RETURN OF TOTAL INCOME/STATEMENT OF FINAL TAXATION

UNDER THE INCOME TAX ORDINANCE, 2001 (FOR INDIVIDUAL/AOP) Taxpayer's Name CNIC (for Individual) Business Name Business Address Res. Address E-Mail Address Principal Activity Employer Representative Authorized Rep.
NTN

IT-2
N NTN
Gender Year Ending

20120000385604021

ADEEL AHMED 3520113877031

2172238
M 30-06-2012

Tax Year H. NO. 638 ST.NO. 171 MADINA COLONY BAGHBANPURA, LAHORE isampk@comsats.net.pk SALARY INCOME NTN NTN NTN 9010634-2 2172238-2 Name Name Name
% in Capital Capital Amount NTN Top 10 Share Holder's Name
Person Res. Status Birth Date

2012
INDIVIDUAL Resident

Phone Code ADEEL AHMED ADEEL AHMED 000011

Revised

N u/s 114 RTO-II LAHORE No

Filing Section RTO/LTU

Is Authorized Rep. applicable?

Proprietor / Member / Partners Name

% in Capital

Capital Amount

Total

100%

No
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 28 29 30 31 32 33 34 35 36 37 38 39 40

Items
Net Sales (excluding Sales Tax/ Federal Excise Duty & Net of Commission/ Brokerage) (To be reconciled with Annex-C) Cost of Sales [3 + 4 + 5 - 6] (To be reconciled with Annex-C) . Opening Stock . Net Purchases (excluding Sales Tax/ Federal Excise Duty & Net of Commission/ Brokerage) . Other Manufacturing/ Trading Expenses [Transfer from Sr-7 of Annex-G] Closing Stock Gross Profit/ (Loss) [1-2] [To be reconciled with Annex-C] Transport Services U/S 153(1)(b) [Transfer from 40(c)] Other Services U/S 153(1)(b) [Transfer from 40(d)] Other Revenues/ Fee/ Charges for Professional and Other Services/ Commission Profit & Loss Expenses [Transfer from Sr-24 of Annex G] Net Profit/ (Loss) [(7 + 8 + 9 + 10) - 11] Inadmissible Deductions [Transfer from 22 of Annex-E] Admissible Deductions [Transfer from 5 of Annex-E] Unadjusted Loss from business for previous year(s) [Transferred from 27 of Annex-A] Un-absorbed Tax Depreciation for previous/ current year(s) (Annex-A) [Transferred from 27 of Annex-A] Total Income [Sum of 18 to 23] . Salary Income . Business Income/ (Loss) [ (12 + 13) - 14 - 15 - 16 ] . Share from AOP Income/ (Loss) . Capital Gains/ (Loss) u/s 37 . Other Sources Income/(Loss) . Foreign Income/(Loss) Deductible Allowances [25 + 26 + 27 + 28] . Zakat . Workers Welfare Fund (WWF) . Workers Profit Participation Fund (WPPF) . Charitable Donations admissible as straight deductions Taxable Income/ (Loss) [17-24] Exempt Income/ (Loss) [Sum of 31 to 37] . Salary Income . Property Income . Business Income/ (Loss) . Capital Gains/ (Loss) . Agriculture Income . Foreign Remittances (Attach Evidence) . Other Sources Income / (Loss) Tax chargeable on Taxable Income Tax Reductions/Credits/Averaging (including rebate on Bahbood Certificates, etc.) Difference of minimum Tax Chargeable on business transactions [40(e)(v) minus 40(e)(iii)]
(i) (ii) Import Val/Srvc receipts subject to coll. or ded. of tax at src. Prop. Chargeble incm (iii) Prop. tax* Rate (iv) Minimum tax

Code
3103 3116 3117 3106 3111 3118 3119 3121 3122 3131 3189 3190 3191 3192 3902 3988 9099 1999 3999 312021 4999 5999 6399 9139 9121 9122 9123 9124 9199 6199 6101 6102 6103 6104 6106 6107 6105 9201 9249

Total

595,886 595,886

595,886

4.5

26,815

(v) Higher of (iii) or (iv)

a) Import of Edible Oil U/S 148(8) b) Import of Packing Material U/S 148(8) c) Transport Services U/S 153(1)(b) d) Other Services U/S 153(1)(b) e) Total

3% 5% 2% 6%

9303

* [(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] 41 42 43 Min tax on electricity consumption under sec 235(4) Amt of tax collected alongwith electricity bill where monthly bill amt is upto Rs. 30,000 Balance tax chargeable [ (38 minus 39 plus 40) or 41, whichever is higher Minimum Tax Payable U/S 113 [43(iv) minus 41, if greater than zero, else zero] Total Turnover Minimum tax @ 1% 44. Net tax chargeable [42 + 43 +90] (i) (ii) Reduction @ Net Minimum tax (iii) (iv) 9307 9499 9999 9998 6109 26815 26,815 10,055 9306 9304 9305 26815

45 Total Tax Payments (Transfer from 28 of Annex-B) 46 Tax Payable/ Refundable [44 - 45 + WWF Payable from Sr. 29 of Annex-B] 47 Refund Adjustments (not exceeding current year's tax payable) 48 Annual personal expenses for individual only (transfer from Sr. 12 of Annex-D) Net Tax Refundable, may be credited to my bank account as under: A/C Number Bank

Branch Name & Code

Signatures

Source 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 Foreign Indenting Commission Prizes/Winnings of cross word puzzles Winnings - Others Petroleum Commission Brokerage/Commission Advertising Commission Services to Exporters u/s 153(2) Goods Transport Vehicles Gas consumption by CNG Station Distribution of cigarette and pharmaceutical products Source 79 80 81 82 83 84 85 86 87 88 89 90 Retail Turnover upto 5 million Retail Turnover above 5 million Property Income Capital gains on Securities held for < 6 months Capital gains on Securities held for >= 6 months and < 12 months Capital gains on Securities held for >= 12 months Purchase of locally produced edible oil Flying Allowance Monetization of Transport Facility For Civil Servants Services rendered / contracts executed outside Pakistan Employment Termination Benefits Final/Fixed Tax Chargeable (49 to 89) Exports/related Commission/Service Payment to Ginners Contracts (Resident) Contracts (Non-Resident) Insurance Premium (Non-Resident) Advertisement Services (Non-Resident) Supply of Goods Profit on Debt Royalties/Fees (Non-Resident) Dividend Imports

Code 64013 64011 64012 64015 64032 64033 64041 640511 640512 640521 640524 640525 640611 640612 640613 640614 640631 640632 640641 64072 64075 64091 64092 64101 64121 64122 64123 64141 64142 64143 Code 310102 310103 210101 610401 610402 610403 310431 112001 112002 63311 118301

Receipts/Value

Rate(%) 5% 2% 1% 3% 10% 7.5% 10% 15%

Code 92013 92011 92012 92015 92032 92033 92041 920511 920512

Tax Chargeable

6% 5% 10% 3.5% 1.5%

920521 920524 920525 920611 920612 920613

1% 6% 1% 0.5% 1% 5% 10% 20% 10% 10% 5% 1%

920614 920631 920632 920641 92072 92075 92091 92092 92101 92121 92122 92123 92141

4% 1% Receipts/Value Rate(%) 0.5%

92142 92143 Code 920202 920203 920235 Tax Chargeable

10 7.5 0% 2% 2.5% 5% 1%

961041 961042 961043 920208 920234 920237 920236 920211 9202

I,

holder of CNIC

, in my capacity as

Self/ Partner or Member of Association of Persons/ Representative (as defined in section 172 of the Income Tax Ordinance, 2001) of Taxpayer named above, do solemnly declare that to the best of my knowledge and belief the information given in this Return/Statement u/s 115(4) and the attached Annex(es), Statement(s), Document(s) or Detail(s) is/are correct and complete in accordance with the provisions of the Income Tax Ordinance, 2001 and Income Tax Rules, 2002 (The alternative in the verification, which is not applicable, should be scored out). Date : (dd/mm/yyyy)

Signatures [ RTO-II LAHORE Status: Prepared (09/10/2012 ) UID: 9799907710453 ]

ITRROA-002012-27447811

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