FORM OF RETURN OF INCOME UNDER THE INCOME TAX IT-11GA

ACT-2023
FOR INDIVIDUAL AND OTHER TAXPAYERS
(OTHER THAN COMPANY)

Be a Respectable Taxpayer Photograph of the

Submit return in due time Assessee
Avoid penalty [ to be attested on
the photograph ]

Put the tick (√ ) mark wherever applicable

Self Universal Self Normal

1. Name of the Assessee:…… Monoranjan Das

2. National ID No (if any ) 3011476838802
3. UTIN (if any ):

4. TIN: 1 6 2 2 1 3 6 2 0 2 5 3
5. (a) Taxes Circle-'007 (b) Taxes Zone - Comilla
6. Assessment Year………… 2022-2023 7. Residential Status: Resident /Non-resident □
8. Status: Individual  Firm □
Association of Persons □
Hindu Undivided Family □
9. Name of the employer/business ( where applicable):……………………
10. Wife/Husband's Name (if assessee, please mention TIN):…………………
11. Father's Name: Late Jagobandhu Das
12. Mother's Name Shobia Rani Das
13. Date of Birth (in case of individual) 0 6 0 9 1 9 6 4
Day Month Year
14. Address (a) Present: Maran Bari,Village :Middle Shilua, Middle Shilua, Post Office: East Shilua-3900

(b) Permanent: Maran Bari,Village :Middle Shilua, Middle Shilua, Post Office: East Shilua-3900

15. Telephone: Office/Business……………………………. Residential:…………………...…………

16. VAT Registration Number (if any):………………………………………………………………………….

1
 Statement of income of the Assessee

Statement of income during the income year ended on ………………………..

30.06.2022

Serial no. Heads of Income Amount in taka

1 Income from Employment (Sec-32) 236,280
2 Income from Financial Assets (Sec-62) -
3 Income from Rent (Sec-35) 828,000
4 Income from Agricultural (Sec-40) -
5 Income from Business (Sec-45) 725,000
6 Share of profit in a firm:
7 Income of the spouse or minor child as applicable: u/s 43/( 4 )
8 Capital Gain (Sec-57)
9 Income from other source (Sec-66)
10 Total ( Serial no. 1 to 9 ) 1,789,280
11 Foreign Income: -
12 Total income ( Serial no. 10 and 11 ) 1,789,280
13 Tax leviable on total income 207,856
14 Tax rebate u/s 76 -
15 Tax payable ( difference between serial 13 and 14 ) 207,856
Tax rabate on higher income 10% on last year
Net tax payable 207,856

16 Tax payments:
( a ) Tax deducted/ Collected at source
( submit supporting documents / statement ) Tk. -

( b ) Advance tax u/s 154/156 (Please attach challan) Tk.

( c ) Tax paid on the basis of this return ( u/s 173 )

[Please attach challan/Pay order/Bank draft/cheque] Tk. 207,856

( d ) Adjustment of Tax Refund ( if any ) Tk. -

Total of (a) (b), (c) and (d) 207,856
17 Difference between serial no. 15 and 16 (if any) Tk. -
18 Income claimed to be exempt from tax. Tk. 118,140
19 Income tax paid in the last assessment year Tk.

*If needed, please use separate sheet.

Verification
P
I Monoranjan Das father/husband Late Jagobandhu Das
UTIN/TIN: 162213620253 solemnly declare that to the best of my knowledge and belief
the information given in this return and statements and documents annexed herewith is correct and
complete.

Signature
Place : Dhaka Monoranjan Das
Date : ( Name in block letters )
Designation and
Seal ( for other than individual )

2
 SCHEDULES SHOWING DETAILS OF INCOME

Name of the Assessee:………………………………..

Monoranjan Das TIN 1 6 2 2 1 3 6 2 0 2 5 3

Schedule-1 ( Salaries )

Pay & Allowance Amount of Amount of Net

income ( Tk.) exempted taxable income
income ( Tk.) ( Tk.)
Basic Pay 311,420
Special Pay
Dearness allowance
Conveyance Allowance 8,000
House rent allowance 25,000
Medical allowance 10,000
Servant allowance
Leave allowance
Honorarium/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 income for free furnished/unfurnished
accommodation
Others, if any ( give detail ) - -
Net taxable income from Salary (4,50,000/- or 1/3) 354,420 118,140 236,280

Schedule-2 ( House Property income )

Location and description Particulars Tk.

of property
1. Annual rental income 1,104,000
2. Claimed Expenses:
Land Revenue
Insurance Premium
Interest on loan/Mortgage/Capital -
Charge
Municipal or local tax
Repair, Collection, etc. 276,000
Vacancy allowance
Other, if any
Total = 276,000
3. Net income ( 1 minus 2 ) 828,000

3
 Schedule-3 ( Investment tax credit )
( Section 44(2)(b) read with part 'B' of Sixth Schedule )

1. Life insurance premium -

2. Contribution to deferred annuity …………..
Tk.
3. Contribution to Provident Fund to which Provident Fund Act. 1925 applies …………..
Tk.
4. Self contribution & employer's contribution to Recognized Provident Fund Tk. -
5. Contribution to Super Annuation Fund ……………
Tk.
6. Investment in approved debenture or debenture stock, stock or shares Tk.
7. Contribution to deposit pension scheme Tk. -
8. Contribution to Benevolent Fund and Group Insurance Premium Tk. ……………
9. Contribution to Zakat Fund Tk. …………….
10. Others, if any ( give details ) Tk. -
Tk. -
Total Tk. -

*Please attach the certificate/documents of investment.

List of documents furnished

(i) Salary Certificate

(vi)

(ii) Tax Calculation Sheet

(vii)

(iii)
(viii)

(iv)
(ix)

(v)
(x)
* Incomplete return is not acceptable

4
 IT-10B
Statement of assets and liabilities ( as on 30.06.2022 )
Name of the Assessee:……………………….
Monoranjan Das
TIN 1 6 2 2 1 3 6 2 0 2 5 3
1. ( a ) Business Capital ( Closing balance ) Tk. 400,000
( b ) Directors Shareholdings in Limited Companies (at cost)
Name of Companies Number of shares
Tk.

2. Non- Agricultural Property: (at cost with legal expenses ):

Land/House property ( Description and location of property )
Tk.
Tk. -

3. Agricultural Property: (at cost with legal expenses) :

Land ( Total land and location of land property)
Tk. -
Tk. -

4. Investment:
( a ) Shares/Debentures Tk. - -
( b ) Saving Certificate/Unit Certificate /Bond Tk. -
( c ) Prize bond/Savings Scheme Tk. -
( d ) Loans given Tk. -
( e ) Other Investment Tk. -

Total = Tk. -
5. Motor Vehicles ( purchase price )
Type of motor vehicle and Registration number Tk.

6. Jewellery ( purchase price ) 35 Vories Gold as Marriage Gift Tk. Value not known

7. Furniture ( purchase price ) Marrigae Gift Tk. Value not known

8. Electronic Equipment ( purchase price ) Marrigae Gift Tk. Value not known

9. Cash asset Outside Business:

( a ) Cash in hand & Cash at Bank Tk. 1,157,420
( b ) Cash at bank Tk.
(c) Other deposits Tk.
Tk. 1,157,420
Total = Tk…………. 1,557,420
5
 Tk. 1,557,420

10. Any other assets Tk.

( Give details )
Total assets Tk. 1,557,420

11. Less Liabilities:

( a ) Mortgages secured on property or land
( b ) Unsecured loans Tk.
( c ) Bank loan Tk. -
( d ) Others Tk. -
-
Total liabilities Tk. -

12. Net wealth as on last date of this income year Tk. 1,557,420
(Difference between total assets and total liabilities)

13. Net wealth as on last date of previous income year Tk. -

14. Accretion in wealth (Difference between serial no. 12 and 13) Tk. 1,557,420

15. (a) Family Expenditure : (Total expenditure as per Form IT 10 BB) Tk. 350,000
(b) Number of dependant children of the family:

Tk.
Adult Child

16. Total Accretion of wealth (Total of serial 14 and 15) Tk. 1,907,420

17. Sources of Fund:

( i ) Shown Return Income 1,789,280
( ii ) Tax exempted/ Tax free Income Tk……………… 118,140
( iii ) Other receipts Tk………………
Tk……………… -
Total source of Fund = Tk………………… 1,907,420
18. Difference (Between serial 16 and 17) Tk………………… -

I solemnly declare that to the best of my knowledge and belief the information given in the
IT-10B is correct and complete.

Monoranjan Das
Name & signature of the Assessee
Date
∙ Assets and liabilities of self, spouse ( if she/he is not an assessee ), minor children and
dependant(s) bo be shown in the above statemints.
⋆ If needed, please use separate sheet.
6
 FORM Form No. IT-10BB
Statement under section 75(2)(d) (i) and scetion 80 ot the Income Tax Ordinance, 1984
(XXXVI of 1984) regarding particulars of life style

Name of the Assessee: Monoranjan Das TIN 1 6 2 2 1 3 6 2 0 2 5 3

Serial Particulars of Expenditure Amount of Tk. Comments

No.
1 Personal and fooding expenses Tk. -
2 Tax paid including deduction at source of the Tk. -
last financial year
3 Accommodation expenses Tk. -
4 Transport expenses Tk. -
5 Electricity Bill for residence Tk. -
6 Wasa Bill for residence Tk. -
7 Gas Bill for residence Tk. -
8 Telephone Bill for residence Tk. -
9 Education expenses for children Tk. -
10 Personal expenses for Foreign travel Tk. -
11 Festival and other special expenses, if any Tk. -
Total Expenditure Tk. 350,000
I solemnly declare that to the best of my knowledge and belief the information given in the
IT-10BB is correct and complete.

Monoranjan Das
Name and signature of the Assessee
* If needed, please use separate sheet. Date………………………..

Acknowledgement Receipt of Income Tax Return

Name of the Assessee:…………………………………………………….Assessment

Monoranjan Das AssessmentYear:…………………..
Year: 2022-2023

UTIN/TIN: 1 6 2 2 1 3 6 2 0 2 5 3 Taxes Circle-'007

Taxes Zone-Comilla
7
 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) Sig
Enclose where applicable:-
(a) Salary statement for salary income; Bank statement for interest; Certificate for interest on
savings instruments; Rent agreemet, receipts of municipal tax and land revenue,
statement of house property loan interest, insurance premium for house property income
Statement of 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; Statement of other income; Documents in support of investment in
savings certificates, LIP, DPS, Zakat, stock/share etc.
(b) Statement of income and expenditure; Manufacturing A/C, Trading and Profit & Loss
A/C and Balance sheet;
(c) Depreciation chart claiming depreciation as per THIRD SCHEDULE of the Income
Tax Ordinance, 1984;
(d) Computation of income according to Income tax Law.
(3) SignEnclose separate stamement for:
(a) Any income of the spouse of the assessee (if she/he is not an assessee), minor children
and dependent;
(b) Tax exempted/ tax free income.
(4) Sig
Fulfilment of the conditions laid down in rule-38 is mandatory for submission of a return
under "Self Assessment".
(5) Sig
Documents furnished to support the declaration should be signed by the assessee or his/her
authorised representative.
( 6) Sig
The assesse shall submit his/her photograph with return after every five year.
(7) Sig
Furnish the following information:
(a) Name, address & TIN of the partners if the assessee is a firm;
(b) Name of firm, address & TIN if the assessee is a partner;
(c) Name of the company, address & TIN if the assessee is a director.
(8) Assets and liabilities of self, spouse ( if she/he is not an assessee), minor children and
dependant(s) to be shown in the IT-10B.
(9) Signature is mandatory for all the assessee or his/her authorized representative. For individual,
signature is also mandatory in I.T-10B & I.T-10BB.
(10) If needed, please use separate sheet.

……………………………………………………………………………………………………………………………………

Total income shown in Return: Tk………………………..

1,789,280 Tax paid: Tk…………………………………..
207,856

Net Wealth of Assessee: Tk…………………

1,557,420

Date of receipt of return:…………………………..

Serial No. in return register…………………………
Nature of Return: Self Universal Self Normal

Signature of Receiving
8 officer with seal.
B.G.P.-2005/06-18003Com/F-1,00,000 copies, (C-10) 2005.
NAME : Monoranjan Das
TIN NO. : 162213620253
MONTHLY SA Income from Employment (Sec-32)
Calculation of Total Income and Imcome Tax:
Assessment Year: 2022-2023
Income Year: 2021-2022

Basic Salary 311,420

House Rent Allowance 25,000
Conveyance Allowance 8,000
Medical Allowance 10,000
Total Income 354,420

Less: Exemptions (As per 6th Schedule, Part-1, Para-27)

(Tk. 4,50,000 or 1/3 of Salary Income Whichever is Lower) 118,140
Total Income 236,280
Income from Rent (Sec-35) 828,000
Income from Business (Sec-45) 725,000
Total Income 1,789,280

Computation of Tax on the Total Income

Tax on the first 350,000 X 0% -

Tax on the next 100,000 X 5% 5,000
Tax on the next 400,000 X 10% 40,000
Tax on the next 500,000 X 15% 75,000
Tax on the next 439,280 X 20% 87,856
-
Tax on the rest - X 25% -
1,789,280 207,856
-
Less: Investment Tax Credit
i. 3% of Taxable Income 236,280 X 3% 7,088
ii. Of Actual Investment Or - X 15% -
iii. Maximum 10,00,000 - 1,000,000 -
(whichever is lower) 207,856

Total Tax Payable 207,856

Less: Tax deduction at source -
Tax to be paid 207,856