Return Fill-up Guidline

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registration

Registration TIN Application





59

Main Source of income

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Business (IndividualFirm)t

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Female



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78

SCHEDULES SHOWING DETAILS OF INCOME

Name of the Assessee helliphelliphellip TIN - -

Schedule-1 (Salaries)

Pay

amp

Allowance

Amount of

Income

(Tk)

Amount of

exempted

income (Tk)

Net taxable

income

(Tk)

Basic pay

Special pay

Dearness allowance

Conveyance allowance

House rent allowance

Medical allowance

Servant allowance

Leave allowanceHonorarium Reward Fee

Overtime allowance

Bonus Ex-gratia

Other allowances

Employer‟s contribution toRecognized Provident Fund

Interest accrued on Recognized

Provident Fund

Deemed income for transport facility

Deemed income for free furnishedunfurnished accommodation

Other if any (give detail)

Net taxable income from salary

Schedule-2 (House Property income)

Location and

description

of property

Particulars Tk Tk

1 Annual rental income

2 Claimed Expenses

Repair Collection etc

Municipal or Local Tax

Land Revenue

Interest on LoanMortgageCapital

Charge

Insurance Premium

Vacancy Allowance

Other if any

Total =

3 Net income ( difference between item 1 and 2)



79

Schedule-3 (Investment tax credit)

(Section 44(2)(b) read with part bdquoB‟ of Sixth Schedule)

1 Life insurance premium Tk

2 Contribution to deferred annuity Tk 3 Contribution to Provident Fund to which Provident Fund

Act 1925 appliesTk

4 Self contribution and employer‟s contribution toRecognized Provident Fund

Tk

5 Contribution to Super Annuation Fund Tk

6 Investment in approved debenture or debenture stockStock 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 ( give details ) Tk

Total Tk

Please attach certi f icatesdocuments of investment

List of documents furnished

1 6

2 7

3 8

4 9

5 10

I ncomplete retur n is not acceptable



80

Statement of assets and liabilities (as on ----------)


1 (a) Business Capital (Closing balance) Tk hellip (b) Directors Shareholdings in Limited Companies (at cost) Tk

Name of Companies Number of shares

2 Non-Agricultural Property (at cost with legal expenses ) Tk LandHouse property (Description and location of property)

3 Agricultural Property (at cost with legal expenses ) Tk

Land (Total land and location of land property)

4 Investments(a) SharesDebentures Tk

(b) Saving CertificateUnit CertificateBond Tk

(c) Prize bondSavings Scheme Tk

(d) Loans given Tk

(e) Other Investment Tk

Total = Tk

5 Motor Vehicles (at cost) Tk

Type of motor vehicle and Registration number

6 Jewellery (quantity and cost) Tk

7 Furniture (at cost) Tk

8 Electronic Equipment (at cost) Tk

9 Cash Asset Outside Business

(a) Cash in hand Tk

(b) Cash at bank Tk

(c) Other deposits Tk

Total = Tk

IT-10B



81

BF = Tk

10 Any other assets Tk

(With details)

Total Assets Tk

11 Less Liabilities

(a) Mortgages secured on property or land Tk (b) Unsecured loans Tk

(c) Bank loan Tk

(d) Others Tk

Total Liabilities Tk

12 Net wealth as on last date of this income year(Difference between total assets and total liabilities) Tk

13 Net wealth as on last date of previous income year Tk

14 Accretion in wealth (Difference between serial no 12 and 13) Tk

15 (a) Family Expenditure (Total expenditure as per Form IT 10 BB) Tk

(b) Number of dependant children of the family

Adult Child

16 Total Accretion of wealth (Total of serial 14 and 15) Tk

17 Sources of Fund

(i) Shown Return Income Tk (ii) Tax exemptedTax free Income Tk

(iii) Other receipts Tk

Total source of Fund = Tk

18 Difference (Between serial 16 and 17) Tk

I solemnly declare that to the best of my knowledge and belief the informationgiven in the IT-10B is correct and complete

Name amp signature of the Assessee

Date

Assets and liabil ities of self spouse (i f shehe is not an assessee) minor children

and dependant(s) to be shown in the above statements

I f needed please use separate sheet



82

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 TIN - -

Serial

No

Particulars ofExpenditure Amount of Tk Comments

1 Personal and fooding expenses Tk

2 Tax paid including deduction at

source of the last financial year

Tk

3 Accommodation expenses Tk

4 Transport expenses Tk

5 Electricity Bill for residence Tk

6 Wasa Bill for residence Tk7 Gas Bill for residence Tk

8 Telephone Bill for residence Tk

9 Education expenses for children Tk

10 Personal expenses for Foreign travel Tk

11 Festival and other special expenses

if any

Tk

Total Expenditure Tk

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

given in the IT-10BB is correct and complete

Name and signature

of the Assessee

Date helliphellip If needed please use separate sheet

Acknowledgement Receipt of Income Statement

Name of the Assessee hellip Assessment Year helliphelliphellip

UTINTIN - Circle hellip Taxes Zone hellip

Form No I T-10BB





84

cwiwkoacute OcircLOtilde

Form of return of income under the Income-tax

Ordinance 1984 (Ord XXXVI OF 1984)

(Return under section 82D)

1 Name of the Assessee

2 Present Address

3 Fathershusbands Name 4 Mother‟s Name

5 Date of Birth 6 MobileTelephone 7 e-mail (if any)

8 National ID No 9 Nature of BusinessProfession

10 TINUTIN

11 (a) Circle (b) Taxes Zone

12 Assessment Year 13 Status IndividualFirmAOP (please tick)

14 Total income Tk

15 Net tax payable Tk

16 Tax paid on the basis of this return (a) Amount (in figure)

(b) Pay orderchallan No(c) Date

Verification

I fatherhusband

UTINTIN solemnly declare thatto the best of my knowledge and belief the information given in this return is correct

and complete

Place

Date Signature of the Assessee

NB Please see the brief instructions overleaf before fi l li ng up the retur n

IT-11GAGA



85

Brief Instru ctions for calculating income of an individu al assessee

If requ ired please get help from Income-tax Ordinance 1984 (Ord XXXVI of 1984)and Income Tax Ru les 1984

SlNo

Head of Income and Description Amountin Tk

1 Income from businessprofession

(a) Total salereceiptscommission (As per section 28)

(b) Total expenses of business or profession (As per

manufacturingtradingprofit-loss accounts) (section 29)

(c) Net profitincome [(a)-(b)]

2 Net tax payable

3 Rate of tax

In case of business

Initial capital to

be shown Rate of

Tax(Tk)

Applicability

Upto Tk 6 lakh 1000- For the assessee not located under any

city corporation or paurashava of

district headquarters

Upto Tk 7 lakh 2000- For the assessee located at Paurashavain district headquarters and other area

excluding city corporationUpto Tk 8 lakh 3000- For assessee of any area

Upto Tk 10

lakh

5000- For assessee of any area

Upto Tk 15

lakh


In case of profession

Length of

profession

Rate of

Tax (Tk)

Applicability

Upto 3 years 1000- For the assessee not located under

any city corporation or paurashava

of district headquarters

Upto 4 years 2000- For the assessee located at

Paurashava in district headquarters

and other area excluding city

corporation

Upto 5 years 3000- For assessee of any area




86

Acknowledgement Receipt

Serial No in retu rn register Date of su bmission of Retu r n

Received income tax return from MrM rs UTINTIN

for the Assessment Year Income shown in the retu rn Tk and tax paid Tk

Seal

Signature of the Deputy

Commissioner of TaxesOfficer inCharge

Circle Taxes Zone



87

cwiwkoacute OcircMOtilde

FORM OF RETURN OF INCOME UNDER THE INCOME-tax

ORDINANCE 1984 (XXXVI OF 1984)

Assessment Year 20 -20

IT-11UMA

ONLY FOR THE SALARIED INDIVIDUALUniversal SelfNormal

[Put tick (radic) where applicable]

Photograph of the

Assessee

[to be attested on the

photograph]

1 Name of the Assesseehelliphelliphelliphelliphelliphelliphelliphelliphellip helliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphellip

2 TIN

3 National ID No

4 Date of Birth D M Y 5 Email

6 Spouse‟s TIN or Name 7 (a) Circle (b) Taxes‟ Zone 8 Residential Status ResidentNon-resident

9 Name and address of the employer

10 Present Address

11 Telephone Office Mobile



88

Statement of income during the income year ended on 20

Serial

no

Heads of Income Amount in

Taka

1 Salaries us 212 Income from house property us 24

3 Agricultural income us 26

4 Income from other sources us 33

5 Total income

6 Tax leviable on total income

7 Tax rebate us 44(2)(b)

8Tax payable (difference between serial no6 and7)

9 Tax Payments(a) Tax deducted or paid in advancewith

return Tk

(b) Adjustment of Tax Refund (if any)

Tk

Tk

10 Difference between serial no 8 and 9 (if any)

11 Tax exempted and Tax free income Tk

(Please attach supporting documentsstatements if needed)

Verification

I fatherhusband TIN

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

Date

Enclosures

Signature of the assessee

(Name and seal)



89

IT-10BBB

Statement of assets and liabilities for Salaried person (as on --------20 )

Name of the Assessee helliphelliphellip TIN

1 Non-Agricultural Property (at cost with legal expenses ) Tk

LandHouse property (Description and location of property)

2 Agricultural Property (at cost with legal expenses) Tk


3 Investments

(a) SharesDebentures Tk


(c) Prize bondSavings SchemeFDR Tk

(d) Loans given Tk (e) Other Investment Tk

Total = Tk



5 Jewellery (quantity and cost) Tk6 Furniture (at cost) Tk


8 Cash Asset

(a) Cash in hand Tk (b) Cash at bank Tk


Total = Tk

9 Any other assets (With details) Tk

Total Assets Tk

10 Less Liabilities(a) Mortgages secured on property or land Tk

(b) Unsecured loans Tk

(c) Bank loan Tk

(d) Others Tk


11 Net wealth as on last date of the income year(Difference between total assets and total liabilities) Tk



14 Personal amp Family Expenditure Tk


16 Sources of Fund


(iii) Other receipts(please specify) Tk




90


I solemnly declare that to the best of my knowledge and belief the informationgiven in this form is correct and complete


Date

Assets and liabil ities of self spouse (i f shehe is not an assessee) minor chi ldren


Please provide documents and use separate sheet i f needed

Instructions to fill up the Return Form

Instructions

(1) This return of income shall be signed and verified by the individual assessee or

person as prescribed us 75 of the Income Tax Ordinance 1984

(2) Enclose where applicable

(i) Salary statement for salary income

(ii)

Deed or rental agreement (if any) for house property income(iii) Documents in support of any other income or liabilities shown(iv) Documents in support of investments made in any form

(v) Computation of income according to Income-tax Ordinance 1984

(vi) Provide evidence in support of tax payment

(3) Documents furnished to support the declaration should be signed by the assessee or

hisher authorized representative

(4) Assets and liabilities of self spouse (if shehe is not an assessee) minor children

and dependant(s) to be shown in this form

(5) If needed please use separate sheet

(6) Please visit NBR‟s website wwwnbr-bdorg for further information



91

Acknowledgement Receipt of Income Tax Return

Government of the People‟s Republic of Bangladesh

Office of the Deputy Commissioner of Taxes

Taxes Circle----------- Taxes Zone------------

Name of the Assessee Assessment Year 20 -20

TIN

Total income shown in Return Tk Tax paid Tk

Gross Wealth shown Tk Net Wealth shown Tk

Date of receipt of return Serial No in Return Register

Return submitted under section 82BBNormal

Signature of Receiving Officer with seal



92

cwiwkoacute OcircNOtilde

FORM OF RETURN OF INCOME UNDER The Income-tax Ordinance 1984 (Ord

No XXXVI OF 1984)


Universal SelfNormal

[Put tick (radic) where applicable] ONLY FOR THE INCOME FROM BUSINESS OR

PROFESSION UPTO THREE LAKH TAKA

IT-11CHA


2 TIN

3 National ID No




10 Present Address


Photograph of the

Assessee


photograph]



93


Serial

no


Taka

1 Salaries us 21

2 Interest on Securities us 22

3 Income from house property us 24


5 Income from business or profession us 28

6 Capital gains us 31


8 Total income

9 Tax leviable on total income10 Tax rebate us 44(2)(b)

11 Tax payable (difference between serial no9 and 10)

12 Tax Payments

(a) Tax deducted or paid in advancewith return

Tk

(b) Adjustment of Tax Refund (if any) Tk

Tk


14 Tax exempted and Tax free income Tk w


Verification

Ifatherhusband TIN




Place

Date

Enclosures


(Name and seal)rdquo



94

IT-10BBBB

Statement of assets and liabilities for individual having income not exceeding taka

three lakh from business or profession (as on --------20 )Name of the Assessee helliphelliphellip TIN

1 (a) Business Capital (Closing balance) Tk (b) Directors Shareholdings in Limited Companies ( at cost) Tk





Land (Total land and location of land property)4 Investments


( b) Saving CertificateUnit CertificateBond Tk


(d) Loans given Tk

(e) Other Investment Tk Total = Tk




7 Furniture (at cost) Tk8 Electronic Equipment (at cost) Tk

9 Cash Asset

(a) Cash in hand Tk

(b) Cash at bank Tk


Total = Tk10 Any other assets (With details) Tk

Total Assets Tk 11 Less Liabilities

(a) Mortgages secured on property or land Tk


(c) Bank loan Tk (d) Others Tk


12 Net wealth as on last date of the income year

(Difference between total assets and total liabilities) Tk


14 Accretion in wealth (Difference between serial no 12 and 13)Tk15 Personal amp Family Expenditure Tk



95


17 Sources of Fund


(iii) Other receipts (please specify) Tk Total source of Fund = Tk



given in this form is correct and complete


Date

Assets and liabil ities of self spouse (i f shehe is not an assessee) minor chi ldrenand dependant(s) to be shown in the above statements



Instructions(1) This return of income shall be signed and verified by the individual assessee or



(i) Salary or remuneration statement for salary income

(ii) Deed or rental agreement (if any) for house property income(iii) Statement of accounts for business income

(iv) Documents in support of any other income or liabilities shown

(v) Documents in support of investments made in any form

(vi) Computation of income according to Income-tax Ordinance 1984

(vii) Provide evidence in support of tax payment

(3) Documents furnished to support the declaration should be signed by the assessee orhisher authorized representative



(5) If needed please use separate sheet(6) Please visit NBRrsquos website wwwnbr-bdorg for further information



96



Office of the Deputy Commissioner of TaxesTaxes Circle----------- Taxes Zone------------


TIN

Total income shown in Retur nTk Tax paidTk

Gross Wealth shownTk Net Wealth shownTk



Signature of Receiving

Officer with sealrdquo



97

cwiwkoacute OcircOOtilde

Application form for Taxpayerrsquos Identification Number

Instructions

(1)

Use capital letters Write one letter in each box Keep an empty box in between two words Avoid abbreviations

(2) Incomplete and incorrect application shall not be qualified for Taxpayer‟sIdentification Number

(3) National Board of Revenue (NBR) will verify the information furnished

below as may be required

(To be filled in by the assessee)1 Name of the assessee

2(a) Fathers Name (In case of individual)

(b) Mothers Name (In case of individual)

(c) Date of birth (In case of individual)

Day Month Year

(d) Name of the spouse (Wherever applicable In case of individual)

3 Name and TIN of the-(a) Business (in case of sole proprietorship only name and address shall be given)

(b) Partners (in case of a firm)

(c) Sponsor Directors (in case of a company)

(Wherever applicable if needed separate sheet may be attached)

sl Name TIN

a

b

c

d

ef

g

passport size photograph

of the assessee



98

4 Incorporation NoRegistration No (Wherever applicable)

5 IncorporationRegistration Date (Wherever applicable)

Day Month Year

6(a) Current address

District Post Code

(b) TelephoneMobile Phone Number Fax Number

E-mail Address

(c) Permanent address

District Post Code

(d) Other address (BusinessFactoryProfessional)

District Post Code

7 National IDPassport Number (mandatory for individual)

I hereby affirm that all information given above is correct and complete and I

have not taken any Tax payer‟s Identification Number

_____________________




99

cwiwkoacute OcircPOtilde

Ki AAcircj wf wEumlK

Ki A j AvqKi - cvbxmg~n

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FORM




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84






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92



No XXXVI OF 1984)





IT-11CHA


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Photograph of the

Assessee


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93


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no


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94

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Pay

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Amount of

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(Tk)

Amount of

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Net taxable

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Special pay

Dearness allowance



Medical allowance

Servant allowance


Overtime allowance

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2 7

3 8

4 9

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(b) Cash at bank Tk


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Total Assets Tk

11 Less Liabilities


(c) Bank loan Tk

(d) Others Tk







Adult Child


17 Sources of Fund







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No





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10 TINUTIN



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IT-11GAGA



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No XXXVI OF 1984)





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District Post Code


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1-1141-0125-0101 1-1141-0125-0111 1-1141-0125-1876

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92



No XXXVI OF 1984)





IT-11CHA


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Form No I T-10BB





84






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Instructions





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91






TIN








92



No XXXVI OF 1984)





IT-11CHA


2 TIN

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10 Present Address


Photograph of the

Assessee


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93


Serial

no


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Place

Date

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94

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95


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99




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FORM




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Form No I T-10BB





84






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92



No XXXVI OF 1984)





IT-11CHA


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10 Present Address


Photograph of the

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93


Serial

no


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94

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95


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Tk









if any

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Form No I T-10BB





84






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86





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87





IT-11UMA



Photograph of the

Assessee


photograph]


2 TIN

3 National ID No




10 Present Address




88


Serial

no


Taka




5 Total income





return Tk


Tk

Tk




Verification

I fatherhusband TIN




Place

Date

Enclosures


(Name and seal)



89

IT-10BBB







3 Investments





Total = Tk





8 Cash Asset



Total = Tk


Total Assets Tk



(c) Bank loan Tk

(d) Others Tk







16 Sources of Fund






90




Date





Instructions





(ii)












91






TIN








92



No XXXVI OF 1984)





IT-11CHA


2 TIN

3 National ID No




10 Present Address


Photograph of the

Assessee


photograph]



93


Serial

no


Taka

1 Salaries us 21







8 Total income



12 Tax Payments


Tk


Tk




Verification

Ifatherhusband TIN




Place

Date

Enclosures





94

IT-10BBBB












(d) Loans given Tk






9 Cash Asset

(a) Cash in hand Tk

(b) Cash at bank Tk














95


17 Sources of Fund







Date



















96





TIN









97



Instructions

(1)









Day Month Year






sl Name TIN

a

b

c

d

ef

g


of the assessee



98



Day Month Year


District Post Code


E-mail Address


District Post Code


District Post Code




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Pay

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Allowance

Amount of

Income

(Tk)

Amount of

exempted

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Net taxable

income

(Tk)

Basic pay

Special pay

Dearness allowance



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Servant allowance


Overtime allowance

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Location and

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Tk



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1 6

2 7

3 8

4 9

5 10




80











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(b) Cash at bank Tk


Total = Tk

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(With details)

Total Assets Tk

11 Less Liabilities


(c) Bank loan Tk

(d) Others Tk







Adult Child


17 Sources of Fund







Date






82

FORM




Serial

No





Tk









if any

Tk




Name and signature

of the Assessee





Form No I T-10BB





84






2 Present Address




10 TINUTIN



14 Total income Tk




Verification

I fatherhusband


and complete

Place



IT-11GAGA



85



SlNo







2 Net tax payable

3 Rate of tax

In case of business

Initial capital to

be shown Rate of

Tax(Tk)

Applicability






Upto Tk 10

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Upto Tk 15

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Length of

profession

Rate of

Tax (Tk)

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86





Seal



Circle Taxes Zone



87





IT-11UMA



Photograph of the

Assessee


photograph]


2 TIN

3 National ID No




10 Present Address




88


Serial

no


Taka




5 Total income





return Tk


Tk

Tk




Verification

I fatherhusband TIN




Place

Date

Enclosures


(Name and seal)



89

IT-10BBB







3 Investments





Total = Tk





8 Cash Asset



Total = Tk


Total Assets Tk



(c) Bank loan Tk

(d) Others Tk







16 Sources of Fund






90




Date





Instructions





(ii)












91






TIN








92



No XXXVI OF 1984)





IT-11CHA


2 TIN

3 National ID No




10 Present Address


Photograph of the

Assessee


photograph]



93


Serial

no


Taka

1 Salaries us 21







8 Total income



12 Tax Payments


Tk


Tk




Verification

Ifatherhusband TIN




Place

Date

Enclosures





94

IT-10BBBB












(d) Loans given Tk






9 Cash Asset

(a) Cash in hand Tk

(b) Cash at bank Tk














95


17 Sources of Fund







Date



















96





TIN









97



Instructions

(1)









Day Month Year






sl Name TIN

a

b

c

d

ef

g


of the assessee



98



Day Month Year


District Post Code


E-mail Address


District Post Code


District Post Code




_____________________




99




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17 Sources of Fund







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FORM




Serial

No





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if any

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Form No I T-10BB





84






2 Present Address




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and complete

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IT-11UMA



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88


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Instructions





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91






TIN








92



No XXXVI OF 1984)





IT-11CHA


2 TIN

3 National ID No




10 Present Address


Photograph of the

Assessee


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93


Serial

no


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1 Salaries us 21







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12 Tax Payments


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Place

Date

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94

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95


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97



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b

c

d

ef

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98



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District Post Code


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District Post Code


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No





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if any

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Form No I T-10BB





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92



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IT-11CHA


2 TIN

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93


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no


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65

Email Certificate

Zvi ci Send


=== 0 ===



66

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Amount of

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Special pay

Dearness allowance



Medical allowance

Servant allowance


Overtime allowance

Bonus Ex-gratia

Other allowances



Provident Fund






Location and

description

of property

Particulars Tk Tk


2 Claimed Expenses



Land Revenue


Charge

Insurance Premium

Vacancy Allowance

Other if any

Total =




79





Act 1925 appliesTk


Tk



Tk



premium

Tk



Total Tk



1 6

2 7

3 8

4 9

5 10




80











(d) Loans given Tk


Total = Tk







(a) Cash in hand Tk

(b) Cash at bank Tk


Total = Tk

IT-10B



81

BF = Tk


(With details)

Total Assets Tk

11 Less Liabilities


(c) Bank loan Tk

(d) Others Tk







Adult Child


17 Sources of Fund







Date






82

FORM




Serial

No





Tk









if any

Tk




Name and signature

of the Assessee





Form No I T-10BB





84






2 Present Address




10 TINUTIN



14 Total income Tk




Verification

I fatherhusband


and complete

Place



IT-11GAGA



85



SlNo







2 Net tax payable

3 Rate of tax

In case of business

Initial capital to

be shown Rate of

Tax(Tk)

Applicability






Upto Tk 10

lakh


Upto Tk 15

lakh



Length of

profession

Rate of

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corporation





86





Seal



Circle Taxes Zone



87





IT-11UMA



Photograph of the

Assessee


photograph]


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3 National ID No




10 Present Address




88


Serial

no


Taka




5 Total income





return Tk


Tk

Tk




Verification

I fatherhusband TIN




Place

Date

Enclosures


(Name and seal)



89

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3 Investments





Total = Tk





8 Cash Asset



Total = Tk


Total Assets Tk



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(d) Others Tk







16 Sources of Fund






90




Date





Instructions





(ii)












91






TIN








92



No XXXVI OF 1984)





IT-11CHA


2 TIN

3 National ID No




10 Present Address


Photograph of the

Assessee


photograph]



93


Serial

no


Taka

1 Salaries us 21







8 Total income



12 Tax Payments


Tk


Tk




Verification

Ifatherhusband TIN




Place

Date

Enclosures





94

IT-10BBBB












(d) Loans given Tk






9 Cash Asset

(a) Cash in hand Tk

(b) Cash at bank Tk














95


17 Sources of Fund







Date



















96





TIN









97



Instructions

(1)









Day Month Year






sl Name TIN

a

b

c

d

ef

g


of the assessee



98



Day Month Year


District Post Code


E-mail Address


District Post Code


District Post Code




_____________________




99




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1-1141-0125-0101 1-1141-0125-0111 1-1141-0125-1876

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39

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43

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mnwkiacute x-------- 216000-

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10 26500-

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45


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character

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57


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registration

User Id GesPassword


registration






59



Ki `vZvi


cOumlavb DrmService


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60


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|Go to Next


Gender Male

Female



61






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Facsimiled vmiddot

Email




District GesThana

Go to Next





63


cOumlw



64


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Location and

description

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2 Claimed Expenses



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Total Tk



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2 7

3 8

4 9

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(d) Loans given Tk


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(b) Cash at bank Tk


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Total Assets Tk

11 Less Liabilities


(c) Bank loan Tk

(d) Others Tk







Adult Child


17 Sources of Fund







Date






82

FORM




Serial

No





Tk









if any

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of the Assessee





Form No I T-10BB





84






2 Present Address




10 TINUTIN



14 Total income Tk




Verification

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and complete

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88


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Instructions





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91






TIN








92



No XXXVI OF 1984)





IT-11CHA


2 TIN

3 National ID No




10 Present Address


Photograph of the

Assessee


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93


Serial

no


Taka

1 Salaries us 21







8 Total income



12 Tax Payments


Tk


Tk




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Place

Date

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94

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95


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96





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97



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Day Month Year






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b

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d

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98



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17 Sources of Fund







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82

FORM




Serial

No





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Name and signature

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Form No I T-10BB





84






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88


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91






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92



No XXXVI OF 1984)





IT-11CHA


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10 Present Address


Photograph of the

Assessee


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93


Serial

no


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Place

Date

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94

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98



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Servant allowance


Overtime allowance

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description

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2 Claimed Expenses



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3 8

4 9

5 10




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(b) Cash at bank Tk


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81

BF = Tk


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No XXXVI OF 1984)





IT-11CHA


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93


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17 Sources of Fund







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82

FORM




Serial

No





Tk









if any

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Name and signature

of the Assessee





Form No I T-10BB





84






2 Present Address




10 TINUTIN



14 Total income Tk




Verification

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and complete

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90




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Instructions





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91






TIN








92



No XXXVI OF 1984)





IT-11CHA


2 TIN

3 National ID No




10 Present Address


Photograph of the

Assessee


photograph]



93


Serial

no


Taka

1 Salaries us 21







8 Total income



12 Tax Payments


Tk


Tk




Verification

Ifatherhusband TIN




Place

Date

Enclosures





94

IT-10BBBB












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9 Cash Asset

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(b) Cash at bank Tk














95


17 Sources of Fund







Date



















96





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97



Instructions

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Day Month Year






sl Name TIN

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b

c

d

ef

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of the assessee



98



Day Month Year


District Post Code


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99




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1-1141-0125-0101 1-1141-0125-0111 1-1141-0125-1876

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82

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Serial

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No XXXVI OF 1984)





IT-11CHA


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10 Present Address


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93


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94

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97



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17 Sources of Fund







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82

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if any

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Form No I T-10BB





84






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10 TINUTIN



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92



No XXXVI OF 1984)





IT-11CHA


2 TIN

3 National ID No




10 Present Address


Photograph of the

Assessee


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93


Serial

no


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1 Salaries us 21







8 Total income



12 Tax Payments


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Place

Date

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94

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1-1141-0125-0101 1-1141-0125-0111 1-1141-0125-1876

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1-1141-0125-0101 1-1141-0125-0111 1-1141-0125-1876

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38

= 30000-150000-

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41

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3000-

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82

FORM




Serial

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if any

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Name and signature

of the Assessee





Form No I T-10BB





84






2 Present Address




10 TINUTIN



14 Total income Tk




Verification

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and complete

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IT-11GAGA



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92



No XXXVI OF 1984)





IT-11CHA


2 TIN

3 National ID No




10 Present Address


Photograph of the

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93


Serial

no


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1 Salaries us 21







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Place

Date

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94

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Day Month Year






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1-1141-0125-0101 1-1141-0125-0111 1-1141-0125-1876

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No XXXVI OF 1984)





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No XXXVI OF 1984)





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Photograph of the

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93


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No XXXVI OF 1984)





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94

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94

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90




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93


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94

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99




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92



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94

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99




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1-1141-0125-0101 1-1141-0125-0111 1-1141-0125-1876

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Place

Date

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94

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95


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1-1141-0125-0101 1-1141-0125-0111 1-1141-0125-1876

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17 Sources of Fund







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FORM




Serial

No





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if any

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Form No I T-10BB





84






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Date

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92



No XXXVI OF 1984)





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Photograph of the

Assessee


photograph]



93


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Place

Date

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94

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95


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96





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98



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4 9

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(b) Cash at bank Tk


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17 Sources of Fund







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82

FORM




Serial

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if any

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Name and signature

of the Assessee





Form No I T-10BB





84






2 Present Address




10 TINUTIN



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Verification

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and complete

Place



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photograph]


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88


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Place

Date

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16 Sources of Fund






90




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Instructions





(ii)












91






TIN








92



No XXXVI OF 1984)





IT-11CHA


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10 Present Address


Photograph of the

Assessee


photograph]



93


Serial

no


Taka

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Verification

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Place

Date

Enclosures





94

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95


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96





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97



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Day Month Year






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b

c

d

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98



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Particulars Tk Tk


2 Claimed Expenses



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Insurance Premium

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2 7

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4 9

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82

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94

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95


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94

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93


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94

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99




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93


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94

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95


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17 Sources of Fund







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82

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Form No I T-10BB





84






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90




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91






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92



No XXXVI OF 1984)





IT-11CHA


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10 Present Address


Photograph of the

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93


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no


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94

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95


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96





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17 Sources of Fund







Date






82

FORM




Serial

No





Tk









if any

Tk




Name and signature

of the Assessee





Form No I T-10BB





84






2 Present Address




10 TINUTIN



14 Total income Tk




Verification

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and complete

Place



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85



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86





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Photograph of the

Assessee


photograph]


2 TIN

3 National ID No




10 Present Address




88


Serial

no


Taka




5 Total income





return Tk


Tk

Tk




Verification

I fatherhusband TIN




Place

Date

Enclosures


(Name and seal)



89

IT-10BBB







3 Investments





Total = Tk





8 Cash Asset



Total = Tk


Total Assets Tk



(c) Bank loan Tk

(d) Others Tk







16 Sources of Fund






90




Date





Instructions





(ii)












91






TIN








92



No XXXVI OF 1984)





IT-11CHA


2 TIN

3 National ID No




10 Present Address


Photograph of the

Assessee


photograph]



93


Serial

no


Taka

1 Salaries us 21







8 Total income



12 Tax Payments


Tk


Tk




Verification

Ifatherhusband TIN




Place

Date

Enclosures





94

IT-10BBBB












(d) Loans given Tk






9 Cash Asset

(a) Cash in hand Tk

(b) Cash at bank Tk














95


17 Sources of Fund







Date



















96





TIN









97



Instructions

(1)









Day Month Year






sl Name TIN

a

b

c

d

ef

g


of the assessee



98



Day Month Year


District Post Code


E-mail Address


District Post Code


District Post Code




_____________________




99




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Dearness allowance



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Servant allowance


Overtime allowance

Bonus Ex-gratia

Other allowances



Provident Fund






Location and

description

of property

Particulars Tk Tk


2 Claimed Expenses



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Charge

Insurance Premium

Vacancy Allowance

Other if any

Total =




79





Act 1925 appliesTk


Tk



Tk



premium

Tk



Total Tk



1 6

2 7

3 8

4 9

5 10




80











(d) Loans given Tk


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(a) Cash in hand Tk

(b) Cash at bank Tk


Total = Tk

IT-10B



81

BF = Tk


(With details)

Total Assets Tk

11 Less Liabilities


(c) Bank loan Tk

(d) Others Tk







Adult Child


17 Sources of Fund







Date






82

FORM




Serial

No





Tk









if any

Tk




Name and signature

of the Assessee





Form No I T-10BB





84






2 Present Address




10 TINUTIN



14 Total income Tk




Verification

I fatherhusband


and complete

Place



IT-11GAGA



85



SlNo







2 Net tax payable

3 Rate of tax

In case of business

Initial capital to

be shown Rate of

Tax(Tk)

Applicability






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lakh


Upto Tk 15

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Length of

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Rate of

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corporation





86





Seal



Circle Taxes Zone



87





IT-11UMA



Photograph of the

Assessee


photograph]


2 TIN

3 National ID No




10 Present Address




88


Serial

no


Taka




5 Total income





return Tk


Tk

Tk




Verification

I fatherhusband TIN




Place

Date

Enclosures


(Name and seal)



89

IT-10BBB







3 Investments





Total = Tk





8 Cash Asset



Total = Tk


Total Assets Tk



(c) Bank loan Tk

(d) Others Tk







16 Sources of Fund






90




Date





Instructions





(ii)












91






TIN








92



No XXXVI OF 1984)





IT-11CHA


2 TIN

3 National ID No




10 Present Address


Photograph of the

Assessee


photograph]



93


Serial

no


Taka

1 Salaries us 21







8 Total income



12 Tax Payments


Tk


Tk




Verification

Ifatherhusband TIN




Place

Date

Enclosures





94

IT-10BBBB












(d) Loans given Tk






9 Cash Asset

(a) Cash in hand Tk

(b) Cash at bank Tk














95


17 Sources of Fund







Date



















96





TIN









97



Instructions

(1)









Day Month Year






sl Name TIN

a

b

c

d

ef

g


of the assessee



98



Day Month Year


District Post Code


E-mail Address


District Post Code


District Post Code




_____________________




99




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Overtime allowance

Bonus Ex-gratia

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Location and

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2 Claimed Expenses



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Total =




79





Act 1925 appliesTk


Tk



Tk



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Tk



Total Tk



1 6

2 7

3 8

4 9

5 10




80











(d) Loans given Tk


Total = Tk







(a) Cash in hand Tk

(b) Cash at bank Tk


Total = Tk

IT-10B



81

BF = Tk


(With details)

Total Assets Tk

11 Less Liabilities


(c) Bank loan Tk

(d) Others Tk







Adult Child


17 Sources of Fund







Date






82

FORM




Serial

No





Tk









if any

Tk




Name and signature

of the Assessee





Form No I T-10BB





84






2 Present Address




10 TINUTIN



14 Total income Tk




Verification

I fatherhusband


and complete

Place



IT-11GAGA



85



SlNo







2 Net tax payable

3 Rate of tax

In case of business

Initial capital to

be shown Rate of

Tax(Tk)

Applicability






Upto Tk 10

lakh


Upto Tk 15

lakh



Length of

profession

Rate of

Tax (Tk)

Applicability







corporation





86





Seal



Circle Taxes Zone



87





IT-11UMA



Photograph of the

Assessee


photograph]


2 TIN

3 National ID No




10 Present Address




88


Serial

no


Taka




5 Total income





return Tk


Tk

Tk




Verification

I fatherhusband TIN




Place

Date

Enclosures


(Name and seal)



89

IT-10BBB







3 Investments





Total = Tk





8 Cash Asset



Total = Tk


Total Assets Tk



(c) Bank loan Tk

(d) Others Tk







16 Sources of Fund






90




Date





Instructions





(ii)












91






TIN








92



No XXXVI OF 1984)





IT-11CHA


2 TIN

3 National ID No




10 Present Address


Photograph of the

Assessee


photograph]



93


Serial

no


Taka

1 Salaries us 21







8 Total income



12 Tax Payments


Tk


Tk




Verification

Ifatherhusband TIN




Place

Date

Enclosures





94

IT-10BBBB












(d) Loans given Tk






9 Cash Asset

(a) Cash in hand Tk

(b) Cash at bank Tk














95


17 Sources of Fund







Date



















96





TIN









97



Instructions

(1)









Day Month Year






sl Name TIN

a

b

c

d

ef

g


of the assessee



98



Day Month Year


District Post Code


E-mail Address


District Post Code


District Post Code




_____________________




99




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Location and

description

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Particulars Tk Tk


2 Claimed Expenses



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Total =




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Tk



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1 6

2 7

3 8

4 9

5 10




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(a) Cash in hand Tk

(b) Cash at bank Tk


Total = Tk

IT-10B



81

BF = Tk


(With details)

Total Assets Tk

11 Less Liabilities


(c) Bank loan Tk

(d) Others Tk







Adult Child


17 Sources of Fund







Date






82

FORM




Serial

No





Tk









if any

Tk




Name and signature

of the Assessee





Form No I T-10BB





84






2 Present Address




10 TINUTIN



14 Total income Tk




Verification

I fatherhusband


and complete

Place



IT-11GAGA



85



SlNo







2 Net tax payable

3 Rate of tax

In case of business

Initial capital to

be shown Rate of

Tax(Tk)

Applicability






Upto Tk 10

lakh


Upto Tk 15

lakh



Length of

profession

Rate of

Tax (Tk)

Applicability







corporation





86





Seal



Circle Taxes Zone



87





IT-11UMA



Photograph of the

Assessee


photograph]


2 TIN

3 National ID No




10 Present Address




88


Serial

no


Taka




5 Total income





return Tk


Tk

Tk




Verification

I fatherhusband TIN




Place

Date

Enclosures


(Name and seal)



89

IT-10BBB







3 Investments





Total = Tk





8 Cash Asset



Total = Tk


Total Assets Tk



(c) Bank loan Tk

(d) Others Tk







16 Sources of Fund






90




Date





Instructions





(ii)












91






TIN








92



No XXXVI OF 1984)





IT-11CHA


2 TIN

3 National ID No




10 Present Address


Photograph of the

Assessee


photograph]



93


Serial

no


Taka

1 Salaries us 21







8 Total income



12 Tax Payments


Tk


Tk




Verification

Ifatherhusband TIN




Place

Date

Enclosures





94

IT-10BBBB












(d) Loans given Tk






9 Cash Asset

(a) Cash in hand Tk

(b) Cash at bank Tk














95


17 Sources of Fund







Date



















96





TIN









97



Instructions

(1)









Day Month Year






sl Name TIN

a

b

c

d

ef

g


of the assessee



98



Day Month Year


District Post Code


E-mail Address


District Post Code


District Post Code




_____________________




99




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Overtime allowance

Bonus Ex-gratia

Other allowances



Provident Fund






Location and

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of property

Particulars Tk Tk


2 Claimed Expenses



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Charge

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Vacancy Allowance

Other if any

Total =




79





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Tk



Tk



premium

Tk



Total Tk



1 6

2 7

3 8

4 9

5 10




80











(d) Loans given Tk


Total = Tk







(a) Cash in hand Tk

(b) Cash at bank Tk


Total = Tk

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81

BF = Tk


(With details)

Total Assets Tk

11 Less Liabilities


(c) Bank loan Tk

(d) Others Tk







Adult Child


17 Sources of Fund







Date






82

FORM




Serial

No





Tk









if any

Tk




Name and signature

of the Assessee





Form No I T-10BB





84






2 Present Address




10 TINUTIN



14 Total income Tk




Verification

I fatherhusband


and complete

Place



IT-11GAGA



85



SlNo







2 Net tax payable

3 Rate of tax

In case of business

Initial capital to

be shown Rate of

Tax(Tk)

Applicability






Upto Tk 10

lakh


Upto Tk 15

lakh



Length of

profession

Rate of

Tax (Tk)

Applicability







corporation





86





Seal



Circle Taxes Zone



87





IT-11UMA



Photograph of the

Assessee


photograph]


2 TIN

3 National ID No




10 Present Address




88


Serial

no


Taka




5 Total income





return Tk


Tk

Tk




Verification

I fatherhusband TIN




Place

Date

Enclosures


(Name and seal)



89

IT-10BBB







3 Investments





Total = Tk





8 Cash Asset



Total = Tk


Total Assets Tk



(c) Bank loan Tk

(d) Others Tk







16 Sources of Fund






90




Date





Instructions





(ii)












91






TIN








92



No XXXVI OF 1984)





IT-11CHA


2 TIN

3 National ID No




10 Present Address


Photograph of the

Assessee


photograph]



93


Serial

no


Taka

1 Salaries us 21







8 Total income



12 Tax Payments


Tk


Tk




Verification

Ifatherhusband TIN




Place

Date

Enclosures





94

IT-10BBBB












(d) Loans given Tk






9 Cash Asset

(a) Cash in hand Tk

(b) Cash at bank Tk














95


17 Sources of Fund







Date



















96





TIN









97



Instructions

(1)









Day Month Year






sl Name TIN

a

b

c

d

ef

g


of the assessee



98



Day Month Year


District Post Code


E-mail Address


District Post Code


District Post Code




_____________________




99




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Pay

amp

Allowance

Amount of

Income

(Tk)

Amount of

exempted

income (Tk)

Net taxable

income

(Tk)

Basic pay

Special pay

Dearness allowance



Medical allowance

Servant allowance


Overtime allowance

Bonus Ex-gratia

Other allowances



Provident Fund






Location and

description

of property

Particulars Tk Tk


2 Claimed Expenses



Land Revenue


Charge

Insurance Premium

Vacancy Allowance

Other if any

Total =




79





Act 1925 appliesTk


Tk



Tk



premium

Tk



Total Tk



1 6

2 7

3 8

4 9

5 10




80











(d) Loans given Tk


Total = Tk







(a) Cash in hand Tk

(b) Cash at bank Tk


Total = Tk

IT-10B



81

BF = Tk


(With details)

Total Assets Tk

11 Less Liabilities


(c) Bank loan Tk

(d) Others Tk







Adult Child


17 Sources of Fund







Date






82

FORM




Serial

No





Tk









if any

Tk




Name and signature

of the Assessee





Form No I T-10BB





84






2 Present Address




10 TINUTIN



14 Total income Tk




Verification

I fatherhusband


and complete

Place



IT-11GAGA



85



SlNo







2 Net tax payable

3 Rate of tax

In case of business

Initial capital to

be shown Rate of

Tax(Tk)

Applicability






Upto Tk 10

lakh


Upto Tk 15

lakh



Length of

profession

Rate of

Tax (Tk)

Applicability







corporation





86





Seal



Circle Taxes Zone



87





IT-11UMA



Photograph of the

Assessee


photograph]


2 TIN

3 National ID No




10 Present Address




88


Serial

no


Taka




5 Total income





return Tk


Tk

Tk




Verification

I fatherhusband TIN




Place

Date

Enclosures


(Name and seal)



89

IT-10BBB







3 Investments





Total = Tk





8 Cash Asset



Total = Tk


Total Assets Tk



(c) Bank loan Tk

(d) Others Tk







16 Sources of Fund






90




Date





Instructions





(ii)












91






TIN








92



No XXXVI OF 1984)





IT-11CHA


2 TIN

3 National ID No




10 Present Address


Photograph of the

Assessee


photograph]



93


Serial

no


Taka

1 Salaries us 21







8 Total income



12 Tax Payments


Tk


Tk




Verification

Ifatherhusband TIN




Place

Date

Enclosures





94

IT-10BBBB












(d) Loans given Tk






9 Cash Asset

(a) Cash in hand Tk

(b) Cash at bank Tk














95


17 Sources of Fund







Date



















96





TIN









97



Instructions

(1)









Day Month Year






sl Name TIN

a

b

c

d

ef

g


of the assessee



98



Day Month Year


District Post Code


E-mail Address


District Post Code


District Post Code




_____________________




99




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Act 1925 appliesTk


Tk



Tk



premium

Tk



Total Tk



1 6

2 7

3 8

4 9

5 10




80











(d) Loans given Tk


Total = Tk







(a) Cash in hand Tk

(b) Cash at bank Tk


Total = Tk

IT-10B



81

BF = Tk


(With details)

Total Assets Tk

11 Less Liabilities


(c) Bank loan Tk

(d) Others Tk







Adult Child


17 Sources of Fund







Date






82

FORM




Serial

No





Tk









if any

Tk




Name and signature

of the Assessee





Form No I T-10BB





84






2 Present Address




10 TINUTIN



14 Total income Tk




Verification

I fatherhusband


and complete

Place



IT-11GAGA



85



SlNo







2 Net tax payable

3 Rate of tax

In case of business

Initial capital to

be shown Rate of

Tax(Tk)

Applicability






Upto Tk 10

lakh


Upto Tk 15

lakh



Length of

profession

Rate of

Tax (Tk)

Applicability







corporation





86





Seal



Circle Taxes Zone



87





IT-11UMA



Photograph of the

Assessee


photograph]


2 TIN

3 National ID No




10 Present Address




88


Serial

no


Taka




5 Total income





return Tk


Tk

Tk




Verification

I fatherhusband TIN




Place

Date

Enclosures


(Name and seal)



89

IT-10BBB







3 Investments





Total = Tk





8 Cash Asset



Total = Tk


Total Assets Tk



(c) Bank loan Tk

(d) Others Tk







16 Sources of Fund






90




Date





Instructions





(ii)












91






TIN








92



No XXXVI OF 1984)





IT-11CHA


2 TIN

3 National ID No




10 Present Address


Photograph of the

Assessee


photograph]



93


Serial

no


Taka

1 Salaries us 21







8 Total income



12 Tax Payments


Tk


Tk




Verification

Ifatherhusband TIN




Place

Date

Enclosures





94

IT-10BBBB












(d) Loans given Tk






9 Cash Asset

(a) Cash in hand Tk

(b) Cash at bank Tk














95


17 Sources of Fund







Date



















96





TIN









97



Instructions

(1)









Day Month Year






sl Name TIN

a

b

c

d

ef

g


of the assessee



98



Day Month Year


District Post Code


E-mail Address


District Post Code


District Post Code




_____________________




99




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(d) Loans given Tk


Total = Tk







(a) Cash in hand Tk

(b) Cash at bank Tk


Total = Tk

IT-10B



81

BF = Tk


(With details)

Total Assets Tk

11 Less Liabilities


(c) Bank loan Tk

(d) Others Tk







Adult Child


17 Sources of Fund







Date






82

FORM




Serial

No





Tk









if any

Tk




Name and signature

of the Assessee





Form No I T-10BB





84






2 Present Address




10 TINUTIN



14 Total income Tk




Verification

I fatherhusband


and complete

Place



IT-11GAGA



85



SlNo







2 Net tax payable

3 Rate of tax

In case of business

Initial capital to

be shown Rate of

Tax(Tk)

Applicability






Upto Tk 10

lakh


Upto Tk 15

lakh



Length of

profession

Rate of

Tax (Tk)

Applicability







corporation





86





Seal



Circle Taxes Zone



87





IT-11UMA



Photograph of the

Assessee


photograph]


2 TIN

3 National ID No




10 Present Address




88


Serial

no


Taka




5 Total income





return Tk


Tk

Tk




Verification

I fatherhusband TIN




Place

Date

Enclosures


(Name and seal)



89

IT-10BBB







3 Investments





Total = Tk





8 Cash Asset



Total = Tk


Total Assets Tk



(c) Bank loan Tk

(d) Others Tk







16 Sources of Fund






90




Date





Instructions





(ii)












91






TIN








92



No XXXVI OF 1984)





IT-11CHA


2 TIN

3 National ID No




10 Present Address


Photograph of the

Assessee


photograph]



93


Serial

no


Taka

1 Salaries us 21







8 Total income



12 Tax Payments


Tk


Tk




Verification

Ifatherhusband TIN




Place

Date

Enclosures





94

IT-10BBBB












(d) Loans given Tk






9 Cash Asset

(a) Cash in hand Tk

(b) Cash at bank Tk














95


17 Sources of Fund







Date



















96





TIN









97



Instructions

(1)









Day Month Year






sl Name TIN

a

b

c

d

ef

g


of the assessee



98



Day Month Year


District Post Code


E-mail Address


District Post Code


District Post Code




_____________________




99




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1-1141-0125-0101 1-1141-0125-0111 1-1141-0125-1876

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81

BF = Tk


(With details)

Total Assets Tk

11 Less Liabilities


(c) Bank loan Tk

(d) Others Tk







Adult Child


17 Sources of Fund







Date






82

FORM




Serial

No





Tk









if any

Tk




Name and signature

of the Assessee





Form No I T-10BB





84






2 Present Address




10 TINUTIN



14 Total income Tk




Verification

I fatherhusband


and complete

Place



IT-11GAGA



85



SlNo







2 Net tax payable

3 Rate of tax

In case of business

Initial capital to

be shown Rate of

Tax(Tk)

Applicability






Upto Tk 10

lakh


Upto Tk 15

lakh



Length of

profession

Rate of

Tax (Tk)

Applicability







corporation





86





Seal



Circle Taxes Zone



87





IT-11UMA



Photograph of the

Assessee


photograph]


2 TIN

3 National ID No




10 Present Address




88


Serial

no


Taka




5 Total income





return Tk


Tk

Tk




Verification

I fatherhusband TIN




Place

Date

Enclosures


(Name and seal)



89

IT-10BBB







3 Investments





Total = Tk





8 Cash Asset



Total = Tk


Total Assets Tk



(c) Bank loan Tk

(d) Others Tk







16 Sources of Fund






90




Date





Instructions





(ii)












91






TIN








92



No XXXVI OF 1984)





IT-11CHA


2 TIN

3 National ID No




10 Present Address


Photograph of the

Assessee


photograph]



93


Serial

no


Taka

1 Salaries us 21







8 Total income



12 Tax Payments


Tk


Tk




Verification

Ifatherhusband TIN




Place

Date

Enclosures





94

IT-10BBBB












(d) Loans given Tk






9 Cash Asset

(a) Cash in hand Tk

(b) Cash at bank Tk














95


17 Sources of Fund







Date



















96





TIN









97



Instructions

(1)









Day Month Year






sl Name TIN

a

b

c

d

ef

g


of the assessee



98



Day Month Year


District Post Code


E-mail Address


District Post Code


District Post Code




_____________________




99




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1-1141-0125-0101 1-1141-0125-0111 1-1141-0125-1876

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82

FORM




Serial

No





Tk









if any

Tk




Name and signature

of the Assessee





Form No I T-10BB





84






2 Present Address




10 TINUTIN



14 Total income Tk




Verification

I fatherhusband


and complete

Place



IT-11GAGA



85



SlNo







2 Net tax payable

3 Rate of tax

In case of business

Initial capital to

be shown Rate of

Tax(Tk)

Applicability






Upto Tk 10

lakh


Upto Tk 15

lakh



Length of

profession

Rate of

Tax (Tk)

Applicability







corporation





86





Seal



Circle Taxes Zone



87





IT-11UMA



Photograph of the

Assessee


photograph]


2 TIN

3 National ID No




10 Present Address




88


Serial

no


Taka




5 Total income





return Tk


Tk

Tk




Verification

I fatherhusband TIN




Place

Date

Enclosures


(Name and seal)



89

IT-10BBB







3 Investments





Total = Tk





8 Cash Asset



Total = Tk


Total Assets Tk



(c) Bank loan Tk

(d) Others Tk







16 Sources of Fund






90




Date





Instructions





(ii)












91






TIN








92



No XXXVI OF 1984)





IT-11CHA


2 TIN

3 National ID No




10 Present Address


Photograph of the

Assessee


photograph]



93


Serial

no


Taka

1 Salaries us 21







8 Total income



12 Tax Payments


Tk


Tk




Verification

Ifatherhusband TIN




Place

Date

Enclosures





94

IT-10BBBB












(d) Loans given Tk






9 Cash Asset

(a) Cash in hand Tk

(b) Cash at bank Tk














95


17 Sources of Fund







Date



















96





TIN









97



Instructions

(1)









Day Month Year






sl Name TIN

a

b

c

d

ef

g


of the assessee



98



Day Month Year


District Post Code


E-mail Address


District Post Code


District Post Code




_____________________




99




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1-1141-0125-0101 1-1141-0125-0111 1-1141-0125-1876

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84






2 Present Address




10 TINUTIN



14 Total income Tk




Verification

I fatherhusband


and complete

Place



IT-11GAGA



85



SlNo







2 Net tax payable

3 Rate of tax

In case of business

Initial capital to

be shown Rate of

Tax(Tk)

Applicability






Upto Tk 10

lakh


Upto Tk 15

lakh



Length of

profession

Rate of

Tax (Tk)

Applicability







corporation





86





Seal



Circle Taxes Zone



87





IT-11UMA



Photograph of the

Assessee


photograph]


2 TIN

3 National ID No




10 Present Address




88


Serial

no


Taka




5 Total income





return Tk


Tk

Tk




Verification

I fatherhusband TIN




Place

Date

Enclosures


(Name and seal)



89

IT-10BBB







3 Investments





Total = Tk





8 Cash Asset



Total = Tk


Total Assets Tk



(c) Bank loan Tk

(d) Others Tk







16 Sources of Fund






90




Date





Instructions





(ii)












91






TIN








92



No XXXVI OF 1984)





IT-11CHA


2 TIN

3 National ID No




10 Present Address


Photograph of the

Assessee


photograph]



93


Serial

no


Taka

1 Salaries us 21







8 Total income



12 Tax Payments


Tk


Tk




Verification

Ifatherhusband TIN




Place

Date

Enclosures





94

IT-10BBBB












(d) Loans given Tk






9 Cash Asset

(a) Cash in hand Tk

(b) Cash at bank Tk














95


17 Sources of Fund







Date



















96





TIN









97



Instructions

(1)









Day Month Year






sl Name TIN

a

b

c

d

ef

g


of the assessee



98



Day Month Year


District Post Code


E-mail Address


District Post Code


District Post Code




_____________________




99




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1-1141-0125-0101 1-1141-0125-0111 1-1141-0125-1876

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85



SlNo







2 Net tax payable

3 Rate of tax

In case of business

Initial capital to

be shown Rate of

Tax(Tk)

Applicability






Upto Tk 10

lakh


Upto Tk 15

lakh



Length of

profession

Rate of

Tax (Tk)

Applicability







corporation





86





Seal



Circle Taxes Zone



87





IT-11UMA



Photograph of the

Assessee


photograph]


2 TIN

3 National ID No




10 Present Address




88


Serial

no


Taka




5 Total income





return Tk


Tk

Tk




Verification

I fatherhusband TIN




Place

Date

Enclosures


(Name and seal)



89

IT-10BBB







3 Investments





Total = Tk





8 Cash Asset



Total = Tk


Total Assets Tk



(c) Bank loan Tk

(d) Others Tk







16 Sources of Fund






90




Date





Instructions





(ii)












91






TIN








92



No XXXVI OF 1984)





IT-11CHA


2 TIN

3 National ID No




10 Present Address


Photograph of the

Assessee


photograph]



93


Serial

no


Taka

1 Salaries us 21







8 Total income



12 Tax Payments


Tk


Tk




Verification

Ifatherhusband TIN




Place

Date

Enclosures





94

IT-10BBBB












(d) Loans given Tk






9 Cash Asset

(a) Cash in hand Tk

(b) Cash at bank Tk














95


17 Sources of Fund







Date



















96





TIN









97



Instructions

(1)









Day Month Year






sl Name TIN

a

b

c

d

ef

g


of the assessee



98



Day Month Year


District Post Code


E-mail Address


District Post Code


District Post Code




_____________________




99




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1-1141-0125-0101 1-1141-0125-0111 1-1141-0125-1876

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86





Seal



Circle Taxes Zone



87





IT-11UMA



Photograph of the

Assessee


photograph]


2 TIN

3 National ID No




10 Present Address




88


Serial

no


Taka




5 Total income





return Tk


Tk

Tk




Verification

I fatherhusband TIN




Place

Date

Enclosures


(Name and seal)



89

IT-10BBB







3 Investments





Total = Tk





8 Cash Asset



Total = Tk


Total Assets Tk



(c) Bank loan Tk

(d) Others Tk







16 Sources of Fund






90




Date





Instructions





(ii)












91






TIN








92



No XXXVI OF 1984)





IT-11CHA


2 TIN

3 National ID No




10 Present Address


Photograph of the

Assessee


photograph]



93


Serial

no


Taka

1 Salaries us 21







8 Total income



12 Tax Payments


Tk


Tk




Verification

Ifatherhusband TIN




Place

Date

Enclosures





94

IT-10BBBB












(d) Loans given Tk






9 Cash Asset

(a) Cash in hand Tk

(b) Cash at bank Tk














95


17 Sources of Fund







Date



















96





TIN









97



Instructions

(1)









Day Month Year






sl Name TIN

a

b

c

d

ef

g


of the assessee



98



Day Month Year


District Post Code


E-mail Address


District Post Code


District Post Code




_____________________




99




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1-1141-0125-0101 1-1141-0125-0111 1-1141-0125-1876

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87





IT-11UMA



Photograph of the

Assessee


photograph]


2 TIN

3 National ID No




10 Present Address




88


Serial

no


Taka




5 Total income





return Tk


Tk

Tk




Verification

I fatherhusband TIN




Place

Date

Enclosures


(Name and seal)



89

IT-10BBB







3 Investments





Total = Tk





8 Cash Asset



Total = Tk


Total Assets Tk



(c) Bank loan Tk

(d) Others Tk







16 Sources of Fund






90




Date





Instructions





(ii)












91






TIN








92



No XXXVI OF 1984)





IT-11CHA


2 TIN

3 National ID No




10 Present Address


Photograph of the

Assessee


photograph]



93


Serial

no


Taka

1 Salaries us 21







8 Total income



12 Tax Payments


Tk


Tk




Verification

Ifatherhusband TIN




Place

Date

Enclosures





94

IT-10BBBB












(d) Loans given Tk






9 Cash Asset

(a) Cash in hand Tk

(b) Cash at bank Tk














95


17 Sources of Fund







Date



















96





TIN









97



Instructions

(1)









Day Month Year






sl Name TIN

a

b

c

d

ef

g


of the assessee



98



Day Month Year


District Post Code


E-mail Address


District Post Code


District Post Code




_____________________




99




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1-1141-0125-0101 1-1141-0125-0111 1-1141-0125-1876

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88


Serial

no


Taka




5 Total income





return Tk


Tk

Tk




Verification

I fatherhusband TIN




Place

Date

Enclosures


(Name and seal)



89

IT-10BBB







3 Investments





Total = Tk





8 Cash Asset



Total = Tk


Total Assets Tk



(c) Bank loan Tk

(d) Others Tk







16 Sources of Fund






90




Date





Instructions





(ii)












91






TIN








92



No XXXVI OF 1984)





IT-11CHA


2 TIN

3 National ID No




10 Present Address


Photograph of the

Assessee


photograph]



93


Serial

no


Taka

1 Salaries us 21







8 Total income



12 Tax Payments


Tk


Tk




Verification

Ifatherhusband TIN




Place

Date

Enclosures





94

IT-10BBBB












(d) Loans given Tk






9 Cash Asset

(a) Cash in hand Tk

(b) Cash at bank Tk














95


17 Sources of Fund







Date



















96





TIN









97



Instructions

(1)









Day Month Year






sl Name TIN

a

b

c

d

ef

g


of the assessee



98



Day Month Year


District Post Code


E-mail Address


District Post Code


District Post Code




_____________________




99




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1-1141-0125-0101 1-1141-0125-0111 1-1141-0125-1876

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89

IT-10BBB







3 Investments





Total = Tk





8 Cash Asset



Total = Tk


Total Assets Tk



(c) Bank loan Tk

(d) Others Tk







16 Sources of Fund






90




Date





Instructions





(ii)












91






TIN








92



No XXXVI OF 1984)





IT-11CHA


2 TIN

3 National ID No




10 Present Address


Photograph of the

Assessee


photograph]



93


Serial

no


Taka

1 Salaries us 21







8 Total income



12 Tax Payments


Tk


Tk




Verification

Ifatherhusband TIN




Place

Date

Enclosures





94

IT-10BBBB












(d) Loans given Tk






9 Cash Asset

(a) Cash in hand Tk

(b) Cash at bank Tk














95


17 Sources of Fund







Date



















96





TIN









97



Instructions

(1)









Day Month Year






sl Name TIN

a

b

c

d

ef

g


of the assessee



98



Day Month Year


District Post Code


E-mail Address


District Post Code


District Post Code




_____________________




99




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90




Date





Instructions





(ii)












91






TIN








92



No XXXVI OF 1984)





IT-11CHA


2 TIN

3 National ID No




10 Present Address


Photograph of the

Assessee


photograph]



93


Serial

no


Taka

1 Salaries us 21







8 Total income



12 Tax Payments


Tk


Tk




Verification

Ifatherhusband TIN




Place

Date

Enclosures





94

IT-10BBBB












(d) Loans given Tk






9 Cash Asset

(a) Cash in hand Tk

(b) Cash at bank Tk














95


17 Sources of Fund







Date



















96





TIN









97



Instructions

(1)









Day Month Year






sl Name TIN

a

b

c

d

ef

g


of the assessee



98



Day Month Year


District Post Code


E-mail Address


District Post Code


District Post Code




_____________________




99




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91






TIN








92



No XXXVI OF 1984)





IT-11CHA


2 TIN

3 National ID No




10 Present Address


Photograph of the

Assessee


photograph]



93


Serial

no


Taka

1 Salaries us 21







8 Total income



12 Tax Payments


Tk


Tk




Verification

Ifatherhusband TIN




Place

Date

Enclosures





94

IT-10BBBB












(d) Loans given Tk






9 Cash Asset

(a) Cash in hand Tk

(b) Cash at bank Tk














95


17 Sources of Fund







Date



















96





TIN









97



Instructions

(1)









Day Month Year






sl Name TIN

a

b

c

d

ef

g


of the assessee



98



Day Month Year


District Post Code


E-mail Address


District Post Code


District Post Code




_____________________




99




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92



No XXXVI OF 1984)





IT-11CHA


2 TIN

3 National ID No




10 Present Address


Photograph of the

Assessee


photograph]



93


Serial

no


Taka

1 Salaries us 21







8 Total income



12 Tax Payments


Tk


Tk




Verification

Ifatherhusband TIN




Place

Date

Enclosures





94

IT-10BBBB












(d) Loans given Tk






9 Cash Asset

(a) Cash in hand Tk

(b) Cash at bank Tk














95


17 Sources of Fund







Date



















96





TIN









97



Instructions

(1)









Day Month Year






sl Name TIN

a

b

c

d

ef

g


of the assessee



98



Day Month Year


District Post Code


E-mail Address


District Post Code


District Post Code




_____________________




99




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93


Serial

no


Taka

1 Salaries us 21







8 Total income



12 Tax Payments


Tk


Tk




Verification

Ifatherhusband TIN




Place

Date

Enclosures





94

IT-10BBBB












(d) Loans given Tk






9 Cash Asset

(a) Cash in hand Tk

(b) Cash at bank Tk














95


17 Sources of Fund







Date



















96





TIN









97



Instructions

(1)









Day Month Year






sl Name TIN

a

b

c

d

ef

g


of the assessee



98



Day Month Year


District Post Code


E-mail Address


District Post Code


District Post Code




_____________________




99




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94

IT-10BBBB












(d) Loans given Tk






9 Cash Asset

(a) Cash in hand Tk

(b) Cash at bank Tk














95


17 Sources of Fund







Date



















96





TIN









97



Instructions

(1)









Day Month Year






sl Name TIN

a

b

c

d

ef

g


of the assessee



98



Day Month Year


District Post Code


E-mail Address


District Post Code


District Post Code




_____________________




99




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1-1141-0125-0101 1-1141-0125-0111 1-1141-0125-1876

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95


17 Sources of Fund







Date



















96





TIN









97



Instructions

(1)









Day Month Year






sl Name TIN

a

b

c

d

ef

g


of the assessee



98



Day Month Year


District Post Code


E-mail Address


District Post Code


District Post Code




_____________________




99




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96





TIN









97



Instructions

(1)









Day Month Year






sl Name TIN

a

b

c

d

ef

g


of the assessee



98



Day Month Year


District Post Code


E-mail Address


District Post Code


District Post Code




_____________________




99




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1-1141-0125-0101 1-1141-0125-0111 1-1141-0125-1876

1-1145-0010-0101 1-1145-0010-0111 1-1145-0010-18761-1145-0005-0101 1-1145-0005-0111 1-1145-0005-1876




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Ki A j i scyi 052161773Ki A j 0821725432



97



Instructions

(1)









Day Month Year






sl Name TIN

a

b

c

d

ef

g


of the assessee



98



Day Month Year


District Post Code


E-mail Address


District Post Code


District Post Code




_____________________




99




AvqKi - cvbxeZxZ

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gqgbwmsn

1-1141-0125-0101 1-1141-0125-0111 1-1141-0125-1876

1-1145-0010-0101 1-1145-0010-0111 1-1145-0010-18761-1145-0005-0101 1-1145-0005-0111 1-1145-0005-1876




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Ki A j i scyi 052161773Ki A j 0821725432



98



Day Month Year


District Post Code


E-mail Address


District Post Code


District Post Code




_____________________




99




AvqKi - cvbxeZxZ

Abvb wd mg~n





gqgbwmsn

1-1141-0125-0101 1-1141-0125-0111 1-1141-0125-1876

1-1145-0010-0101 1-1145-0010-0111 1-1145-0010-18761-1145-0005-0101 1-1145-0005-0111 1-1145-0005-1876




vb bcurreni



Ki A j i scyi 052161773Ki A j 0821725432



99




AvqKi - cvbxeZxZ

Abvb wd mg~n





gqgbwmsn

1-1141-0125-0101 1-1141-0125-0111 1-1141-0125-1876

1-1145-0010-0101 1-1145-0010-0111 1-1145-0010-18761-1145-0005-0101 1-1145-0005-0111 1-1145-0005-1876




vb bcurreni



Ki A j i scyi 052161773Ki A j 0821725432




vb bcurreni



Ki A j i scyi 052161773Ki A j 0821725432

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