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Qanoon Digest

Draft amendments in the income tax return for the tax year 2011

____(I)/2011Return formsDraft

____(I)/2011 is an Income Tax SRO dated 16 April 2011, listed by FBR as "Draft amendments in the income tax return for the tax year 2011".

The text below was extracted automatically from the text layer of the official PDF, and any machine-read text layer FBR added to a scan can contain misread characters. 2 of 12 pages are scanned images with no text layer; those pages are marked and have not been transcribed. Check the official PDF before relying on any wording or figure.

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RETURN OF TOTAL INCOME/STATEMENT OF FINAL TAXATION IT-1 UNDER THE INCOME TAX ORDINANCE, 2001 (FOR COMPANY) N° 1 Taxpayer's Name NTN Reg/Inc No. 2 Bussiness Name Year Ending Date Tax Year 2011 3 Business Address City Res. Status Resident Non-Resident Registration 4 Principal Activity Code Revised N° 5 Representative NTN Name Assessed N° 6 NTN Top 10 Share Holders' Names % Capital NTN Top 10 Share Holders' Names % Capital Holding Holding Share Share Remaining Share Holders Total 100% Items Code Amount Liabilities Code Amount Tax) 87 Net SalesGross Domestic Sales 310113101 9495 CapitalPaid-up Capital 86998621 9 Domestic Commission/Brokerage 31021 96 Reserves 8641 10 Gross Exports 31012 97 Accumulated Profits 8661 11 Foreign Commission/Brokerage 31022 98 Surplus on Revaluation 8671 Final/Fixed 12 Rebates/Duty Drawbacks 3107 99 Long Term Liabilities 8799 13 Cost of Sales To be reconciled with Annex-D-1 3116 100 Long Term Loans 8701 14 Local Raw Material/ Components 310411 101 Deferred Liabilities 8711 15 Imported Raw Material/ Components 310421 102 Current Liabilities 8899 (Including 16 Salaries,Wages 311101 103 Trade & Other Payables 8801 17 Power 311102 104 Short Term Loans 8821 18 Fuel 311103 105 Other Liabilities 8901 Account 19 Stores/Spares 311106 106 Total Capital & Liabilities 8999 20 Insurance 311107 Assets Code Amount 21 Repair & Maintenance 311108 Sheet 107 Fixed Assets 8199 Trading 22 Other Expenses 311118 108 Land 8101 23 Accounting Amortization 3114 109 Building 8111 24 Accounting Depreciation 3115 Balance 110 Plant & Machinery 812101 25 Opening Stock 3117 111 Capital Work-in-Progress 8181 26 Finished Goods Purchases (Local) 310412 112 Motor Vehicles 8131 27 Finished Goods Purchases (Imports) 310422 113 Office Equipment 812109 Manufacturing/ 28 Closing Stock 3118 114 Furniture & Fixtures 812103 29 Gross Profit/ (Loss) To be reconciled with Annex-D-1 3119 115 Current Assets 8299 30 Gross Receipts 3139 116 Investments 8251 31 Markup/ Interest (for Financial Institutions) 31311 117 Cash & Cash Equivalents 8201 32 Leasing 31312 118 Stock in Trade/Stores/Spares 8221 33 Oil & Gas Exploration 31313 119 Trade Receivables 8231 34 Telecommunication 31314 120 Advances/Deposits/Prepayments/Other Receivables 8241 35 Insurance 31315 121 Intangible assets 8401 36 Accounting Gain on Disposal of Intangibles 3135 122 Other Assets 8402 37 Accounting Gain on Disposal of Assets 3136 123 Total Assets 8499 38 Other Revenues/ Fee/ Charges for Services etc. 3131 Source Code Receipts/ Value Rate Code Tax Due Tax) 4039 Management,Rent/ Rates/Administrative,Taxes Selling & Financial expenses 31893141 124125 Imports 6401364011 4%1% 6501365011 41 Salaries & Wages 3144 126 64012 2% 65012 42 Travelling/ Conveyance 3145 127 64015 65015 43 Electricity/ Water/ Gas 3148 128 Dividend Income for Banks only 64032 10% 65032 Final/Fixed 44 Communication Charges 3154 129 Tax on Capital gains on Disposal of Securities 45 Repairs & Maintenance 3153 a) Holding Period upto 6 months 64033 10% 65033 46 Stationery/ Office Supplies 3155 b) Holding period > 6 months & <= 12 months 64034 7.50% 65034 47 Advertisement/ Publicity/ Promotion 3157 c) Holding period is more than 1 year 64035 0% 65035 (Including 48 Insurance 3159 130 Insurance/Re-insurance (Non Resident) 315901 5% 315902 49 Professional Charges 3160 131 Media Services Payments received By Non-Res 316001 10% 316002 50 Profit on Debt (Markup/Interest) 3161 132 Gas consumption by CNG Station 64021 4% 65021 133 Distribution of cigaratte and pharmaceutical products 64143 1% 92143 Account 51 Donations 3163 115(4) Loss 5352 Directors'Workers ProfitFeesParticipation Fund 31773179 U/s 134135 Royalties/Fees 640511640512 15% 650511650512 & 54 Loss on Disposal of Intangibles 3185 136 Contracts (Non-Resident) 640521 6% 650521 55 Loss on Disposal of Assets 3186 137 Supply of Goods 640611 3.50% 650611 Profit 56 Accounting Amortization 3187 138 640612 1.50% 650612 Statement 139 640613 650613 57 Accounting Depreciation 3188 58 Bad Debts Provision 31811 Tax 140 Payment to Ginners for supply of cotton lint. 640614 1% 650614 59 Obsolete Stocks/Stores/Spares Provision 31812 141 Contracts (Resident) 640631 6% 650631 60 Diminution in Value of Investments Provision 31813 Final 142 640632 650632 61 Bad Debts Written Off 31821 143 Exports/ Indenting Commission/Export Services 64071 1% 65071 62 Obsolete Stocks/Stores/Spares Written Off 31822 144 64073 0.50% 65073 63 Selling expenses(Freight outwards etc.) 31080 145 64076 65076 64 Others 3170 146 Foreign Indenting Commission 64075 5% 65075 65 Net Profit/ (Loss) 3190 147 Property Income 64081 65081 66 Inadmissible Expenses (Including proportionate expenses relating to PTR) 3191 148 Prizes 64091 10% 65091 67 Tax Gain on disposal of Intangibles 319135 149 Winnings 64092 20% 65092 68 Tax Gain on disposal of Assests 319136 150 Petroleum Commission 64101 10% 65101 69 Other Inadmissible Expenses 319198 151 Brokerage/Commission 64121 10% 65121 70 Admissible Deductions 3192 152 Advertising Commission 64122 5% 65122 71 Tax Amortization 319287 153 Goods Transport Vehicles 64141 65141 72 Tax Depreciation 319288 Total 6599 73 Other Admissible Deductions 319298 Source Code Receipts/Value Rate Code Tax Due Adjustments 74 Income/(Loss) relating to Final and Fixed tax 3199 Tax 154 Property Income not subject to WHT 210101 920235 75 Loss for the year surrendered to Holding Company 3901 155 Purchase of Locally Produced Edible Oil 310431 1% 920208 156 Services rendered / contracts executed outside Pakistan 210102 1% 920236 76 Loss acquired from Subsidiary Company and Adjusted 3902 Fixed 77 Brought Forward Loss Adjusted/(Loss for the year Carry Forward) 3990 Total 9202 78 Total Income/ (Loss) 9099 157 Total of Final & Fixed Tax 94592 79 Business Income/(Loss) 3999 158 Tax Paid/ Deducted 94591 80 Capital Gains 4999 159 Tax Payable/ Refundable to be transferred to Net Tax Payable 6699 81 Share from AOP [Income/(Loss)] 312021 160 Gross Tax @ 9201 82 Other Sources Income/ (Loss) 5999 161 Tax Reductions, Credits & Averaging 9249 Computation 83 Foreign Income/ (Loss) 6399 162 Business Turnover 310101 84 Deductible Allowances 9139 163 Minimum Tax Chargeable [a+b+c+d+e]; a) U/s 113 b) U/s 148(8) 920201 85 Zakat 9121 c) U/s 153(1)(b) d) U/s 233A(2) Computation 164 Minimum Tax Exemptions/ Reductions 9217 Income 86 Workers Welfare Fund 9122 87 Charitable Donations Admissible for Straight Deduction 9124 Tax 165 Adjustment of Minimum Tax 9497 88 Taxable Income/ (Loss) 9199 166 Final Tax on Business Turnover 6598 Taxable 89 Exempt Income 6199 167 Net Minimum Tax Payable 9203 / 90 Property Income 6102 168 15% Surcharge on Payable Income Tax 9204 91 Business Income 6103 169 Net Tax 9299 Total 92 Capital Gains 6104 170 Tax Already Paid Including Adjustments 9499 93 Other Sources Income/ (Loss) 6105 Payment/ Refund 171172 NetTax TaxPaidPayableas per CPR No. 999919471 I, holder of CNIC 173 Net Tax Refundable; may be credited to my bank account as under: 9999 in my capacity as Principal Officer / Trustee / Representative (as defined in section 172 of the Income Tax 174 Bank Ordinance, 2001) of the Taxpayer named above, do solemnly declare that to the best of my knowledge and belief 175 City the information given in this Return/Statement u/s 115(4) is correct, complete and in accordance with the provisions of Bank 176 Branch Name & Code the Income Tax Ordinance, 2001, Income Tax Rules, 2002 and the Companies Ordinance 1984. 177 A/C Number 178 WWF Paid with Return as per CPR No. 9308 Date (dd/mm/yyyy) Signature

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Annex A-1 2011 Depreciation, Initial Allowance and Amortization (Purchased Assets) A-1 NTN Reg./Inc. No. Value (Rs) forward Down Remarks carried Amount Written (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% 30% 30% 100% 50% 20% 15% 15% Extent on any (Rs) (Rs) if Allowance Amount Annual Amount additions, Initial Rate 50% 0% 50% 50% 0% 50% 50% 50% 50% 90% 50% 0% 0% 50% 0% 0% (Rs) Cost (Rs) Total Amount Original Amount ns) ((Rs) (Deletion Amount (Rs) Life Year(s) Additions Amount Useful forward Down (Rs) on Value (Date)Brought Written Amount Acquired dd/mm/yyyy 8105 8107 8141 Code 8102 810303 810301 81042 81041 81043 810304 810302 810308 810309 81044 810306 810312 810307 810310 810311 Code tax in a hire the has in previously of monitor which used concerns items period books for another otherwise hire to a production that Pakistan used asset oil Allowance in for printer, for (not under the Assets allied including and fittings been engines plying relation of acquired. products year in is providing have mineral and equipment IT equipment plant plying not allowed cost 1st aero installations including of types) professional benefit Total of machinery that asset Total Intangibles or previously and or hardware and and for and concerns platforms or been entire the Particulars/Description Particulars/Description (all including machinery Depreciable monitor oil hardware items, or has the ground vehicles vehicles used plant for which expenditure crafts allied shore plant in Pakistan Building Furniture Machinery specified) Motor Motor Ships Technical Computer printer, Machinery manufacture Machinery Qualifying Air Below mineral Computer and in Off installations Any been Any deduction section year Intangibles Any advantage Others No. 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14 15 16 No. 1. 2. 3. S. S. Signature

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Annex B-1 2011 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 amortization including unabsorbed depreciation and amortizaton 261311 (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)(f) BalanceBalance businessbusiness IncomeIncome afterafter adjsutmentadjsutment transferredtransferred toto ReturnReturn ofof TotalTotal IncomeIncome [3(a)[3(a) 261317261317 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) 2001-02 3900 (b) 2002-03 3900 (c) 2003 3900 (d) 2004 3900 (e) 2005 3900 (f) 2006 3900 (g) 2007 3900 (h) 2008 3900 (i) 2009 3900 (j) 2010 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) 2009 3904 (b) 2010 3904 (c) Current year 3904 Total 262714 Signature

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Annex C-1 2011 Tax Already Paid Including Adjustments C-1 NTN Reg/Inc No. Particulars Code Amount of Tax paid (Rs.) Advance Tax 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 Tax Collected/Deducted at Source Amount of Tax (Other than tax collected/deducted on receipts/value of goods subject to final taxation) deducted (Rs.) 6. On import of goods Evidence of payment attached 94019 7. On dividend Income 94039 8. On commission paid to members of stock exchange Evidence of payment attached 94059 9. On profit on debt Evidence of payment attached 94049 Certificate/Account No. etc. Bank Branch Share% 94049 94049 94049 10. On Government securities Evidence of payment attached 94043 11. On payments received by non-resident Evidence of payment attached 940539 12. On Import of CBU motor vehicle by manufacturers Evidence of payment attached 94018 13. On payments for goods Evidence of payment attached 940619 14. On payments for services Evidence of payment attached 940629 15. On payments for execution of contracts Evidence of payment attached 940630 1616. OnO cashh withdrawalithd l fromf bankb k u/s/ 231A231A EEvidenceid off payment attachedh d 9411994119 Certificate/Account No. etc. Bank Branch Share% 94119 94119 94119 17 Advance Tax u/s 231AA on Transactions in Bank Evidence of payment attached 94120 18 Advance Tax u/s 236B on Purchase of Tickets for Domestic Air Travel Evidence of payment attached 94121 19 On trading of shares at a Stock Exchange Evidence of payment attached 94138 20 On financing of carry over trade Evidence of payment attached 94139 21 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 22 On Sale by Auction u/s 236A 94180 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 With bill for electricity consumption Evidence of payment attached 94159 Consumer No. Subscriber's CNIC Subscriber's Name Share% 94159 94159 94159 25 With telephone bills, mobile phone and pre-paid cards Evidence of payment attached 94169 Number Subscriber's CNIC Subscriber's Name Share% 94169 94169 9416994169 26 Others 27 Sub-Total [Add 6 to 26] 94599 Adjustment of Prior Year(s) Refunds Determined by Department 28 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 28(a) to 28(c)] Evidence of refund due attached 9498 Total Tax Already Paid Including Adjustments 29 Transfer to the Return of Income [Add 5 plus 27 plus 28(d)] 9499 Workers Welfare Fund Already Paid 30 CPR No. Evidence of payment attached 9495 Signature

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(3) - (2) D-1 Profit/Loss =2011 (4) Signature Gross Year Sales of (3) NTN Tax RTO/LTU Cost (2) Sales Business Multipe D-1 of case in ActivityAnnex (IT-1) Sales of Business Return & (1) Main Name the Breakup of 29 & Business Sr-13 to use it official iti for Name Acitivity Name Acitivity Name AAcitivity Name Acitivity Name Acitivity transferred are be No. Name i fields Name (to Business Business Business Business Business BusinessB Business Business Business Business Sr. 1 2 3 4 5 Total Reg./Inc. Taxpayer Business blank Grey : SALES OF EAKUPBRE WISE BUSINESS Note

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RETURN OF TOTAL INCOME/STATEMENT OF FINAL TAXATION IT-2 (Page 1 of 2) UNDER THE INCOME TAX ORDINANCE, 2001 (FOR INDIVIDUAL / AOP) N° CNIC (for Individual) NTN Taxpayer's Name Gender Male Female Business Name Year Ending Business Address Tax Year 2011 Res. Address Person IND AOP E-Mail Address Phone Res. Status Non-Res. Resident Principal Activity Code Birth Date Registration Employer NTN Name Filing Section Representative NTN Name RTO/LTU Authorized Rep. NTN Name Authorized Rep. applicable NTN Proprietor/Member/Partners' Name % in Capital Capital Amount Ownership Others Total 100% Items Code Total Loss Tax) Net Sales (excluding Sales Tax/ Federal Excise Duty & Net of Commission/ Brokerage) & 1 (To be reconciled with Annex-C) 3103 2 Cost of Sales [3 + 4 + 5 - 6] (To be reconciled with Annex-C) 3116Profit 3 Opening Stock 3117 Final/Fixed 4 Net Purchases (excluding Sales Tax/ Federal Excise Duty & Net of Commission/ Brokerage) 3106Trading, 5 Manufacturing/ Trading Expenses 3111 6 Closing Stock 3118 includinguring/ (( 77 GrossGross Profit/Profit/ (Loss)(Loss) [1-2][1-2] (To(To bebe reconciledreconciled withwith Annex-C)Annex-C) 31193119 8 Other Revenues/ Fee/ Charges for Professional and Other Services/ Commission 3131 9 Profit & Loss Expenses 3189Manufactu Account 10 Net Profit/ (Loss) [(7 + 8) - 9] 3190 11 Inadmissible Deductions (including Accounting Depreciation) 3191 12 Admissible Deductions (excluding tax depreciation/ including proportionate FTR income 3192 13 Unadjusted Loss from business for previous year(s) [Transfer from Sr. 27 of Annex-A] 3902 Adjustments 14 Un-absorbed Tax Depreciation for previous/ current year(s) (Annex-A) 3988 15 Total Income [Sum of 16 to 21] 9099 16 Salary Income including Arrears Excluding Bonus 1999 17 Bonus 19991 18 Business Income/ (Loss) [ (10 + 11) - 12 - 13 - 14 ] 3999 19 Share from AOP [Income/(Loss)] 312021 20 Capital Gains/(Loss) 4999 21 Other Sources Income/ (Loss) 5999 22 Foreign Income/ (Loss) 6399 Computation 23 Deductible Allowances [24 + 25 + 26] 9139 24 Zakat 9121 Income 25 Workers Welfare Fund 9122 26 Charitable donations admissible as straight deduction 9124 27 Exempt Income/ (Loss) [Sum of 28 to 32] 6199 Taxable 28 Salary Income 6101 / 29 Property Income/ (Loss) 6102 30 Business Income/ (Loss) 6103 Total 31 Capital Gains/(Loss) 6104 32 Other Sources Income/ (Loss) 6105 33 Agriculture Income 6106 34 Taxable Income/ (Loss) [15 - 23] 9199 35 Tax chargeable on Taxable Income @ 9201 36 Tax Reductions/Credits/Averaging (including rebate on Bahbood Certificates, etc.) 9249 37 Minimum Tax Chargeable [a+b+c+d+e]; a) U/s 113 b) U/s 148(8) 9303 c) U/s 153(1)(b) d) U/s 233A(2) e) U/s 235(4) 38 Total Tax Chargeable (if 35 > 36 then 35-36+37 + 84 else 37 + 84) 9299 Computation 39 15% Surcharge on Payable Income Tax 9304 Tax 40 Total Exemption u/s 126F of 2nd Schedule to Income Tax Ordinance, 2001 9399 41 Total Tax Payments (Transfer from Sr. 26 of Annex-B) 9499 42 Tax Payable/ Refundable [38 + 39 - 40 - 41 + WWF Payable from Sr. 27 of Annex-B] 9999 43 Refund Adjustments (not exceeding current year's tax payable) 9998 Net Tax Refundable, may be credited to my bank account as under: Refund A/C No. Bank Branch Name & Code Signature

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RETURN OF TOTAL INCOME/STATEMENT OF FINAL TAXATION IT-2 (Page 2 of 2) UNDER THE INCOME TAX ORDINANCE, 2001 (FOR INDIVIDUAL / AOP) N° CNIC (for Individual) NTN Taxpayer's Name Tax Year 2011 Business Name RTO/LTU Rate Source Code Receipts/Value (%) Code Tax Chargeable 44 Imports 64013 4 92013 45 64011 2 92011 46 64012 1 92012 47 64015 92015 48 Dividend 64032 10 92032 49 64033 7.5 92033 50 Profit on Debt 64041 10 92041 51 Royalties/Fees (Non-Resident) 640511 15 920511 52 640512 920512 53 Contracts (Non-Resident) 640521 6 920521 54 Insurance Premium (Non-Resident) 640524 5 920524 55 Advertisement Services (Non-Resident) 640525 10 920525 56 Supply of Goods 640611 3.5 920611 640612 1.5 920612 Tax 57 58 640613 920613 59 Payments to Ginners 640614 1 920614 Final 60 Transport Services rendered 640622 2 920622 6161 640623640623 920623920623 62 Contracts (Resident) 640631 6 920631 63 Exports/related Commission/Service 640641 0.5 920641 64 64072 1 92072 65 Foreign Indenting Commission 64075 5 92075 66 Property Income subject to WHT 64081 92081 67 Prizes 64091 10 92091 68 Winnings 64092 20 92092 69 Petroleum Commission 64101 10 92101 70 Brokerage/Commission 64121 10 92121 71 Advertising Commission 64122 5 92122 72 Goods Transport Vehicles 92141 73 Gas consumption by CNG Station 64142 4 92142 74 Distribution of cigaratte and pharmaceutical products 64143 1 92143 75 Retail Turnover upto 5 million 310102 0.5 920202 76 Retail Turnover above 5 million 310103 920203 77 Property Income not subject to WHT 210101 920235 Tax on Capital gains on Disposal of Securities 78 a) Holding Period upto 6 months 610401 10 961041 Tax 79 b) Holding period > 6 months & <= 12 months 610402 7.50 961042 80 c) Holding period is more than 1 year 610403 0 961043 Fixed 81 Purchase of locally produced edible oil 310431 2 920208 82 Flying Allowance 112001 2.5 920234 Services rendered / contracts executed 83 63311 1 920236 outside Pakistan 84 Employment Termination Benefits 118301 920211 85 Final/Fixed Tax Chargeable (44 to 85) 9202 I,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 Verification 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). Acknowledgement Signatures & Stamp Date : Signatures of Receiving Officer with Date Note-1 : Grey blank fields are for official use

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- - - - - - - - - - - - - - - - - (CF) Year 2010 2010 2011 2011 WDV Tax upto upto - - - - - - - - - - - - - - - - - - - Amount Depreciation Amortization Amortization (%) (%) Code 3987 3987 3988 3988Extent Extent for (%) (%) g 10% 15% 30% 15% 15% 100% 20% 30% 15% 15% 15% 30% 30% 50% 15% 15% 20% Rate Rate year(s) long Income g against fixed current available year - - - - - - - - - - - - - - - - - of Total for expenditure Income year providingp / previous adjusted . . Return) for assets current Allowance Total allowance against current year of Main fixed for for p Initial of of intangibles expenditure of / current adjusted Income 14 amount Sr. Description for year Income TotalRate (%) 50% 50% 50% 0% 50% 50% 50% 50% 0% 50% 50% 50% 90% 0% 0% 0% to the g advantage/benefit year(s) allowance Total intangibles current depreciation/initial - - Amortization term of for tax against Cost previous year exceeding (transfer long against for Income adjusted (Not Deletions Original advantage/benefit Original Expenditure current Unabsorbed providing adjusted Amortization term Total Unabsorbed assets for Depreciation/initial year Total adjustment) - Year Life(Years) 2005 2006 2007 2008 2009 2010 Additions Tax Useful - - Date (BF) WDV Acquisition Amount Code 3202 320301 320302 320303 320304 320306 320307 32041 32042 32043 32044 320309 320312 320310 320311 Code in available produ320308 3205 3207 Code 3206 Code 3902 3902 3902 3902 3902 3902 for IT items, is entire j adjusted adjusted adjusted adjusted adjusted Income the asset adjusted of year allied previously deductiona and 1st concerns year year year year Return) oil for y year year year year used which for the year year year year Business specified) items) concerns manufacture which to monitor of Main oil section advantage/benefit been in in allied of Pakistan previousp previous previous previous previous previous hire) mineral current current current current current current in has 13 books term year printer, of used Qualifying for for for for for for for relation hire) for for for for for for amount mineral another Sr. in that tax for Description Description long Description Description otherwise of loss loss loss loss loss loss to the expenditure (not (including fittings) plying the engines previously including under income income income income income income in plant professional installations equipment (not (plying aero equipment used providing machinery machinery (transfer types) Business Business Business Business Business and asset exceeding or or installations allowed and hardware (including and and hardware been (all Business Business Business Business Business Business the ground and vehicles vehicles (Not j of plant plant been commencement Business have shore crafts Building Machinery Computer Furniture Technical Below Off Machinery Motor Motor Ships Air Machinery Allowance Computer that Any Pakistan Any has cost acquired. Total Intangibles Expenditure Total Pre Unadjusted against Unadjusted against Unadjusted against Unadjusted against Unadjusted against Unadjusted against Total adjustment) 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 Assets Depreciable Intangibles ntsAdjustmen Forward Brought 2011 Year Tax No. Reg/Inc/CNIC NTN Annex-A Amortization and Allowance Initial Depreciation,

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Annex-B 2011 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 On withdrawal from pension fund 94028 3 From salary u/s 149 94029 4 On dividend Income (other than tax deduction treated as final tax) 94039 5 On Government securities 94043 6 On profit on debt (other than tax deduction treated as final tax) 94049 Certificate/Account No. etc. Bank Branch Share% 7 On payments received by non-resident (other than tax deduction treated as final tax) 940539 8 On payments for goods (other than tax deduction treated as final tax) 940619only) 9 On payments for services (other than tax deduction treated as final tax) 940629 Tax 10 On payments for execution of contracts (other than tax deduction treated as final tax) 940639 11 On cash withdrawal from bank u/s 231A 94119 Certificate/Account No. etc. Bank Branch Share% (Adjustable 12 Advance Tax u/s 231AA on Transactions in Bank 94120 13 Advance Tax u/s 236B on Purchase of Tickets for Domestic Air Travel 94121urce 14 On sale/purchase of shares through a Member of Stock Exchange 94131Sou 15 On trading of shares through a Member of Stock Exchange 94138at 16 On financing of carry over trade 94139 17 With motor vehicle token tax (Other than goods transport vehicles) 94149 Registration No. Engine / Seating Capacity Owner's Name Share% 18 With bill for electricity consumption 94159 Consumer No. Subscriber's CNIC Subscriber's Name Share%Collected/Deducted Tax 19 With telephone bills, mobile phone and pre-paid cards 94169 Number Subscriber's CNIC Subscriber's Name Share% 20 With Motor Vehicle Registration Fee 94179 Registration No. Engine / Seating Capacity Owner's Name Manufacturer Particulars 21 On Sale by Auction u/s 236A 94180 22 Total Tax Deductions at source (Adjustable Tax) [Sum of 1 to 21] 94599 23 Total Tax Deductions at source (Final Tax) 94591 24 Advance Tax U/S 147(1) [ a + b + c + d] 9461 s a.a. FirstFirst installmentinstallment CPRCPR No.No. b. Second installment CPR No. c. Third installment CPR No. d. Fourth installment CPR No.Payments 25 Admitted Tax U/S 137(1) Liability Paid (sum of a & b) 9471 Tax a. U/S 137 (1) CPR No. b. U/S 137 (1) CPR No. 26 Total Tax Payments [22 + 23 + 24 + 25] (Transfer to Sr. 41 of Main Return) WWF Payable with Return (WWF payable will be 27 adjusted against the excess payments made during the 9308 current year) Note-1 : Grey blank fields are for official use

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(3) - C (2) Profit/Loss =2011 2011 (4) Signature Gross Year Sales of (3) NTN Tax RTO/LTU Cost Sales (2) Net Business Multiple C of case inAnnex Activity Sales of Business & (1) Return) Name Main Breakup of 7 & 2 Business 1, Sr. with use official for Name Acitivity Name Acitivity Name Acitivity Name Acitivity Name Acitivity reconciled be fields individual) Name are Name (to (for Business Business Business Business Business Business Business Business Business Business blank 1 2 3 4 5 Sr. Total CNIC Taxpayer Business Grey : SALES OF BREAKUP WISE BUSINESS Note

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