Act370 Project
Act370 Project
Act370 Project
Spring 2024
Section 1
Submitted to
Submitted by
Name ID
1
National Board of Revenue
www.nbr.gov.bd
3. TIN: 1 2 3 4 5 6 7 8 9 0
4. (a) Circle: ............................................ (b) Taxes Zone: ...........................................................
14. Name and TIN of Partners / Members in case of Firm / Association of Persons:
………………………………………………………………………………….
…………………………………………………………………………………..
2
…………………………………………………………………….......................
Statement of Income and Tax during the Income Year ended on 2022-2023
TIN: 1 2 3 4 5 6 7 8 9 0
3
Particulars of Tax Payment Amount in Taka
Verification
I ...........................................................father / husband..........................................................................................
TIN: ........................................................ 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.
Place: .................................
Date: ................................
Signature
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Schedule 1
Particulars of Income from Employment
a. This part is applicable for employees receiving salary under government pay scale.
b. This part is applicable for employees other than employees receiving salary under government pay scale.
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15. Total Income from Salary (13 – 14) 7,16,400
Schedule-2
(Particulars of Income from Rent)
Schedule-3
(Particulars of Income from Agriculture)
Name of the Taxpayer: Mr. Samiul Bashar TIN 1 2 3 4 5 6 7 8 9 0
Nature of Agriculture:
Summary of Income Amount in Taka
1. Sales / Turnover / Receipt 4,00,000
2. Gross Profit
3. General Expenses, Selling Expenses, Land 1,74,000
Revenue, Rates, Loan Interest, Insurance
Premium and Other Expenses
4. Net Profit ( 2 – 3) 2,26,000
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Schedule-4
(Particulars of Income from Business)
Name of the Taxpayer: Mr. Samiul Bashar TIN 1 2 3 4 5 6 7 8 9 0
Schedule-5
(Particulars of Investment Tax Credit)
Name of the Taxpayer: Mr. Samiul Bashar TIN 1 2 3 4 5 6 7 8 9 0
Particulars of Rebatable Investment
Summary of Income Amount in Taka
1. Life Insurance Premium or Contractual Deferred Annuity Paid in Bangladesh
2. Contribution to Deposit Pension Scheme (12,000 * 12) 1,44,000
3. Investment in Government Securities, Unit Certificate, Mutual Fund, ETF or Joint 1,00,000
Investment Scheme Unit Certificate
4. Investment in Securities listed with Approved Stock Exchange (1,00,000 + 50,000 5,50,000
+ 4,00,000)
5. Contribution to Provident Fund to which Provident Fund Act, 1925 applies
6. Self & Employer’s Contribution to Recognized Provident Fund (40,000 * 12 * 2) 96,000
* 10%
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7. Contribution to Super Annuation Fund
8. Contribution to Benevolent Fund / Group Insurance Premium
9. Contribution to Zakat Fund
10. Others, if any (provide detail) (Contribution to President’s Relief Fund) 60,000
11. Total Investment (aggregate of 1 to 10) 9,50,000
12. Amount of Tax Rebate (9,50,000 * 15%) 1,42,500
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IT- 10 BB (2023)
Statement of Expenses Relating to Lifestyle
(For Individual Person)
Verification
I solemnly declare that to the best of my knowledge and belief the information given in this IT-10BB (2023) is
correct and complete.
9
IT-10B (2023)
10
(g) Motor Vehicle(s)
(Cost Value including Registration Expense)
(Mention Type and Registration Number of Motor Vehicle)
(h) Ornaments (Mention Quantity) 1,25,000
(i) Furniture and Electronic Items
(j) Other Assets (Except Assets Mentioned in Sl. k)
(k) Cash in Hand and Fund Outside Business
(i) Bank Balance
(ii) Cash in Hand
(iii) Others
Total Cash in Hand and Fund Outside Business:
9. Asset Outside Bangladesh
10. Total Assets in Bangladesh and Outside Bangladesh (8 + 9) 10,77,000
Verification
I solemnly declare that to the best of my knowledge and belief the information given in this IT-10B (2023) is correct
and complete.
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Instructions to fill up the Return Form
Instructions:
(1) This Return of Income shall be Signed and Verified by the Taxpayer or his Authorized
Representative as prescribed in the Income Tax Act, 2023.
(2) Enclose where applicable:
(a) Salary statement for salary; Bank statement for interest; Certificate for interest on
savings instruments; Rent agreement, receipts of municipal tax & 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 & balance sheet for partnership income; Documents of capital gain;
Dividend warrant for dividend income; Statement of other income; Documents in
support of investments in savings certificates, LIP, DPS, Zakat, stock/share etc.
(b) Depreciation Chart claiming depreciation as per the Income Tax Act, 2023;
(c) Computation of Income according to the Income Tax Act, 2023.
(3) Enclose Separate Statement for:
(a) any income of the spouse of the Taxpayer (if she/he is not an Taxpayer), minor
children and dependent;
(b) Tax exempted / Tax free Income.
(c) Income Exempted from Tax declared under Part 1 of the Sixth Schedule of the Income
Tax Act, 2023.
(4) Documents furnished to support the declaration should be signed by the Taxpayer or his/her
authorized representative.
(5) Furnish the following information:
(a) Name, address & TIN of the partners if the Taxpayer is a firm;
(b) Name of firm, address & TIN if the Taxpayer is a partner;
(c) Name of the company, address & TIN if the Taxpayer is a director.
(6) Assets and liabilities of self, spouse (if she/he is not a Taxpayer), minor children and
dependant(s) to be shown in the IT-10B (2023).
(7) Signature is mandatory for all Taxpayer or his / her authorized representative.
(8) For Individual Person, signature is also mandatory in IT-10B (2023) & IT-10BB (2023).
(9) If needed, please use separate sheet.
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Appendix:
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