Post on 11-Aug-2020
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Name of Company: ..............................................................................................................................................
TaxReference No. –
FOR REFERENCE O
NL
FOR REFERENCE O
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FOR REFERENCE O
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NLYYYYY
CP5-Pin. 2005YEAR OF ASSESSMENT
2005 Form
CLEMBAGA HASIL DALAM NEGERI MALAYSIAINCOME TAX FORM OF A COMPANY UNDERSECTION 77A OF THE INCOME TAX ACT 1967
This form is prescribed under section 152 of the Income Tax Act 1967
II
III
Tax referencenumber
Employer'snumber
IV
B: SUMMARY OF TAX AND PAYMENTS
DECLARATION
B1 Tax payable (from A16) B1
B2 Less: Instalments payments made B2
B3 Balance of tax payable B3Or
B4 Tax paid in excess B4
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I Identity card no./Passport no. herebydeclare that this form contains information that is true, correct and complete pertaining to the income tax of the above company for theYear of Assessment 2005 as required under the Income Tax Act 1967.
Date Signature Designation
A: TAX PAYABLE
A2 5
A3 8
A4 10
A5 15
A5A 20
A6 28
A7
A8 TOTAL INCOME TAX CHARGED A8
A9 LESS: Section 6B rebate A9
A10 TOTAL A10
A11 Section 110 tax deduction (dividends) A11
A12 Section 110 tax deduction (others) A12
A13 Section 132 tax relief A13
A14 Section 133 tax relief A14
A15 Total Deduction/Relief A15
A16 TAX PAYABLE A16
TAX REPAYABLE A17
Apportionment of Chargeable Income
A1 Chargeable income [from ( C32 + C33 )] A1 , , , ,
V Country of residence(Use the country code)
Declare in Ringgit Malaysia currency
C
E VII
VIII
IX
X Compliance withPublic Rulings
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Less:
Name ofcompany
Yes No
Opening dateof accounts
Closing dateof accounts
Yes No
Yes No
Companyregistrationnumber MonthDay Year
VI
Electronic filing
Resident: (Indicate "X")
Income TaxRate (%)
MonthDay Year
A17
I
Or
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Name of Company: ..............................................................................................................................................
TaxReference No. –
C: STATUTORY INCOME, TOTAL INCOME AND CHARGEABLE INCOMEStatutory Business Income
C1 Business 1
C2 Business 2
C3 Business 3
C4 Business 4
C5 Business 5
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Statutory Partnership Income
C6 Partnership 1 D:
C7 Partnership 2 D:
C8 Partnership 3 D:
C9 Partnership 4 D:
C10 Partnership 5 D:
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Less:
Less:
Less:
Business Code Amount
Tax Reference No. Amount
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Aggregate statutory income from businesses
C24
C25
C26
C29
C29A
CHARGEABLE INCOME OF FOREIGN FUND MANAGEMENT(S 60G)
C29A
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Donation (gifts of money/contributions)
Current year business losses
C29
C26
C25
C24
Business losses brought forward
C11 TOTAL (C1 to C10) C11
C12 C12
C13 C13Other Statutory Income
C14 Dividends C14
C15 Interest or discounts C15
C16 Rents, royalties or premiums C16
C17 Other income C17
C18 Additions pursuant to paragraph 43(1)(c) C18
C19 C19
C20 AGGREGATE INCOME (C13 + C19) C20
C21 C21
C22 TOTAL (C20 - C21) C22
C23 Prospecting expenditure-Schedule 4 and paragraph 44(1)(b) C23Qualifying farm expenditure-Schedule 4A andparagraph 44(1)(b)Pre-operational business expenditure-Schedule 4B andparagraph 44(1)(b)Deduction for approved food production projects-Schedule 4Cand paragraph 44(1)(b)
C27 Expenditure allowed under section 60F or 60H C27
C28 TOTAL C28
BUSINESS ZAKAT [restricted to 2.5% of the aggregateincome in C20]
C30 TOTAL INCOME C30
C31 TAXABLE PIONEER INCOME C31
C32 CHARGEABLE INCOME (C30 + C31) C32
C33 C33
Less: Other Expenses
Aggregate statutory income from other sources(add C14 till C18)
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Name of Company: ..............................................................................................................................................
TaxReference No. –
FOR REFERENCE O
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D: SPECIAL DEDUCTION, DOUBLE DEDUCTION AND FURTHER DEDUCTIONClaim Code
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D1 D6
D2 D7
D3 D8
D4 D9
D5 D10
D11
E: CLAIM FOR CAPITAL ALLOWANCE
Business
E1 1 E1(a) E1(b)
E2 2 E2(a) E2(b)
E3 3 E3(a) E3(b)
E4 4 E4(a) E4(b)
E5 5 E5(a) E5(b)
Partnership
E6 1 E6(a) E6(b)
E7 2 E7(a) E7(b)
E8 3 E8(a) E8(b)
E9 4 E9(a) E9(b)
E10 5 E10(a) E10(b)
F: CLAIM FOR LOSSES/TAX REBATE
Type of Loss/Rebate
F1 Business/Partnership Losses F1
F2 Pioneer Losses F2(a)
F3 Losses from F3(a)Approved ServiceProjects
F4 Business Lossesfrom OperationalHeadquarters/Foreign FundManagement
F5 Shipping Lossesunder Section 54A
F6 Section 6B Rebate F6
AmountAmount Claim Code
Amount Claimed Balance Carried Forward
Amount Claimed Balance Carried Forward
Amount Claimed Balance Carried Forward
D11TOTAL CLAIMED
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, , , F2(b)
F3(b)
F4(b)
F5(b)
F4(a)
F5(b)
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Name of Company: ..............................................................................................................................................
TaxReference No. –
G: INCENTIVE CLAIM
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H: INCOME TRANSFERRED TO EXEMPT ACCOUNT
Type of Incentive
Amount
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Amount Claimed Balance Carried ForwardInvestment TaxAllowance
IndustrialAdjustmentAllowance
TOTAL TRANSFERRED TO EXEMPT ACCOUNT [G1(a) to G6D(a)]
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G1(a)
G2(a)
G1(b)
G2(b)
G1
G2
InfrastructureAllowance , , , , , ,G3(a) G3(b)G3
Schedule 7AAllowance , , , , , ,G4(a) G4(b)G4
Schedule 7BAllowance , , , , , ,G5(a) G5(b)G5
Allowance forIncreasedExports
, , , , , ,G6(a) G6(b)G6
Allowance forIncreasedAgricultureExports
, , , , , ,G6A(a) G6A(b)G6A
, , , , , ,G6B(a) G6B(b)G6B IncreasedExportsAllowance forMalaysian InternationalTrading Companies
Value ofIncreasedExport ofServices
, , , , , ,G6C(a) G6C(b)G6C
SpecialIncentive forExports
, , , , , ,G6D(a) G6D(b)G6D
Schedule 4 Expenditure
Schedule 4A Expenditure
Schedule 4B Expenditure
TOTAL CLAIM [C23 to C25 and G1(a) to G6D(a)]
G7
G8
G9
G10
G11
G7
G8
G9
G10
G11
H1
H2
H3
H4
H5
H6
H6A
H7
H7A
H7B
H8
H9
H10
Foreign income remittances
Pioneer income/Portion of pioneer income
Exempt income from approved service projects
Exempt income under subsection 60A(2)
Exempt income under subsection 60B(2)
Income of Venture Capital Company
Income of Venture Capital Management Company
Income of Operational Headquarters Company
Exempt income of International Procurement Centre
Exempt income of Regional Distribution Centre
Income of Foreign Fund Management Company
Income of Closed-end Fund CompanyIncome from Domestic Tour and/orGroup Inclusive Tour Operating Business
G1
G2
G3
G4
G5
G6
G6A
G7
G7A
G7B
G8
G9
G10
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Name of Company: ..............................................................................................................................................
TaxReference No. –
FOR REFERENCE O
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NLYYYYYI: EXEMPT ACCOUNT
J: PREVIOUS YEAR'S INCOME NOT DECLARED
K: DISPOSAL OF SHARES IN A REAL PROPERTY COMPANY AND DISPOSAL OFREAL PROPERTY SUBJECT TO REAL PROPERTY GAINS TAX PROVISION
L: FINANCIAL PARTICULARS OF COMPANYBusiness Income:
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H11
H12
H13
H7
H7A
H7B
H8
H9
H10
Tax exempt dividend income
Shipping income under section 54A
Exempt income under paragraph 127(3)(b) and otherexemptions
Income of organisers of approved international trade exhibitions
Exempt income from the provision of charteringservices of luxury yachts
Income from approved food production projects
Income of conference promoter in Malaysia
TOTAL TRANSFERRED TO EXEMPT ACCOUNT
G11
G12
G13
G14
G15
G16
G17
G18
G19
Amount
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I1
I2
I3
Credit in account
Tax exempt dividend paid, credited or distributed
Balance carried forward
I1
I2
I3 (Indicate "X" if value is negative)
NoYes
(Indicate "X" in the relevant box)
If K1 = "yes"
NoYesAny disposal of shares and/or real property?
Has the disposal been declared to LHDNM?
K1
K2
, , ,J1Previous year's chargeable income (if any)J1
Business code (Main business)L1 L1
, , ,L2Sales or turnover (Main business)L2
Cost of ProductionL4A L4A
L5Closing StockL5
, , ,Opening StockL3 L3Less:
, , ,PurchasesL4 L4
, , ,L6Cost of salesL6
, , ,L7GROSS PROFIT (L2-L6) / GROSS LOSS (L6-L2)L7
, , ,L8Other business incomeL8
, , ,L9Other incomeL9
, , ,L10Non-taxable profitsL10
(Indicate "X" if value is negative)
, , ,, , ,Contract paymentL13 L13
L14Salaries andwagesL14
, , ,InterestL11 L11
, , ,Professional,technical,managementand legal fees
L12 L12
Expenses:
Income from offshore trading via website in Malaysia
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Name of Company: ..............................................................................................................................................
TaxReference No. –
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L15 Royalties L15
L16 Rental/lease L16
L17 L17
Fixed Assets:
L29 TOTAL FIXED ASSET L29
L30 Investments L30
L25 Motor vehicles L25
L26 Plant and machinery L26
L27 Land and buildings L27
L28 Other fixed assets L28
L20 L20
L21 Other expenses L21
L38 Loans L38
L39 Trade creditors L39
L40 Sundry creditors L40
L41 Loan from directors L41
L42 Other current liabilities L42
L36 TOTAL CURRENT ASSET L36
L37 TOTAL ASSET (L29 + L30 + L36) L37
L22 TOTAL EXPENDITURE L22
L23 NET PROFIT OR LOSS L23
L24 Non-allowable expenses L24
L31 Trade debtors L31
L32 Sundry debtors L32
Stock L32A
L33 Loan to directors L33
L34 Cash in hand/Cash at bank L34
L35 Other current assets L35
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Maintenance and repairs
Research anddevelopmentPromotion andadvertisement
Travelling andaccomodation
L18 L18
L19 L19
(Indicate "X" if value is negative)
L32A
Current Liabilities:LIABILITIES AND OWNERS' EQUITY
Current Assets:
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Name of Company: ..............................................................................................................................................
TaxReference No. –
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L43 TOTAL CURRENT LIABILITY L43
L44 Long-term liabilities L44
L45 TOTAL LIABILITY L45
Shareholders' Equity:
L46 Paid-up capital L46
L47 L47
L48 Reserve account L48
L49 Total Equity L49
L50 TOTAL LIABILITY AND EQUITY L50
M: MAKLUMAT CUKAI PEGANGAN
Gross payments to non-residents subject to withholding tax under sections 107A, 109, 109A and 109B.
M1 107A
M2 109
M3 109A
M4 109B
Total tax withheld andremitted to LHDNMSection Gross amount paid Net amount paid
Amount
M: PARTICULARS OF WITHHOLDING TAXES
N: TRANSACTIONS BETWEEN RELATED COMPANIES
N1 Total sale to related companies in Malaysia N1
N2 Total sale to related companies outside Malaysia N2
N3 Total purchase from related companies in Malaysia N3
N4 Total purchase from related companies outside Malaysia N4
N5 Other payments to related companies in Malaysia N5
N6 Other payments to related companies outside Malaysia N6
N7 Loans to related companies in Malaysia N7
N8 Loans to related companies outside Malaysia N8
N9 Loans from related companies in Malaysia N9
N10 Loans from related companies outside Malaysia N10
N11 Receipts from related companies in Malaysia N11
N12 Receipts from related companies outside Malaysia N12
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(Indicate "X" if value is negative)
(Indicate "X" if value is negative)
(Indicate "X" if value is negative)
Profit and loss appropriationaccount
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Name of Company: ..............................................................................................................................................
TaxReference No. –
O: PARTICULARS OF COMPANY
O1 Status of company: Public Controlled Institution
Real Property Venture Capital
Foreign FundManagement
O4 Correspondenceaddress
O5 Address ofbusiness premise
O2 Registered address
O3 e-mail
O6 Name of bank
O7 Bank account number
O9 O2 O4 O5
O9A
O8 Address of bank
Postcode Town
State
Postcode Town
State
Postcode Town
State
Postcode Town
State
Postcode Town
State
(Indicate “X” in therelevant box)
MalaysianInternationalTrade
OperationalHeadquarters
RegionalDistributionCentre
InternationalProcurementCentre
Others
CharitableOrganisationC losed -endFund
InvestmentHolding
Indicate “X” in the box pertaining to theaddress where company records are kept
Other address if O9does not apply
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Name of Company: ..............................................................................................................................................
TaxReference No. –
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O10 Name
O11 Identitycard /passport no.
O12
Equityshareholding (%)
Salaries/fees/commissionsbonus
P: PARTICULARS OF FIVE MAJOR SHAREHOLDERS OF CONTROLLED COMPANY
Director I Director II Director III
Q: FOREIGN EQUITY COMPARED TO PAID-UP CAPITAL
Identity card/ Name % Country of Relationshippassport no./ residence betweenregistration no. (use country companiesof company code) (use code)
Indicate “X” in the relevant box
Q1 70% - 100% 51% - 69% 20% - 50% 19% NIL<
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O16 Telephoneno.
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P1
P2
P3
P4
P5
O13
O14
O15
–
–
( )
( )
–
–
( )
( )
–
–
( )
( )
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Taxreferenceno.
Allowances
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R:PARTICULARS OF THE FIRM AND SIGNATURE OF THE PERSON WHO COMPLETES THIS FORM
R1 Name of firm
R2
R3 Telephone no.
R4 Tax agent's approval /audit licence no.
R5 Business registration no.
R6 e-mail
Please read the following reminder before signing this form.
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R2 Address of firm
Date received Date processed Status of assessment
For Office Use
Date Signature Designation............................................... ...............................................
Website: http://www.hasilnet.org.myDay Month Year
Postcode Town
State
Name of Company: ..............................................................................................................................................
TaxReference No. –
REMINDERPlease ensure that this form is completed and in order. Carefully check all information beforesubmitting it to Lembaga Hasil Dalam Negeri Malaysia.Check to ensure that the following have been done:√ Tax computation has been done on the appendices/working sheets provided and the amounts
accurately transferred to this Form C.√ All appendices/working sheets are kept in order for reference by Lembaga Hasil Dalam Negeri
Malaysia.√ All information has been clearly filled in the spaces provided.√ Name and tax reference number are indicated on the top of every page in this form and
relevant appendices/working sheets.√ Use the remittance slip provided for paying the balance of tax (if any).
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RegistrationNo.
Name ofBankTelephoneNo.
Cheque No.and Others
TAX REFERENCE NO.
Name and Postal Address
CODE
CP207-Pin.1/2005
RM
Date : .........................................................
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99 086
✁
YEAR OF ASSESSMENT
2005
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Amount of Payment
INSTALMENT NO.
REMITTANCE SLIPTo: DIRECTOR GENERAL OF INLAND REVENUEEnclosed herewith is the cheque/money order/postal order/bank draft for the payment of income tax.
-12-JD113870—PNMB., K.L.
MALAYSIAN INCOME TAXRemittance Slip
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NLYYYYY1. Use the Remittance Slip (CP207) when making payment.2. Cheques, money orders, postal orders and bank drafts must be crossed and made payable to the Director General Of Inland Revenue. Payment
can be sent to the IRB postal address or made at the IRB payment counter as follows:
Postal Address Payment CounterPENINSULAR MALAYSIA : Lembaga Hasil Dalam Negeri Malaysia Tingkat Bawah, Blok 8A,
Cawangan Pungutan, Tingkat 15, Blok 8A, Kompleks Bangunan Kerajaan,Kompleks Bangunan Kerajaan, Jalan Duta, Jalan Duta,Karung Berkunci 11061, Kuala Lumpur.50990 Kuala Lumpur.
SABAH & FT LABUAN : Lembaga Hasil Dalam Negeri Malaysia Tingkat Bawah,Unit Pungutan, Wisma Bandaraya,Tingkat Bawah, Wisma Bandaraya, Jalan Masjid Lama,Jalan Masjid Lama, Kota Kinabalu.88600 Kota Kinabalu.
SARAWAK : Lembaga Hasil Dalam Negeri Malaysia Aras 1,Unit Pungutan, Wisma Ting Pek Khiing,Aras 3, 6, 7, 8 & 15, No. 1, Jalan Padungan,Wisma Ting Pek Khiing, Kuching.No. 1, Jalan Padungan,93600 Kuching.
3. Alternatively, payment can be made at the counter of Bumiputra-Commerce Bank Berhad (BCB) and Public Bank Berhad (PBB) by using thepayment slip provided by the bank.
4. Write down the name, tax reference number, year of assessment, address, payment code and telephone number behind the payment instrument.5. Check the receipts/bank slips before leaving the payment counter.