount 1 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 Insurance / Security 7066 Expenses 11 Medical 7070 12 Educational 7071 13 Club 7072 Personal 14 Functions / Gatherings (Children Marriage, etc.) 7073 15 Donation, Zakat, Annuity, Profit on Debt, Life Insurance, 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:

WEALTH STATEMENT UNDER SECTION 116 OF THE INCOME TAX ORDINANCE, 2001 1/4 Name* Tax Year 2015 CNIC* NTN Residence Address* Business Address* 1 Agricultural Property [Sum of 1 i to 1 x] 7001 0 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 Residential, Commercial, Industrial Property (Non-Business) [Sum of 2 i to 2 x] 7002 0 Form (House, Flat, Shop, Unit No. / Complex Plaza, Factory, / Street / Block / Area / Locality / Area Workshop, etc.) Sector Road City (Marla / sq. yd.) Share % Code Value at Cost Property i 7002 ii 7002 Industrial iii 7002 iv 7002 v 7002 Commercial, vi 7002 vii 7002 viii 7002 Residential, ix 7002 x 7002 3 Business Capital 7003 0 Enter name, share percentage & capital amount in each AOP Share % Code Value at Cost Capital i 7003 ii 7003 Business iii 7003 i Enter consolidated capital amount of all Sole Proprietorships 100% 7003 4 Equipment, etc. (Non-Business) [Sum of 4 i to 4 iv] 7004 0 Description Code Value at Cost i 7004 ii 7004 Equipment iii 7004 iv 7004 Signatures: Date:

WEALTH STATEMENT UNDER SECTION 116 OF THE INCOME TAX ORDINANCE, 2001 2/4 Name* Tax Year 2015 CNIC* NTN 5 Animal (Non-Business) [Sum of 5 i to 5 iv] 7005 0 Description Code Value at Cost i Livestock 7005 Animal ii Pet 7005 iii Unspecified 7005 iv Unspecified 7005 6 Investment (Non-Business) [Sum of 6 i to 6 xiii] 7006 0 Account / Form Instrument No. Institution Name / Individual CNIC Share % 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 Investment vii Fund 7006 viii Instrument 7006 ix Insurance Policy 7006 x Security 7006 xi Stock / Share 7006 xii Unit 7006 xiii Others 7006 7 Debt (Non-Business) [Sum of 7 i to 7 vii] 7007 0 Form No. Institution Name / Individual CNIC Share % Code Value at Cost i Advance 7007 ii Debt 7007 iii Deposit 7007 iv Prepayment 7007 v Receivable 7007 vi Security 7007 vii Others 7007 8 Motor Vehicle (Non-Business) [Sum of 8 i to 8 viii] 7008 0 Form (Car,Jeep,Motor Cycle,Scooter,Van) E&TD Registration No. Maker Capacity Code Value at Cost i 7008 ii 7008 Vehicle iii 7008 iv 7008 Motor v 7008 vi 7008 vii 7008 viii 7008 Signatures: Date:

WEALTH STATEMENT UNDER SECTION 116 OF THE INCOME TAX ORDINANCE, 2001 3/4 Name* Tax Year 2015 CNIC* NTN 9 Precious Possession [Sum of 9 i to 9 iii] 7009 0 Description Code Value at Cost Posession i Antique / Artifact 7009 ii Jewelry / Ornament / Metal / Stone 7009 Precious iii Others (Specify) 7009 10 Household Effect [Sum of 10 i to 10 iv] 7010 0 Description Code Value at Cost Effect i Unspecified 7010 ii Unspecified 7010 Household iii Unspecified 7010 iv Unspecified 7010 11 Personal Item [Sum of 11 i to 11 iv] * 7011 0 Item Description Code Value at Cost i Unspecified 7011 ii Unspecified 7011 Personal iii Unspecified 7011 iv Unspecified 7011 Cash 12 Cash in Hand / Cash at Bank (Non-business) [Sum of 12 i to 12 x] 7012 0 Notes & Coins 7012 13 Any Other Asset (Not specified above) [Sum of 13 i to 13 iv] 7013 0 Description Code Value at Cost Asset Other iii 70137013 Any iii 7013 iv 7013 Name 14 Assets in Others' Name [Sum of 14 i to 14 iv] 7014 0 Description Code Value at Cost i 7014 Others' in ii 7014 iii 7014 Assets iv 7014 15 Total Assets [Sum of 1 to 14] 7019 0 Signatures: Date:

WEALTH STATEMENT UNDER SECTION 116 OF THE INCOME TAX ORDINANCE, 2001 4/4 Name* Tax Year 2015 CNIC* NTN 16 Credit [Sum of 16 i to 16 viii] 7021 0 Form Creditor's NTN / CNIC Creditor's Name Code Value at Cost i Advance 7021 ii Borrowing 7021 Loan iii Credit 7021 iv Loan 7021 v Mortgage 7021 vi Overdraft 7021 vii Payable 7021 viii Others 7021 17 Net Assets as on 30-06-2015 [15-16] 703001 0 18 Net Assets as on 30-06-2014 703002 19 Increase / Decrease in Assets [17-18] 703003 0 20 Inflows [Sum of 20 i to 20 x] 7049 0 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 iii Income attributable to receipts, etc. subject to final / fixed tax 7033 Adjustments in Income declared as per return for the year subject to normal tax e.g value of perquisites, 1/10 of goodwill from Assets tenant, 1/10 of goodwill on vacating possession of property, repairs allowance, admissible / inadmissible deductions, brought Net iv forward losses, unabsorbed depreciation / amortization 7034 of vi Foreign Remittance 7035 vii Inheritance 7036 viii Gift 7037 ix Gain on Disposal of Assets, excluding Capital Gain on Immovable Property 7038 Reconciliation x Others 7048 21 Personal Expenses [Transfer from Sr.1 Annex-F] 7089 0 22 Outflows [Sum of 22 i to 22 iii] 7099 i Gift 7091 ii Loss on Disposal of Assets 7092 iii Others 7098 23 Increase/ Decrease in Assets [20-21-22] 0 24 Assets Transferred / Sold / Gifted during the year [Sum of 24 i to 24 ii] 703004 0 Asset Description Code Value at Cost i 703004 Disposed ii 703004 I, , 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, my spouse(s), minor children & other dependents as on 30.06.2015 & of my personal expenditure for the year ended 30.06.2015 are correct & complete in accordance with the provisions of the Income Tax Ordinance, Verification 2001, Income Tax Rules, 2002. Signatures: Date: ".