FORM OF RETURN OF INCOME UNDER THE INCOME TAX

ORDINANCE, 1984 (XXXVI OF 1984)

FOR INDIVIDUAL AND
)OTHER THAN

Be a Respectable Taxpayer
Submit return in due time
Avoid penalty

Put theSelf
tick (√) mark wherever applicable Universal Self
U/S: 91

1. Name of the Assessee: Suvra Paul

2. National ID No. (if any) : 7518760238798
3. UTIN (if any) : - -
4. TIN: 3 5 1 6 6 9 - 6 9 1 5

5. (a) Circle: 268 (b) Zone: 13

6. Assessment Year: 2019-2020 7.Residential Status:Resident Ö /Non-resident

8. Status: Individual Ö Firm Association of persons Hindu Undivided Family

9. Name of the employer/Business (where applicable): Gumti Textiles Limited

10. Wife/Husband's Name (if an assessee, please mention): 0
11. Father's Name: Khokan Chandra Paul
12. Mother’s Name: Konika Paul
13. Date of Birth (in case of individual) 3 1 1 2 1 9 8 8
Day Month Year

14. Address (a) Present: C/O: Sukhnir, 66/5-A, Mahila Madrasha Road
Kuril Chowrasta
Dhaka
(b) Permanent: VILL:Fathepur P.O : Maijdee Bazar,
P.S- Sudaram , Zilla: Noakhali

15. Telephone: Office/Business 8419874-5 Residential:

16. VAT Registration Number (if any): N/A

1
 Statement of income of the Assessee
Statement of income (From 01.10.2019 to 30.06.2020)
R INDIVIDUAL ANDno.
Serial OTHER TAXPAYERS Particulars of income Amount in taka
)OTHER THAN COMPANY(
1 Salaries: u/s 21(as per schedule 1) 317,285
2 Interest on Securities: u/s 22 -
3 Income from house property: u/s 24 (as per schedule 2)
4 Agricultural income: u/s 26
5 Income from business or profession: u/s 28
rsal Self 6 Share of profit in a firm: Self
7 Income of the spouse or minor child as applicable: u/s 43(4)
8 Capital Gains: u/s 31
9 Income from other source: u/s 33 70.00
10 Total (Serial 1-9) 317,355
11 Foreign Income -
12 Total income (Serial 10 and 11) 317,355
13 Tax leviable on total income 2 9 (17,397)
14 Tax rebate u/s 44(2)(b) (as per schedule-3) 1,080
15 Tax payable (difference between serial 13 and 14) (18,477)

16 Tax payments:
(a) Tax deducted /collected at source
(please attach supporting documents/statement) Tk. 24,685
(b) Advance tax u/s 64/68 (Please attach challan) Tk.

(c) Tax paid on the basis of this return (u/s 74) (43,162)
Tk.
(d) Adjustment of Tax Refund (if any) Tk. -
Total of (a) (b), (c) and (d) Tk. (18,477)
17 Difference between serial no. 15 and 16 (Refundable) -
18 Tax exempted and Tax free income Tk. 355,033
19 Income tax paid in the last assessment year Tk. 21,758
*If needed, please use separate sheet.

Verification
I, MD. IQBAL HOSSAIN father : MD. MOFIZUL ISLAM , UTIN/TIN: 582542487418
solemnly declare that to the best of my knowledge and belief the information given in this return
and statements and documents annexed herewith is correct and complete.

Place: Dhaka Signature

30-Dec-99 Suvra Paul

2
 SCHEDULES SHOWING DETAILS OF INCOME
Name of the Assessee : IT-11GA
Suvra Paul TIN : 5 8 2 5 4 2 4 8 7 4 1 8
Schedule-1 (Salaries)

Photograph of Amount of
Amount of
Pay & Allowance
the Assessee exempted
income (Tk.)
income (Tk.)
to be attested on(
Basic Pay )the photograph 135,000 -
Special Pay - -
Dearness allowance - -
Conveyance Allowance 30,945 30,000
House rent allowance 274,088 274,088
Medical allowance 50,945 50,945
Servant allowance - -
Leave allowance - -
Honorarium/Reward/Fee - -
Overtime allowance - -
Bonus/Ex-gratia 156,584 -
Employer's Contribution to Recognized Provident Fund 24,756 -

Interest accrued on Recognized Provident Fund - -

Deemed income for transport facility - -
Deemed income for free furnished/unfurnished accommodation - -
Others if any (give detail) : - -

Incentive Bonus - -
Net taxable income from Salary 672,318 355,033

Schedule-2 (House Property income)

Location and description of
property
Particulars Taka

-
1. Annual rental income
2. Claimed Expenses:
Land Revenue
Insurance Premium
Interest on loan/ Mortgage/Capital charge
Municipal or local tax
Repair, Collection, etc.
Vacancy allowance
Other if any
Total =
3. Net income (difference between 1 and 2)

3
LES SHOWING DETAILS OF INCOME
5 8 2 5 4 2 4 8 7 4 1 8
Schedule-1 (Salaries)

Net taxable
income (Tk.)

135,000
-
-
945
-
-
-
-
-
-
156,584
24,756

-
-
-
-

-
317,285

chedule-2 (House Property income)

Taka

4
 PART - III
Schedule-3 (investment tax credit)
(Section 44(2)(b) read with part 'B' of Sixth Schedule)
1. Life insurance premium Tk. 7,200
2. Contribution to deferred annuity Tk. -
3. Contribution to Provident Fund to which Provident Fund -
Act, 1925 applies Tk. -
4. Self contribution & employer's contribution to -
Recognized Provident Fund Tk. -
5. Contribution to approved Superannuation Fund Tk. -
6. Investment in approved debenture or debenture stock, -
Stock or shares Tk. -
7. Contribution to deposit pension scheme Tk. -
8. Contribution to Benevolent Fund and group insurance premium Tk. -
9. Contribution to Zakat Fund Tk.
10. Others, if any Sanchaypatra Tk. -
Total Tk. 7,200

Please attach the certificates/documents of investment.

List of documents furnished

1. Salary Certificate 6.

2. Challan of Tax deducted at source 7.

3. Proof of Investment 8.

Bank Statement.
4. 9.

5. 10.

5
 IT-10B
Statement of Assets and Liabilities (as on 30.06.2019)
Name of the Assessee : MD. IQBAL HOSSAIN TIN: 5825424 87418
1. (a) Business Capital (Closing balance) Tk. -
(b) Directors Shareholdings in Limited Companies(at cost) Tk. -
Name of Companies Number of Shares

2. Agricultural Property (at cost with legal expenses):

(a) Land property (at cost including legal charges)

Tk.

3. Non -Agricultural Property (at cost with legal expenses):

3 Katha land at Uttar Khan, Dhaka (As Before) unused land Tk. 538,265

4. Investments:
(a) Shares/Debentures (As Before + new) Tk.
(b) Life Insurance Premium ( As before + New) Tk. 195,975
(c ) Savings Certificate/Sanchaypatra (As before + New purchase) (EncashmeTk. 400,000

(d) Wage earner Bond / DPS (As before + New deposit) Tk. -
(e) Other Investment : Provident Fund (As Before + new) Tk. 134,820
Total = Tk. 730,795
5. Motor Vehicles (Purchase Price) Tk.

6. Jewellery (As before) Tk. 191,500

7. Furniture (purchase price) (AS Before) Tk. 251,500
8. Electronic Equipment (AS Before) Tk. 210,400

9. Cash asset Outside Business:

(a) Cash in hand & bank Tk. 926,667
(b) Cash at Bank Tk.
(c) Other deposits : Tk.
Total = Tk. 2,849,127

6
 B/F= Tk. 2,849,127
10. Any other assets Tk.
Advance against flat purchase Tk.
Tk.
Total assets Tk. 2,849,127
11. Less Liabilities:
(a) Mortgages secured on property or land Tk.
(b) Loan from SCB (Outstanding balance) Tk. 486,574
(c) Loan from Bank Ltd. Tk. -
(d) Loan from office Tk.
(e) Loan from Relatives Tk.
Total liabilities Tk. 486,574

12. Net wealth as on last date of this income year Tk. 2,362,553
(Difference between total assets and total liabilities)
13. Net wealth as on last date of previous income year Tk. 2,562,341
14. Accretion in wealth (Difference between serial no. 12 and 13) Tk. (199,788)
2 3
15. (a) Family expenditure:(Total expenditure as per Form IT 10 BB) Tk. 872,106
(b) Number of dependant children of the family:

Adult Child

16. Total Accretion of wealth (Total of serial 14 and 15) Tk. 672,318
17. Sources of Fund :
Shown Return Income Tk. 317,285
Tax exempted/Tax free Income Tk. 355,033
Other receipts Tk.
Total source of Fund = Tk. 672,318
18. Difference (Between serial 16 and 17) Tk. -

I solemnly declare that to the best of my knowledge and belief the

information given in the IT-10B is correct and complete.

Suvra Paul
Name & signature of the Assessee
0
Assets and liabilities of self, spouse (if she/he is not an assessee), minor children and
•

7
 Form no. IT 10BB
FORM

Statement under section 75(2)(d)(i) and section 80 of the Income tax Ordinance, 1984 (XXXVI of 1984)
regarding particulars of life style

Name of the Assessee : MD. IQBAL HOSSAIN TIN: 5 8 2 5 4 2 4 8 7 4 1 8

Serial No. Particulars of Expenditure Amount of Tk. Comments

1 Personal and fooding expenses Tk. 190,000
2 Tax paid including deduction at source of the last (18,477)
financial year Tk.
3 Accommodation expenses Tk. 220,000
4 Transport expenses Tk. 17,500
5 Electricity Bill for residence Tk. 15,000
6 Wasa Bill for residence Tk. including rent
7 Gas Bill for residence Tk. 9,600
8 Telephone Bill for residence Tk. 12,000
South point school 2
9 Education expenses for children Tk. 250,000 children

10 Interest paid on loan Tk. 116,483

11 Festival and other special expenses, including Tk. 60,000
religious (Zakat), medical & miscelinous

Total Expenditure Tk. 872,106

I solemnly declare that to the best of my knowledge and belief the information given in the IT-10BB is correct
and complete.

Suvra Paul
Name and signature of the Assessee
*If needed, please use separate sheet. 0

Acknowledgement Receipt of Income Tax Return

Name of the Assessee: Suvra Paul Assessment Year: 2019-2020

UTIN/TIN: 5 8 2 5 4 2 4 8 7 4 1 8 Circle: 268 Tax Zone: 13 Dhaka.

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 Instructions to fill up the form

Ins tructions :
(1) This return of income shall be signed and verified by the individual assessee or person as
prescribed u/s 75 of the Income Tax Ordinance, 1984.
(2) Enclose whe re applicable :
(a) Salary statement for salary income; Bank statement for interest; Certificate for interest on
savings instruments; Rent agreement, receipts of municipal tax and land revenue,
statement of house property loan interest, insurance premium for house property income;
Statement of professional income as per IT Rule-8; Copy of assessment/income
statement and balance sheet for partnership income; Documents of capital gain; Dividend
warrant for dividend income; Statement of other income; Documents in support of
investments in savings certificates, LIP, DPS, Zakat, stock/share etc.

(b) Statement of income and expenditure; Manufacturing A/C, Trading and Profit & Loss
A/C and Balance sheet;
(c) Depreciation chart claiming depreciation as per THIRD SCHEDULE of the Income
Tax Ordinance, 1984;
(d) Computation of income according to Income tax Law;
(3) Enclose s e parate state me nt for:
(a) Any income of the spouse of the assessee (if she/he is not an assessee), minor children
and dependant;
(b) Tax exempted / tax free income.

(4) Fulfillment of the conditions laid down in rule-38 is mandatory for submission of a return
under "Self Assessment".
(5) Documents furnished to support the declaration should be signed by the assessee or his/her
authorized representative.
(6) The assesse shall submit his/her photograph with return after every five year.
(7) Furnish the following information:
(a) Name, address and TIN of the partners if the assessee is a firm;
(b) Name of firm, address and TIN if the assessee is a partner;
(c) Name of the company, address and TIN if the assessee is a director.
(8) Assets and liabilities of self, spouse (if she/he is not an assessee), minor children and
dependant(s) to be shown in the IT-10B.
(9) Signature is mandatory for all the assessee or his/her authorized representative. For
individual, signature is also mandatory in I.T-10B and I.T-10BB.
(10) If needed, please use separate sheet.

Total income shown in Return: Tk 672,388 Tax paid: Tk. (18,477)

Net Wealth of Assessee : Tk 2,362,553

Date of receipt of return : Serial No. in return register

Nature of Return : Self Universal Self Self Normal

9
 Designation and
Seal (for other than individual)

10
11
12
*Incomplete return is not acceptable

13
 dependant(s) to be shown in the above statements.
• If needed, please use separate sheet.

14
 Signature of Receiving
officer with seal

15
 Name of the Assessee: Suvra Paul
National ID No. (if any) : 7518760238798
UTIN (if any) :
TIN: 3
(a) Circle: 268
(b) Zone: 13
Assessment Year: 2019-2020

Name of the employer/Business (where applicable): Gumti Textiles Limited

Wife/Husband's Name (if an assessee, please mention):
Father's Name: Khokan Chandra Paul
Mother’s Name: Konika Paul
Date of Birth (in case of individual) 31-Dec-88

Address

(a) Present: C/O: Sukhnir, 66/5-A, Mahila Madrasha Road

Kuril Chowrasta
Dhaka

(b) Permanent: VILL:Fathepur P.O : Maijdee Bazar,

P.S- Sudaram , Zilla: Noakhali

Telephone: Office/Business 8419874-5

Income tax paid in the last assessment year 0

5 1 2 6 6 9 9 6 9
1 5
 Pay & Allowance Amount of
Amount of Net taxable
exempted
income (Tk.) income (Tk.)
income (Tk.)
Basic Pay 135,000 135,000
Special Pay -
Dearness allowance -
Conveyance Allowance 30,945 30,000 945
House rent allowance 274,088 274,088 -
Medical allowance 50,945 50,945 -
Servant allowance -
Leave allowance -
Honorarium/Reward/Fee -
Overtime allowance -
Bonus/Ex-gratia 156,584 - 156,584
Employer's Contribution to Recognized Provident Fund 24,756 - 24,756
Interest accrued on Recognized Provident Fund -
Deemed income for transport facility -
Deemed income for free furnished/unfurnished accommodation -
Others if any (give detail) : -
Incentive Bonus -
Net taxable income from Salary 672,318 355,033 317,285

1. Life insurance premium Tk. 7,200

2. Contribution to deferred annuity Tk.
3. Contribution to Provident Fund to which Provident Fund
Act, 1925 applies Tk.
4. Self contribution & employer's contribution to
Recognized Provident Fund Tk. -
5. Contribution to approved Superannuation Fund Tk.
6. Investment in approved debenture or debenture stock,
Stock or shares Tk. -
7. Contribution to deposit pension scheme Tk.
8. Contribution to Benevolent Fund and group insurance premium Tk.
9. Contribution to Zakat Fund Tk.
10. Others, if any ( New purchase Sanchaypatra) Tk. -
Total Tk. 7,200
Total Taxable Income & Tax deduction at sources T. Inome TDS
Income:
Income from Salary U/S:21 317,285 24,678
Income Interest income U/S: 33 70 7
Total: 317,355 24,685

Tax Calculation
Total income 317,355
On First 300,000 - -
17,355 -
On Next 400,000 10% 40,000
On Balabce (382,645) 15% (57,397)
Gross tax (17,397)

Investment Allowances Rebate

25% on total income 79,339
or Actual 7,200
or Maximum 15,000,000
Which ever is less 7,200 15% 1,080
Gross Tax (18,477)
Less: Tax Deduction at sources 24,685
Tax Payable (43,162)