BEFORE THE NOTATY PUBLIC, BANGLADESH AT DHAKA AFFIDAVIT. 1, IMTIAZ MAHMOOD son of Late Abu Taher Sarker of House No. 20, Road No. 16, Block- B, Banani, Police Station- Gulshan, Dhaka- 1213, aged about 44, by faith Muslim, by profession Lawyer do hereby solemnly affirm and declare as follows: 1. That I am a permanent citizen of the Peoples Republic of Bangladesh and competent to swear this affidavit. 2, That the statements made in Annexure I hereto are true to the best of my knowledge & belief in truth whereof, I swear and sign this "AFFIDAVIT" before the Notary Public, Dhaka, Bangladesh on this the 30" day of November, 2008 m son ii a (oe »TinGlag Malnsog : Deponent 1 Mr, Mace a fl The deponent is known to me and he has. signed in my presence. 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LOR, 6we- oa trae WOM anneal sear ks qu, (oO he goo, gues] sparligy: vow ww , Sara are eae aiajatein am 6 her pee 8, 6, Bae REM HC Be ashe aT coTa Be ATS te NTT Se The OA ye , doar tered Dlofe wey up, vag WA, ONtY gala Wein tors ee over sere 6 5 a ALY WM IS oe Qe (oer, ale {avvepo-e, TIA & 200, oul ay Vernr Soy Bw qe wifes felol rs fla] 4 be aero [Su7 — sme @ win aay aTerfas: Sree seTs fea nha 3. hou oe | pa-do, dpa, Qa (ew Jer LO eet TET —Lt Set iia ST 8 TT THis equine wean STH I | wr. 200, evo /— Om [ [3] =" eG: sera age wee Gur 29%, usu /— el ofan a AdeeLt FOR INDIVIDUAL AND OTHER TAXPAYERS (OTHER THAN COMPANY) ( “Please mark" Vin the relevant bon Bea Respectable Taxpayers —--- ‘Submit return in due time cm | Avoid penalty }otograph of the Assessee sett Universal Self Normal (Wo be attested on the photograph) 7. Name of the Assessee Imtiaz Mahmood 2, National ID No. (if any) 3. UTIN (ifany) - = a TiN a)4)el-|+]o]s8[-|4{5| 3] 9 5, (@)Circle Contra-10 (bo) Texes Zone: § 6 Assessment Year 2008-20097. Residential Status : Resident |___] Non-resident 8. status : Individ@al [__] Firm JAssociation of Persons [__| Hindu Undivided Family 9, Name of the employers /Business (where applicable) Ho. Wife/Husband's Name with TIN 11. Father's Name: _ Late Abu Taher Sarker 2. Mother's Name: Hamida Taher 13. Date of Birth ( in case of individual) ol7[+{2[s[ ste] 4 Day Month Year 14. Address a) Present 481/ 4, Central Basaboo Sabujbagh b) Permanent 5. Telephone : Office/Business Resident li6. VAT Registration Number (if any)‘Statement of income during the income year ended on 30th June’ 2008 Seriat no, Heads of Income ‘Amour [ecient Salaries : u/s 21 (as per schedule 1) a 2 | interest on Securities : u/s 22 7 [3 Income from house property : u/s 24 (as per schedule 2) 4 | Agriculture income : uis 26 = 5 ___| income from business or profession = wis 26 202,210 6 | Share of profit in a firm 7__| Income of spouse or minor child as applicable -uls 4314) 8 | Capital Gains : wis 31 9 | income from other source -uls 33 3477 70 Total (serial né1 to 9) 205,687 | 14 | Foreign income - 12 | Total income (serial no. 10 and 11) 205,687] * 13 [Tax leviable on total income 4,069 14___| Tax rebate : u/s 44(2)(b)(as per schedule 3) 15 Tax payable (difference between serial no. 13 and 14) 4,069 | 6 | Tax Payments (@) Tax deducted/collected at source Tk 69 (Please altach supporting documents/satement) Tk (b) Advance tax u/s 64/68 (Please attach challan) Tk (©) Tax paid on the basis of this return (u/s 74) 4,000 (Please attach challian pay order/bank drafticheque) Tk (d) Adjustment of Tax Refund (if any) Tk. Total (a). (b). (6) . and (a) 4,069 17 __ [Difference between serial no. 15 and 16 (any) : 18 ___ [Tax exempted and Tax free income Tk. 19 _|Income tax paid in the last assessment year Tk, 3,600 “W/needed, please use separate shoot Late Abu Taher Sarker ‘solemnly declare that to the best of my return and statemenrts and Signature Imtiaz Mahmood (Name in block letters) Designation and Seal (for other than individual) Verification ' Imtiaz Mahmood fatherfhusband utintiN [4 T4767 -[t]ole -[4]s[3][9 knowledge and _ belief the information given in this documents annexed herewith is correct and complete Place : Dhaka Date 2Imtiaz Mahmooe. PN Schedule - 4 (Salaries) Pay ‘Amount “Amount of Net taxable & of excempted income (Tk.) Allowance Income income (Tk) (They Basic pay [Special pay [Dearness allowance [Conveyance allowance [House rent allowance Medical aloowance [Sevant allowance Leave allowance Honorariurn / Reward! Fee (Overtime allowance Bonus / Ex-gratia [Other allowances: Employer's contribution to Recognized Provident Fund interest accrued on Recognized Provident Fund Deemed income for transport facility [Deemed inome for free furnished! unfurnished accommodation fOther, i any (give detail) INet taxable income from salary ‘Schedule-2 (House Prope Location and Particulars Tk. Tk. description of property 7_Annyial rental income 2. Claimed Expenses Reapir, Colleation, ete Municipal or Local Tax Land Revenue Interest on Loan/Mortgage/Capital Charge insurance Premium Vacancy Allowances Other, ifany Total =| 3,_Net income (difference between item 1 and 2) 37 (Section 44(2)(b) read WI PS 7] Life insurance premium 2. Contribution to deferred annuity 4, Contribution to Provident Fund to which Provident Funt ‘ct, 1925 applies 44, Seif contributuin and employer's contribution 10 Recognized Provident Fund 5, Contribution to Super Annuation Fund 6, Investment in approved debenture or debenture stock Stock or Shares 7. Contribution to deposit pension scheme 4, Contribution to Benevolent Fund and Group insurance premium Tk 49. Contribution to Zakat Fund Tk l10. Others, if any (give details) Tk Total Tk. T Pease attach cortficates/docyments of investment 7 List of documents furni List of documents furnished 2 6. 2. 7. 3. 8. 4, 9. 5. 10. 7 Incomplete return is not acceptablesssee: Imtiaz Mahmood rmnf 1] 4[e]-[1[o] 8 4[s[3]9 ness Capital \ (Closing balance) virectors Sharenoldings in Limited Companies (at Cost) Name of Companies Number of shares 2. Non-Agricultural Propérty (at cost with legal expenses) Land / House property ( Description and location of property) 3. Agricultural Property (at cost with legal expenses) : Land ( Total land and location of tand property) 4, Investments: (@) Share / Debenture (b) Saving Certificate/Unit Certificate/Bond (©) Prize bond/savings Scheme (@) Loans given (e) Other Investment 5, Motor Vehicle (at cost) Type of motor vehicle and Registration number 6. Jewellery (quantity and cost) : 60 tola gold BIF 7. Furniture (at cost) : 8, Electronic Equipment ( at cost) : 9, Cash Asset Outside Business : (2) Cashinhand Tk. Cash in hand, at bank & in hand (b) Cashatbank Tk (c) Other deposits Tk Total = Tk. Tk. Tk. Tk. 1k Tk. Tk. Tk. Tk. Tk. 1k. Tk. Tk. Tk Tk. 4,202,210.00 300,000.00 275,000.00 294,657.00 2,071,867.00MN (With details) Total Assets Tk. 11. Less Liabilities : (a) Mortgages secured on property or land Tk (b) Unseccured loans Tk (©) Bank loan Tk (a) Others Tk Total Liabilities Tk 42. Net wealth as on last date of this income year (Difference between total assets and total liabilities) Tk. 2,071,867.00 43, Net wealth as on last date of previous income year Tk 2,036,500.00 44. Accretion in wealth (Difference between serial no. 12 and 13) Tk 35,367.00 45.(a) Family Expenditure : (Total expenditure as per Form IT 10 BB) Tk 170,320.00 (D) Number of dependant children of the family ‘Adult Child 16. Total Accretion of wealth (Total of serial 14 and 15) Tk. 205,687.00 47. Source of Fund (a) Shown Return Income Tk 205,687 (b) Tax exempted/Tax free Income Tk (©) Other receipts Tk Total source of Fund = Tk 205,687.00 18, Defference (Between serial 16 and 17) Tk. - | solemnly decture that to the best of my knowledge and belief the information given in the IT-10B is correct and complete. Imtiaz Mahmood Name & signature of the Assessee Date “Assetss and liabilities of self, spouse (if she/he is not an assessee), minor children Statements. and dependant(s) to be shown in the above * If needed, please use separate sheet.es COME tax ees OF 1984) regarding particulars of life style | eAssessee: Imtiaz Mahmood Tin 4 | a s[-TaTovey- 4[sT ss] efial Particular’s of Expenditures ~ Amountof Tk Comments] No. 1 [Personal and fooding expenses Tk, 30,000 2 ITax paid including deduction at Tk, 3,600 Source of the last financial year 3 {Accomodation Expenses Tk. 72,000] Living with 4_ [Transport expenses Tk, 18.720 _ joint family 5 Electricity bill for residence Tk. 9,600 | expenses share £ _|Wasa bill for residence Tk. 6.000 Partly 7 _|Gas bill for residence Tk. 4,800 8 Telephone bill for residence Tk. 15,600 9 _|Education expenses for children Tk. : [10 [Personal expenses for foreign travel Tk. - | ‘1 [Festival and other Special expenses Tk. 10,000 | ifany ~ Total Expenditure Lk. 170,320 _| Sry Cr rs of my knowledge and belief the ‘sformation given in the 11086 ig correct and complete. Imtiaz Mahmood Name & signature of the Assessee Date “if needed, please use separate sheet. ee 7 Acknowledgement Receipt of income Statement Name of the Assessee: Imtiaz Mahmood Assessment Year: 2008-2009 “e™ GUsTs TT Telel-Tapstaqey on, Contas0 Taveszom 8Secusssesceesesseeeeseess De a This return of income shall be signed and verified by the individual assessee or person. Prescribed u/s 75 of the Income tax ordinance, 1984 (2) Enclose where applicable (@) Salary ‘Statement for salary income, Bank statement for interest Certifcate for inten. Savings instruments, Rent agreement, receipts of municipal tax and land revenue, statey, Of house property loan interest, insurance premium for house property income, Statement Professional income as per IT Rule-8, Copy of assessment/ income statement and balance Sheet for partnership income, Documents of capital gain, Dividend warrant for dividend income, _Siatement of other income, Documents in support of investments in savings certificates, LIP, OPS, Zakat, stock/share etc ; (©) Statement of income and expenditure, Manufacturing AIC, Trading and Profit & Loss AIC and Balance Sheet (6) Depreciation chart claiming depreciation as per THIRD SCHEDULE of the Income Tax Ordinance 1984 (4) Computation of income according to Income tax Law (3) Enclose separate statement for (2) Any income of spouse of the assessee (if she/he is not an assessee), minor children and dependant ; (b) Tax exempted / tax free income (@ Fulfiment of the conditions laid down in rule-38 is mandatory for submission of a return under "Self Assessment". (©) Documents-furnished to support the declaration should be signed by the assessee or his/her authorised representative. (G) The assessee shall submit his/her photograph with return after every five year (7) Eurnish the following information: (a) Name, addres6 and TIN of the partners if the assessee isa frm (b) Name of firm, address and TIN of the assessee is a partner; (c)__ Name of the company, address and TIN if the assessee is a director (8) Assets and liabilities od self, spouse (if she/he is not an assessee), minor children and dependant(s) to be shown in the IT-10B. (8) Signature is mandatory for all the assessee or his/her authorized rpresentative, For individual, signature is Also mandatory in IT-10B and IT-10BB. (10) If needed, please use separate sheet Total income shown in Return: Tk. 202,210.00 Tax paid: Tk. 4,069 Net Wealth of the Assessee : Tk. 2,071,867.00 Date of receipt of return : Serial No. in return register Name of Return : set | [ Universal Self Normal Signature of Receiving officer with sealIncome statement For the year ended June 30,2008 Particulars ‘Amount (11 By Sales Account Tk. 2,022,100 B. Costof Sales 4,683,398 | Opening stock . Purchases 1,683,398 Closing stesk 2 ©. Conversion Cost : 35,387 Carrying charges 20,221 Labour Charges 15,166 D. Total Cost (B+c) 41,718,785 E. Gross Profit (A-D) Tk. 303,315 F. Administrative Expenses 1/3 on Gross Profit 401,105 G. Net Profit during the year (E-F) 202,210 Computation of total Income for the year ended on June 30,2008 Amount (Tk.) 1.00 Income from business: 202,210 2.00 Other incomes: 3,477 Total Taxable Income Tk 205,687 Tax Calculation Tax Comes to Tk. 4,069 Less: Tax Deduction at Source 69 Balance Tax Payable 4000 / (YBN, 3 oe