Tax return_Mr. Saito (19-20)

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 1 9 ─ 2 0 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 2018 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 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) Spouse Name: Sachiko Saito Spouse TIN (if any): Mother’s Name: Toyo Saito Father’s Name: Hiroyoshi Saito Circle: 2019 11 12 10D 10C 10 0 3 0 9 Resident Status (tick one) Tick on the box(es) below if you are: 10A 10B 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 Basic information Schedule 24A if you have income from Salaries 1 2 Return submitted under section 82BB? (tick one) 4 765733870541 227 (Company) 3 Gender (tick one) Takeshi Saito TIN: 7 6 5 7 3 3 8 7 0 5 4 1 Amount ৳ 24 S.21 217,338 25 S.22 26 S.24 27 S.26 28 S.28 - 29 S.31 30 S.33 31 32 S.43 33 34 217,338 Amount ৳ 35 65,201 36 - 37 65,201 38 39 40 41 65,201 42 - 43 44 45 46 - 47 - 48 - 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) 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 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 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. 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 53 Statements annexed (tick all that are applicable) 55 2 0 2 1 √ 24A √ 24B 24C 24D 0 1 2 0 2 1 National Board of Revenue IT-11GA2016 Assessment Year 2 0 1 9 ─ 2 0 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) ৳ 217,338 Amount payable (serial 41) ৳ 65,201 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 1 9 ─ 2 0 Particulars Amount Taxable (A) (C=A-B) 3 162,963 162,963 4 - 5 - 6 - 7 - - 8 - - 9 - - 10 - 11 - 12 - 13 - 14 - 15 - 16 54,375 54,375 17 - 18 - 19 - 20 - 21 - - 22 217,338 217,338 All figures of amount are in taka ( ৳ ) Name : Takeshi Saito Signature & Date: Basic pay Special pay - - - Arrear pay (if not included in taxable income earlier) Dearness allowance Conveyance allowance House rent allowance Medical allowance SCHEDULE 24A Particulars of income from Salaries 1 2 Annex this Schedule to the return of income if you have income from Salaries 765733870541 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 - - Honorarium/ Reward/Fee Overtime allowance Tax exempted (B) Name of the assessee Takeshi Saito E-TIN 765733870541 Name of the employer Nippon Signal Company Limited Residential Status Non Resident Income Year 2018-19 Assessment Year 2019-20 A) Income From Salary: Particulars Total Exempted Income Taxable Income Basic Salary 162,963 - 162,963 House Rent - Conveyance Allowance - Medical Allowance - Other Allowance 54,375 - 54,375 - Total 217,338 - 217,338 Total Taxable Income: 217,338 Income Tax Calculation Particulars Taxable Income Tax rate Income Tax First 217,338 30% 65,201 217,338 65,201 Total tax liability for the year 65,201 - Net Tax Liability 65,201 Less: Tax Paid at source - Tax Payable 65,201 Less: Investment Rebate Computation of Total Income and Income Tax Liability: