FORM OF RETURN OF INCOME UNDER THE INCOME TAX ORDINANCE, 1984

(XXXVI OF 1984)

Universal Self/ Normal ONLY FOR THE SALARIED INDIVIDUAL

[Put tick (√) where applicable]

Income Year: 2019-2020, Assessment Year : 2020-2021

1. Name of the Assessee: Suman Datta

2. eTIN : 7 6 1 0 1 0 9 7 4 5 9 9
3. National ID No 1 5 9 1 9 0 6 5 4 0 9 4 1

4. Date of Birth: 0 5 0 2 1 9 7 9 5. Email: kishordatta12july@gmail.com

6. Spouse's TIN or Name: Ferdowsi
7. (a) Circle: 275 (b) Taxes' Zone: 13 8. Residential Status: Resident √ Non-Resident
9. Name and address of the employer: Dhaka Electric Supply Company Ltd (DESCO), 22/B, Faruque Sarani,
Nikunja-2, Khilkhet, Dhaka-1229
10. Present Address: DESCO Ltd. 22/B, Farukh Sarani Nikunja-2, Khilkhet, Dhaka-1229.

11.Tlelephone : Office: Mobile: 01777739261

Statement of income during the income year on…2019-2020…….

Serial Heads of Income Amount inTkaka
no.
1 Salaries : u/s 21 689,035.00
2 Income from house property : u/s 24 -
3 Agricultural Income : u/s 26 -
4 Income from other sources : u/s 33 (Dutch- Bangla Bank Interest) 2,899.00
5 Total Income 691,934.00
6 Tax Leviable on total income 34,193.00
7 Tax rebte: u/s 44(2)(b) 25,948.00
8 Tax payable (difference between serial no 6 and 7) 8,245.00
Tax Payments: Additional Tax Paid (Treasury Challan Enclosed) Tk.
9 (a) Tax deducted or paid in advance /with return (Salary 15100+290 Bank) Tk. 15,390.00
(b) Adjustment of Tax Refund (if any) Tk. - 15,390.00
10 Difference between serial no. 8 and 9 (if any) : Refundable Tax (7,145.00)
11 Tax exempted and Tax free income 462,791.00

(Please attach supporting documents/statements, if needed)

Verification
d. Suman Datta ……………….. Father : Late Madan Mohan…………
eTIN: 761010974599………... solemnly declare that to best of my knowledge and belief the information
given in this return and statements and documents annexed herewith is correct and complete.

Place:… Dhaka…………..
Date: ………………………..
Enclosures:
1.Insurance Certificate 5. Bank dps Statement Signature of assessee
2. Salary Certificate 6. eTIN Certificate Suman Datta
3. DBBL Certificate (Name and seal)
4. Tax Assesment Sheet
1
ALARIED INDIVIDUAL
 IT-10BBB

Statement of asstes and liabilites for salaried person (as on 30/06/2019 )

Name of the Assessee: Suman Datta TIN: 7 6 1 0 1 0 9 7 4 5 9 9

1. Non- Agricultural Property (at cost with legal expenses) :Before land buy Tk. 508,929.00
Land/House property (Description and location of property)

2. Agricultural Property (at cost with legal expenses) : Father Assets Tk. -
Land (Total land and location of land property)

3. Investment:
(a) Shares/Debentures/Life Insurance: (share12440+insurance432645) Tk. 445,085.00
(b) Saving Certificate/ Unit Certificate/DPS: Tk. 391,810.00
(c) Prize Bond/ Saving Scheme/FDR Tk.
(d) Loan given Tk. 250,000.00
(e) Other Investment : (CPF: BF : 456436+ 59030 Current year ) Tk. 515,466.00
Total = Tk. 1,602,361.00
4. Motor Vehicles (at cost) : Tk.
Type of motor vehicle and Registration number:
5. Jewellery (quantity and cost) : Before 17 Bori gift+buy Unknown balance Tk. -

6. Furniture (at cost): Before 200000/- Tk. 192,549.00

7. Electric Equipment : Before (362150-130000 Damage electric equipment) Tk. 232,150.00
8. Cash Asset :
(a) Cash in hand Tk. 10,850.00
(b) Cash at bank Tk. 504,550.00
(c) Other deposit Tk.
Total = Tk. 515,400.00
9. Any other assets (With details) Tk. -
Total Assets Tk. 3,051,389.00
10. Less Liabilities:
(a) Mortgages secured on property or land Tk.
(b) Unsecured loan Tk.
(c) Bank loan Tk.
(d) others : CPF Loan Tk.
Total liabilities= Tk. -
11. Net wealth as on last date of the income year
(Differenc between total assets and total liabilites) Tk. 3,051,389.00
12. Net wealth as on last date of previous income year : Tk. 2,647,464.00
13. Accretion in wealth (Difference between serial no. 11 and 12) Tk. 403,925.00
14. Personal and Family Expenditure : Tk. 750,800.00
15. Total Accretion of wealth ( Total of serial 13 and 14 ) Tk. 1,154,725.00
16. Sources of Fund :
(i) Shown Return Income Tk. 691,934.00
(ii) Tax Exemted/ Tax Free Income Tk. 462,791.00
(iii) Other receipts : Tk. -

Total source of Fund Tk. 1,154,725.00

17. Differenc (Between serial 15 and 16) Tk. -
I solemnly declare that to the best of my knowledge and belief the information given in this form is correct
and comlete.

Suman Datta
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.
2
 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:

(i) Salary statement for salary income;
(ii) Deed or rental agreement (if any) for house property income;
(iii) Documents in support of any other income or liabilities shown;
(iv) Documents in support of investments made in any form;
(v) Computation of income according to Income-tax Ordinance, 1984;
(vi) 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.

(6) Please visit NBR’s website www.nbr-bd.org for further information.

 .............................................................................................................................................

Acknowledgement Receipt of Income Tax Return

Government of the People’s Republic of Bangladesh
Office of the Deputy Commissioner of Taxes
Taxes Circle : 275, Taxes Zone : 13
Name of the Assessee: Suman Datta Assessment Year: 2020 -2021
TIN: 7 6 1 0 1 0 9 7 4 5 9 9
Total income shown in Return: Tk 691,934.00 Tax paid : Tk. 15,390.00
Gross Wealth shown: Tk 3,051,389.00 Net Wealth shown : Tk 3,051,389.00
Date of receipt of return: .............................Serial No. in Return Register............................
Return submitted under section 82BB/Normal
Signature of Receiving Officer with seal.
 Income Tax Assement Sheet

Suman Datta, SAE, DESCO

eTIN : 761010974599
Income Year 2019-2020, Assessment Year 2020-2021

Taka Times Total Exemption Taxable

A.1 Basic : 590,295 590,295 - 590,295
A.2 House Rent : 354,177 354,177 354,177 -
A.3 Festival Bonus 98,740 98,740 - 98,740
A.4 Noboborsho Allowance 9,874 9,874 9,874 -
A.5 Encashment of E.L. 98,740 98,740 98,740.00
A.6 Dearness Allowance - - - - -
A.7 Incntive Bonus - - - -
Total Income from Salary 1,151,826 462,791 689,035

B Capital Gain from Share Sale (…..) - -

C Share Dividend 0 - - -
D Bank Interest: 0
D.1 DBBL (Salary) 2899 2,899 - 2,899
D.2 DBBL (Personal) 0 - - -
D.3 Islami Bank Bangladesh Ltd - - -
E Total Income (A+B+C) 1,154,725 462,791 691,934
F Tax Calculation:
Income Rate Tax
First 3,00,000 Nil 300,000 - -
Next 1,00,000 @ 5% 100,000 5% 5,000
Next 3,00,000 @ 10% 291,934 10% 29,193
-
- -
691,934 34,193 34,193

G Investment Rebate: [ 25% of total income or 1.50 Crore whicherer is less]

Actual Investment
1.CPF 59,030
2. DPS: 60,000
3. Life Insurance 124,633
4. Laptop Purchase
Actual Investment 243,663
Investment Ceilling 172,984 or 15,000,000 15% on 172984 25948

H Net Tax Payable (F-G) 8,245

I Minimum Tax 5,000

J Tax paid during the year:

J.1 Tax deducted from salary and deposited to Govt. A/c 15,100
J.2 Tax deducted from Bank Interest by the Bank and deposited to Govt. A/c 290
J.3 Previous Year Tax Adjustment ( More Paid) -
J.4 Additional Tax paid (Treasury Challan Enclosed)
J.5 Excess Tax Paid (7,145)
K Total Tax paid (J.1+J.2+J.3+J.4) 15,390