income tax return 2016

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    FORM OF RETURN OF INCOME UNDER THE INCOME-tax ORDIN(XXXVI OF 1984)

    Unive !a" #e"$%N& 'a" ON FOR THE #A ARIED INDIVIDUA

    [Put tick (√) where applicable]

    A!!e!!'ent ea * + 1 -+ 1.1. Name of the Assessee: M / A"a'

    2. T N:

    !. Natio"al # No:

    $. #ate of %irth: 1 1 9 8 &mail:'. pouse s T N or Name : *

    +. (a) ,ircle: (b) Ta-es o"e: /. 0esi e"tial tatus: 0esi e"t. Name a" a ress of the emplo3er: *

    1*. Prese"t A ress: *

    11. Telepho"e: 45ce 6obile:

    Statement of income during the income year ended on 30/0#e ia" n&/ Hea0! &$ In &'e

    1 alaries : u7s 212 "come from house propert3: u7s 2$! A8ricultural i"come: u7s 2'$ ,apital 9ai": u7s !1

    "come from other sources: u7s !!' Total i"come+ Ta- le;iable o" total i"come/ Ta- rebate: u7s $$(2)(b)

    Ta- pa3able ( i

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    &"closures: i8"(Na

    Na'e &$ t e A!!e!!ee* M / A"a'"come Bear: 2*1$?2*1

    Assessme"t Bear: 2*1 ?2*1'C&'67tati&n &$ In &'e Tax ia i"it

    3a ti 7"a ! &$ T&ta" In &'e A'&7nt in T

    A/ In &'e $ &' #a"a * U%#-++1 %asic alar3 1**=**2 Couse 0e"t !'*=**

    @ess: &-emptio"? Taka 2 =*** per mo"th 3earl3 2 =***D12 !**=**or= *E of basic salar3 '**=**Fhiche;er is lower !**=**

    ! ,o";e3a"ce Allowa"ce@ess: &-emptio" ma-imum !*=**

    $ ,o";e3a"ce acilit3 (%asic alar3D E)6e ical Allowa"ce@ess: &-empte 6a-. Tk.12*=***. 12*=**

    ' @ea;e are Allowa"ce+ @ea;e &"cashme"t/ "ce"ti;e %o"us

    esti;al %o"us1* &mplo3erGs ,o"tributio" to 0P H1*E of basic salar311 "terest o" 0P (&mplo3ee a" &mplo3erGs i"terest)

    @ess: &-emptio"?i"terest o" 0P H1$. *E= or4"e thir of basic salar3 $**=**Fhiche;er is lower

    T&ta" In &'e $ &' #a"a;/ In &'e $ &' H&7!e 3 &6e t * U%#-+4 (i$ an )

    C/ A5 i 7"t7 a" In &'e* U%#-+. (i$ an )D/ Ca6ita"

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    $

    Ta- #e ucte at ource o" #0 Ta- #e ucte at ource o" #P Ta- #e ucte at ource o" #i;i e"A ;a"ce "come Ta- Pa3me"t for alar3 b3 the emplo3er

    Net Tax ia i"it % (Re$7n0)

    Signature of the Asse

    #tate'ent &$ a!!et! an0 "ia i"itie! $& #a"a ie0 6e !&n (a! &n1/ Na'e &$ t e A!!e!!ee* M / A"a'+/ TIN*

    1/ N&n-A5 i 7"t7 a" 3 &6e t (at &!t ?it "e5a" ex6en!e! ) *@a" 7Couse propert3 (#escriptio" a" locatio" of propert3)

    +/ A5 i 7"t7 a" 3 &6e t (at &!t ?it "e5a" ex6en!e!) *@a" (Total la" a" locatio" of la" propert3) 2.'' ecimal la"

    =/ Inve!t'ent!* A'&7nt in T(a) hares7#ebe"tures 1**=**(b) a;i"8 ,ertiOcate7I"it ,ertiOcate7%o"

    **=**( ) @oa"s 8i;e"(e) 4ther ";estme"tT&ta"4/ M&t& Ve i "e! (at &!t) *

    T3pe of motor ;ehicle a" 0e8istratio" "umber/ Be?e""e ( 7antit an0 &!t) 8 ;& i

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    (ii) Ta- e-empte 7Ta- free "come !**=**(iii) 4ther receipts (%a"k loa" recei;e i" this i"come 3ear)

    Total source of u"1@/ Di e en e (;et?een !e ia" 1 an0 1.)

    Name si8"atu#ate:

    DPlease pro;i e ocume"ts a" use separate sheet= if "ee e .

    In!t 7 ti&n! t& 2"" 76 t e Ret7 n F& '

    In!t 7 ti&n!*

    (2) &"close where applicable:(i) alar3 stateme"t for salar3 i"comeQ(ii) #ee or re"tal a8reeme"t (if a"3) for house propert3 i"comeQ(iii) #ocume"ts i" support of a"3 other i"come or liabilities show"Q

    (i;) #ocume"ts i" support of i";estme"ts ma e i" a"3 formQ(;) ,omputatio" of i"come accor i"8 to "come?ta- 4r i"a"ce= 1 /$Q(;i) Pro;i e e;i e"ce i" support of ta- pa3me"t.

    ( ) f "ee e = please use separate sheet.

    (') Please ;isit N%0 s website www."br?b .or8 for further i"formatio".

    LLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLL

    A :n&?"e05e'ent Re ei6t &$ In &'e Tax Ret7 n

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    '

    < &!! ea"t ! &?n* 1$=21*=***.** Net ea"t ! &?n *

    #ate of receipt of retur": erial No. i" 0etur" 0e8iste

    0etur" submitte u" er sectio" /2%%7Normal

    #i5nat7 e &$ Re eivin5

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    +

    IT-11UMA

    NCE, 1984

    No"?resi e"t

    *

    /2015A'&7nt in Ta:a

    1=!/*=***.**=***.**12=***.**

    ?!*=***.**

    1=$++=***.**1/*=$**.**

    !'=***.**1$$=$**.**

    $=***.**

    !=***.***.**

    ?1$1=$**.**!**=***.**

    &5 a6 &$ t e A!!e!!ee

    [to be atteste o" thephoto8raph]

    l3 eclare that to the bestume"ts a""e-e herewith

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    /

    ture of the assesseee a" seal)

    :a A'&7nt in Ta:a

    *.** 1=2**=***.***.**

    '*=***.**

    *.***.***.**

    ??*.**

    ? ??

    ?*.**?

    ???

    12*=***.**?

    ?

    ?*.**

    ?1=!/*=***.**

    =***.**

    12=***.**?

    7nt =***.**.**

    .** 22= **.**

    .** 2= **.**? ?-

    ?-!*=***.**

    1=$++=***.**

    Pls i"put 3earl3

    "put 3earl3 house re"t.

    Please i"p

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    re of the Assessee

    :a A'&7nt in Ta:a

    *.**2$*=***.***.**

    ???

    -?-

    ??*.**

    ??*.**?

    2$*=***.**

    $*+=1**.**1 =***=***.**

    $*+=1**.**2$*=***.**

    e Tax ia i"it

    *.** ?

    *.** $*=***.***.** + =***.***.** ' =$**.**

    ? ?? ?

    / 18 ,4 /*.** !'=***.**

    1$$=$**.**?

    1$$=$**.**$=***.**

    1$$=$**.****.**

    s

    ust "p

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    1*

    2=2 *.**2 *.**

    ???

    1$1=$**.**

    see

    IT-1 ;;; % .%+ 1 )

    A'&7nt in Ta:a

    1*=***=***.**

    /**=***.**:a

    '**=***.**

    *.**?

    *.**??

    1=2**=***.**$**=***.**2**=***.**1 *=***.**

    :a

    /'*=***.**

    *.***.**

    ?

    ?14,+1 , /

    !**=***.**

    ??

    *.**?

    1=,91 , /, , //= 1*=***.**

    1= **=***.**1*=$1*=***.**:a

    *.**

    Pls i"put T# e u

    Pls i"put Ta- paita- toke" feeR las

    Pls i"putsubmit re

    Bear "co

    Pls i"put famil3 e-Jero #e ia" NO/ 1

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    *.**

    1=+++=***.**?

    /='!!=***.**

    e of the Assessee

    LLLLLLLLLLLLLLLLL..

    nt ea * + 1 -+ 1.

    !=***.**

    i" this form is correct a"

    pe" a"t(s) to be show" i"

    o" as prescribe u7s + of

    see or his7her authoriJe

    epe" a"t(s) to be show"

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    1!= 1*=***.**

    r:

    O e ?it !ea"/