National Board of Revenue

www.nbr.gov.bd
RETURN OF INCOME
For Individual Person

For Official Use

IT-GHA (2023)
Serial number of Return Register
register
Volume number of Return Register
Date of Return Submission
[Applicable for individual person having taxable income below Tk. 5,00,000 and total asset below Tk. 40,00,000]

1. Name of the Taxpayer :

2. NID / Passport Number (if no NID) :
3. TIN :

4. (a) Circle: (b) Tax Zone:

5. Assessment Year: .................... 6. Residential Status: Resident  / Non-resident 
7. Address of Contact / Employer / Name of Business organization:
.............................................................................................................................................
.............................................................................................................................................
…………………………………………………………….................................................
Mobile/Phone: ...............................................

8. Source of Income :
9. Total Asset :
10. Total Income :
11. Chargeable Tax :
12. Tax Rebate :
13. Tax Payable :
14. Tax Deducted / Collected at Source (if any):
15. Tax Paid with this Return :
16. Lifestyle Expense :

Verification

I.........................................................................Father/Husband.................................
TIN declares that the information given in this return, statement and
attached evidences are correct and complete to the best of my belief and knowledge. Besides I am not a Shareholder
of any company, I have no motor vehicle, I have no asset abroad and I do not own any house property or apartment
in any city corporation area.

Place:
Date: ....................................
Signature
Optional: Please give short details of Tax calculation, statement of lifestyle expenses, list of proof attached statement
of assets and liabilities.
Instructions:
(1) This return of income shall be signed and verified by the individual person as prescribed by the Income
Tax Act, 2023.
(2) Enclose where applicable:
a. Salary statement for salary income; Bank statement for interest; Certificate for interest on
savings instruments; Rent agreement, receipts of municipal tax and land revenue, statement of
house property loan interest, insurance premium for house property income; Statement of
professional income as per IT Rule-8; Copy of assessment/ income statement and balance sheet
for partnership income; Documents of capital gain; Dividend warrant for dividend income;
Statement of other income; Documents in support of investments in savings certificates, LIP,
DPS, Zakat, stock/share etc.;
b. Income and expenses account statement, production Accounts, commercial accounts, profit and
loss accounts and balance sheet in case of business income;
c. Computation of income according to Income Tax Act, 2023.
(3) Documents furnished to support the declaration should be signed by the taxpayer or his/her authorized
representative.
(4) If needed, please use separate sheet.