Draft Income Tax Returns IT2

"PART-II D(a) RETURN OF TOTAL INCOME/STATEMENT OF FINAL TAXATION IT-2 (Page 1 of 2) UNDER THE INCOME TAX ORDINANCE, 2001 (FOR INDIVIDUAL / AOP) N° Taxpayer's Name NTN CNIC (for Individual) Gender Male Female Business Name Year Ending Business Address Tax Year 2013 Res. Address Person IND AOP E-Mail Address Phone Res. Status Non-Res. Resident Principal Activity Code Birth Date Registration Employer's NTN Name Filing Section Employee/PA Number RTO/LTU Representative NTN Name Authorized Rep.'s NTN Name Is authorized Rep. applicable? Yes Yes No NTN Proprietor/Member/Partners' Name % in Capital Capital Amount Ownership Others Total 100% Items Code Total Loss Tax) 1 Net Sales (excluding Sales Tax/ Federal Excise Duty) [to be reconciled with Annex-C] 3103 & 2 Cost of Sales [3 + 4 + 5 - 6] [to be reconciled with Annex-C] 3116 Profit 34 OpeningNet PurchasesStock (excluding Sales Tax/ Federal Excise Duty) 31173106 Final/Fixed 5 Other Manufacturing/ Trading Expenses [ Transfer from Sr-7 of Annex-G] 3111 6 Closing Stock 3118Trading, 7 Gross Profit/ (Loss) [1-2] [ to be reconciled with Annex-C ] 3119 including ( 8 Transport Services U/S 153(1)(b) (Transferred from Row 1 Column 5 of Annex H) 3121 9 Other Services U/S 153(1)(b) (Transferred from Row 1 Column 6 of Annex H) 3122 10 Other Revenues/ Fee/ Charges for Professional and Other Services/ Commission 3131Manufacturing/ Account 11 Profit & Loss Expenses Transfer from Sr-25 of Annex-G] 3189 12 Net Profit/ (Loss) [(7 + 8 + 9 + 10) - 11] 3190 13 Inadmissible Deductions [Transfer from Sr-22 of Annex-E] 3191 14 Admissible Deductions [to be reconciled with Annex-E] 3192 15 Unadjusted Loss from business for previous year(s) [Transfer from Sr. 27 of Annex-A] 3902 Adjustments 16 Un-absorbed Tax Depreciation for previous/ current year(s) [Transfer from Sr. 27 of Annex-A] 3988 17 Total Income (18+31) 18 Total Income u/s 10(a) [Sum of 19 to 24] 9099 19 Salary Income 1999 20 Business Income/ (Loss) [ (12 + 13) - 14 - 15 - 16 ] 3999 21 Share from AOP [Income/(Loss)] 312021 22 Capital Gains/(Loss) u/s 37 4999 23 Other Sources Income/ (Loss) 5999 24 Foreign Income/ (Loss) 6399 25 Deductible Allowances [Sum of 26 to 29] 9139 Computation 26 Zakat 9121 27 Workers Welfare Fund (WWF) 9122 Income 28 Workers Profit Participation Fund (WPPF) 9123 29 Charitable donations admissible as straight deduction 9124 30 Taxable Income/ (Loss) [18 - 25] 9199 Taxable 31 Exempt Income/ (Loss) u/s 10(b) [Sum of 32 to 38] 6199 / 32 Salary Income 6101 33 Property Income 6102 Total 34 Business Income/ (Loss) 6103 35 Capital Gains/(Loss) 6104 36 Agriculture Income 6106 37 Foreign Remittances (Attach Evidence) 6107 38 Other Sources Income/ (Loss) 6105 39 Tax Payable on Taxable Income Average Rate of Tax 9201 40 Tax Reductions/Credits/Averaging (including rebate on Bahbood Certificates, etc.) 9249 41 Difference of minimum Tax Payable on business transactions Annex - H 9303 42 a) Do you fall under PTR Regime Yes No If, Yes, Do you want to avail Normal Tax Regime Yes No b) In order to Determine your eligibility for availing Normal Tax Regime, Click Annex-J Eligible Not Eligible 43 Minimum tax on electricity consumption ( where monthly bill amount is up to Rs. 30,000) u/s 235 (4) 9304 44 Balance tax chargeable [ (39 minus 40 plus 41) or 43, whichever is higher 9305 Computation 45 Minimum Tax Payable U/S 113 [45(iv) minus 44, if greater than zero, else zero] Tax (i) Total Turnover (iii) Reduction @ - 9306 (ii) Minimum tax @ 0.5% - (iv) Net Minimum tax - 46 Full Time Teacher/Researcher's Rebate 9309 47 Net tax payable [44 + 45 - 46 + 95] 9307 48 Total Tax Payments (Transfer from Sr. 31 of Annex-B) 9499 49 Tax Payable/ Refundable [45 - 46 + WWF Payable from Sr. 32 of Annex-B] 9999 50 Refund Adjustments (not exceeding current year's tax payable), if not adjusted against Income Support Levey (ISL) 9998 51 Annual personal expenses for individual only (transfer from Sr. 12 of Annex-D) 6109 Net Tax Refundable, may be credited to my bank account as under: A/C No. Refund Bank Branch Name & Code Signature

RETURN OF TOTAL INCOME/STATEMENT OF FINAL TAXATION IT-2 (Page 2 of 2) UNDER THE INCOME TAX ORDINANCE, 2001 (FOR INDIVIDUAL / AOP) N° Taxpayer's Name NTN CNIC (for Individual) Tax Year 2013 Business Name RTO/LTU Source Code Receipts/Value Rate(%) Code Tax Chargeable 52 Imports 64013 5 92013 53 64011 2 92011 54 64012 1 92012 55 64015 3 92015 56 Dividend 64032 10 92032 57 64033 7.5 92033 58 Profit on Debt 64041 10 92041 59 Royalties/Fees (Non-Resident) 640511 15 920511 60 640512 920512 61 Contracts (Non-Resident) 640521 6 920521 62 Insurance Premium (Non-Resident) 640524 5 920524 63 Advertisement Services (Non-Resident) 640525 10 920525 64 Supply of Goods 640611 3.5 920611 Tax 65 640612 1.5 920612 66 640613 920613 Final 67 Payments to Ginners 640614 1 920614 68 Contracts (Resident) 640631 6 920631 69 640632 1 920632 70 Exports/related Commission/Service 640641 0.5 920641 71 64072 1 92072 72 Foreign Indenting Commission 64075 5 92075 73 Prizes/Winnings of cross word puzzles 64091 10 92091 74 Winnings - Others 64092 20 92092 75 Petroleum Commission 64101 10 92101 76 Brokerage/Commission 64121 10 92121 77 Advertising Commission 64122 5 92122 78 Services to Exporters u/s 153(2) 64123 1 92123 79 Goods Transport Vehicles 92141 80 Gas consumption by CNG Station 64142 4 92142 81 Distribution of cigarette and pharmaceutical products 64143 1 92143 82 Retail Turnover upto 5 million 310102 1 920202 83 Retail Turnover above 5 million 310103 920203 84 Property Income 210101 920235 85 Capital gains on Securities held for < 6 months 610401 10 961041 86 Capital gains on Securities held for >= 6 months and < 12 months 610402 8.00 961042 87 Capital gains on Securities held for >= 12 months 610403 0 961043 Tax Capital gains arising on disposal of immovable 610404 10 961044 88 property held upto 1 year Capital gains arising on disposal of immovable 610405 5 961045 Fixed 89 property held for > 1 year and upto 2 year 90 Purchase of locally produced edible oil 310431 2 920208 91 Flying Allowance 112001 2.5 920234 92 Monetization of Transport Facility For Civil Servants 112002 5 920237 Services rendered / contracts executed 63311 0.50 920236 93 outside Pakistan 94 Employment Termination Benefits 118301 920211 95 Final/Fixed Tax Chargeable (52 to 94) 9202 1. Balance Sheet in case of income from business (in case declared/assesed turnover Attached Required for2. Wealththe tax Statementyear 2012 or any subsequent year is Rs. 5 million or more. AttachedDocuments (Return will not be accpeted without attachment of these documents) I, holder of CNIC No. , in my capacity as Self/ Partner or Member of Association of Persons/ Representative (as defined in section 172 of the Income Tax Ordinance, 2001) of Taxpayer named above, do solemnly declare that to the best of my knowledge and belief the information given in this Return/Statement u/s 115(4) and the attached Annex(es), Statement(s), Document(s) or Detail(s) is/are correct and complete in accordance with the provisions of the Income Tax Verification Ordinance, 2001 and Income Tax Rules, 2002 (The alternative in the verification, which is not applicable, should be scored out). Acknowledgement Signatures & Stamp Date : Signatures: of Receiving Officer with Date

Annex - A 2013 Depreciation, Initial Allowance and Amortization A NTN CNIC for Individual Rate Extent Description Code WDV (BF) Additions Deletions (%) Initial Allowance Rate (%) (%) Depreciation WDV (CF) 1 Building (all types) 3202 25% 10% 2 Machinery and plant (not otherwise specified) 320301 50% 15% 3 Computer hardware (including allied items) 320302 50% 30% 4 Furniture (including fittings) 320303 0% 15% 5 Technical and professional books 320304 50% 15% 6 Below ground installations of mineral oil concerns 320306 50% 100% 7 Off shore installations of mineral oil concerns 320307 50% 20% Assets 89 MachineryMotor vehiclesand (notequipmentplying forusedhire)in manufacture of IT products 32030832041 50%0% 30%15% 10 Motor vehicles (plying for hire) 32042 50% 15% 11 Ships 32043 50% 15%Depreciable 12 Air crafts and aero engines 32044 50% 30% 13 Machinery and equipment Qualifying for 1st year Allowance 320309 90% 15% 320312 0% 50% 14 Computer hardware including printer, monitor and allied items, that h 15 Any plant or machinery that has been used previously in Pakistan 320310 0% 15% 16 Any plant or machinery in relation to which a deduction has been allo 320311 0% 15% Total Descripti Useful Extent Code Acquisition Date Original Cost . Amortization on Life(Years) (%) 17 Intangibles 3205 18 Expenditure providing long term advantage/benefit 3207 Intangibles 19 Total Original Description Code Expenditure . Rate (%) Amortization 20 Pre commencement expenditure 3206 20% Description Code Amount Tax Year Description Code Amount Tax Year Unabsorbed Amortization of intangibles / expenditure 3902 2007 providing long term advantage/benefit for previous year(s) 21 adjusted against Total Income for current year 3987 upto 2012 Amortization of intangibles / expenditure providing long 3902 2008 term advantage/benefit for current year adjusted against 22 Total Income for current year 3987 2013 Unabsorbed tax depreciation/initial allowance of fixed for previous year(s) adjusted against Total Income Unadjusted Business loss for previous year (s) 3902 2009 assetsAdjustments 23 for current year adjusted against Business income for current year 3988 upto 2012 3902 2010 Depreciation/initial allowance of fixed assets for current 24 year adjusted against Total Income for current year 3988 2013Forward 3902 2011 25 Brought 3902 2012 26 Total (Not exceeding the amount of Business Income available for Total (Not exceeding the amount of Total Income available for 27 adjustment) (transfer to Sr. 15 of Main Return) adjustment) (transfer to Sr. 16 of Main Return) Signature

Annex-B 2013 Tax Already Paid B NTN CNIC (for individual) Amount of Tax Particulars Code deducted (Rs.) 1 On import of goods (other than tax deduction treated as final tax) 94019 2 From salary 94029 3 On dividend Income (other than tax deduction treated as final tax) 94039 4 On Government securities 94043 5 On sale or Transfer of Immovable Property @ 0.5% u/s 236C 94040 6 On Sale to traders and distributors u/s 153A @ 0.5% 94041 7 On disposal of listed securities u/s 100B (Collected by NCCPL) 94042 8 On profit on debt (other than tax deduction treated as final tax) 94049 Certificate/Account No. etc. Bank Branch Share% 9 On payments received by non-resident (other than tax deduction treated as final tax) 940539 10 On payments for goods (other than tax deduction treated as final tax) 940619only) 11 On payments for services (other than tax deduction treated as final tax) 940629 Tax 12 On payments for execution of contracts (other than tax deduction treated as final tax) 940639 13 On property income 940640 14 On withdrawal from pension fund 94028 15 On cash withdrawal from bank 94119 Certificate/Account No. etc. Bank Branch Share%(Adjustable 16 On certain transactions in bank 94120Source 17 With Motor Vehicle Registration Feeat 94179 Registration No. Engine / Seating Capacity Owner's Name Manufacturer Particulars 18 On sale/purchase of shares through a Member of Stock Exchange 94131 19 On trading of shares through a Member of Stock Exchange 94138 20 On financing of carry over trade 94139 21 With motor vehicle token tax (Other than goods transport vehicles)Collected/Deducted 94149 Registration No. Engine / Seating Capacity Owner's Name Share% Tax 22 With bill for electricity consumption 94159 Consumer No. Subscriber's CNIC Subscriber's Name Share% 23 With telephone bills, mobile phone and pre-paid cards 94169 3 Number Subscriber's CNIC Subscriber's Name Share% 24 On Sale by Auction 94180 25 On purchase of domestic air travel ticket 94121 26 Total Tax Deductions at source (Adjustable Tax) [Sum of 1 to 25] 94599 27 Total Tax Deductions at source (Final Tax) 94591 28 Advance Tax U/S 147(1) [ a + b + c + d] 9461 a. First installment CPR No. b. Second installment CPR No. c. Third installment CPR No. d. Fourth installment CPR No. 29 Advance Tax U/S 147(5B) [ a + b + c + d] 9461Payments a. First installment CPR No. Tax b. Second installment CPR No. c. Third installment CPR No. d. Fourth installment CPR No. 30 Admitted Tax Paid U/S 137(1) CPR No. 9471 31 Total Tax Payments [26 + 27 + 28 + 29+30] (Transfer to Sr. 48 of Main Return) WWF Payable with Return (WWF payable will be adjusted against the excess payments made during the current 32 9308 year)

Annex C 2013 Breakup of Sales in case of Multiple Businesses C Taxpayer Name NTN CNIC/Reg.No. Tax Year 2013 Business Name RTO/LTU Business Name & Business Activity Sales Cost of Sales Gross Profit/Loss (1) (2) (3) (4) = (2) - (3) Sr. Business Name 1 Business Activity Business NameSALES 2 OF Business Activity Business Name 3 Business ActivityBREAKUP Business NameWISE 4 Business Activity Business Name 5BUSINESS Business Activity Total (to be reconciled with Sr. 1, 2 & 7 of Main Return) Signature:

Annex - D 2013 Details of Personal Expenses (for individual) D Taxpayer Name NTN CNIC (for individual) Sr Description Expenses 1 Residence electricity bills 2 Residence telephone/mobile/internet bills 3 Residence gas bills 4 Residence rent/ground rent/property tax/fire insurance/security services/water bills 5 Education of children/ spouse/ self (Optional, it can be included in Sr-9)EXPENSES 6 Travelling (foreign and local) (Optional, it can be included in Sr-9) 7 Running and maintenance expenses of Motor vehicle(s)PERSONAL 8 Club membership fees/bills 9 Other personal and household expenses 10 Total personal expenses (Sum of 1 to 9) 11 (Less) Contribution by family members 12 Net Personal Expenses (10 - 11) transfer to Sr-51 of Main Return Adults Minor 13 Number of family members/dependents Signature: _____________________

Annex - E 2013 Deductions (Admissible & Inadmissible) E Taxpayer Name NTN CNIC (for individual) Sr. Particulars Code Amount (Rs.) 1 Tax Amortization 319287 2 Tax Depreciation 319288 Deductions 3 Income/(Loss) relating to Final and Fixed tax [Reconciled with Annex-F] 319289 4 Other Admissible Deductions 319298 Admissible 5 Total [Add 1 to 4] to be transferred to Sr-14 of main return 3192 1 Cess, rate or tax that is levied on the profits or gains or assessed as a percentage or otherwise on the basis of profits or gains 319101 Salary, rent, brokerage or commission, profit on debt, payment to non-resident, payment for services or fee from which the 2 company was liable to deduct tax at source unless the company has deducted and paid the tax as required by the Income Tax 319102 Ordinance, 2001 3 Entertainment expenditure in excess of prescribed limits 319104 4 Contribution to an un-recognized provident fund, pension fund, superannuation fund or gratuity fund 319105 319106 5 Contributionbeen made totodeducta providenttax atfundsourceor otherin respectfund establishedof which theforrecipientthe benefitis chargeableof the employees,to tax underunlessthe effectivehead "salary"arrangements have 6 Fine or penalty for the violation of any law, rule or regulation 319107 7 Personal expenditure 319108 8 Provisions or amounts carried to reserves or funds etc. or capitalised in any way 319109 9 Profit on debt, brokerage, commission, salary or other remuneration paid by an AOP to its members 319110 inadmissible 319110/ 10 Anywas salary,requiredrent,to bebrokeragedeductedorandcommission,paid but wasprofitnotondebt,deductedpaymentand paidto non-resident or payment for services or fee on which tax Expenditure under a single account head which, in aggregate, exceeds Rs. 50,000 paid otherwise than by a crossed bank 11 cheque or crossed bank draft (excluding expenditures not exceeding Rs. 10,000 or on account of freight charges, travel fare, 319112 postage, utilities or payment of taxes, duties, fees, fines or any other statutory obligation) allowed Salary exceeding Rs. 15,000 per month paid otherwise than by a crossed cheque or direct transfer of the funds to the 12 employee's bank account 319113 not 13 Capital expenditure 319114 14 Provisions for bad debts, obsolete stocks, etc. 319115 319116 15 Apportionmentactivities of expenditure including profit on debt, financial cost and lease payments relatable or attributable to non-business 16 Mark-up on lease financing 319118 Accounting pre-commencement expenditure written off 319120 Deductions 17 18 Accounting loss on disposal of depreciable assets / intangibles 319121 19 Accounting amortization 319123 20 Accounting depreciation 319124 21 Any other (please specify) 319125 22 Total [Add 1 to 21] to be transferred to Sr-13 of main return 3191 - Signature _______________________

Annex - F 2013 Bifurcation of Income/(Loss) from business attributable to Sales/Receipts Etc. subject to Final Taxation F Taxpayer Name NTN CNIC (for individual) Subject to Final Subject to Normal Total Taxation Taxation Particulars Code Code Amount (Rs.) Amount (Rs.) Amount (Rs.) 1. Sales (net of brokerage, commission and discount) 3010 3010F (a) Local sales/supplies - Out of imports (Trading) 30101 30101F - (b) Local sales/supplies - Others 30102 30102F - (c) Execution of contracts 30103 30103F - (d) Export sales 30104 30104F - (e) Others 30105 - 30105F - (f) Sub-total [ Add 1(a) to 1(e)] 30106 - 30106F - - (g) Selling expenses (Freight outward, etc.) 30107 30107F - (h) Net ex-factory or F.O.B. sales [ 1(f) minus 1(h)] 30108 - 30108F - - 2. Cost of sales 3011 3011F (a) Apportioned on the basis of: (i) Actual / identifiable (ii) Average / proportionate to sales  (b) As per income statement 30111 - 30111F - - (c) Adjustment of inadmissible costs etc. 30112 30112F (i) Accounting depreciation 301121 301121F - - (ii) Accounting amortization 301122 301122F - - (iii) Others 301123 301123F - - (iv) 301124 301124F - - (d) Sub-total [Add c(i) to c(iv)] 30113 - 30113F - - (e) Revised cost of sales [2(b) minus 2(d)] 30114 - 30114F - - 3. Gross profit/(loss) / other business revenues/receipts 3012 3012F (a) Gross profit [ 1(h) minus 2(e)] 30121 - 30121F - - (b) Other business revenues/receipts 30122 30122F (i) Brokerage and commission 301221 301221F - (ii) Transport services 301222 301222F - (iii) Royalty & fee for technical services (non-residents) 301223 301223F - (iv) Others 301224 - 301224F - (v) Other inclusions/exclusions in income 301225 - 301225F - (c) Total gross income [ Add 3(a) to 3(b)(v)] 30123 - 30123F - - 4. Administrative, selling, financial expenses etc. 3013 3013F (a) Apportioned on the basis of: (i) Actual / identifiable (ii) Average / proportionate to gross income  (b) As per income statement 30131 - 30131F - - (c) Adjustment of inadmissible expenditures etc. 30132 30132F (i) Accounting depreciation 301321 301321F - - (ii) Accounting amortization 301322 301322F - - (iii) Markup lease financing 301323 - 301323F - - (iv) Selling expenses (Freight outward, etc.) 301324 - 301324F - - (v) Other inadmissible deductions 301325 - 301325F - - (vi) Others 301326 301326F - - (d) Sub-total [Add c(i) to c(vi)] 30133 - 30133F - - (e) Adjustment of admissible expenditures etc. 30134 30134F (i) Tax depreciation (Total) 301341 - 301341F - - (ii) Tax amortization (Total) 301342 - 301342F - - (iii) Lease rentals 301343 - 301343F - - (iv) Other admissible deductions 301344 - 301344F - - (v) Others 301345 - 301345F - - (f) Sub-total [Add e(i) to e(v)] 30135 - 30135F - - (g) Net expenditure [ 4(b) minus to 4(d) plus 4(f)] 30136 - 30136F - - 5. Net profit/loss from business [3(c) minus 4(g)] 3014 - 3014F - - Signature _______________________

ANNEX-G 2013 Breakup of Expenses G (Separate form should be filled for each business) Taxpayer Name NTN CNIC Tax Year 2013 Business Name RTO/LTU Registry Business Address Business City Sr. Description Code Amount & 1 Salaries,Wages 311101 2 Electricity 311102 3 Gas 311103 Expenses 4 Stores/Spares 311106 5 Repair & Maintenance 311108Manufacturing 6 Other Expenses 311118 Trading 7 Total [ Add 1 to 6] [Transfer to Sr. 5 of main Return] 31100 8 Rent/ Rates/ Taxes 3141 9 Salaries & Wages 3144 10 Travelling/ Conveyance 3145 11 Electricity/ Water/ Gas 3148 12 Communication Charges 3154 13 Repairs & Maintenance 3153 3155 Expenses 14 Stationery/ Office Supplies 15 Advertisement/ Publicity/ Promotion 3157 16 Insurance 3159 Account 17 Professional Charges 3160 Loss 1819 ProfitDonationson Debt (Markup/Interest) 31613163 & 20 Bad Debts Written Off 31821 21 Obsolete Stocks/Stores/Spares Written Off 31822 Profit 22 Selling expenses(Freight outwards) 31080 23 Commission/Brokerage on sales 31081 24 Others 31090 25 Total [ Add 8 to 24] [Transfer to Sr. 11 of main Return] 3170 Signature _______________________

Annex H 2013 Determination of minimum Tax Payable on certain transactions H Taxpayer Name NTN CNIC/Reg.No. Tax Year 2013 Business Name RTO/LTU Import of Import of Transport Packing Other Services Sr. Description Edible Oil U/S Services U/S Total Material U/S U/S 153(1)(b) 148(8) 153(1)(b) 148(8) (1) (2) (3) (4) (5) (6) (7) = (3 + 4 + 5 + 6) Import Value/Services receipts subject to collection or deduction 1 of tax at source 2 Taxable Income [Transferred from Sr-30 ] Income relateable to the transcations subject to payment of 3 minimum tax a. Calculated on actual basis b. Calculated on proportionate basis 4 Proportionate tax 5 Minimum Tax - - - - - a) Rate of Minimum Tax 3% 5% 2% 6% - b) Minimum Tax [ 4(a) * (1) ] 6 Higher of (3) and 4(b) 7 Difference of minimum Tax Payable on business transactions (Transfer to Sr. 41 of Main Return) Signature ______________________

Annex J 2013 Request of Taxpayers falling under PTR Regime for availing Normal Tax Regime (NTR) J Taxpayer Name NTN CNIC/Reg.No. Tax Year 2013 Business Name RTO/LTU Sales/ Payments u/s Imports u/s 148(7) Exports u/s 154(4) 153(1) & u/s 169(1)b Sr. Description TOTAL (1) (2) (3) (4) (5) (6) = (3 + 4 + 5) 1 Net Sales (Transferred from Sr-1 of Main Return) 2 Total Tax Payable (Trasferred from Sr-39 of Main Return) Value of Import/Export & Indent Comm/Sale of Goods subject to 3 collection/deduction of tax at source 4 Actual value of Sales/Exports 5 Tax Collected/Collectable/Deducted /Deductible at Source 6 Proportionate Tax Payable [ (4 / 1) * 2 ] 7 %age of Tax Deducted at Source for Qulaifying for NTR 60% 50% 70% - 8 Minimum Tax required for eligiblity for NTR (8 = 5 * 7) Qualified for NTR (Yes/No), if (8) Greater than or equqauls to (6) 9 Yes No Yes No Yes No (Transfer to Sr. 42 of Main Return) Note : Based on the Qulaification under Normal Tax Regime (NTR), the respective Columns of PTR Portion will be disbaled in the e-Filing System. However, the persons filing paper returns, should strike out the relevant columns of PTR Portion (Imports, Exports, Sales/ Purchases) of the IT-2 Return Form on the basis of their eligibility for NTR. Signature _______________________

Part - II D(b) WEALTH STATEMENT UNDER SECTION 116 WS 1/5 OF THE INCOME TAX ORDINANCE, 2001 N° Taxpayer's Name NTN CNIC Tax Year 2013 Address RTO/LTU Particulars/Description of assets and liabilities (Please read WS Notes for guidance) Code A. IMMOVABLE ASSETS 1. Business Capital (indicate name of business) 821311 Sr. Name of Business Code Amount (Rs.) 1 82131101 - 2 82131102 - 3 82131103 - 4 82131104 - 5 82131105 - 6 82131106 - 7 82131107 - 8 82131108 - 9 82131109 - 10 82131110 - 2. Non-Agricultural Property (indicate location, Size/Area & identification) 711111 Sr. Type Status Size Land Unit Covered Area Unit District Location Code Amount (Rs.) 1 71111101 - 2 71111102 - 3 71111103 - 4 71111104 - 5 71111105 - 6 71111106 - 7 71111107 - 8 71111108 - 9 71111109 - 10 71111110 - 3. Agricultural Property (indicate location, Size/Area & identification 711211 Sr. Size Land Unit Province District Location Code Amount (Rs.) 1 71121101 - 2 71121102 - 3 71121103 - 4 71121104 - 5 71121105 - 6 71121106 - 7 71121107 - 8 71121108 - 9 71121109 - 10 71121110 - A. MOVEABLE ASSETS 712111 4. AgriculturalHarvester, Thrasher,MoveableDrillerProperty& other(Tractor,AgriculturalTrolley,EquipmentsLoader, Planter,etc. & Live Stock) Sr. Property Name Quantity Description Code Amount (Rs.) 1 71211101 - 2 71211102 - 3 71211103 - 4 71211104 - 5 71211105 - 6 71211106 - 7 71211107 - 8 71211108 - 9 71211109 - 10 71211110 - 5. Investments (Specify stocks, shares, debentures, unit certificates, other certificates, 712611 deposits and certificates of National Saving Schemes,mortgages, loans, advances, etc.) Sr. Invesments Description Code Amount (Rs.) 1 71261101 - 2 71261102 - 3 71261103 - 4 71261104 - 5 71261105 - 6 71261106 - 7 71261107 - 8 71261108 - 9 71261109 - 10 71261110 -

WEALTH STATEMENT UNDER SECTION 116 WS 2/5 OF THE INCOME TAX ORDINANCE, 2001 N° Taxpayer's Name NTN CNIC Tax Year 2013 Address RTO/LTU Particulars/Description of assets and liabilities (Please read WS Notes for guidance) Code 6. Loans and Advances, etc. 712641 Sr. Creditor Name Code Amount (Rs.) 1 71264101 - 2 71264102 - 3 71264103 - 4 71264104 - 5 71264105 - 6 71264106 - 7 71264107 - 8 71264108 - 9 71264109 - 10 71264110 - 7. Motor vehicles (Indicate make, model and registration number) 712211 Sr. Registration N Make Model with Year Engine Capacity (CC) Code Amount (Rs.) 1 71221101 - 2 71221102 - 3 71221103 - 4 71221104 - 5 71221105 - 6 71221106 - 7 71221107 - 8 71221108 - 9 71221109 - 10 71221110 - 8. Jewellery (Indicate description weight and value) 712411 Sr. Description and weight with unit of measure (e.g 10 Tolas) Code Amount (Rs.) 1 71241101 - 2 71241102 - 3 71241103 - 4 71241104 - 5 71241105 - 6 71241106 - 7 71241107 - 8 71241108 - 9 71241109 - 10 71241110 - 9. Furniture and Fittings - Residence 712311 Sr. Description Code Amount (Rs.) 1 71231101 - 2 71231102 - 3 71231103 - 4 71231104 - 5 71231105 - 6 71231106 - 7 71231107 - 8 71231108 - 9 71231109 - 10 71231110 - 10. Cash & Bank Balances 7128 (a) Non-business cash in hand 712811 (b) Non-business bank balances, etc. in current/ deposit/ savings accounts or any other deposit) 712711 Sr. Account No. Country Bank Name City Name Br. Code Branch Name Code Amount (Rs.) 1 71271101 - 2 71271102 - 3 71271103 - 4 71271104 - 5 71271105 - 6 71271106 - 7 71271107 - 8 71271108 - 9 71271109 - 10 71271110 -

WEALTH STATEMENT UNDER SECTION 116 WS 3/5 OF THE INCOME TAX ORDINANCE, 2001 N° Taxpayer's Name NTN CNIC Tax Year 2013 Address RTO/LTU Particulars/Description of assets and liabilities (Please read WS Notes for guidance) Code 11. Any Other Assets 7126 Sr. Description Code Amount (Rs.) 1 71267101 - 2 71267102 3 71267103 - 4 71267104 - 5 71267105 - 6 71267106 - 7 71267107 - 8 71267108 - 9 71267109 - 10 71267110 - 12. Assets, if any, standing in the name of spouse*, minor children & other dependents 713111 Sr. Description Code Amount (Rs.) 1 71311101 - 2 71311102 - 3 71311103 - 4 71311104 - 5 71311105 - 6 71311106 - 7 71311107 - 8 71311108 - 9 71311109 - 10 71311110 - 13. Total Assets [ Sum(1 to 12) ] 719999 14. Liabilities (including mortgages, loans, overdrafts, advances, borrowings, 8213 amounts due under hire purchase agreement ) Sr. Liabilities Description Code Amount (Rs.) 1 72111101 - 2 72111102 - 3 72111103 - 4 72111104 - 5 72111105 - 6 72111106 - 7 72111107 - 8 72111108 - 9 72111109 - 10 72111110 - 15. Total Liabilities [ sum( 14(a) to 14(b) ] 729999 16. Net Wealth of the current year [13 minus 15] 799999 17. Annual personal expenses ( To be Reconciled with Annex D/IT-4) 749999 18. Number of family members and dependents 740000 Minors 19. Assets, if any, transferred to any person 714111 Sr. Description Code Amount (Rs.) 1 71411101 - 2 71411102 - 3 71411103 - 4 71411104 - 5 71411105 - 6 71411106 - 7 71411107 - 8 71411108 - 9 71411109 - 10 71411110 -

WEALTH STATEMENT UNDER SECTION 116 WS 4/5 OF THE INCOME TAX ORDINANCE, 2001 N° Taxpayer's Name NTN CNIC Tax Year 2013 Address RTO/LTU Particulars/Description of assets and liabilities (Please read WS Notes for guidance) Code 20. Computation of Income Support Levy (ISL) under the Income Support Levy Act. 2013 1. Declared value of moveable assets 2. Liabilities claimed against moveable assets Basis of Liability Computation against Proportionate basis moveable assets Actual/Identifiable basis 3. Net moveable wealth (1 - 2) 4. Income Support Levy Payable (4 = 3 * 0.5%) a) ISL adjusted against refund in Sr-49 of the IT-2 Return b) ISL paid with wealth statement as per CPR(s) given below i) CPR No. Amount Paid ii) CPR No. Amount Paid iii) CPR No. Amount Paid Verification I, _______________________________________________, holder of CNIC No. ______________________________ in my capacity as Self/ Representative* of the taxpayer named above, do hereby solemnly declare that to the best of my knowledge and belief the information given in this statement of the assets and liabilities of myself, my spouse or spouses, minor children and other dependents as on _______________ and of my personal expenditure for the year ended ________ are correct and complete in accordance with the provisions of the Income Tax Ordinance, 2001, Income Tax Rules, 2002 and Income Support Levy Act, 2013. Date (dd/mm/yyyy): Signature * The spouse who has not filed return of income along with wealth statement independently

WEALTH RECONCILIATION STATEMENT WS 5/5 N° Taxpayer's Name NTN CNIC Tax Year 2013 Address RTO/LTU Particulars Code Amount (Rs.) 1 Net assets as on 30-06-2013 2 Net assets as on 30-06-2012 3 Increase/Decrease [1 - 2] - 4 Income - a) Income declared for the Tax Year - 2013 b) Exempt income including agriculture income c) Others - i) ii) iii) iv) v) 5 Expenditures - a) Personal expenditures b) Other expenditures - i) ii) iii) iv) v) 6 Increase/ Decrease in wealth [4 - 5] - Date : Signature:

WEALTH STATEMENT UNDER SECTION 116 OF THE INCOME TAX ORDINANCE, 2001 (Notes on reverse) Notes 1. If the space provided in the form is found to be inadequate, additional sheet(s) may be used. 2. All assets should be valued at cost. 3. If any exact figure can not be inserted, an estimate should be made, mark it clearly "ESTIMATE". If balance sheet in respect of any business has been submitted to the Department, the entry of "Business Capital" should 4. (a) consist of the net balance on capital, current and loan accounts as shown in those Balance Sheets on the specified date, if such net amount is a credit balance. Where no Balance Sheet has been submitted, the assessed should list, on a separate sheet of paper attached to this form, (b) the assets and liabilities of the business on the specified date. The excess of assets listed, should be entered as "Business Capital". (c) If the net balance at (a) above is a debit balance, it should be included in liabilities. 5. Agricultural equipment, such as irrigation pumps and tube-wells etc., should be detailed at cost with description. 6. Give details of stocks, shares and debentures, e.g., number, face value, name of the company and type. 7. Give details of assets of the spouse, minor children and other dependents and state whether such asset was transferred directly or indirectly to the spouse or minor children or other dependents or was acquired by them with funds provided by you. 8. In the case of assets acquired under a Hire Purchase agreement, the total price should be shown under the appropriate head in the assets and the balance amount due should be shown under the liabilities. 9. Where the statement is being filed for the first time or covers more than one tax year, separate re-conciliation of the increase/(decrease) in wealth and of the sources and applications should be provided for each year. For Assistance - Call Help line Center at Tele: 0800-00-227, 051-111-227-227 and E-mail at [email protected]

RETAILER'S STATEMENT U/S 115 (4) OF THE INCOME TAX ORDINANCE, 2001 IT-4 (For retailers (Individuals & AOPs) having annual turnover upto 5 million rupees (English) but not having any other taxable source of income) 1 CNIC - - Tax Year 2013 2 NTN (if available) - Gender Male Female 3 Business Name 4 Business Address Province District 5 Principal Activity REGISTRATION 6 Phone No. Electricity No. 7 Mobile No. Gas Ref. No. Description Amount 8 Opening Stock 9 Turnover during the year 10 Closing Stock 11 Turnover Tax payable u/s 113A @ 1 % of turnover (1% of Sr-9) 12 Turnover Tax Paid COMPUTATION 13 CPR No. CPR Date Other 14 Agriculture Income 15 Foreign Remittance (along with proof) from 16 Dividend income Sources Income 17 Profit on debt Description Expenses 18 Residence electricity bills 19 Residence telephone/mobile/internet bills 20 Residence gas bills 21 Residence rent/ground rent/property tax/fire insurance/security services/water bills 22 Education of children/ spouse/ self (Optional, it can be included in Sr-26) 23 Travelling (foreign and local) (Optional, it can be included in Sr-24) 24 Running and maintenance expenses of Motor vehicle(s) EXPENSES 25 Club membership fees/bills 26 Other personal and household expenses 27 Total personal expenses (Sum of 18 to 26) 28 (Less) Contribution by family members PESONAL 29 Net Personal Expenses (27 - 28) 30 Number of family members/dependenets Adults Minors I, holder of CNIC No. in my capacity as Self/ Representative (as defined in section 172 of the Income Tax Ordinance, 2001) of Taxpayer named above, do solemnly declare that to the best of my knowledge and belief the information given in this Statement is correct and complete in accordance with the provisions of the Income Tax Ordinance, 2001 and Income Tax Rules, 2002 (The alternative in the verification, which is not applicable, should be scored out). Signature & Stamp VERIFICATION Date : Signature of Receiving Officer with Date ACKNOWLEDGEMENT Note-1 : Retailers having turnover of more than Rs. 5 million should file IT-2 Return instead of this Statement Note-2 : Retailers having any other source of income should file IT-2 Return instead of this Statement "