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 Ax Jr.r-:tcr
iN c oME r
1

"K",H
^"#i,"3#?.*Xi:'HE
FI;osraPh of the
Assessee

(to be attested on
.the Pholbgrapb)

Universal Self q--l

6r+T
i'AD. SHIBI-T SADEEQ
i. Name of the Assessee
:

Ilonal to No (ifl any)

I Z'.16969601121
2.
UTiN (if anY):
;--Tql6l3ll
6 8
6 0
I 1
4. e-TIN;

5 (a)circre, 1-1 Bsbelr'ur'-

:::::_;",*,-*;:::,-u;;;.,;4
T Residential Status :

6. Assessment Year ' .. . .2--018;2--0 !$ .

gino, Undivided FamiiY[_=l
Finn fa'Attotiution of Persons I-l
g. Status: lndividual E
usiness (where applicable):
Name of the employerfo

uith TlN :
10. Wifei Husband's Name

Late Mostafizur Rahman

i I Father's Name :

1--u1-9.9hqrlln-'1
Bqgull
12. Mother's Name
:
..

2 8 0 8 1 ei 8 2
r Date of Birth: Year
r
Day Month
(in case of individual)

DinajPur

rt-9e- Residentiai

I>L-
- E:'I15F-5f :ry{6ra
-rrrr*5. -5 > 'r:-Jr5-14In
a:ntettil q:.1I-{ . i
 Eage No.

Statement ol fncome of ihe Asseasee ' ..1.{

Staie ent of income during the income ).eat- e..e: c: j0-OS-20ig

Serial no Head of Income

Amount in T
I Saiaries : u/s (as oer schedule i
2 Interest on Securities : u/s 22
3 income tiom house scheduie 2
4 Agricultural income : u/s 26 l. iand incqle 2. Fisheris income (Taka t B,25,j2j - j
5 income iiom business or
Firin 5070 share income lfM/S S
7 Income ofthe spouse or minor child as apDlicable : u/s
Gains:u/s3i
9 Income from other source : u/s 33

Il Foreisn Incofte :
12 Total income (Set-ial l0 and I l
i3 Tax leviable on !o!al income
14 Tax rebate : u/s 44 Less: Proponionate taxed o:i Ta\ ::cc..e
15 Ta)i payable (difference between serial 13 and l4) Fisheries income Tax 4lZ66F
l6 Tax payment: Surcharge l0% 44906 Add:1o%penal :::.:es: 2 mounths avg 4\ )A<
(a) Tax deducted/ collecied at source Salary
r69,058
(Please submii supportjng documents/statement)
-i,- : : 4. :: i4906
(b) Advance tax u/s 64168 lPlease anach challan (s)] s:- -1-'
. (c) Tax paid on the basis of this return (u/s 74)
:::.
5-r-- i;C870
[Please attach chal]anlPay order/Bank dratVchequel
?!11?-0-! ..
(d) Adjustinent ofTax Refund (ifany)
Tc::l :i . - : :rl ad)
17. Difference between se al 15 and 16

in the last Assessmen! Year

.If needed, please use separate sheet.

I MD. SH IBLI SADEEQ l'ather/husbaxi La:e \{osia;--izi:. R.ar:::::l

TIN: -_-,1-l-60-6J
8-9-96_3-1 .--,- solemniy declare ihar lo rhe besr of my knolvieJge and beliet.lhe
information given in this retum and statements and documenrs annexed herewiih is correcr anc compleie.

Piace:
Date:
...lel_b_-u_tip-y.tQitejp9t. Signature
Name
@Xr7^q;
MD. SHIBLI SADEEQ

(in block letters)

DesigDation
Seal (for other ilii-ri-inriii,id;elt-"---"'--
 Page No 3

SCHEDULES SHOWING DETAILS OF INCOME

}ID. SHIBLI SADEEQ TINM

Schedule-l (Salaries)

Amount of exempted
Pal & Allowance income (Tk.)

hcsaliowance
allowance
!fu rent allowance
lftdical allowance

Honorarium / Reward/ Fee

Employer's contribulioI1 to Recognized

Provident Fund
lnterest accrued on Recognized
Provident Fund
Deemed income for ransport {acility
Deemed income for liee furnished/
unfurnished accommodation
, ifany (give detail)

Net taxable income from

Schedule-2 (House Property income)

Location and Particulars TK Tk.

description of property
1. Annual rental income
2. Claimed Expenses :
Repair, Collection. erc.
Municipal or Local Tax
Land Revenue
Interest on LoarlMofi gagel
Capital Charge
lnsurance Premium
Vacancy Allowance
Other. if any
- Total =
3. Net income ( difference between item I and 2)

J
 Schedule-3 (Investment tax credit)

(Section 44(2)(b) read with parl 'B' ofSixth Schedule)

l Life insurance premium TK

2. Purchase ofSavings Certificate /Bond TK
3. Conrdbution to Provident Fund to which Provident Fund Act, 1925 applies
4. Selfcontribution and employe!'s cont bution to Recognized Provideot Fund TK
5. Contribution to Super Annuation Fund TK
6. Investment in approved debenture or debenture stock, Stock or Shares TK
7. Conffibution to deposit pension scheme
8. Contribution to Benevolent Fund and Group insurance premium
9. Coniribution to Zakat Fund
10. Others
Total

*Pleise attach certifi cateydocuments of investment.

t
List of documents furllished

1 . Bank Statement 6 . Pay oder oa bei--ave ofpayabale tax and photocopy oi

pay oder iex :or }1 S siapiapuri for the assessmenl
year ZOlE-?0!9

3. Income Statement ofFisheries

4 . Baiance Sheet ofFisheries

5 . Audit Report of M/S Swapnopuri

 Page Nu !

IT - 1OB
.30-06-2018

I 6 0 6 3 8 6 3 1

1. (a) Business Capital (Closhg balance ) 30.06.2018 TK {srr.ou,t,

Fisheries Business Capital

(b) Directors Shareholdings in Limited Companies ( at cost) ,o 6:t.t.tz.zr-.*.

Name ofComoanies Number of shares
50% Share of M/S Swapnopuri

Noo-Agricultural Property : - Tk {nrrrrry'

i .MauzaJogorlnathpur Nawabganj . 10 decemal value tt,{oooocor,
2.Mauza Jogonnathpur Nawabganj .10 decernal value tlddoo00o0i /
S.Mauza ftlrbo Jogonnalhpur Binmpur .09 l/2 decemal value rkl-6fi8ooo/2
4. Mauza Birampur ,Birarnpur .10 decemal value *v$oooooo4
Registation coast for above deedst rW $0s327 /,7

3. Agricultural Property (at cost including legal charges) Tk Un-knovn

Land (Total land and location ofJand property)

4.5 5 acore land at Aftabganj, Nawabganj(As before paternal)

4. Investments:
(a) Shares,/ Debentures *t
E?
(5) Saving Certifi cate/Unit Cedifi cate/Bond Tk.
(c) DPS Tk.
6I+-t
(d) FDR Tk.
(e) Loan given Tk.
(r) LrP Tk.
(s) PSP Tk.
(e) Bond Tk.
Total = TK

5. Motor Vehicles (purchase price) Motor bike BF rk 6toi,o"

6.
Type ofmotor vehicle and Registration number
Jervellery (quantity and cost): 5 vori goid BF ,-- " 6;;
7. Furniturc (at cost): rk 1:a-oog'
-{spoe
8. Electronic EquiPment (at cost) rx
9. Cash asset Outside Business:

Cash in Hand I 196,14,

Cash at Bank 5.6S 1.018

Other Deposil

Total = rx...........{34an,,
 TK 9546184/?
i0. Any other assets: (Wiih deraits)
TK

1:
t l. Less: Liabitities: Total Assets =
(a) 'r . .... €'r-:-:9lptt= ..
Assests and tand mofigage .

Tk.
(b) without moftgage loan
Tk.
(c) Bank loan
(d) Loan Against Salary TK,
(e) tsrokarag." House Loan
(i Loan From Relative
(g) Car Loan
(g) Others Loan TK,
Tk.
1]otat tiaUitiil".: TK
l2 ]liet wealth rs on last dale
of this income year
:!,.]:i..r*
berween lorat assers
lJ. Net wealth as
and ,r,"i
on last date ofprevious
t;";;[;.;
Net )yorth =
rr -6-:-1 ig7.a!?:-
income year
TK
14. Accretion in lyealth
(Difference belween
serial no. I2 and 13)
TK
15. (a) Family Expenditure
; (Toral expendirure
as per Fomr IT lO BB) TK
(c) Nirmber olriependant 1t t683b
children ofrhe famjly:

Adult - Chilt Depends on Husband

Income
i 6. Total Accreiion of wealrh
(Totai ofserial i4
and J5)
17. Sources ofFund :
(j) Shown Return lncorrro
-,,/
(l_) Tax liee income
Fisheries rrcome # #,+n t ,t 6s.-

(ii) Other receipts

Allowances ;l\.
, s8?1;21/"
{.127 ,a65."

\I.?9ifiL
Total source of Funi
=

,,\ ti

l0B is

Vcl>d"r-,-3
rl,sr-\
-rof)vtw!_
r
Signahte
Name
'{e^\-/{"7i6-
n>rtw4. MD. SHIBLI SADEEQ
>-Dn:;il. (ofthe Assessee)

,-=lrZXlJ>
,
Date
- r <\.\

Dblmr
EfYFrt ff3irFJ-i:l
rPfJt?.}-',.{ > or,-frir..rt
-:"
:q,i' !Atr!4 <<Tn i-'
 t

Form No. lT-1088

FOR]\1

'' I under
-Stttcment /it-'lu'\ r/ and secLion 3C ofthe Income Tax ordinance'
^^^'|:^- a<r?\"1\/i)
r^- secllon
19E4

.egarcling paniculars of liie st)'le

lxXia,r of rls*;

TIN 1l 1 6 0 6 i3 8l 6l3l 1

Name of the Assessee: MD' SHIBLI SADEEQ

Amount of Tk'
Particulars of ExPendiiure

at source of ihe last

T;urtd t".lt dt"S deduction
,I.-**o,iutio" expenses'/Bank Char

Bill fcr residerce

Wasa Bill for residence
Gas Bil1 for residence
[r"of-" Bi]] for residence / nobilc
ttiuctlion expenses for children
for Foreiqn travel
i.rtiGll tPeiELg !:{
"tn.t
Totai ExPenditure

M
given in the
my knowledge and beliefthe information
I solemnly declare that to the best of
!T-lOBB is correct anC complete'

MD. SHIBLI SADEEQ

CName and signature ofthe Assessee)

Date .-...........-...-..

*lfneeded, please use separate sheet'

-

::*rsdrfr,/*ti!r!

Page Na Io

lnstructions to fi,l uo the Return Form

lnstructions:

(1) This retrm ofincorae shajl be signed

and verified by the indiyidual
assessee or person as
prescnbed u/s 75 olthe Income
Tax Ordfiance.

(c) Depreciation chart claimine

-'""' "t deo
""'reciation as per TFIIRD SCHEDUI-E oi'the Inconre
Tax oicinance, ,ral,
oi income accorciins ro tncomc rd^
11,"T,:t:1",
(3) Lncrose separaLe state/nent for:
La!\;
(a) Any income ofthe
spouse ofrhe assessee (ifshe/he
and dependant: is not an assessee), rnjnor
childrer
(b) Tax exemptcd, tax iiee
income.
(4) Fulfillment ofthe conditions
laid dcrwn in rule-38 is mandatory
under- ,,seliAssessment,,, for submission ofa return
(s)
shouio be signed bv rhe assessee
:,ff::l;n:il:'#,li"l"'on'n'decraration or his,,her
(6)
(7) Il-: :::::,. "rll,, subrnt his/her phorograph with retum after every five year.

(E)

(e)

(10)