National Board of Revenue IT-11GA2016
www.nbr.gov.bd
Schedule 24B if you have income from house property
Schedule 24C if you have income from business or profession
Schedule 24D if you claim tax rebate
Assessment Year
2 0 2 0 ─ 2 1 Yes √ No
Name of the Assessee: M √ F
5 Twelve-digit TIN: 6 Old TIN
7 8 Taxes Zone:11, Dhaka.
Resident √ Non-resident
A person with
A gazetted war-wounded freedom fighter A person with disability
Aged 65 years or more A parent/legal guardian of a person with disability
Date of birth (DD-MM-YYYY) Income Year
4 1 9 5 9 2019 to
13 If employed, employer’s name: Nippon Signal Company Limited
14 15
16 17
18 Present Address: 19 Permanent Address:
20 21
22 23
4
765733870541
227 (Company)
3 Gender (tick one) Takeshi Saito
Basic information
Schedule 24A if you have income from Salaries
1 2
Return submitted under section 82BB? (tick one)
RETURN OF INCOME
The following schedules shall be the integral part of this return and
must be annexed to return in the following cases:
PART I
Photo
For an Individual Assessee
9 Resident Status (tick one)
Tick on the box(es) below if you are:
10A 10B
11 12
10D 10C
10
0 3 0
Spouse Name: Sachiko Saito Spouse TIN (if any):
Mother’s Name: Toyo Saito Father’s Name: Hiroyoshi Saito
Circle:
2020
Contact Telephone: +8801847198851 E-mail:
Business Identification Number(s)
Park Road, House-25, Apt-A4,
Baridhara, Gulshan, Dhaka, PO : 121
1519-2, Ishinada, Utsunomiya,
Tchigi, Japan
TR9354389
National Identification :
(Passport No)
TIN: 7 6 5 7 3 3 8 7 0 5 4 1
Amount ৳
24 S.21 7,112,872
25 S.22
26 S.24
27 S.26
28 S.28 -
29 S.31
30 S.33
31
32 S.43
33
34 7,112,872
Amount ৳
35 1,573,218
36 -
37 1,573,218
38
39
40
41 1,573,218
42 -
43
44
45
46 -
47 -
48 -
PART II
Particulars of Income and Tax
Total amount payable
Particulars of Total Income
Total income (aggregate of 24 to 33)
Salaries (annex Schedule 24A)
Interest on securities
Income from house property (annex Schedule 24B)
Agricultural income
Income from business or profession (annex Schedule 24C)
Capital gains
Income from other sources(Interest Income)
Share of income from firm or AOP
Income of minor or spouse under section 43(4)
Foreign income
Amount paid with return (attach proof)
Total amount paid and adjusted (42+43+44+45)
Deficit or excess (refundable) (41-46)
Tax exempted income
Tax Computation and Payment
Gross tax before tax rebate
Tax rebate (annex Schedule 24D)
Net tax after tax rebate
Minimum tax
Advance tax paid (attach proof)
Adjustment of tax refund [mention assessment year(s) of refund]
Tax deducted or collected at source (attach proof)
Net wealth surcharge
Interest or any other amount under the Ordinance (if any)
TIN: 7 6 5 7 3 3 8 7 0 5 4 1
49
50 Yes No
51 Yes No
52
IT-10B2016 IT-10BB2016 √
Other Statements, documents ect. Attached ;
(A) Copy of Work Permit;
(B) Copy of Passport with Visa;
(C) Copy of TIN Certificate;
(D) Payorder for TK. ; Vide No. ; Date: .
Name: Takeshi Saito Signature:
Date of Signature (DD-MM-YYYY) Place of Signature
0 1
Date of Submission (DD-MM-YYYY) Tax Office Entry Number
53 Statements annexed
(tick all that are applicable) √
55
2 0 2 1
Instructions
1. Statement of assets, liabilities and expenses (IT-10B2016) and statement of life style expense (IT-
10BB2016) must be furnished with the return unless you are exempted from furnishing such statement(s)
under section 80.
2. Proof of payments of tax, including advance tax and withholding tax and the proof of investment for tax
rebate must be provided along with return.
3. Attach account statements and other documents where applicable
If you are a parent of a person with disability, has your spouse
availed the extended tax exemption threshold? (tick one)
Are you required to submit a statement of assets, liabilities and
expenses (IT-10B2016) under section 80(1)? (tick one)
Schedules annexed
(tick all that are applicable)
PART III
Instruction, Enclosures and Verification
Particulars of Total Income
For official use only
Return Submission Information
54
Verification and signature
Verification
I solemnly declare that to the best of my knowledge and belief the information given in this return and
statements and documents annexed or attached herewith are correct and complete.
√
24A √ 24B 24C 24D
0 1 2 0 2 1
National Board of Revenue IT-11GA2016
Assessment Year
2 0 2 0 ─ 2 1 Yes √ No
Name of the Assessee: M √ F
Twelve-digit TIN: Old TIN
Circle: 227 (Company) Taxes Zone:11, Dhaka.
Total income shown (serial 34) ৳ 7,112,872
Amount payable (serial 41) ৳ 1,573,218 Amount paid and adjusted (serial 46) ৳
Date of Submission (DD-MM-YYYY) Tax Office Entry Number
Signature and seal of the official receiving the return
Date of Signature Contact Number of Tax Office
-
ACKNOWLEDGEMENT RECEIPT OF
www.nbr.gov.bd
RETURN OF INCOME
Return under section 82BB? (tick one)
Gender (tick one)
765733870541
Takeshi Saito
0 1 2 0 2 1
Assessment Year TIN :
2 0 2 0 ─ 2 1
Particulars Amount Taxable
(A) (C=A-B)
3 5,333,328 5,333,328
4 -
5 -
6 -
7 - -
8 - -
9 - -
10 -
11 -
12 -
13 -
14 -
15 -
16 1,779,544 1,779,544
17 -
18 -
19 -
20 -
21 - -
22 7,112,872 7,112,872
All figures of amount are in taka ( ৳ )
Name : Takeshi Saito Signature & Date:
Tax exempted
(B)
-
-
Honorarium/ Reward/Fee
Overtime allowance
Festival Allowance
Allowance for support staff
Leave allowance
Total
Bonus / Ex-gratia
Other allowances
Employer’s contribution to a recognized provident fund
Interest accrued on a recognized provident fund
Deemed income for transport facility
Deemed income for free furnished/ unfurnished accommodation
Other, if any
SCHEDULE 24A
Particulars of income from Salaries
1 2
Annex this Schedule to the return of income if you have income from Salaries
765733870541
Basic pay
Special pay
-
-
-
Arrear pay (if not included in taxable income earlier)
Dearness allowance
Conveyance allowance
House rent allowance
Medical allowance
Name of the assessee Takeshi Saito
E-TIN 765733870541
Name of the employer Nippon Signal Company Limited
Residential Status Resident
Income Year 2019-20
Assessment Year 2020-21
A) Income From Salary:
Particulars Total Exempted
Income
Taxable
Income
Basic Salary 5,333,328 - 5,333,328
House Rent -
Conveyance Allowance -
Medical Allowance -
Other Allowance 1,779,544 - 1,779,544
-
Total 7,112,872 - 7,112,872
Total Taxable Income: 7,112,872
Income Tax Calculation
Particulars Taxable
Income Tax rate Income Tax
First 300,000 0% Nill
On Second 100,000 5% 5,000
On Third 300,000 10% 30,000
On Fourts 400,000 15% 60,000
On Fifth 500,000 20% 100,000
On Rest 5,512,872 25% 1,378,218
7,112,872 1,573,218
Total tax liability for the year 1,573,218
-
Net Tax Liability 1,573,218
Less: Tax Paid at source -
Tax Payable 1,573,218
Less: Investment Rebate
Computation of Total Income and Income Tax Liability: