Professional Documents
Culture Documents
2019 BPML RPML
2019 BPML RPML
2019 BPML RPML
2 TIN: 7 6 4 7 6 5 4 2 5 3 2 9
3 National ID No: 6418581358 (Smart Card)
4 Date of Birth: 0 8 0 5 1 9 8 2
Day Month Year
5 Email: monirait@yahoo.com
6 Spouse's TIN or Name: Mst. Fulbanu Khatun
7 (a) Circle : Salary-054 (b) Taxes Zone: 03, Dhaka
8 Residential Status: Resident / Non-resident
9 Name and addressof the employer: Bashundhara Paper Mills Ltd. (Unit-01), Meghnaghat, Sonargaon, Narayanganj
10 Present Address: Bashundhara Paper Mills Ltd. (Unit-01), Meghnaghat, Sonargaon, Narayanganj
11 Telephone: Office Mobile:
Statement of income during the income year ended on 30 /06 /2019
Serial no. Heads of Income Amount in Taka
1 Salaries : u/s 21 497,428
2 Income from house property : u/s 24 -
3 Agricultural income : u/ s 26 -
4 Income from other sources: u/ s 33 -
5 Total income 497,428
6 Tax leviable on total income 6,090
7 Tax rebate: u/s 44 (2)(b)
8 Tax payable (difference between serial no.6 and 7) 6,090
9 Tax payment:
(a) Tax deducted or paid in advance/with return Tk. 6,090
(b) Adjustment of Tax Refund (if any) TK. - 6,090
10 Difference between serial no. 8 and 9 (if any) (0)
11 Tax exempted and Tax free income -
(Please attach supporting and documents/ statements, if needed)
Verification
I Md. Moniruzzaman . father/husband : Md. Abdul Bari
TIN: 7647-6542-5329 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………………… ( Md. Moniruzzaman )
Enclosures: Signature of the assessee
(Name and seal)
IT-10BBB
Statement of assets and liabilities for salaried person (as on 30/06/2019)
Name of the Assessee: Md. Moniruzzaman TIN : 7647-6542-5329
16 Sources of Fund:
(i) Shown Return Income Tk. 497,428
(ii) Tax exempted/Tax free Income Tk. -
(iii) Other receipts( plese specify) Tk. -
Total source of Fund = Tk. 497,428
17 Difference (Between serial 15 and 16) Tk (842,580)
I solemnly declare that to the best of my knowledge and belief the information given in this form is correct and complete.
( Md. Moniruzzaman )
Name & signature of the Assessee
Date ................................................
• Assets and liabilities of self, spouse (if she/he is not an assessee), minor children and dependant(s)
to be shown in the above statements.
* Please provide documents and use separate sheet, If 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 u/s 75 of the Income Tax Ordinance, 1984.
(2) Enclose where applicable:
(a) Salary statement for salary income;
(b) Deed or rental agreement ( if any) for house property income;
(c) Documents in support of any other income or liabilities shown;
(d) Documents in support of investments made in any form;
(e) Computation of income according to Income-tax Ordinance, 1984;
(f) Provide evidence in support of tax payment.
(3) Documents furnished to support the declaration should be signed by the assessee or his/her
authorized representative.
(4) Assets and liabilities of self, spouse (if she/he is not an assessee), minor children and dependant(s) to be
shown in this form.
(5) If needed, please use separate sheet.
TIN:
Schedule-I (Salaries)
Amount of Amount of Net
Pay and Allowance income exempted taxable
Income Income
(Tk.) (Tk.) (Tk.)
Basic pay 356,571 - 356,571
Special pay 92,857 - 92,857
Dearness allowance - - -
Conveyance allowance 29,714 29,714 -
House rent allowance 111,430 111,430 -
Medical allowance 29,714 29,714 -
Servant allowance - - -
Leave allowance/encashment - - -
Honorarium/ Reward/ Fee - - -
Overtime allowance - - -
Bonus/Ex-gratia 48,000 - 48,000
Other allowances - - -
Employer's Contribution to P.F (Recognised) - - -
Interest accrued on Recognised P. F. - - -
Deemed income for transport facility - - -
Deemed income for free accommodation - - -
Others if any (give detail) - - -
Net taxable income from salary 668,286 170,858 497,428