Notification of Corporate/Individual/AOP Income Tax Return for Tax Year 2012

"PART-I C IT-1 RETURN OF TOTAL INCOME/STATEMENT OF FINAL TAXATION N° UNDER THE INCOME TAX ORDINANCE, 2001 (FOR COMPANY) 1 Taxpayer's Name NTN 2 Bussiness Name Reg/Inc No. Year Ending Date 3 Business Address City Tax Year 2012 4 Principal Activity Code Res. Status Resident Non-Resident Registration 5 Representative NTN Name Revised N° Assessed N° 6 NTN Top 10 Share Holders' Names % Capital NTN Top 10 Share Holders' Names % Capital Holding Holding Remaining Share Holders Share Share Total 100% Items Code Amount 82 Total Income/ (Loss) 9099 7 Net Sales 3101 83 Business Income/(Loss) 3999 8 Gross Domestic Sales Subject to Final Tax 31011 84 Capital Gains 4999 9 Other Domestic Sales 31013 85 Other Sources Income/ (Loss) Annex G-1 5999 Tax) 10 Domestic Commission/Brokerage 31021 86 Foreign Income/ (Loss) Annex F-1 6399 11 Gross Exports 31012 87 Deductible Allowances 9139 Computation 12 Foreign Commission/Brokerage 31022 88 Workers Welfare Fund (WWF) Paid During the Year 9122 13 Rebates/Duty Drawbacks 3107 89 Workers Profit Participation Fund (WPPF) Paid During the Year 64032 Final/Fixed 14 Others 31014 90 Charitable Donations Admissible for Straight Deduction 9124 Income 15 Cost of Sales [to be reconciled with Annex-D-1] 3116 91 Taxable Income/ (Loss) 9199 16 Local Raw Material/Components other than Stores/Spares Annex H-1 310411 92 Exempt Income 6199 17 Imported Raw Material/ Components other than Stores/Spares Annex H-1 310421 93 Agricultural Income 6102 (Including 18 Salaries,Wages 311101 Taxable 94 Business Income 6103 / 19 Electricity 311102 95 Share from AOP 312021 20 Gas 311103 96 Capital gains on Securities held for more than 12 months 6106 Total 21 Other Fuels/Power Annex H-1 311104 97 Other Capital Gains 6104 Account 22 Stores/Spares Annex H-1 311106 98 Other Sources 6105 Manufactured 23 Insurance 311107 99 Total Assets Annex E-1 6107 Sheet 100 Total Liabilities Annex E-1 6108 24 Royalty 311109 Balance Trading 25 Goods Fee for Technical Services 311110 101 Is total value of transactions with Non-Residents/Associates is more than Rs. 50 million. Yes No of 26 Repair & Maintenance 311108 102 Total Value of Transactions with Non-Residents/Associates Annex J-1 6110 27 Other Expenses 311118 Source Code Receipts/ Value Rate Code Tax Due Cost 28 Accounting Amortization 3114 103 64013 5% 65013 29 Accounting Depreciation 3115 104 64011 1% 65011 Imports 30 Decrease/Increase in Work in Process Annex H-1 ???? 105 64012 2% 65012 Manufacturing/ 31 32 Finished Goods FinishedFinished GoodsGoods PurchasesPurchases (Local)(Imports) AnnexAnnex H-1H-1 310412310422 106107 Insurance/Re-insurance (Non Resident) 31590164015 5% 31590265015 33 Gross Profit/ (Loss) To be reconciled with Annex-D-1 3119 108 MediaResidentsServices Payments received By Non- 316001 10% 316002 34 Gross Receipts 3139 109 Gas consumption by CNG Station 64021 4% 65021 35 Profit on Debt (For Financial Institutions) 31311 110 Distributionproducts of cigaratte and pharmaceutical 64143 1% 92143 36 Profit on Debt (For Other Companies) 31311 111 Royalties 640511 650511 37 Leasing 31312 112 Fee for Technical Services 640512 650512 115(4) 38 Oil & Gas Exploration 31313 113 Contracts (Non-Resident) 640521 6% 650521 u/s 39 Telecommunication 31314 114 Supply of Goods 640611 3.50% 650611 40 Insurance 31315 115 Supply of Goods 640612 1.50% 650612 41 Capital Gain u/s 37 31316 116 Supply of Goods 640613 650613 42 Dividend 31317 117 Payment to Ginners for supply of cotton lint. 640614 1% 650614 Statement 43 Accounting Gain on Disposal of Intangibles 3135 118 Contracts (Resident) 640631 6% 650631 44 Accounting Gain on Disposal of Assets 3136 119 Contracts (Non Resident) 640632 650632 Tax 45 Other Revenues/ Fee/ Charges for Services etc. 3131 120 Exports/Exports/ IndentingExport ServicesCommission/ Indirect 64071 1% 65071 Exports/ Indenting 46 Management, Administrative, Selling & Financial expenses 3189 121 64073 0.50% 65073 Commission/Export Services Tax) Final Exports/ Indenting Commission/Export 47 Rent/ Rates/ Taxes 3141 122 Services 64076 65076 48 Salaries & Wages 3144 123 Foreign Indenting Commission 64075 5% 65075 Prizes/winnings of cross word 49 Travelling/ Conveyance 3145 124 64091 10% 65091 puzzles 50 Electricity/ Water/ Gas 3148 125 Winnings - Others 64092 20% 65092 Final/Fixed 51 Communication Charges 3154 126 Petroleum Commission 64101 10% 65101 52 Repairs & Maintenance 3153 127 Brokerage/Commission 64121 10% 65121 53 Stationery/ Office Supplies 3155 128 Advertising Commission 64122 5% 65122 54 Advertisement/ Publicity/ Promotion 3157 129 Services to Exporters u/s 153(2) 64123 1% 65123 (Including 55 Insurance 3159 Total 6599 56 Royalty 3162 Source Code Receipts/Value Rate Code Tax Due 57 Fee for Technical Services 3164 Tax 130 ServicesPropertyrenderedIncome/ contracts executed 210101 920235 58 Professional Charges 3160 131 outside Pakistan 210102 1% 920236 Account 59 Profit on Debt (Markup/Interest) 3161 132 Capitalmonths gains on Securities held for < 6 64033 65033 Capital gains on Securities held for >= 6 64034 65034 60 Donations 3163 Fixed 133 months and < 12 months Loss & 61 Directors' Fees 3177 Total 9202 62 Workers Profit Participation Fund 3179 Source Code Receipts/Value Rate Code Tax Due 63 Loss on Disposal of Intangibles 3185 134 Dividend Income for Banks only 64032 10% 65032 Profit Misc. 64 Loss on Disposal of Assets 3186 135 Total of Final and Fixed Tax Due 94592 65 Accounting Amortization 3187 136 Tax Collected/Deducted as Final Tax 94591 66 Accounting Depreciation 3188 137 Balance Final and Fixed Tax Payable/Refundable to be transferred to Net Tax Payable 6699 67 Bad Debts Provision 31811 138 Gross Tax on taxable income @ 9201 68 Other Provisions 31810 139 Tax Credits & Reductions 9249 69 Obsolete Stocks/Stores/Spares Provision 31812 140 Un-adjusted tax u/s 113 for previous 3-years 9250 70 Diminution in Value of Investments Provision 31813 141 Adjustment of unadjusted minimum tax paid in previous 3-Years - Subject to a max. of [138 minus 139] 920201 71 Bad Debts Written Off 31821 142 Differencezero, else zero]of minimum tax chargeable U/S 113 [142(iv) minus (138 minus 139 plus 141), if greater than Computation (i) Total Turnover (iii) Reduction (*) @ % 9217 72 Obsolete Stocks/Stores/Spares Written Off 31822 73 Selling expenses(Freight outwards etc.) 31080 (ii) Minimum tax @ 1% (iv) Net Minimum tax Tax 74 Others 3170 143 Un-adjusted tax u/s 113 to be carried forward 9218 75 Net Profit/ (Loss) 3190 144 Balance tax chargeable on taxable income [138 minus 139 minus 141 plus 142] 9497 76 In-Admissible Deductions/Adjustments Annex L-1 3191 145 Net Tax [137 plus 144] 9299 77 Admissible Deductions /Adjustments Annex L-1 3192 146 Tax Already paid including Adjustments 9499 78 Taxable Income/Loss for the Year 3199 147 Net Tax Payable [145 minus 146] 99991 79 Loss for the year surrendered to Holding Company 3901 148 Tax Paid as per CPR No. 9471 Refund Payment/ 80 Loss acquired from Subsidiary Company and Adjusted 3902 149 Net Tax Refundable; may be credited to my bank account as under: 9999 Deductions/ Adjustments 81 Brought Forward Loss Adjusted/(Loss for the year Carry Forward) 3990 150 Bank A/C 151 City Attach copy of Audited Accounts as required under subsection 2(a) of section 114 of the Income 152 Branch Name & Code Bank Tax Ordinance, 2001 and under clause 2 of the 2nd schedule of the Income Tax Rules 2002. 153 A/C Number Accounts Required WWF 154 WWF Payable 9308 I, _________________________________________________________________________ holder of CNIC __________________________________________________ in my capacity as Principal Officer/Trustee /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 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 Ordinance, 2001, Income Tax Rules, 2002 and the Companies Ordinance 1984. Date : Deeclaration Signature (*) Relevant clause to be selected from the dropdown list at the time of e-Filing of the return

Annex A-1 2012 Depreciation, Initial Allowance and Amortization (Purchased Assets) A-1 NTN Reg./Inc. No. Value forward (Rs)Down Remarks carried AmountWritten (Rs) (Rs) Use Usage Amount Amount Business Actual Depreciation (Rs)Extent Days(Rs) Annual Use / Amount Amortization Amount Total Business Rate 10% 15% 15% 15% 15% 15% 15% 30% 30% 15% 30% 100% 20% 15% Extent (Rs) (Rs) on any Year if Annual Amount Amount Initial/Ist Allowance additions, Rate 50% 0% 50% 50% 0% 50% 50% 50% 50% 90% 50% 0% 50% 0% (Rs) Cost (Rs) Total Amount Original Amount (Rs) (Deletions) Amount (Rs) Life Year(s) Additions Useful Amount Value on forward (Rs) Down (Date) Brought Amount Acquired dd/mm/yyyy Written Code 8102 Code 8105 8107 8141 810303 810301 81042 81041 81043 810304 810302 810308 810309 81044 810306 810307 810310 printer, in allowed mineral been one hire is has of advantage used otherwise hire for books year production concerns oil thatAssets for 1st exceeding including and fittings (not plying Pakistan items products which depreciation engines in providing IT mineral plant plying not period on aero installations Total Intangibles a Total of types) of machinery professional allied equipment and and Particulars/Description Particulars/Description or hardware for and platforms or Depreciable (all including and ground vehicles vehicles machinery previously & plant expenditure crafts concerns shore benefit Building Furniture Machinery specified) Motor Motor Ships Technical Computer monitor Machinery manufacture Plant allowance/accelerated Air Below oil Off installations Any used Intangibles Any or Others No. 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. No. 1. 2. 3. S. S. Signature:

Annex B-1 2012 Carry forward and brought forward of Unabsorbed Depreciation, Initial Allowance, Amortization and Business Losses B-1 (Other than Speculation Business) NTN Reg/Inc No. Particulars Code Amount (Rs.) 1. (a) Business income/(loss) for the year after depreciation and amortization 261111 (b) Business income/(Loss) for the year transferred to Return of Total Income for adjustement 261112 against (loss)/income for the year under any other head of income (c) Loss for the year surrendered in favour of a holding company 3901 (d) Balance business income/(loss) for the year after depreciation and amortization [Add 261114 1(a) minus 1(b) minus 1(c)] 2. Breakup of balance income/(loss) for the year after depreciation and amortization: 261211 (a) Business income/(loss) for the year before depreciation/amortization 3900 (b) Depreciation for the year including unabsorbed depreciation brought forward 3988 (c) Amortization for the year including unabsorbed amortization brought forward 3987 3. Details of adjustments of brought forward business losses, losses of subsidiary, depreciation and 261311 amortization including unabsorbed depreciation and amortizaton (a) Business income/(loss) for the year before depreciation and amotization 261312 [from 2(a) above] (b) Adjustment of brought forward business losses 261313 (c) Adjustment of losses of subsidiary 261314 (d) Adjustment of depreciation including unabsorbed depreciation brought forward 261315 (e) Adjustment of amortization including unabsorbed amortization brought forward 261316 (f) Balance business Income after adjsutment transferred to Return of Total Income [3(a) 261317 minus 3(b) minus 3(c) minus 3(d) minus 3(e), if greater than zero, else Nil] (g) Balance business loss after adjsutment carry forward [3(a) 261318 minus 3(b) minus 3(c) minus 3(d) minus 3(e), if less than zero, else Nil] Assessment Code Balance brought forward Adjusted against Lapsed(not available for carry Balance carried Year / OR the income for the forward) /Attributtable to forward Tax Year For the current year current year PTR income (starting from Taxpayers own Of amalgamating earliest year) company Amount (Rs.) Amount (Rs.) Amount (Rs.) Amount (Rs.) Amount (Rs.) 4. Details / breakup of business losses brought forward and carried forward (a) Current year - 10 Year 3900 (b) Current year - 9 Year 3900 (c) Current year - 8 Year 3900 (d) Current year - 7 Year 3900 (e) Current year - 6 Year 3900 (f) Current year - 5 Year 3900 (g) Current year - 4 Year 3900 (h) Current year - 3 Year 3900 (i) Current year - 2 Year 3900 (j) Current year - 1 Year 3900 (k) Current year 3900 Total 262422 5. Details / breakup of un-absorbed depreciation brought forward and carried forward (a) B/Forward 319288 (b) Current year 319288 Total 262513 6. Details / breakup of un-absorbed amortization brought forward and carried forward (a) B/Forward 319287 (b) Current year 319287 Total 262613 7. Details / breakup of losses of subsidiaries brought forward and carried forward (a) Current year - 2 Year 3904 (b) Current year - 1 Year 3904 (c) Current year 3904 Total 262714 Signature:

Annex C-1 2012 Tax Already Paid Including Adjustments (Including Surcharge) C-1 NTN Reg/Inc No. Particulars Code Amount of Tax paid (Rs.) Advance Tax U/S 147(1) (Cash Payments) 1. First installment CPR No. Evidence of payment attached 94611 2. Second installment CPR No. Evidence of payment attached 94612 3. Third installment CPR No. Evidence of payment attached 94613 4. Fourth installment CPR No. Evidence of payment attached 94614 5. Sub-Total [Add 1 to 4] 9461 Advance Tax U/S 147(5B) (Cash Payments) 6 First installment CPR No. Evidence of payment attached 7 Second installment CPR No. Evidence of payment attached 8 Third installment CPR No. Evidence of payment attached 9 Fourth installment CPR No. Evidence of payment attached 10 Sub-Total [Add 1 to 4] Tax Collected/Deducted at Source Amount of Tax (Other than tax collected/deducted on receipts/value of goods subject to final taxation) deducted (Rs.) 11 On import of goods Evidence of payment attached 94019 12 On Import of CBU motor vehicle by manufacturers Evidence of payment attached 94018 13 On dividend Income 94039 14 On profit on debt Evidence of payment attached 94049 Certificate/Account No. etc. Bank Branch Share% 94049 94049 94049 15 On Government securities Evidence of payment attached 94043 16 On payments received by non-resident Evidence of payment attached 940539 17 On payments for goods Evidence of payment attached 940619 18 On payments for services Evidence of payment attached 940629 19 On payments for execution of contracts Evidence of payment attached 940630 20 On property income Evidence of payment attached ????? 21 On cash withdrawal from bank Evidence of payment attached 94119 Certificate/Account No. etc. Bank Branch Share% 94119 94119 94119 22 On certain transactions in bank Evidence of payment attached 94120 23 On registration of new locally manufactured motor vehicle Evidence of payment attached 94118 Registration No. Engine / Seating Capacity Owner's Name Manufacturer Prticulars 94179 94179 94179 24 On commission paid to members of stock exchange Evidence of payment attached 94059 25 On trading of shares at a Stock Exchange Evidence of payment attached 94138 26 On financing of carry over trade Evidence of payment attached 94139 27 With motor vehicle tax (Other than goods transport vehicles) Evidence of payment attached 94149 Registration No. Engine / Seating Capacity Owner's Name Share% 94149 94149 94149 28 With bill for electricity consumption Evidence of payment attached 94159 Consumer No. Subscriber's CNIC Subscriber's Name Share% 94159 94159 94159 29 With telephone bills, mobile phone and pre-paid cards Evidence of payment attached 94169 Number Subscriber's CNIC Subscriber's Name Share% 94169 94169 94169 30 On sale by auction 94180 31 On purchase of domestic air travel ticket Evidence of payment attached 94121 32 Others 33 Sub-Total [Add 11 to 32] 94599 Adjustment of Prior Year(s) Refunds Determined by Department 34 Refund adjustments (To the extent adjustment is required against the current year's tax payable, if any) Refund Assessed Previous Adjustments Available for Adjustment Current Adjustment Tax Year Amount (Rs.) Tax Year Amount (Rs.) Amount (Rs.) Amount (Rs.) (a) 94981 (b) 94981 (c) 94981 (d) Sub-Total [Add 34(a) to 34(c)] Evidence of refund due attached 9498 Total Tax Already Paid Including Adjustments 35 Transfer to the Return of Income [Add 5 plus 10 plus 33 plus 34(d)] 9499 Workers Welfare Fund Already Paid 36 CPR No. Evidence of payment attached 9495 Signature

Annex D-1 2012 Breakup of Sales in case of Multipe Business D-1 Reg./Inc. No. NTN Taxpayer Name Tax Year 2012 Business Name RTO/LTU Business Name & Business Activity Sales Cost of Sales Gross Profit/Loss Sr. (1) (2) (3) (4) = (2) - (3) Business Name 1 Business Acitivity Business Name SALES 2 OF Business Acitivity Business Name 3 Business Acitivity BREAKUP Business Name 4 WISE Business Acitivity Business Name 5 BUSINESS Business Acitivity Total [to be reconciled with Sr. 15 & 32 of the Main Return (IT-1)] Signature: Note : Grey blank fields are for official use

Annex E-1 2012 Statement of Assets & Liabilities E-1 Reg./Inc. No. NTN Taxpayer Name Tax Year Business Name RTO/LTU Assets Code Amount Liabilities Code Amount 1 Fixed Assets 8199 18 Capital 8699 2 Land 8101 19 Paid-up Capital 8621 3 Building 8111 20 Reserves 8641 4 Plant & Machinery 812101 21 Accumulated Profits 8661 5 Capital Work-in-Progress 8181 22 Surplus on Revaluation 8671 6 Motor Vehicles 8131 23 Long Term Liabilities 8799 7 Office Equipment 812109 24 Long Term Loans 8701 8 Furniture & Fixtures 812103 25 Deferred Liabilities 8711 9 Current Assets 8299 26 Current Liabilities 8899 10 Investments 8251 27 Trade & Other Payables 8801 11 Cash & Cash Equivalents 8201 28 Short Term Loans 8821 12 Stock in Trade/Stores/Spares 8221 29 Other Liabilities 8901 13 Trade Receivables 8231 30 Total Capital & Liabilities 8999 14 Advances/Deposits/Prepayments/Other Receivables 8241 15 Intangible assets 8401 16 Other Assets 8402 17 Total Assets 8499 Signature:

Annex F-1 2012 Foreign Income F-1 Reg./Inc. No. NTN Taxpayer Name Tax Year 2012 Business Name RTO/LTU Code Code Code ` Code Business Property Salary Income Income Income Capital Gains Other sources Particulars Amount (Rs.) Amount (Rs.) Amount (Rs.) Amount (Rs.) Amount (Rs.) 1. Foreign income/loss for the year Name of country (a) 6311 6331 6321 6341 6351 (b) 6312 6332 6322 6342 6352 (c) 6313 6333 6323 6343 6353 (d) Sub-total [Add 1(a) to 1(c)] 6319 6339 6329 6349 6359 In case of income at 1(d) above transfer to row 2 below; and In case of loss at 1(d) above transfer the loss to "Details / breakup of foreign losses brought forward and carry forward" at 6(d) below 2. Income for the year 6319 6339 6329 6349 6359 3. B/F losses * transferred 63177 63377 63277 63477 63577 from 6(b) below * under the respective head adjusted against the income under that head for the year 4. Balance income [2 minus 3] 6320 6340 6330 6350 6360 Transfer to return of income 5. Foreign taxes paid on above foreign income 6381 6383 6382 6384 6385 6. Details / breakup of foreign losses brought forward and carried forward (a) Foreign losses brought forward Tax year (i) 63176 63376 63276 63476 63576 (ii) 63175 63375 63275 63475 63575 (iii) 63174 63374 63274 63474 63574 (iv) 63173 63373 63273 63473 63573 (v) 63172 63372 63272 63472 63572 (vi) 63171 63371 63271 63471 63571 (vii) Sub-total [Add 6(a)(i) to 6(a)(vi)] 6137 6337 6327 6347 6357 (b) Adjusted against income transferred to 3 above 63177 63377 63277 63477 63577 (c) Losses lapsed 63178 63378 63278 63478 63578 (d) Loss for the year transferred from 1(d) above 6319 6339 6329 6349 6359 (e) Foreign losses carried forward [6(a)(vii) minus 6(b) minus 6(c) plus 6(d)] 6318 6338 6328 6348 6358 7. Application for foreign tax credit Attached Yes No Documents and records maintained in support of foreign income declared 8. 9. 10. 11. 12. Signature:

Annex G-1 2012 Income / (Loss) from Other Sources G-1 Reg./Inc. No. NTN Taxpayer Name Tax Year 2012 Business Name RTO/LTU Net Income / Exempt Income / Balance Sr. Nature of Income Gross Deductions (Loss) (Loss) Income / (Loss) 1 Royalty - Applicable to resident persons only 2 Profit on debt (Interest, yield, etc.) 3 Rent from sub-lease of land or building 4 Lease of building together with plant and machinery * 5 Loan, advance (other than advance against sale of goods or supply of services), deposit for issuance of shares or gift received otherwise than by a crossed cheque drawn on a bank or through banking channel from a person holding NTN card 6 Any Other 7 Total 8. * Deductions include depreciation or initial allowance Yes If, “Yes” Details Attached Yes No Documents and records maintained in support of income from other sources declared 9. 10. 11. 12. 13. Date : Signature

Annex H-1 2012 Stock Detail H-1 Taxpayer Name NTN Reg./Inc. No. Tax Year 2012 Business Name RTO/LTU Opening Sr Description Purchases Closing Balance Consumed Balance (1) (2) (3) (4) (5) 6=(3+4-5) 1 Local Raw material 2 Imported Raw Material 3 Stores and Spares 4 Fuel/Power 5 Work in progress 6 Finished Goods - Local Purchases 7 Finished Goods - Imported 8 9 10 Signature

Annex J-1 2012 TRANSACTIONS WITH NON RESIDENTS (TO BE FILLED BY TAXPAYERS WHOSE TRANSACTIONS, IN AGGREGATE, WITH J-1 NON-RESIDENTS ARE MORE THAN 50 MILLION DURING THE TAX YEAR) Reg/Inc No. NTN Taxpayer Name Tax Year 2012 Business Name RTO/LTU Revenue From Expenditure to Type Sr. Description Name of Non-Resident Address Country Non-Resident Non-Resident Rents, Royalties, License fee 1 or Franchise Fee. Intangible property, acquired 2 Intangible Property or disposed of Managerial, financial 3 administrative, marketing , Engineering, technical, 4 construction, etc. Services 5 Research and Development 6 Commissions 7 Interest or profit on debt Dividends(common stock, 8 preferred stock or deemed dividend 9 Insurance Financial Guarantees provided to or 10 from a non-resident 11 Others including derivatives Reimbursement of expenses 12 at cost Beginning Closing Balance Balance Interest bearing Loans 13 borrowed Interest bearing Loans 14 advanced Investments & 15 Interest free Loans advanced 16 Interest free Loans borrowed Loans 17 Investment in any non resident Sold to Purchased from property only) 18 Stock in trade or Raq material Non-Resident Non-Resident 19 Finished Goods Tangible (Associates 20 Others 21 Property of capital nature 22 Total Value of Transactions (Sum of 1 to 21 except beginning balances) [Transfer to Sr. xxxx of main return] Has the company received from or provided to any non-resident any non-monetary consideration for any Yes No 23 service, transfer of tangible or intangible property, or anything whatever, under an arrangement including If Yes, Pl. specify: exchange, swap, barter, bonus, discount etc.? Yes No Has the company received from or provided to any non-resident any service, transfer of tangible or 24 If Yes, Pl. specify: intangible property, or anything whatever, for which there was nil consideration? Others Did a non-resident participate directly or indirectly in your capital, management or control during the Yes No 25 tax year? If Yes, Pl. specify: 26 State the number of associates with which you had dealings during the tax year. Date : ___________________ Signature

Annex - K-1 2012 Bifurcation of Income/(Loss) from business attributable to K-1 Sales/Receipts etc. subject to Final Taxation Taxpayer Name NTN CNIC (for individual) Subject to Final Subject to Normal Total Particulars Code Code Taxation Taxation 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 - - 301123 301123F (iii) Others - - 301124 301124F (iv) - - (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 - - 30122F (b) Other business revenues/receipts 30122 (i) Brokerage and commission 301221 301221F - (ii) Transport services 301222 301222F - (iii) Royalty & fee for technical services (non-residents) 301223 301223F - 301224 301224F (iv) Others - - 301225 301225F (v) Other inclusions/exclusions in income - - (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 - - 301324 301324F (iv) Selling expenses (Freight outward, etc.) - - - 301325 301325F (v) Other inadmissible deductions - - - 301326 301326F (vi) Others - - (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 - - 301344 301344F (iv) Other admissible deductions - - - 301345 301345F (v) Others - - - (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 L-1 2012 Admissible/Inadmissible Deductions and Adjustments L-1 Taxpayer Name NTN Reg/Inc No Sr. Particulars Code Amount (Rs.) 1 Tax Amortization 31901 2 Tax Depreciation 31902Deductions/ 3 Tax Loss on disposal of depreciable assets/intangibles 31903 4 Income/(Loss) relating to Final and Fixed tax [Transfer from Annex J-1] 31904 Adjustments 5 Any other (please specify) 31905Admissible 6 Total [Add 1 to 5] to be transferred to Sr-77 of main return 31900 7 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 8 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 9 Entertainment expenditure in excess of prescribed limits 319103 10 Contribution to an un-recognized provident fund, pension fund, superannuation fund or gratuity fund 319104 319105 11 Contributionbeen made totodeducta providenttax atfundsourceor otherin respectfund establishedof which theforrecipientthe benefitis chargeableof the employees,to tax underunlessthe effectivehead "salary"arrangements have 12 Fine or penalty for the violation of any law, rule or regulation 319106 13 Personal expenditure 319107 14 Provisions or amounts carried to reserves or funds etc. or capitalised in any way 319108 15 Profit on debt, brokerage, commission, salary or other remuneration paid by an AOP to its members 319109 319110 16 Anyrequiredsalary,to berent,deductedbrokerageandorpaidcommission,but was notprofitdeductedondebt,andpaymentpaid to non-resident or payment for services or fee on which tax was inadmissible Expenditure under a single account head which, in aggregate, exceeds Rs. 50,000 paid otherwise than by a crossed bank cheque / 17 or crossed bank draft (excluding expenditures not exceeding Rs. 10,000 or on account of freight charges, travel fare, postage, 319111 utilities or payment of taxes duties fees fines or any other statutory obligation) 319112 18 Salarybank accountexceeding Rs. 10,000 per month paid otherwise than by a crossed cheque or direct transfer of the funds to the employee's 19 Capital expenditure 319113 allowed 20 Provisions for bad debts, obsolete stocks, etc. 319114 21 Provisions for Workers Participation Fund 319115 not 319116 22 Apportionmentactivities [Transferof expenditurefrom AnnexincludingK-1] profit on debt, financial cost and lease payments relatable or attributable to non-business 23 Mark-up on lease financing 319117 24 Tax Gain on disposal of Intangibles 319118 25 Tax Gain on disposal of Assets 319119 Deductions 26 Accounting pre-commencement expenditure written off 319120 27 Accounting loss on disposal of depreciable assets / intangibles 319121 28 Accounting amortization 319122 29 Accounting depreciation 319123 30 Any other (please specify) 319124 31 Total [Add 7 to 30] to be transferred to Sr-76 of main return 319100 Signature ___________________________ "; and

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 2012 Res. Address Person IND AOP E-Mail Address Phone Res. Status Non-Res. Resident Registration Principal Activity Code Birth Date Employer NTN Name Filing Section Representative NTN Name RTO/LTU Authorized Rep. NTN Name Is authorized Rep. applicable? Yes No NTN Proprietor/Member/Partners' Name % in Capital Capital Amount Ownership Others Total 100% Items Code Total (excluding Sales Tax/ Federal Excise Duty & Net of Commission/ Brokerage) [to be reconciled with Annex-C] 3103Loss Tax) 1 Net Sales 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 & Net of Commission/ Brokerage) 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 40(c)) 3121 ( 9 Other Services U/S 153(1)(b) (Transferred from 40(d)) 3122 10 Other Revenues/ Fee/ Charges for Professional and Other Services/ Commission 3131 AccountManufacturing/ 11 Profit & Loss Expenses Transfer from Sr-24 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 [Sum of 18 to 23] 9099 18 Salary Income 1999 19 Business Income/ (Loss) [ (12 + 13) - 14 - 15 - 16 ] 3999 20 Share from AOP [Income/(Loss)] 312021 21 Capital Gains/(Loss) u/s 37 4999 22 Other Sources Income/ (Loss) 5999 23 Foreign Income/ (Loss) 6399 24 Deductible Allowances [25 + 26 + 27 + 28] 9139 Computation 25 Zakat 9121 26 Workers Welfare Fund (WWF) 9122 27 Workers Profit Participation Fund (WPPF) 9123 Income 28 Charitable donations admissible as straight deduction 9124 29 Taxable Income/ (Loss) [17 - 24] 9199 30 Exempt Income/ (Loss) [Sum of 31 to 37] 6199 Taxable / 31 Salary Income 6101 32 Property Income 6102 Total 33 Business Income/ (Loss) 6103 34 Capital Gains/(Loss) 6104 35 Agriculture Income 6106 36 Foreign Remittances (Attach Evidence) 6107 37 Other Sources Income/ (Loss) 6105 38 Tax chargeable on Taxable Income @ 9201 39 Tax Reductions/Credits/Averaging (including rebate on Bahbood Certificates, etc.) 9249 40 Difference of minimum Tax Chargeable on business transactions [40(e)(v) minus 40(e)(iii)] (i) (ii) (iii) (iv) (v) Import Value/Services Proportionate receipts subject to Proportionate Higher of (iii) Chargeable collection or tax* Rate Minimum tax or (iv) deduction of tax at income source 9303 (a) Import of Edible Oil U/S 148(8) 3% (b) Import of Packing Material U/S 148(8) 5% (c) Transport Services U/S 153(1)(b) 2% (d) Other Services U/S 153(1)(b) 6% (e) Total Computation * [(38 minus 39) divided by 29 multiply by 40(a)(ii) or 40(b)(ii) or 40(c)(ii) or 40(d)(ii), as the case may be] Tax 41 Minimum tax on electricity consumption under section 235(4) 9304 Amount of tax collected along with electricity bill where the monthly bill amount is up to Rs. 30,000 42 Balance tax chargeable [ (38 minus 39 plus 40) or 41, whichever is higher 9305 43 Minimum Tax Payable U/S 113 [43(iv) minus 41, if greater than zero, else zero] (i) Total Turnover (iii) Reduction @ - 9306 (ii) Minimum tax @ 1% - (iv) Net Minimum tax - 44 Net tax chargeable [42 + 43 + 90] 9307 45 Total Tax Payments (Transfer from Sr. 28 of Annex-B) 9499 46 Tax Payable/ Refundable [44 - 45 + WWF Payable from Sr. 29 of Annex-B] 9999 47 Refund Adjustments (not exceeding current year's tax payable) 9998 48 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 2012 Business Name RTO/LTU Rate Source Code Receipts/Value (%) Code Tax Chargeable 49 Imports 64013 5 92013 50 64011 2 92011 51 64012 1 92012 52 64015 3 92015 53 Dividend 64032 10 92032 54 64033 7.5 92033 55 Profit on Debt 64041 10 92041 56 Royalties/Fees (Non-Resident) 640511 15 920511 57 640512 920512 58 Contracts (Non-Resident) 640521 6 920521 59 Insurance Premium (Non-Resident) 640524 5 920524 60 Advertisement Services (Non-Resident) 640525 10 920525 61 Supply of Goods 640611 3.5 920611Tax 62 640612 1.5 920612 63 640613 920613Final 64 Payments to Ginners 640614 1 920614 65 Contracts (Resident) 640631 6 920631 66 640632 1 920632 67 Exports/related Commission/Service 640641 0.5 920641 68 64072 1 92072 69 Foreign Indenting Commission 64075 5 92075 70 Prizes/Winnings of cross word puzzles 64091 10 92091 71 Winnings - Others 64092 20 92092 72 Petroleum Commission 64101 10 92101 73 Brokerage/Commission 64121 10 92121 74 Advertising Commission 64122 5 92122 75 Services to Exporters u/s 153(2) 64123 1 92123 76 Goods Transport Vehicles 92141 77 Gas consumption by CNG Station 64142 4 92142 78 Distribution of cigarette and pharmaceutical products 64143 1 92143 79 Retail Turnover upto 5 million 310102 1 920202 80 Retail Turnover above 5 million 310103 920203 81 Property Income 210101 920235 82 Capital gains on Securities held for < 6 months 610401 10 961041 Capital gains on Securities held for >= 6 months and < 12 months 610402 8.00 961042Tax 83 84 Capital gains on Securities held for >= 12 months 610403 0 961043 85 Purchase of locally produced edible oil 310431 2 920208Fixed 86 Flying Allowance 112001 2.5 920234 87 Monetization of Transport Facility For Civil Servants 112002 5 920237 Services rendered / contracts executed 88 63311 1 920236 outside Pakistan 89 Employment Termination Benefits 118301 920211 90 Final/Fixed Tax Chargeable (49 to 89) 9202 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 theVerification Income Tax 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

Rate Extent Description Code WDV (BF) Additions Deletions (%) Initial Allowance Rate (%) (%) Depreciation WDV (CF) 1 Building (all types) 3202 50% 10% 2 Machinery and plant (not otherwise specified) 320301 50% 15% 2012 3 Computer hardware (including allied items) 320302 50% 30%Annex-A 4 Furniture (including fittings) 320303 0% 15% 5 Technical and professional books 320304 50% 15% Year 6 Below ground installations of mineral oil concerns 320306 50% 100% 7 Off shore installations of mineral oil concerns 320307 50% 20% Tax 8 Machinery and equipment used in manufacture of IT pro 320308 50% 30% 9 Motor vehicles (not plying for hire) 32041 0% 15% Assets 10 Motor vehicles (plying for hire) 32042 50% 15% 11 Ships 32043 50% 15% 12 Air crafts and aero engines 32044 50% 30% Depreciable Machinery and equipment Qualifying for 1st year 320309 90% 15% 13 Allowance Computer hardware including printer, monitor and allied items, 320312 0% 50% 14 that have been used previously in Pakistan Any plant or machinery that has been used previously 320310 0% 15% 15 in Pakistan 16 Any plant or machinery in relation to which a deduction Amortization has been allowed under another section for the entire 320311 0% 15% and cost of the asset in the tax year in which the asset is acquired. No. Total Useful Extent Description Code Acquisition Date Original Cost . Amortization Life(Years) (%) Allowance Initial Reg/Inc/CNIC 1718 IntangiblesExpenditure providing long term advantage/benefit 32053207 Intangibles 19 Total Original Description Code Expenditure . Rate (%) Amortization 20 Pre commencement expenditure 3206 20% Depreciation, Description Code Amount Tax Year Description Code Amount Tax Year Unadjusted Business loss for previous year adjusted Unabsorbed Amortization of intangibles / expenditure 3902 2006 against Business income for current year providing long term advantage/benefit for previous year(s) 21 adjusted against Total Income for current year 3987 upto 2011 Unadjusted Business loss for previous year adjusted Amortization of intangibles / expenditure providing long 3902 2007 against Business income for current year term advantage/benefit for current year adjusted against 22 Total Income for current year 3987 2012 Unabsorbed tax depreciation/initial allowance of fixed Adjustments Unadjusted Business loss for previous year adjusted 3902 2008 assets for previous year(s) adjusted against Total Income against Business income for current year 23 for current year 3988 upto 2011 Unadjusted Business loss for previous year adjusted Forward 3902 2009 Depreciation/initial allowance of fixed assets for current against Business income for current year 24 year adjusted against Total Income for current year 3988 2012 Unadjusted Business loss for previous year adjusted 3902 2010 Brought 25 against Business income for current year Unadjusted Business loss for previous year adjusted 3902 2011 26 against Business income for current year Total (Not exceeding the amount of Business Income available for Total (Not exceeding the amount of Total Income available for NTN 27 adjustment) (transfer to Sr. 15 of Main Return) adjustment) (transfer to Sr. 16 of Main Return)

Annex-B 2012 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 profit on debt (other than tax deduction treated as final tax) 94049 Certificate/Account No. etc. Bank Branch Share% 6 On payments received by non-resident (other than tax deduction treated as final tax) 940539 7 On payments for goods (other than tax deduction treated as final tax) 940619 only) 89 OnOn paymentspayments forfor servicesexecution(otherof contractsthan tax(otherdeductionthan taxtreateddeductionas finaltreatedtax) as final tax) 940629940639 Tax 10 On property income 940640 11 On withdrawal from pension fund 94028 12 On cash withdrawal from bank 94119 Certificate/Account No. etc. Bank Branch Share% (Adjustable 13 On certain transactions in bank 94120 14 With Motor Vehicle Registration Fee 94179Source Registration No. Engine / Seating Capacity Owner's Name Manufacturer Particulars at 15 On sale/purchase of shares through a Member of Stock Exchange 94131 16 On trading of shares through a Member of Stock Exchange 94138 17 On financing of carry over trade 94139 18 With motor vehicle token tax (Other than goods transport vehicles) 94149 Registration No. Engine / Seating Capacity Owner's Name Share%Collected/Deducted Tax 19 With bill for electricity consumption 94159 Consumer No. Subscriber's CNIC Subscriber's Name Share% 20 With telephone bills, mobile phone and pre-paid cards 94169 Number Subscriber's CNIC Subscriber's Name Share% 21 On Sale by Auction 94180 22 On purchase of domestic air travel ticket 94121 23 Total Tax Deductions at source (Adjustable Tax) [Sum of 1 to 22] 94599 24 Total Tax Deductions at source (Final Tax) 94591 25 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. 26 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. 27 Admitted Tax Paid U/S 137(1) CPR No. 9471 28 Total Tax Payments [23 + 24 + 25 + 26+27] (Transfer to Sr. 45 of Main Return) WWF Payable with Return (WWF payable will be 29 adjusted against the excess payments made during 9308 the current year) Note-1 : Grey blank fields are for official use

Annex C 2012 Breakup of Sales in case of Multiple Businesses C Taxpayer Name NTN 0 CNIC/Reg.No. Tax Year 2012 Business Name RTO/LTU 0 Business Name & Business Activity Sales Cost of Sales Gross Profit/Loss Sr. (1) (2) (3) (4) = (2) - (3) Business Name 1 SALES BusinessBusinessActivityName 2 OF Business Activity Business Name 3 Business Activity BREAKUP Business Name 4 WISE Business Activity Business Name 5 Business Activity BUSINESS Total (to be reconciled with Sr. 1, 2 & 7 of Main Return) Signature: Note : Grey blank fields are for official use

Annex - D 2012 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-44 of Main Return Adults Minor 13 Number of family members/dependents 1 3 Signature: _____________________

Annex - E 2012 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 [Transfer from 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 Profit on debt, brokerage, commission, salary or other remuneration paid by an AOP to its members 319110 inadmissible 9 319110/ 10 Anyrequiredsalary,to berent,deductedbrokerageandorpaidcommission,but was notprofitdeductedondebt,andpaymentpaid to non-resident or payment for services or fee on which tax was Expenditure under a single account head which, in aggregate, exceeds Rs. 50,000 paid otherwise than by a crossed bank cheque 11 or crossed bank draft (excluding expenditures not exceeding Rs. 10,000 or on account of freight charges, travel fare, postage, 319112 utilities or payment of taxes duties fees fines or any other statutory obligation) 319113 12 Salarybank accountexceeding Rs. 15,000 per month paid otherwise than by a crossed cheque or direct transfer of the funds to the employee's allowed 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 17 Accounting pre-commencement expenditure written off 319120 Deductions 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 2012 Bifurcation of Income/(Loss) from business attributable to F Sales/Receipts Etc. subject to Final Taxation Taxpayer Name NTN CNIC (for individual) Subject to Final Subject to Normal Total Particulars Code Code Taxation Taxation 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 2012 Breakup of Expenses (Separate form should be filled for each business) G Taxpayer Name NTN CNIC Tax Year 2012 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 Expenses 14 Stationery/ Office Supplies 3155 15 Advertisement/ Publicity/ Promotion 3157 16 Insurance 3159 Account 17 Professional Charges 3160 18 Profit on Debt (Markup/Interest) 3161 Loss & 19 Donations 3163 Profit 2021 BadObsoleteDebtsStocks/Stores/SparesWritten Off Written Off 3182131822 22 Selling expenses(Freight outwards etc.) 31080 23 Others 31090 24 Total [ Add 8 to 23] [Transfer to Sr. 11 of main Return] 3170 Signature _______________________ "

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 2012 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 14 Agriculture IncomeOther from 15 Foreign Remittance (along with proof) 16 Dividend income Sources 17 Profit on debtIncome 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) EXPENSES 24 Running and maintenance expenses of Motor vehicle(s) 25 Club membership fees/bills 26 Other personal and household expenses 27 Total personal expenses (Sum of 18 to 26) PESONAL 28 (Less) Contribution by family members 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 ACKNOWLEDGEMEN 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 "

"Part - II D WEALTH STATEMENT UNDER SECTION 116 WS 1/2 OF THE INCOME TAX ORDINANCE, 2001 N° Taxpayer's Name NTN CNIC Tax Year 2012 Address RTO/LTU Particulars/Description of assets and liabilities (Please read WS Notes for guidance) Code 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. Location and Identification 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. Location and Identification Code Amount (Rs.) 1 71121101 - 2 71121102 - 3 71121103 - 4 71121104 - 5 71121105 - 6 71121106 - 7 71121107 - 8 71121108 - 9 71121109 - 10 71121110 - 712111 - 4. AgriculturalHarvester, Thrasher,Property Driller(Tractor,& otherTrolley,AgriculturalLoader, Tubewell,EquipmentsTurbine,etc. &Sprinkler,Live Stock)Planter, Sr. Property Name 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, deposits and certificates of National Saving Schemes,mortgages, loans, advances, 712611 etc.) - Sr. Description of Investments Code Amount (Rs.) 1 71261101 - 2 71261102 - 3 71261103 - 4 71261104 - 5 71261105 - 6 71261106 - 7 71261107 - 8 71261108 - 9 71261109 - 10 71261110 - 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 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 and weight) 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 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 - 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, 8213 borrowings, amounts due under hire purchase agreement ) - Sr. Business Name 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 - Verification I, , holder of CNIC No. in my capacity as Self / Representative* of Taxpayer named above, do hereby solemnly declare that to the best of my knowledge and theb li assetsf h i andf liabilitiesi i of myself,i hi my spouse for spouses, minor children and of my personal expenditure for the year and other dependents as on ended are 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.) * As defined in section 172 of the Income Tax Ordinance, 2001 Date (dd/mm/yyyy): Signature

WEALTH RECONCILIATION STATEMENT WS 2/2 N° Taxpayer's Name NTN CNIC Tax Year 2012 Address RTO/LTU Particulars Code Amount (Rs.) 1 Net assets as on 30-06-2012 2 Net assets as on 30-06-2011 3 Increase/Decrease [1 - 2] - 4 Income - a) Income declared for the Tax Year - 2012 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: "