Draft Income Tax Return for Individual for Tax year 2017.

Instructions for Filling in Return Form & Wealth Statement Form Sr. Instruction The following persons are required to furnish a return of income for a tax year: (a) Every company; (b) Every person (other than a company) whose taxable income for the year exceeds PKR 400,000; (c) Every non-profit organization as defined in clause (36) of section 2; (d) Every welfare institution approved under clause (58) of Part I of the Second Schedule; (e) Every person who has been charged to tax in respect of any of the two preceding tax years; (f) Every person who claims a loss carried forward under this Ordinance for a tax year; (g) Every person who owns immovable property with a land area of two hundred and fifty square yards or more or owns any flat located in areas falling within the municipal limits existing immediately before the commencement of Local Government laws in the provinces; or areas in a Cantonment; or the Islamabad Capital Territory; (h) Every person who owns immoveable property with a land area of five hundred square yards or more located in a rating area; (i) Every person who owns a flat having covered area of two thousand square feet or more located in a rating area; (j) Every person who owns a motor vehicle having engine capacity above 1000 CC; (k) Every person who has obtained National Tax Number; (l) Every person who is the holder of commercial or industrial connection of electricity where the amount of annual bill exceeds rupees five hundred thousand; (m) Every person who is registered with any chamber of commerce and industry or any trade or business association or any market committee or any professional body including Pakistan Engineering Council, Pakistan Medical and Dental Council, Pakistan Bar Council or any Provincial Bar Council, Institute of Chartered Accountants of Pakistan or Institute of Cost and Management Accountants of Pakistan; (n) Every individual whose income under the head Business exceeds PKR 300,000 but does not exceed PKR 400,000 in a tax year. The following errors / omissions shall render a Return invalid & make the taxpayer a non-filer & liable to penalty under section 182(1): (a) Return on which CNIC is missing or incorrect or invalid; General (b) Return on which mandatory fields marked by * are empty; (c) Return which is not signed by the Taxpayer or his Representative (as defined in section 172 of the Income Tax Ordinance, 2001); (d) Return which is not filed in the prescribed Form; (e) 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 / 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 / Option out of Presumptive Tax Regime are involved. Individuals, including members of AOPs or directors of Companies must file Wealth Statement. 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/public/txplogin.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 electronically file Return; 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. 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 downloaded from http://www.fbr.gov.pk. IT-1B 13 Only Foreign Income (Not Loss) should be declared. IT-2 27 IT-1B 34 Only Agriculture Income (Not Loss) should be declared. IT-2 58 IT-1B 26 Tax Credits include Tax Credits for the following: IT-2 41 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 Premium (only for Resident Individual deriving income from Salary / Business) u/s 62; Contribution to Approved Pension Fund (only for Pakistani Individual registered with FBR / NADRA deriving income from Salary / Business) u/s 63; Taxpayers wanting to opt out of Final Tax Regime (FTR) u/c (56B), (56C), (56D), (56E), (56F), (56G), Part IV, Second Schedule, must file Annex-E 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. Wealth Statement If rows provided in any segment are inadequate, additional rows may be inserted. Wealth Statement All assets must be delared at cost, including ancillary expenses. If an asset is acquired under a Hire Purchase Agreement, total price should be declared as asset under the appropriate head & balance Wealth Statement payable amount should be declared as liability. Wealth Statement If Wealth Statement is filed for the first time, separate Reconciliation Statement must be filed for each previous year. Equipment, Plant, Machinery (Non-Business) must be declared with description, for example, Generator, Tubewell, Harvestor, Tractor, Trolley, Wealth Statement 4 etc. Assets created,whether in Pakistan or abroad, in the name of spouse(s), children & other dependents should be declared only if acquired by Wealth Statement 14 them with funds provided by you (Benami Assets). A separate column for assets held outside Pakistan has been added wherein any/all assets held abroad are to be declared at cost in Pak Wealth Statement 16 Rupee Value

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 2017 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 2000 2 Gains / (Loss) from Capital Assets 4000 3 Income / (Loss) from Other Sources 5000 4 Foreign Income 6000 5 Share in untaxed Income from AOP 3131 6 Share in Taxed Income from AOP 3141 7 Total Income* 9000 Total Inadmissible Admissible 8 Deductible Allowances [9+10+11+12] 9009 9 Zakat u/s 60 9001 Allowances 10 Deductible Allowance for Profit on Debt u/s 64A 9007 11 Charitable Donations u/c 61, Part I, 2nd Schedule 9004 Deductible 12 Educational expenses u/s 64AB 9008 13 Taxable Income [7-8]* 9100 14 Tax Chargeable [Col.C 15-16-17-18+19] 9200 15 Normal Income Tax 920000 16 Tax Reduction for Senior Taxpayer 9303 17 Tax Reduction for Disabled Taxpayer 9304 18 Tax Credits 9329 19 Super Tax 920700 20 Tax Paid [Sr.21 Col. B+Sr.22 Col. B+Sr.28 Col. B+Sr.1 Col.B Annex-A] 21 Advance Income Tax 9202 Computations 22 Admitted Income Tax 9203 23 Refundable Income Tax [14-20 if <0] 9210 24 Demanded Income Tax [14-20 if >0] 9204 25 Refund Adjustment of Other Year(s) against Demand of this Year [=23] 92101 26 Agriculture Income 6100 27 Agriculture Income Tax 9291 Tax Collected/ Receipts / Value Deducted/Paid Tax Chargeable Final / Fixed / Minimum / Average / Relevant / Reduced Income Tax [Sum 28 of 29 to 57] 640001 29 Dividend u/s 150 @7.5% 64030052 30 Dividend u/s 150 @10% 64030053 31 Dividend u/s 150 @ 12.50% 64030054 32 Yield on Bahbood certificates/Pensioners benefit account 64030071 33 Profit on Debt u/s 7B 64310056 34 Income from property u/s 15(6) 64080052 35 Prize on Prize Bond u/s 156 64090051 36 Winnings from Crossword Puzzle u/s 156 64090052 37 Winnings from Raffle u/s 156 64090053 38 Winnings from Lottery u/s 156 64090054 Regime 39 Winnings from Quiz u/s 156 64090055 Rate 40 Winnings from Sale Promotion u/s 156 64090056 41 Issuance of Bonus Shares by Companies quoted on Stock Exchange u/s 236M 64151351 42 Issuance of Bonus Shares by Companies not quoted on Stock Exchange u/s 236N 64151451 Reduced 43 Dividend in specie u/s 236S @ 7.5% 64151802 / 44 Dividend in specie u/s 236S @ 10% 64151803 45 Dividend in specie u/s 236S @ 12.5% 64151804 Relevant 46 Advance tax on registering or attesting transfer of immovable property u/s 236W 64151951 / 47 Capital Gains on Immovable Property u/s 37(1A) @0% 64220051 48 Capital Gains on Immovable Property u/s 37(1A) @2.5% 64220052 Average / 49 Capital Gains on Immovable Property u/s 37(1A) @5% 64220053 Capital Gains on Immovable Property u/s 37(1A) @7.5% 50 64220054 Fixed Capital Gains on Immovable Property u/s 37(1A) @10% 51 64220055 / Final 5253 CapitalCapital GainsGains onon ImmovableSecurities u/sProperty37A @u/s0%37(1A) @3.75% 6422005764220151 54 Capital Gains on Securities u/s 37A @ 5% 64220153 55 Capital Gains on Securities u/s 37A @ 7.5% 64220157 56 Capital Gains on Securities u/s 37A @ 12.5% 64220155 57 Capital Gains on Securities u/s 37A @ 15% 64220156 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 Ordinance, 2001 & Income Tax Rules, 2002. Date: Verification Signature:

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 2017 CNIC* NTN* Address* Amount Exempt Amount Total from Tax / Subject Subject to Normal Sr. Description Code Amount to Fixed / Final Tax Tax 1 Income/(loss) from property (2+3+4-5) 2000 A B C 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 Total deductions from property 2099 6 Income from Business 3000 7 Gains / (Loss) from Capital Assets (including securities) 4000 8 Income / (Loss) from Other Sources [Sum of 9 to 18] - [Sum of 19 to 21] 5000 9 Receipts from Other Sources 5029 10 Royalty 5002 11 Profit on Debt (Interest, Yield, etc) 5003 12 Ground Rent 5004 13 Rent from sub lease of Land or Building 5005 14 Rent from lease of Building with Plant and Machinery 5006 Sources 15 Bonus / Bonus Shares 5012 16 Annuity/pension 5007 Other Difference in value of immovable property determined u/s 68 and value recorded by the authority registering or attesting the transfer u/s 17 111(4) (c ) 5018 18 Other Receipts 5028 19 Deductions from Other Sources 5089 20 Accounting Depreciation 5064 21 Other Deductions 5088 22 Foreign Income 6000 23 Share in untaxed Income from AOP 3131 24 Share in Taxed Income from AOP 3141 25 Total Income* 9000 Total Inadmissible Admissible 26 Deductible Allowances [27+28+29+30+31] 9009 e 27 Zakat u/s 60 9001Deductibl 28 Workers Welfare Fund u/s 60A 9002 29 Charitable Donations u/c 61, Part I, 2nd Schedule 9004 30 Deductible Allowance for Profit on Debt u/s 64A 9007 31 Educational expenses u/s 64AB 9008 32 Taxable Income [25-26]* 9100 33 Tax Chargeable 9200 34 Normal Income Tax 920000

35 Tax Reduction for Senior Taxpayer 9303 36 Tax Reduction for Disabled Taxpayer 9304 37 Tax Credits 9329 38 Difference of Minimum Tax Chargeable u/s 148(8) / 153(3)(b) 923192 39 Adjustment of Minimum Tax Paid u/s 113 in earlier Year(s) [<= (34-35-36-37+38)] 923198 40 Difference of Minimum Tax Chargeable on Electricity Bill u/s 235 923193 41 Difference of Minimum Tax Chargeable u/s 113 923194 42 Turnover / Tax Chargeable u/s 113 @0.2% 923152 43 Turnover / Tax Chargeable u/s 113 @0.25% 923163 Computations 44 Turnover / Tax Chargeable u/s 113 @0.5% 923155 45 Turnover / Tax Chargeable u/s 113 @1% 923160 46 Super Tax @ 3% 920700 47 Tax Paid [ as per 48 + Annex'A' + Sr.56 Col.B] 48 Advance Income Tax 9202 49 Admitted Income Tax 9203 50 Refundable Income Tax [33-47 if <0] 9210 51 Demanded Income Tax [33-47 if >0] 9204 52 Refund Adjustment of Other Year(s) against Demand of this Year [= 50] 92101 53 WWF 920900 54 Agriculture Income 6100 55 Agriculture Income Tax 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) are 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) 2/2 FOR INDIVIDUAL DERIVING INCOME UNDER THE HEAD BUSINESS & ANY OTHER HEAD Name* Tax Year 2017 CNIC* NTN Receipts / Value / Tax Collected/ Sr. Description Code Number Deducted/Paid Tax Chargeable A B C Final / Fixed / Minimum / Average / Relevant / Reduced Income Tax [Sum of 61 56 to 121 640001 57 Import u/s 148 @1% 64010052 58 Import u/s 148 @2% 64010054 59 Import u/s 148 @3% 64010056 60 Import u/s 148 @4.5% 64010059 61 Import u/s 148 @5.5% 64010061 62 Import u/s 148 @6% 64010062 63 Import of Edible Oil u/s 148 @5.5% 64010161 64 Import of Packing Material u/s 148 @5.5% 64010181 65 Dividend u/s 150 @7.5% 64030052 66 Dividend u/s 150 @10% 64030053 67 Dividend u/s 150 @ 12.50% 64030054 68 Yield on Behbood Certificates / Pensioner''s Benefit Account 64030071 69 Dividend to a Non-Resident covered under ADDT u/s 150 / u/s 5 64030099 70 Profit on Debt u/s 7B 64310056 Royalty / Fee for Technical Services to a Non-Resident u/s 152(1) / Division IV, 71 Part I, 1st Schedule 64050051 Payment for Contracts for Construction, Assembly or Installation to a Non-Resident 72 u/s 152(1A)(a) / Division II, Part III, 1st Schedule 64050052 Payment for Services, Contracts to a Non-Resident u/s 152(1A)(b) / Division II, Part 73 III, 1st Schedule 64050053 Fee for Advertisement Services to a Non-Resident u/s 152(1A)(c) / Division II, Part 74 III, 1st Schedule 64050054 Insurance / Reinsurance Premium to a Non-Resident u/s 152(1AA) / Division II, 75 Part III, 1st Schedule 64050055 Fee for Advertisement Services to a Non-Resident u/s 152(1AAA) / Division II, Part 76 III, 1st Schedule 64050056 77 Profit on Debt u/s 152(2) / u/c (5A), Part II, 2nd Schedule 64050096 78 Royalty / Fee for Technical Services to a Non-Resident covered under ADDT 64050097 Payment for Goods, Services, Contracts, Rent, etc. to a Non-Resident covered 79 under ADDT 64050098 80 Payment for foreign produced commercials to a non-resident 64050100 81 Payment for Goods u/s 153(1)(a) @1% 64060052 82 Payment for Goods u/s 153(1)(a) @1.5% 64060053 83 Payment for goods u/s 153(1)(a) @ 3.5% 64060057 84 Payment for Goods u/s 153(1)(a) @4.5% 64060059 85 Payment for Services u/s 153(1)(b) @ 1% 64060152 86 Payment for services u/s 153(1)(b) @ 1.5% 64060153 87 Payment for Services u/s 153(1)(b) @ 2% 64060154 88 Payment for Services u/s 153(1)(b) @ 10% 64060170 89 Payment for services u/s 153(1)(b) @ 15% 64060180 90 Receipts from Contracts u/s 153(1)(c) @7.5% 64060265

91 Receipts from Contracts u/s 153(1)(c) @10% 64060270 92 Fee for Export related Services u/s 153(2) @1% 64060352 93 Export Proceeds u/s 154 @1% 64070054 94 Foreign Indenting Commission u/s 154(2) @5% 64070151Regime 95 Sale proceeds of goods to exporter u/s 154(3) 64070152 Rate 96 Sale proceeds of goods by industrial undertaking u/s 154(3A) 64070153 97 Contract payments to indirect exporter u/s 154(3B) 64070154 98 EXport Proceeds u/s 154(3C) 64070155Reduced/ 99 Income from Property u/s 15(6) 64080052 100 Prize on Prize Bond u/s 156 64090051 101 Winnings from Crossword Puzzle u/s 156 64090052Relevant / 102 Winnings from Raffle u/s 156 64090053 103 Winnings from Lottery u/s 156 64090054 104 Winnings from Quiz u/s 156 64090055Average / 105 Winnings from Sale Promotion u/s 156 64090056 106 Commission / Discount on petroleum products u/s 156A @ 12% 64090151Fixed / 107 Brokerage / Commission u/s 233 @8% 64120066 108 Brokerage / Commission u/s 233 @10% 64120070Final 109 Brokerage / Commission u/s 233 @12% 64120074 110 CNG Station Gas Bill u/s 234A 64130151 111 Electricity Bill of Commercial Consumer u/s 235 64140051 112 Electricity Bill of Industrial Consumer u/s 235 64140052 113 Lease of rights to collect tolls u/s 236A(3) 64150102 114 Issuance of Bonus Shares by Companies quoted on Stock Exchange u/s 236M 64151351 115 Rent of machinery & equipment u/s 236Q(2) 64151652 116 Dividend in specie u/s 236S @ 7.5% 64151802 117 Dividend in specie u/s 236S @ 10% 64151803 118 Dividend in specie u/s 236S @ 12.5% 64151804 Advance tax on registering or attesting transfer of immovable property 119 u/s 236W 64151951 120 Issuance of Bonus Shares by Companies not quoted on Stock Exchange u/s 236N 64151451 121 Payment for rent / right to use machinery / equipment u/s 236Q 64151651 122 Capital Gains on Immovable Property u/s 37(1A) @0% 64220051 123 Capital Gains on Immovable Property u/s 37(1A) @2.5% 64220052 124 Capital Gains on Immovable Property u/s 37(1A) @5% 64220053 125 Capital Gains on Immovable Property u/s 37(1A) @7.5% 64220054 126 Capital Gains on Immovable Property u/s 37(1A) @10% 64220055 127 Capital Gains on Immovable Property u/s 37(1A) @3.75% 64220057 128 Capital Gains on Securities u/s 37A @ 0% 64220151 129 Capital Gains on Securities u/s 37A @ 5% 64220153 130 Capital Gains on Securities u/s 37A @ 7.5% 64220157 131 Capital Gains on Securities u/s 37A @ 12.5% 64220155 132 Capital Gains on Securities u/s 37A @15% 64220156 133 Purchase of Locally Produced Edible Oil u/c (13C), Part II, 2nd Schedule @2% 64310053 134 Receipts from shipping business of a resident person u/s 7A 64310055 135 Profit on Debt u/s 7B 64310056 Fee for transport services outside Pakistan under clause(3),Part-II, 136 Second Schedule @ 1% 64310061 Fee for advertising services by electronic and print media outside 137 Pakistan under clause (3), Part-II, Second Schedule @ 0.75% 64310062 Fee for other services outside Pakistan under clause (3), Part-II, 138 Second Schedule @ 5% 64310063 Receipts for Contracts outside Pakistan u/c (3), Part II, 2nd Schedule 139 @3.75% 64310071 140 Tax on business income of builders u/s 7C 64310072 141 Tax on business income of developers u/s 7D 64310073

Fee for Carriage Services by Oil Tanker/Goods Transport Contractor u/c (43D) and 142 (43E), Part IV, 2nd Schedule @2.5% 64320051 143 Income of Hajj Group Operators u/c (72A), Part IV, 2nd Schedule @5000 64320052 Signature: Date:

Annex-A Adjustable Tax Collected / Deducted Name* Tax Year 2017 CNIC* NTN Tax Collected / Deducted Sr. Description Code Receipts / Value / Paid A B 1 Adjustable Tax [Sum of 2 to 62] 640000 2 Import u/s 148 @1% 64010002 3 Import u/s 148 @2% 64010004 4 Import u/s 148 @3% 64010006 5 Import u/s 148 @4.5% 64010009 6 Import u/s 148 @5.5% 64010011 7 Import u/s 148 @6% 64010012 12 Payment for Goods, Services, Contracts, Rent, etc. to a Non-Resident u/s 152(2) 64050007 13 Profit on Debt to a Non-Resident u/s 152(2) 64050008 14 Payment for Goods to a PE of a Non-Resident u/s 152(2A)(a) / Division II, Part III, 1st Schedule 64050009 Payment for Transport Services to a PE of a Non-Resident u/s 152(2A)(b) / Division II, Part III, 1st 15 Schedule 64050010 Payment for Other Services to a PE of a Non-Resident u/s 152(2A)(b) / Division II, Part III, 1st 16 Schedule 64050011 17 Payment for Contracts to a PE of a Non-Resident u/s 152(2A)(c) / Division II, Part III, 1st Schedule 64050012 18 Payment for Goods u/s 153(1)(a) @1% 64060002 19 Payment for Goods u/s 153(1)(a) @1.5% 64060003 20 Payment for Goods u/s 153(1)(a) @3% 64060006 21 Payment for Goods u/s 153(1)(a) @4.5% 64060009 22 Withdrawal from Pension Fund u/s 156B 64090201 23 Cash Withdrawal from Bank u/s 231A 64100101 24 Certain Banking Transactions u/s 231AA 64100201 25 Motor Vehicle Registration Fee u/s 231B(1) 64100301 26 Motor Vehicle Transfer Fee u/s 231B(2) 64100302 27 Motor Vehicle Sale u/s 231B(3) 64100303 28 Motor Vehicle Leasing u/s 231B(1A) @3% 64100304 29 Value of Shares traded through a member of a Stock exchange u/s 233A (1)(a) 64120101 30 Value of Shares traded through a member of a Stock exchange u/s 233A (1)(b) 64120102 31 Margin Financing, Margin Trading or Securities Lending u/s 233AA 64120201 32 Goods Transport Public Vehicle Tax u/s 234 64130001

33 Passenger Transport Public Vehicle Tax u/s 234 64130002 34 Private Vehicle Tax u/s 234 64130003 35 Electricity Bill of Domestic Consumer u/s 235A 64140101 36 Telephone Bill u/s 236(1)(a) 64150001 37 Cellphone Bill u/s 236(1)(a) 64150002 38 Prepaid Telephone Card u/s 236(1)(b) 64150003 39 Phone Unit u/s 236(1)(c) 64150004 40 Internet Bill u/s 236(1)(d) 64150005 41 Prepaid Internet Card u/s 236(1)(e) 64150006 42 Purchase by Auction u/s 236A 64150101 43 Domestic Air Ticket Charges u/s 236B 64150201 44 Sale / Transfer of Immovable Property u/s 236C 64150301 45 Functions / Gatherings Charges u/s 236D 64150401 46 Issuance of License to Cable Opeartors u/s 236F 64150601 47 Renewal of License to Cable Opeartors u/s 236F 64150602 Issuance of License to IPTV, FM Radio, MMDS, Mobile TV, Mobile Audio, Satellite TV Channel and 48 Landing Rights u/s 236F 64150603 Renewal of License to IPTV, FM Radio, MMDS, Mobile TV, Mobile Audio, Satellite TV Channel and 49 Landing Rights u/s 236F 64150604 50 Screening of Foreign TV drama serial or play (other than in english) u/s 236F 64150605 51 Purchase of other commodities by Distributors / Dealers / Wholesalers u/s 236G 64150701 52 Purchase of Fertilizer by Distributors / Dealers / Wholesalers u/s 236G 64150702 53 Purchase by Retailers u/s 236H 64150801 54 Educational Institution Fee u/s 236I 64150901 55 Issuance / Renewal of License to Dealers / Commission Agents / Arhatis u/s 236J 64151001 56 Purchase / Transfer of Immovable Property u/s 236K 64151101 57 Purchase of International Air Ticket u/s 236L 64151201 58 Banking transactions otherwise than through cash u/s 236P 64151501 59 Education related expenses remitted abroad u/s 236R 64151701 60 Advance tax on general insurance premium u/s 236U 64151902 61 Advance tax on life insurance premium u/s 236U 64151903 62 Advance tax on extraction of minerals u/s 236V 64151904 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 2017 CNIC* NTN Business Name* Total Amount Amount Sr. Description Code Amount Subject to Final Tax Subject to Normal A B C Net Revenue (excluding Sales Tax, Federal Excise, Brokerage, 1 Commission, Discount, Freight Outward) [2-3] 3029 2 Gross Revenue (excluding Sales Tax, Federal 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 [Sum of 19 to 22] 3129 19 Accounting Gain on Sale of Intangibles 3115 20 Accounting Gain on Sale of Assets 3116 21 Others 3128 22 Share in untaxed Income from AOP 3131 23 Share in Taxed Income from AOP 3141 Management, Administrative, Selling & Financial Expenses [Sum of 25 24 to 44] 3199 25 Rent 3151 26 Rates / Taxes / Cess 3152 27 Salaries / Wages / Perquisites / Benefits 3154 28 Traveling / Conveyance / Vehicles Running / Maintenance 3155 29 Electricity / Water / Gas 3158 30 Communication 3162 31 Repair / Maintenance 3165 32 Stationery / Printing / Photocopies / Office Supplies 3166 33 Advertisement / Publicity / Promotion 3168 Expenses 34 Insurance 3170 35 Professional Charges 3171 Indirect 36 Profit on Debt (Financial Charges / Markup / Interest) 3172 37 Brokerage / Commission 3178 38 Irrecoverable Debts written off 3186 39 Obsolete Stocks / Stores / Spares / Fixed Assets written off 3187 40 Other Indirect Expenses 3180 41 Accounting (Loss) on Sale of Intangibles 3195 42 Accounting (Loss) on Sale of Assets 3196 43 Accounting Amortization 3197 44 Accounting Depreciation 3198 45 Accounting Profit / (Loss) [17+18-24] 3200 Signature: Date:

Annex-B 2/2 Manufacturing / Trading / Profit & Loss Account ( including Revenues subject to Final / Fixed Tax) (Separate form should be filled for each business) 2017 Name* Tax Year CNIC* NTN* Total Amount Amount Sr. Description Code Amount Subject to Final Subject to Normal A B C Income / (Loss) from Business before adjustment of Admissible 46 Depreciation / Initial Allowance / Amortization for current / previous years 3270 47 Unadjusted (Loss) from Business for 2011 327011 48 Unadjusted (Loss) from Business for 2012 327012 49 Unadjusted (Loss) from Business for 2013 327013 50 Unadjusted (Loss) from Business for 2014 327014 51 Unadjusted (Loss) from Business for 2015 327015 52 Unadjusted (Loss) from Business for 2016 327016 Statement of Affairs / Balance Sheet 53 Total Assets [Sum of 54 to 59] 3349 54 Land 3301 55 Building (all types) 3302 Assets 56 Plant / Machinery / Equipment / Furniture (including fittings) 3303 57 Advances / Deposits / Prepayments/ Trade Debtors / Receivables 3312 58 Stocks / Stores / Spares 3315 59 Cash / Cash Equivalents 3319 60 Total Equity / Liabilities [Sum of 61 to 63] 3399 61 Capital 3352 Liabilities 62 Borrowings / Debt / Loan 3371 63 Advances / Deposits / Accrued Expenses/ Trade Creditors / Payables 3384 Signature: Date:

Annex-C Inadmissible / Admissible Deductions Name* Tax Year 2017 CNIC* NTN Sr. Description Code Amount 1 Inadmissible Deductions [Sum of 2 to 29] 3239 2 Add Backs u/s 29(2) Provision for Doubtful Debts 3201 3 Add Backs Provision for Obsolete Stocks / Stores / Spares / Fixed Assets 3202 4 Add Backs Provision for Diminution in Value of Investment 3203 5 Add Backs u/s 21(a) Cess / Rate / Tax levied on Profits / Gains 3205 6 Add Backs u/s 21(b) Amount of Tax Deducted at Source 3206 7 Add Backs u/s 21(c) Payments liable to deduction of tax at source but tax not deducted / paid 3207 8 Add Backs u/s 21(d) Entertainment Expenditure above prescribed limit 3208 9 Add Backs u/s 21(e) Contributions to Unrecognized / Unapproved Funds 3209 Add Backs u/s 21(f) Contributions to Funds not under effective arrangement for deduction of tax 10 at source 3210 11 Add Backs u/s 21(g) Fine / penalty for violation of any law / rule / regulation 3211 12 Add Backs u/s 21(h) Personal Expenditure 3212 Add Backs u/s 21(i) Provision for Reserves / Funds / Amount carried to Reserves / Funds or 13 Capitalized 3204 Add Backs u/s 21(j) Profit on Debt / Brokerage / Commission / Salary / Remuneration paid by an 14 AOP to its member 3213Deductions Add Backs u/s 21(l) Expenditure under a single account head exceeding prescribed amount not 15 paid through prescribed mode 3215 16 Add Backs u/s 21(m) Salary exceeding prescribed amount not paid through prescribed mode 3216Inadmissible 17 Add Backs u/s 21(n) Capital Expenditure 3217 18 Add Backs u/s 67(1) Expenditure attributable to Non-Business Income 3218 19 Add Backs u/s 34(5) Liabilities allowed Previously as deduction not Paid within three Years 3219 20 Add Backs u/s 28(1)(b) Lease Rental not admissible 3220

Add Backs u/s 21(o) Sales promotion, advertisement and publicity expenses of pharmaceutical 21 manufacturers exceeding prescribed limit 3224 22 Add Backs Tax Gain on Sale of Intangibles 3225 23 Add Backs Tax Gain on Sale of Assets 3226 24 Add Backs Pre-Commencement Expenditure / Deferred Cost 3230 25 Add Backs Accounting (Loss) on Sale of Intangibles 3235 26 Add Backs Accounting (Loss) on Sale of Assets 3236 27 Add Backs Accounting Amortization 3237 28 Add Backs Accounting Depreciation 3238 29 Other Inadmissible Deductions 3234 30 Admissible Deductions [Sum of 31 to 40] 3259 31 Accounting Gain on Sale of Intangibles 3245 32 Accounting Gain on Sale of Assets 3246 33 Tax Amortization for Current Year 3247 34 Tax Depreciation / Initial Allowance for Current Year 3248 Deductions 35 Pre-Commencement Expenditure / Deferred Cost 3250 36 Other Admissible Deductions 3254 Admissible 37 Tax (Loss) on Sale of Intangibles 3255 38 Tax (Loss) on Sale of Assets 3256 39 Unabsorbed Tax Amortization for Previous Years 3257 40 Unabsorbed Tax Depreciation for Previous Years 3258 Signature: Date:

Annex-D Depreciation, Initial Allowance, Amortization Name* Tax Year 2017 CNIC* Addition (Used NTN 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 3248 100% 100% Remaining Description Code WDV (BF) Useful Life Extent of Use Amortization A B C D 16 Intangible 3305 17 Intangible 3305 Amortization 18 Intangible 3305 Expenditure providing Long Term Advantage / 19 Benefit 330516 20 Tax Amortization for Current Year 3247 21 Pre-Commencement Expenditure 3306 Signature: Date:

Annex-E Name* Tax Year 2017 CNIC* NTN Tax Collectible / Attributable Tax on Minimum Tax Sr. Description Code Receipts / Value Deductible Taxable Income Attributable Chargeable A B C D E 1 Minimum Tax Chargeable [Col.E Sum of 2 to 6] 2 Import of Edible Oil u/s 148 @5.5% 64010161 3 Import of Packing Material u/s 148 @5.5% 64010181 Chargeable Tax 4 Payment for Services u/s 153(1)(b) @1% 64060152 5 Payment for Services u/s 153(1)(b) @2% 64060154 6 Payment for Services u/s 153(1)(b) @10% 64060170 Minimum 8 Payment for Services u/s 153(1)(b) @15% 64060180 Final Tax Attributable Tax on Difference Sr. Description Code Receipts / Value Chargeable Taxable Income Attributable (Option Valid if A B C D E 9 mport u/s 148 @1% 64010052 10 Import u/s 148 @2% 64010054 11 Import u/s 148 @3% 64010056 12 Import u/s 148 @4.5% 64010059 13 Import u/s 148 @6% 64010062 14 Payment for Goods u/s 153(1)(a) @1% 64060052 15 Payment for Goods u/s 153(1)(a) @1.5% 64060053 16 Payment for Goods u/s 153(1)(a) @3.5% 64060057 17 Payment for Goods u/s 153(1)(a) @4.5% 64060059 PTR 18 Receipts from Contracts u/s 153(1)(c) @7.5% 64060265 of out 19 Receipts from Contracts u/s 153(1)(c) @10% 64060270 Option 2021 FeeExportforProceedsExport relatedu/s 154(1)Services@1%u/s 153(2) @1% 6406035264070054 22 Foreign Indenting Commission u/s 154(2) 64070151 23 Sale Proceeds of goods to exporter u/s 154(3) 64070152 24 Sale Proceeds of of goods by industrial undertaking u/s 154(3A) 64070153 25 Contract Payments to indirect exporter u/s 154(3B) 64070154 26 Export Proceeds u/s 154(3C) 64070155 27 Commission / Discount on petroleum products u/s 156A @12% 64090151 28 Brokerage / Commission u/s 233 @8% 64120066 29 Brokerage / Commission u/s 233 @10% 64120070 30 Brokerage / Commission u/s 233 @12% 64120074 Signature: Date:

Annex-F Personal Expenses Name* Tax Year 2017 CNIC* NTN Sr. Description Code Amount 1 Personal Expenses [Sum of 2 to 16 minus 17] 7089 2 Rent 7051 3 Rates / Taxes / Charge / Cess 7052 4 Vehicle Running / Maintenence 7055 5 Travelling 7056 6 Electricity 7058 7 Water 7059 8 Gas 7060 9 Telephone 7061 10 Asset Insurance / Security 7066 Expenses 11 Medical 7070 12 Educational 7071 Personal 13 Club 7072 14 Functions / Gatherings 7073 15 Donation, Zakat, Annuity, Profit on Debt, Life Insurance Premium, etc. 7076 16 Other Personal / Household Expenses 7087 17 Contribution in Expenses by Family Members [Sum of 18 to 21] 7088 CNIC No. Name* 18 19 20 21 Signature: Date:

WEALTH STATEMENT UNDER SECTION 116 OF THE INCOME TAX ORDINANCE, 2001 1/4 Name* Tax Year 2017 CNIC* NTN Residence Address* Business Address* 1 Agricultural Property [Sum of 1 i to 1 x] 7001 Form Mauza / Village / Area (Irrigated / Unirrigated Chak No. Tehsil District (Acre) Share % Code Value at Cost i 7001 ii 7001 iii 7001 Property iv 7001 v 7001 Agricultural vi 7001 vii 7001 viii 7001 ix 7001 x 7001 2 Commercial, Industrial, Residential Property (Non-Business) [Sum of 2 i to 2 x] 7002 Form Unit No. / Complex Area / Locality / Area (House, Flat, Shop, / Street / Block / Road City (Marla / sq. yd.) Share % Code Value at Cost i 7002 Property ii 7002 iii 7002 Industrial iv 7002 v 7002 Commercial, vi 7002 vii 7002 viii 7002 Residential, ix 7002 x 7002 3 Business Capital 7003 Capital Enter name, share percentage & capital amount in each AOP Share % Code Value at Cost 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 Description Code Value at Cost i 7004 Equipment ii 7004 iii 7004 iv 7004 Signatures: Date:

WEALTH STATEMENT UNDER SECTION 116 OF THE INCOME TAX ORDINANCE, 2001 2/4 Name* Tax Year 2017 CNIC* NTN 5 Animal (Non-Business) [Sum of 5 i to 5 iv] 7005 Description Code Value at Cost Animal i Livestock 7005 ii Pet 7005 iii Unspecified 7005 iv Unspecified 7005 6 Investment (Non-Business) [Sum of 6 i to 6 xiii] 7006 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 Investment Term Deposit 7006 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 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 Form (Car,Jeep,Motor E&TD Registration No. Maker Capacity Code Value at Cost i 7008 Vehicle iiiii 70087008 iv 7008 Motor v 7008 vi 7008 vii 7008 viii 7008 Signatures: Date:

WEALTH STATEMENT UNDER SECTION 116 OF THE INCOME TAX ORDINANCE, 2001 3/4 Name* Tax Year 2017 CNIC* NTN 9 Precious Possession [Sum of 9 i to 9 iii] 7009 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 Effect Description Code Value at Cost i Unspecified 7010 ii Unspecified 7010 Household iii Unspecified 7010 iv Unspecified 7010 11 Personal Item [Sum of 11 i to 11 iv] * 7011 Item Description Code Value at Cost i Unspecified 7011 ii Unspecified 7011 Personal iii Unspecified 7011 iv Unspecified 7011 Cash 12 Cash (Non-business) [Sum of 12 i to 12 x] 7012 Notes & Coins 7012 13 Any Other Asset [Sum of 13 i to 13 iv] 7013 Asset Description Code Value at Cost Other i 7013 ii 7013 Any iii 7013 iv 7013 Name 14 Assets in Others' Name [Sum of 14 i to 14 iv] Description Code7014 Value at Cost0 i 7014 Others' in ii 7014 iii 7014 Assets iv 7014 15 Total Assets inside Pakistan [Sum of 1 to 14] 7015 16 *Assets held outside Pakistan [Sum of 16 (i) to 16 (iv)] 7016 Description Code Value at Cost Pakistan outside iii 70167016 iii 7016 Assets iv 7016 17 Total Assets [15+16] 7019 * Serial # 16 has been separated from Any Other Assets at Serial # 13 for clarity. Signatures: Date:

WEALTH STATEMENT UNDER SECTION 116 OF THE INCOME TAX ORDINANCE, 2001 4/4 Name* Tax Year 2017 CNIC* NTN 18 Credit (Non-Business) [Sum of 18 (i) to 18 (viii)] 7021 Form Creditor's NTN / CNIC Creditor's Name Code Value at Cost i Advance 7021 ii Borrowing 7021 iii Credit 7021 Loan iv Loan 7021 v Mortgage 7021 vi Overdraft 7021 vii Payable 7021 viii Others 7021 19 Total Liabilities 7029 20 Net Assets Current Year [17-19] 703001 21 Net Assets Previous Year 703002 22 Increase / Decrease in Assets [20-21] 703003 23 Inflows [Sum of 23 (i) to 23(x)] 7049 i Income declared as per Return for the year subject to normal tax 7031 ii Income declared as per Return for the year exempt from tax 7032 Assets iviii IncomeAdjustmentsAttributablein Incometo Receipts,Declared etc.as perDeclaredReturnasforpertheReturnyear for the year subject to Final / Fixed Tax 70337034 Net vi Foreign Remittance 7035 of vii Inheritance 7036 viii Gift 7037 ix Gain on Disposal of Assets, excluding Capital Gain on Immovable Property 7038 Reconciliation x Others 7048 24 Personal Expenses [Transfer from Sr.1 Annex-F] 7089 25 Outflows [Sum of 25 (i) to 25 (iii)] 7099 i Gift 7091 ii Loss on Disposal of Assets 7092 iii Others 7098 26 Unreconciled Amount [23-24-25] 703000 0 Assets 27 Assets Transferred / Sold / Gifted / Donated during the year [Sum of 27 (i) to 27 (ii)] 703004 0 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 Verification 30.06.2017 & of my personal expenditure for the year ended 30.06.2017 are correct & complete in accordance with the provisions of the Income Tax Ordinance, 2001, Income Tax Rules, 2002. Signatures: Date: