"Part-II-W

Individual Paper Return for Tax Year 2022

RETURN OF TOTAL INCOME UNDER THE INCOME TAX ORDINANCE, 2001 (IT-1B)
(FOR INDIVIDUAL, DERIVING INCOME UNDER ANY HEAD OTHER THAN SALARY / BUSINESS)
Name* Tax Year 2022
CNIC* NTN
Address*
Amount
Exempt from Amount
Total Tax / Subject to Subject to
Amount Fixed / Final Normal Tax
Sr. Description Code Tax
A B C
1 Income/(loss) from property 2000
2 Rent Received or Receivable 2001
3 1/10th of amount not adjusted against Rent 2002
4 Forfeited Deposit under a Contract for Sale of Property 2003
Property

5 Recovery of Unpaid Irrecoverable Rent allowd as deduction 2004

6 Unpaid Liabilities exceeding three years 2005
7 1/5th of Rent of Building for Repairs [(2+3+4)*20%] 2031
8 Insurance Premium 2032
9 Local Rate/Tax/Charge/Cess 2033
10 Other Deductions against Rent 2098
11 Gains / (Loss) from Capital Assets 4000
12 Income / (Loss) from Other Sources 5000
13 Foreign Income 6000
14 Share in untaxed Income from AOP 3131
15 Share in Taxed Income from AOP 3141
16 Total Income* 9000
Total Inadmissible Admissible
Allowances
Deductible

17 Deductible Allowances [18+19+20] 9009

18 Zakat u/s 60 9001
19 Deductible Allowance for Profit on Debt u/s 60C 9007
20 Educational expenses u/s 60D 9008
21 Taxable Income [16-17]* 9100
22 Tax Chargeable 9200
23 Normal Income Tax 920000
24 Tax Credits 9329
Computations

25 Tax Paid [Sr. 26 + 27 + Annex-A] 64220057

26 Advance Income Tax 9202
27 Admitted Income Tax 9203
28 Refundable Income Tax [22-25 if <0] 9210
29 Demanded Income Tax [22-25 if >0] 9204
30 Refund Adjustment of Other Year(s) against Demand of this Year 92101
31 Agriculture Income 6100
32 Agriculture Income Tax 9291
Receipts / Tax Collected/ Tax
Value Deducted Chargeable
33 Final / Fixed / Minimum / Average / Relevant / Reduced Income Tax 640001
34 Import of Mobile u/s 148 64120045
35 Dividend u/s 150 @7.5% 64030052
36 Dividend u/s 150 @ 15% 64030055
37 Dividend u/s 150 @ 25% 64330052
Final / Fixed / Average / Relevant / Reduced Rate Regime

38 Yield on Bahbood certificates/Pensioners benefit account 64030071

39 Profit on Debt u/s 7B 64310056
40 Prize on Prize Bond u/s 156 64090051
41 Winnings from Crossword Puzzle u/s 156 64090052
42 Winnings from Raffle u/s 156 64090053
43 Winnings from Lottery u/s 156 64090054
44 Winnings from Quiz u/s 156 64090055
45 Winnings from Sale Promotion u/s 156 64090056
46 Capital Gains on Immovable Property u/s 37(1A) 64220050
Capital Gains on Immovable Property u/s 37(3A) where holding period
47 doesnot exceed 1 year 64220058
Capital Gains on Immovable Property u/s 37(3A) where holding period
48 exceeds 1 year but doesnot exceed 2 years 64220059
Capital Gains on Immovable Property u/s 37(3A) where holding period
49 exceeds 2 years but doesnot exceed 3 years 64330058
Capital Gains on Immovable Property u/s 37(3A) where holding period
50 exceeds 3 year but doesnot exceed 4 years 64330059
Capital Gains on Immovable Property u/s 37(3A) where holding period
51 exceeds 4 years 64220060
52 Capital Gains on Securities u/s 37A @ 0% 64220151
53 Capital Gains on Securities u/s 37A @ 5% 64220153
54 Capital Gains on Securities u/s 37A @ 7.5% 64220157
55 Capital Gains on Securities u/s 37A @ 10% 64220158
56 Capital Gains on Securities u/s 37A @ 12.5% 64220155
57 Capital Gains on Securities u/s 37A @ 15% 64220156
I, , CNIC No. , in my capacity as Self /
Verification

Representative (as defined in section 172 of the Income Tax Ordinance, 2001) of the Taxpayer named above, do solemnly declare that
to the best of my knowledge & belief the information given in this Return is correct & complete in accordance with the provisions of the
Income Tax Ordinance, 2001 & Income Tax Rules, 2002.
Signature: Date:
 Individual Paper Return for Tax Year 2022
RETURN OF TOTAL INCOME / STATEMENT OF FINAL TAXATION UNDER THE INCOME TAX ORDINANCE, 2001
(IT-2) 1/2

FOR INDIVIDUAL DERIVING INCOME UNDER THE HEAD BUSINESS & ANY OTHER HEAD EXCEPT SALARY
Name* Tax Year 2022
CNIC* NTN*
Address*
Amount
Exempt from
Tax / Subject to Amount
Total Fixed / Final Subject to
Sr. Description Code Amount Tax Normal Tax
1 Income/(loss) from property [Sum of 2 to 10] 2000 A B C
2 Rent received or receivable 2001
3 1/10th of amount not adjustable against rent 2002
4 Forfeited deposit under a contract for sale of property 2003
5 Recovery of Unpaid Irrecoverable Rent allowd as deduction 2004
6 Unpaid Liabilities exceeding three years 2005
7 1/5th of Rent of Building for Repairs [(2+3+4)*20%] 2031
8 Insurance Premium 2032
9 Local Rate/Tax/Charge/Cess 2033
10 Other Deductions against Rent 2098
11 Income from Business 3000
12 Gains / (Loss) from Capital Assets (including securities) 4000
13 Income / (Loss) from Other Sources [Sum of 14 to 22] - [Sum of
23 to 25] 5000
14 Receipts from Other Sources 5029
15 Royalty 5002
16 Profit on Debt (Interest, Yield, etc) 5003
Other Sources

17 Profit on Debt (if amount u/s 7B exceeds Rs. 36 million) 500312

18 Ground Rent 5004
19 Rent from sub lease of Land or Building 5005
20 Rent from lease of Building with Plant and Machinery 5006
21 Annuity/pension 5007
22 Other Receipts 5028
23 Deductions from Other Sources 5089
24 Accounting Depreciation 5064
25 Other Deductions 5088
26 Foreign Income 6000
27 Foreign Bussiness Income/Loss 6039
28 Foreign Property Income/Loss 6029
29 Foreign Capital Gain Income/Loss 6049
30 Foreign Other Sources Income/Loss 6059
31 Share in untaxed Income from AOP 3131
32 Share in Taxed Income from AOP 3141
33 Total Income 9000
Total Inadmissible Admissible
34 Deductible Allowances [Sum of 35 to 38] 9009
Allowances
Deductible

35 Zakat u/s 60 9001

36 Workers Welfare Fund u/s 60A 9002
37 Deductible Allowance for Profit on Debt u/s 60C 9007
38 Educational expenses u/s 60D 9008
39 Taxable Income [33-34] 9100
40 Tax Chargeable 9200
Computations

41 Normal Income Tax 920000

42 Tax Credits 9329
43 Difference of Minimum Tax Chargeable u/s 148/ 153 923192
44 Adjustment of Minimum Tax Paid u/s 113 in earlier Year(s) 923198
45 Difference of Minimum Tax Chargeable on Electricity Bill u/s 235 923193
46 Difference of Minimum Tax Chargeable u/s 113 923194
47 Turnover / Tax Chargeable u/s 113 @0.25% 923152
48 Turnover / Tax Chargeable u/s 113 @0.3% 923163
49 Turnover / Tax Chargeable u/s 113 @0.5% 923206
50 Turnover / Tax Chargeable u/s 113 @0.75% 923155
Computations

51 Turnover / Tax Chargeable u/s 113 @1.25% 923161

52 Turnover / Tax Chargeable u/s 113 @1.5% 923160
53 Tax Paid [ as per 54 + 55 + Annex'A' ]
54 Advance Income Tax 9202
55 Admitted Income Tax 9203
 Co
56 Refundable Income Tax [40-53 if <0] 9210
57 Demanded Income Tax [40-53 if >0] 9204
58 Refund Adjustment of Other Year(s) against Demand of this Year 92101
59 WWF 920900
60 Agriculture Income 6100
61 Agriculture Income Tax 9291

Verification
, CNIC No. , in my capacity
as Self / Representative (as defined in section 172 of the Income Tax Ordinance, 2001) of the Taxpayer named above, do solemnly
declare that to the best of my knowledge & belief the information given in this Return are correct & complete in accordance with the
provisions of the Income Tax Ordinance, 2001 & Income Tax Rules, 2002.

Signature: Date:
 RETURN OF TOTAL INCOME UNDER THE INCOME TAX ORDINANCE, 2001 (IT-2) 2/2
FOR INDIVIDUAL DERIVING INCOME UNDER THE HEAD BUSINESS & ANY OTHER HEAD EXCEPT SALARY
Name* Tax Year 2022
CNIC* NTN
Receipts / Tax
Sr. Description Code Value / Collected/ Tax
Number Deducted Chargeable
A B C
Final / Fixed / Minimum / Average / Relevant / Reduced Income
54 Tax [Sum of 55 to 139] 640001
55 Import u/s 148 @1% 64010052
56 Import u/s 148 @2% 64010054
57 Import u/s 148 @3% 64010056
58 Import u/s 148 @4% 64010058
59 Import u/s 148 @5.5% 64010061
60 Import of Edible Oil u/s 148 @5.5% 64010161
61 Import of Packing Material u/s 148 @5.5% 64010181
62 Import of Mobile u/s 148 64120045
63 Dividend u/s 150 @7.5% 64030052
64 Dividend u/s 150 @ 15% 64030055
Yield on Behbood Certificates / Pensioner''s Benefit
65 Account/Shuhada Family Welfare Account 64030071
66 Return on investment in sukuks u/s 5AA 64030098
67 Dividend to a Non-Resident covered under ADDT u/s 150 / u/s 5 64030099
Royalty / Fee for Technical Services to a Non-Resident u/s 152(1) /
68 Division IV, Part I, 1st Schedule 64050051
Final / Fixed / Average / Relevant / Reduced Rate Regime

Payment for Contracts for Construction, Assembly or Installation to a

69 Non-Resident u/s 152(1A)(a) / Division II, Part III, 1st Schedule 64050052
Payment for Services, Contracts to a Non-Resident u/s 152(1A)(b) /
70 Division II, Part III, 1st Schedule 64050053
Fee for Advertisement Services to a Non-Resident u/s 152(1A)(c) /
71 Division II, Part III, 1st Schedule 64050054
Insurance / Reinsurance Premium to a Non-Resident u/s 152(1AA) /
72 Division II, Part III, 1st Schedule 64050055
Fee for Advertisement Services to a Non-Resident u/s 152(1AAA) /
73 Division II, Part III, 1st Schedule 64050056
74 Profit on Debt u/s 152(2) / u/c (5A), Part II, 2nd Schedule 64050096
Royalty / Fee for Technical Services to a Non-Resident covered
75 under ADDT 64050097
Payment for Goods, Services, Contracts, Rent, etc. to a Non-
76 Resident covered under ADDT 64050098
Payment for foreign produced commercials to a non-
77 resident u/s 152A 64050100
Payment for transport services to a PE of a non-resident u/s
78 152(2A)(b) @ 2% 64050094
Payment for other services to a PE of a non-resident u/s 152(2A)(b)
79 @ 10% 64050095
80 Fee for offshore digital servies to a non-resident u/s 152(1C) 64050057
81 Payment for Goods u/s 153(1)(a) @1% 64060052
82 Payment for Goods u/s 153(1)(a) @1.5% 64060053
83 Payment for Goods u/s 153(1)(a) @ 2.5% 64060055
84 Payment for Goods u/s 153(1)(a) @4.5% 64060059
85 Payment for Services u/s 153(1)(b) @ 1% 64060152
86 Payment for services u/s 153(1)(b) @ 1.5% 64060153
87 Payment for Services u/s 153(1)(b) @ 2% 64060154
88 Payment for Services u/s 153(1)(b) @ 10% 64060170
89 Receipts from Contracts u/s 153(1)(c) @7.5% 64060265
90 Receipts from Contracts u/s 153(1)(c) @10% 64060270
91 Fee for Export related Services u/s 153(2) @1% 64060352
92 Deduction of Tax from Yarn Traders u/s 153(1)(a) 6406081
93 Deduction of Tax from Yarn Traders u/s 153(1)(b) 6406082
94 Export Proceeds u/s 154 @1% 64070054
95 Foreign Indenting Commission u/s 154(2) @5% 64070151
96 Sale proceeds of goods to exporter u/s 154(3) 64070152
97 Sale proceeds of goods by industrial undertaking u/s 154(3A) 64070153
98 Contract payments to indirect exporter u/s 154(3B) 64070154
99 Export Proceeds u/s 154(3C) 64070155
100 Prize on Prize Bond u/s 156 64090051
101 Winnings from Crossword Puzzle u/s 156 64090052
102 Winnings from Raffle u/s 156 64090053
 103 Winnings from Lottery u/s 156 64090054
104 Winnings from Quiz u/s 156 64090055
105 Winnings from Sale Promotion u/s 156 64090056
106 Commission / Discount on petroleum products u/s 156A @ 12% 64090151
107 Brokerage / Commission u/s 233 @5% 64120060
108 Brokerage / Commission u/s 233 @8% 64120066
109 Brokerage / Commission u/s 233 @10% 64120070
110 Brokerage / Commission u/s 233 @12% 64120074
111 CNG Station Gas Bill u/s 234A 64130151
112 Electricity Bill of Commercial Consumer u/s 235 64140051
Final / Fixed / Average / Relevant / Reduced Rate Regime

113 Electricity Bill of Industrial Consumer u/s 235 64140052

114 Lease of rights to collect tolls u/s 236A(3) 64150102
115 Sale of certain petroleum products u/s 236HA @ 0.5% 64151653
116 Payment for rent / right to use machinery / equipment u/s 236Q 64151651
117 Rent of machinery & equipment u/s 236Q(2) 64151652
118 Dividend in specie u/s 150 @ 7.5% 64151802
119 Dividend in specie u/s 150 @ 15% 64151807
120 Capital Gains on Immovable Property u/s 37(1A) 64220050
Capital Gains on Immovable Property u/s 37(3A) where holding
121 period doesnot exceed 1 year 64220058
Capital Gains on Immovable Property u/s 37(3A) where holding
122 period exceeds 1 year but doesnot exceed 2 years 64220059
Capital Gains on Immovable Property u/s 37(3A) where holding
123 period exceeds 2 years but doesnot exceed 3 years 64330058
Capital Gains on Immovable Property u/s 37(3A) where holding
124 period exceeds 3 year but doesnot exceed 4 years 64330059
Capital Gains on Immovable Property u/s 37(3A) where holding
125 period exceeds 4 years 64220060
126 Capital Gains on Securities u/s 37A @ 0% 64220151
127 Capital Gains on Securities u/s 37A @ 5% 64220153
128 Capital Gains on Securities u/s 37A @ 7.5% 64220157
129 Capital Gains on Securities u/s 37A @ 10% 64220158
130 Capital Gains on Securities u/s 37A @ 12.5% 64220155
131 Capital Gains on Securities u/s 37A @15% 64220156
132 Receipts from shipping business of a resident person u/s 7A 64310055
133 Profit on Debt u/s 7B 64310056
Fee for transport services outside Pakistan under clause(3),Part-II,
134 Second Schedule @ 1% 64310061
Fee for advertising services by electronic and print media outside
135 Pakistan under clause (3), Part-II, Second Schedule @ 0.75% 64310062
Fee for other services outside Pakistan under clause (3), Part-II,
136 Second Schedule @ 5% 64310063
Receipts for Contracts outside Pakistan u/c (3), Part II, 2nd Schedule
137 @3.75% 64310071
Fee for Carriage Services by Oil Tanker/Goods Transport Contractor
138 u/c (43D) and (43E), Part IV, 2nd Schedule 64320051
Attributable income from controlled foreign company u/s 109A
139 @15% 64030055
Signature: Date:
 Annex-A
Adjustable Tax Collected / Deducted
Name* Tax Year 2022
CNIC* NTN
Receipts / Tax Collected /
Sr. Description Code Value Deducted
A B
1 Adjustable Tax [Sum of 2 to 38] 640000
2 Import u/s 148 @1% 64010002
3 Import u/s 148 @2% 64010004
4 Import u/s 148 @3% 64010006
5 Import u/s 148 @ 4% 64010008
6 Import u/s 148 @5.5% 64010011
7 Directorship Fee u/s 149(3) @20% 64020005
8 Profit on debt u/s 151 @ 15% 64040005
9 Payment for Goods, Services, Contracts, Rent, etc. to a Non-Resident u/s 152(2) 64050007
10 Profit on Debt to a Non-Resident u/s 152(2) 64050008
11 Payment for Goods to a PE of a Non-Resident u/s 152(2A)(a) / Division II, Part III, 1st Schedule 64050009
12 Payment for Contracts to a PE of a Non-Resident u/s 152(2A)(c) / Division II, Part III, 1st Schedule 64050012
13 Payment for Goods u/s 153(1)(a) @1% 64060002
14 Payment for Goods u/s 153(1)(a) @1.5% 64060003
15 Payment for Goods u/s 153(1)(a) @2.5% 64060005
16 Payment for Goods u/s 153(1)(a) @4.5% 64060009
17 Motor Vehicle Registration Fee u/s 231B(1) 64100301
18 Motor Vehicle Transfer Fee u/s 231B(2) 64100302
19 Motor Vehicle Sale u/s 231B(3) 64100303
20 Motor Vehicle Leasing u/s 231B(1A) @4% 64100304
21 Goods Transport Public Vehicle Tax u/s 234 64130001
22 Passenger Transport Public Vehicle Tax u/s 234 64130002
23 Private Vehicle Tax u/s 234 64130003
24 Electricity Bill of Domestic Consumer u/s 235 64140101
25 Telephone Bill u/s 236(1)(a) 64150001
26 Cellphone Bill u/s 236(1)(a) 64150002
27 Prepaid Telephone Card u/s 236(1)(b) 64150003
28 Phone Unit u/s 236(1)(c) 64150004
29 Internet Bill u/s 236(1)(d) 64150005
30 Prepaid Internet Card u/s 236(1)(e) 64150006
31 Purchase by Auction u/s 236A 64150101
32 Sale / Transfer of Immovable Property u/s 236C 64150301
33 Purchase of other commodities by Distributors / Dealers / Wholesalers u/s 236G 64150701
34 Purchase of Fertilizer by Distributors / Dealers / Wholesalers u/s 236G 64150702
 35 Purchase by Retailers u/s 236H 64150801
36 Purchase by others from Retailers u/s 236H 64150804
37 Educational Institution Fee u/s 236I 64150901
38 Purchase / Transfer of Immovable Property u/s 236K 64151101
Signature: Date:
 Annex-B 1/2
Manufacturing / Trading / Profit & Loss Account ( including Revenues subject to Final / Fixed Tax)
(Separate form should be filled for each business)
Name* Tax Year 2022
CNIC* NTN
Busine
Amount Amount
Total
Subject to Subject to
Description Amount
Sr. Code Final Tax Normal Tax
A B C

Net Revenue (excluding Sales Tax, Federal Excise,

Revenue

1 Brokerage, Commission, Discount, Freight Outward) [2-3] 3029

2 Gross Revenue (excluding Sales Tax, Federal Excise) 3009
Selling Expenses (Freight Outward, Brokerage, Commission,
3 Discount, etc.) 3019
4 Cost of Sales / Services [(sum of 5 to 15)-16] 3030
5 Opening Stock 3039
6 Net Purchases (excluding Sales Tax, Federal Excise) 3059
Cost of Sales / Services

7 Salaries / Wages 3071

8 Fuel 3072
9 Power 3073
10 Gas 3074
11 Stores / Spares 3076
12 Repair / Maintenance 3077
13 Other Direct Expenses 3083
14 Accounting Amortization 3087
15 Accounting Depreciation 3088
16 Closing Stock 3099
17 Gross Profit / (Loss) [1-4] 3100
18 Other Revenues [Sum of 19 to 22] 3129
19 Accounting Gain on Sale of Intangibles 3115
20 Accounting Gain on Sale of Assets 3116
21 Others 3128
22 Share in untaxed Income from AOP 3131
23 Share in Taxed Income from AOP 3141
 Management, Administrative, Selling & Financial Expenses
24 [Sum of 25 to 44] 3199
25 Rent 3151
26 Rates / Taxes / Cess 3152
27 Salaries / Wages / Perquisites / Benefits 3154
28 Traveling / Conveyance / Vehicles Running / Maintenance 3155
29 Electricity / Water / Gas 3158
30 Communication 3162
31 Repair / Maintenance 3165
Indirect Expenses

32 Stationery / Printing / Photocopies / Office Supplies 3166

33 Advertisement / Publicity / Promotion 3168
34 Insurance 3170
35 Professional Charges 3171
36 Profit on Debt (Financial Charges / Markup / Interest) 3172
37 Brokerage / Commission 3178
38 Irrecoverable Debts written off 3186

39 Obsolete Stocks / Stores / Spares / Fixed Assets written off 3187

40 Other Indirect Expenses 3180
41 Accounting (Loss) on Sale of Intangibles 3195
42 Accounting (Loss) on Sale of Assets 3196
43 Accounting Amortization 3197
44 Accounting Depreciation 3198
45 Accounting Profit / (Loss) [17+18-24] 3200
Signature: Date:
Annex-B 2/2
Manufacturing / Trading / Profit & Loss Account ( including Revenues subject to Final / Fixed Tax)
(Separate form should be filled for each business)
Name* Tax Year 2022
CNIC* NTN*
Amount
Amount
Total Subject to
Subject to
Amount Normal
Sr. Description Code Final Taxation
Taxation
A B C
 Income / (Loss) from Business before adjustment of Admissible
Depreciation / Initial Allowance / Amortization for current /
46 previous years 3270
47 Unadjusted (Loss) from Business for 2016 327016
48 Unadjusted (Loss) from Business for 2017 327017
49 Unadjusted (Loss) from Business for 2018 327018
50 Unadjusted (Loss) from Business for 2019 327019
51 Unadjusted (Loss) from Business for 2020 327020
52 Unadjusted (Loss) from Business for 2021 327021
Statement of Affairs / Balance Sheet
53 Total Assets [Sum of 54 to 59] 3349
54 Land 3301
55 Building (all types) 3302
Assets

56 Plant / Machinery / Equipment / Furniture (including fittings) 3303

Advances / Deposits / Prepayments/ Trade Debtors /
57 Receivables 3312
58 Stocks / Stores / Spares 3315
59 Cash / Cash Equivalents 3319
60 Total Equity / Liabilities [Sum of 61 to 63] 3399
Liabilities

61 Capital 3352
62 Borrowings / Debt / Loan 3371
Advances / Deposits / Accrued Expenses/ Trade Creditors /
63 Payables 3384
Signature: Date:
 Annex-C
Inadmissible / Admissible Deductions
Name* Tax Year 2022
CNIC* NTN
Sr. Description Code Amount
1 Inadmissible Deductions [Sum of 2 to 32] 3239
2 Add Backs Provision for Obsolete Stocks / Stores / Spares / Fixed Assets 3202
3 Add Backs Provision for Diminution in Value of Investment 3203
4 Add Backs u/s 21(a) Cess / Rate / Tax levied on Profits / Gains 3205
5 Add Backs u/s 21(b) Amount of Tax Deducted at Source 3206
6 Add Backs u/s 21(c) Payments liable to deduction of tax at source but tax not deducted / paid 3207
Add Backs u/s 21(ca) commission in excess of 0.2% of grass amount of supplies to a person not
7 appearing in ATL in third schedule to Sales Tax Act, 1990. 3227
8 Add Backs u/s 21(d) Entertainment Expenditure above prescribed limit 3208
9 Add Backs u/s 21(e) Contributions to Unrecognized / Unapproved Funds 3209
Add Backs u/s 21(f) Contributions to Funds not under effective arrangement for deduction of tax at
10 source 3210
11 Add Backs u/s 21(g) Fine / penalty for violation of any law / rule / regulation 3211
12 Add Backs u/s 21(h) Personal Expenditure 3212
Add Backs u/s 21(i) Provision for Reserves / Funds / Amount carried to Reserves / Funds or
Inadmissible Deductions

13 Capitalized 3204
Add Backs u/s 21(j) Profit on Debt / Brokerage / Commission / Salary / Remuneration paid by an
14 AOP to its member 3213
Add Backs u/s 21(l) Expenditure under a single account head exceeding prescribed amount not paid
15 through prescribed mode 3215
16 Add Backs u/s 21(m) Salary exceeding prescribed amount not paid through prescribed mode 3216
17 Add Backs u/s 21(n) Capital Expenditure 3217
Add Backs u/s 21(o) Sales promotion, advertisement and publicity expenses of pharmaceutical
18 manufacturers exceeding prescribed limit 3224
19 Add Backs u/s 21(p) Utility bills exceeding prescribed amount not paid through prescribed mode 322902
Add Backs u/s 21(q) Expenditure attributable to sale to person required to be registered under Sales
20 Tax but not registered 322903
21 Add Backs u/s 28(1)(b) Lease Rental not admissible 3220
Inadm

22 Add Backs u/s 29(2) Provision for Doubtful Debts 3201

23 Add Backs u/s 34(5) Liabilities allowed Previously as deduction not Paid within three Years 3219
24 Add Backs u/s 67(1) Expenditure attributable to Non-Business Income 3218
25 Add Backs Tax Gain on Sale of Intangibles 3225
26 Add Backs Tax Gain on Sale of Assets 3226
27 Add Backs Pre-Commencement Expenditure / Deferred Cost 3230
28 Add Backs Accounting (Loss) on Sale of Intangibles 3235
29 Add Backs Accounting (Loss) on Sale of Assets 3236
30 Add Backs Accounting Amortization 3237
31 Add Backs Accounting Depreciation 3238
32 Other Inadmissible Deductions 3234
33 Admissible Deductions [Sum of 34 to 43] 3259
Admissible Deductions

34 Accounting Gain on Sale of Intangibles 3245

35 Accounting Gain on Sale of Assets 3246
36 Tax Amortization for Current Year 3247
37 Tax Depreciation / Initial Allowance for Current Year 3248
38 Pre-Commencement Expenditure / Deferred Cost 3250
39 Other Admissible Deductions 3254
40 Tax (Loss) on Sale of Intangibles 3255
41 Tax (Loss) on Sale of Assets 3256
42 Unabsorbed Tax Amortization for Previous Years 3257
43 Unabsorbed Tax Depreciation for Previous Years 3258
Signature: Date:
 Annex-D
Depreciation, Initial Allowance, Amortization
Name* Tax Year 2022
CNIC* NTN
Addition
(Used
Previously Extent Addition Extent Initial
Sr. Description Code WDV (BF) Deletion in Pakistan) of Use (New) of Use Rate Allowance Rate Depreciation WDV (CF)
A B C D E F G H I
1 Building (all types) 3302 100% 100% 15% 10%
2 Ramp for Disabled Persons 330204 100% 100% 100% 100%

3 Plant / Machinery (not otherwise specified) 330301 100% 100% 25% 15%
Computer Hardware / Allied Items /
Equipment used in manufacture of IT
4 products 330302 100% 100% 25% 30%
Depreciation

5 Furniture (including fittings) 330303 100% 100% 0% 15%

6 Technical / Professional Books 330304 100% 100% 25% 15%
Offshore Installations of mineral oil
7 concerns 330306 100% 100% 25% 20%
Machinery / Equipment eligible for 1st year
8 Allowance 330308 100% 100% 90% 15%
9 Motor Vehicle (not plying for hire) 33041 100% 100% 0% 15%
10 Motor Vehicle (plying for hire) 33042 100% 100% 25% 15%
11 Ships 33043 100% 100% 25% 15%
12 Aircrafts / Aero Engines 33044 100% 100% 25% 30%
Tax Depreciation / Initial Allowance for
13 Current Year 3248 100% 100%
Remaining Extent of
Description Code WDV (BF) Useful Life Use Amortization
A B C D
Amortization

14 Intangible 3305
15 Intangible 3305
16 Intangible 3305
Expenditure providing Long Term
17 Advantage / Benefit 330516
18 Tax Amortization for Current Year 3247
19 Pre-Commencement Expenditure 3306
Signature: Date:
 Annex-E
Name* Tax Year 2022
CNIC* NTN
Tax on
Tax Attributable Attributable Minimum
Receipts / Collectible / Taxable Taxable Tax
Sr. Description Code Value Deductible Income Income Chargeable
1 Minimum Tax Chargeable [Col.E Sum of 2 to 6] A B C D E
2 mport u/s 148 @1% 64010052
3 Import u/s 148 @2% 64010054
4 Import u/s 148 @3% 64010056
5 Import u/s 148 @4% 64010058
6 Import u/s 148 @6% 64010062
7 Import of Edible Oil u/s 148 @5.5% 64010161
8 Import of Packing Material u/s 148 @5.5% 64010181
9 Import of Plastic Raw Material u/s 148 @ 1.75% 64010081
10 Import u/s 148 @ 4.125% 64010083
11 Import u/s 148 @ 2.75% 64010082
12 Import of ships by ship breakers u/s 148(8A) @ 4.5% 64010059
Payment for contracts for consruction, assembly of
13 instalation to a non-resident u/s 152(1A) 64050052
Payment for transport services to a PE of a non-
Minimum Tax Chargeable

14 resident u/s 152(2A)(b) 64050094

Payment for services contracts to a non-resident u/s
15 152(1A)(b) 64050053
Fee for Advertisement Services to a non-resident u/s
16 152(1A)© 64050054
Insurance/re-instruance premium to a non-resident u/s
17 152(1AA) 64050055
Payment for other services for PE of a non-resident u/s
18 152(2A)(b) 64050095
19 Payment for Services u/s 153(1)(b) @1% 64060152
20 Payment for goods u/s 153(1a) @ 0.25% 64060082
21 Payment for goods u/s 153(1a) @ 2.5% 64060055
22 Payment for goods u/s 153(1a) @ 4.5% 64060059
23 Payment for Services u/s 153(1)(b) @ 1.5% 64060153

24 Payment for specified for Services u/s 153(1)(b) @ 3% 64060156

25 Payment for Services u/s 153(1)(b) @2% 64060154
26 Payment for Services u/s 153(1)(b) @10% 64060170
27 Payment for Services u/s 153(1)(b) @15% 64060180
28 Receipts from Contracts u/s 153(1)(c) @7.5% 64060265
29 Receipts from Contracts u/s 153(1)(c) @10% 64060270
30 Payment for Goods u/s 153(1)(a) @1% 64060052
31 Payment for Goods u/s 153(1)(a) @1.5% 64060053
32 Payment for Goods u/s 153(1)(a) @4.5% 64060059
 33 Fee for Export related Services u/s 153(2) @1% 64060352
34 Deduction of Tax from yarn u/s 153(1)(a) 64060281
35 Deduction of Tax from yarn u/s 153(1)(b) 64060282
36 Brokerage / Commission u/s 233 @8% 64120066
37 Brokerage / Commission u/s 233 @10% 64120070
38 Brokerage / Commission u/s 233 @12% 64120074
39 Brokerage / Commission u/s 233 @5% 64120060
Number of imported mobile phones u/s 148 upto 30$ @
40 Rs.70 64120045
Number of imported mobile phones u/s 148 exceeding
41 30$ upto 100$ @ Rs.100 64120046
Number of imported mobile phones u/s 148 exceeding
42 100$ upto 200$ @ Rs.930 64120047
Number of imported mobile phones u/s 148 exceeding
43 200$ upto 350$ @ Rs.970 64120048
Number of imported mobile phones u/s 148 exceeding
44 350$ upto 500$ @ Rs.3000 64120049
Number of imported mobile phones u/s 148 exceeding
45 500$ @ Rs.50200 64120050
46 CNG Station Gas Bill u/s 234A 64130151
Fee for Goods Transport Contractor u/c (43E), Part IV
47 Second Schedule 64320053
Fee for Carriage Services by Oil Tanker u/c (43D), Part
48 IV Second Scheule 64320051
Tax on
Attributable Attributable Difference
Receipts / Final Tax Taxable Taxable (Option
Sr. Description Code Value Chargeable Income Income Valid if <=0)
A B C D E
49 Export Proceeds u/s 154(1) @1% 64070054
50 Foreign Indenting Commission u/s 154(2) 64070151
51 Sale Proceeds of goods to exporter u/s 154(3) 64070152
Sale Proceeds of of goods by industrial undertaking u/s
52 154(3A) 64070153
53 Contract Payments to indirect exporter u/s 154(3B) 64070154
54 Export Proceeds u/s 154(3C) 64070155
Commission / Discount on petroleum products u/s 156A
55 @12% 64090151
Signature: Date:
 Annex-F

Personal Expenses

Name* Tax Year 2022

CNIC* NTN

Sr. Description Code Amount

1 Personal Expenses [(2 + 16) - 17] 7089

2 Rent 7051

3 Rates / Taxes / Charge / Cess 7052

4 Vehicle Running / Maintenence 7055

5 Travelling 7056

6 Electricity 7058

7 Water 7059

8 Gas 7060

9 Telephone 7061
Personal Expenses

10 Asset Insurance / Security 7066

11 Medical 7070

12 Educational 7071

13 Club 7072

14 Functions / Gatherings 7073

15 Donation, Zakat, Annuity, Profit on Debt, Life Insurance Premium, etc. 7076

16 Other Personal / Household Expenses 7087

17 Contribution in Expenses by Family Members [18+21] 7088

CNIC No. Name*

18

19

20

21

Signature: Date:
 WEALTH STATEMENT UNDER SECTION 116 OF THE INCOME TAX ORDINANCE, 2001 1/4
Name* Tax Year 2022
CNIC* NTN
Residen
Busines
1 Agricultural Property [Sum of 1 i to 1 x] 7001

Form
(Irrigated / Unirrigated Mauza / Village / Area
/ Uncultivable) Chak No. Tehsil District (Acre) Share % Code Value at Cost
i 7001
Agricultural Property

ii 7001
iii 7001
iv 7001
v 7001
vi 7001
vii 7001
viii 7001
ix 7001
x 7001
2 Commercial, Industrial, Residential Property (Non-Business) [Sum of 2 i to 2 x] 7002
Form
l, Commercial, Industrial Property

(House, Flat, Shop, Unit No. / Area /

Plaza, Factory, Complex / Street Locality / Area Share
Workshop, etc.) / Block / Sector Road City (Marla / sq. yd.) % Code Value at Cost
i 7002
ii 7002
iii 7002
 Residential, Commercial, Industria
iv 7002
v 7002
vi 7002
vii 7002
viii 7002
ix 7002
x 7002
3 Business Capital 7003
Business Capital

Enter name, share percentage & capital amount in each AOP Share % Code Value at Cost
i 7003
ii 7003
iii 7003
i Enter consolidated capital amount of all Sole Proprietorships 100% 7003
4 Equipment, etc. (Non-Business) [Sum of 4 i to 4 iv] 7004

Description Code Value at Cost

Equipment

i 7004

ii 7004

iii 7004

iv 7004

Signatures: Date:
WEALTH STATEMENT UNDER SECTION 116 OF THE INCOME TAX ORDINANCE, 2001 2/4
Name* Tax Year 2022
CNIC* NTN
5 Animal (Non-Business) [Sum of 5 i to 5 iv] 7005
nimal
 Animal Description Code Value at Cost
i Livestock 7005

ii Pet 7005

iii Unspecified 7005

iv Unspecified 7005

6 Investment (Non-Business) [Sum of 6 i to 6 xiii] 7006

Account / Share
Form Instrument No. Institution Name / Individual CNIC % Code Value at Cost
i Account 7006

Current 7006

Current 7006

Fixed Deposit 7006

Fixed Deposit 7006
Profit / Loss Sharing 7006
Profit / Loss Sharing 7006
Saving 7006
Saving 7006
ii Annuity 7006
iii Bond 7006
iv Certificate 7006
v Debenture 7006
vi Deposit 7006
Investment

Term Deposit 7006

Term Deposit 7006
vii Fund 7006
viii Instrument 7006
ix Insurance Policy 7006
x Security 7006
xi Stock / Share 7006
xii Unit 7006
xiii Others 7006
 7 Debt (Non-Business) [Sum of 7 i to 7 vii] 7007
Institution Name / Individual Share
Form No. CNIC % Code Value at Cost
i Advance 7007

ii Debt 7007

iii Deposit 7007

iv Prepayment 7007

v Receivable 7007

vi Security 7007

vii Others 7007

8 Motor Vehicle (Non-Business) [Sum of 8 i to 8 viii] 7008
Form
(Car,Jeep,Motor
Cycle,Scooter,Van) E&TD Registration No. Maker Capacity Code Value at Cost
i 7008
Motor Vehicle

ii 7008
iii 7008
iv 7008
v 7008
vi 7008
vii 7008
viii 7008
Signatures: Date:
WEALTH STATEMENT UNDER SECTION 116 OF THE INCOME TAX ORDINANCE, 2001 3/4
Name* Tax Year 2022
 CNIC* NTN
Precious Posession

9 Precious Possession [Sum of 9 i to 9 iii] 7009

Description Code Value at Cost

i Antique / Artifact 7009

ii Jewelry / Ornament / Metal / Stone 7009

iii Others (Specify) 7009

10 Household Effect [Sum of 10 i to 10 iv] 7010

Household Effect

Description Code Value at Cost

i Unspecified 7010

ii Unspecified 7010

iii Unspecified 7010

iv Unspecified 7010

11 Personal Item [Sum of 11 i to 11 iv] * 7011

Personal Item

Description Code Value at Cost

i Unspecified 7011

ii Unspecified 7011

iii Unspecified 7011

iv Unspecified 7011
Cash

12 Cash (Non-business) [Sum of 12 i to 12 x] 7012

Notes & Coins 7012

13 Any Other Asset [Sum of 13 i to 13 iv] 7013

Any Other Asset

Description Code Value at Cost

i 7013
 Any Other Asset 7013
ii
iii 7013

iv 7013
Assets in Others' Name

14 Assets in Others' Name [Sum of 14 i to 14 iv] 7014 0

Description Code Value at Cost
i 7014
ii 7014
iii 7014
iv 7014
15 Total Assets inside Pakistan [Sum of 1 to 14] 7015
Assets outside Pakistan

16 *Assets held outside Pakistan [Sum of 16 (i) to 16 (iv)] 7016

Description Code Value at Cost
i 7016
ii 7016
iii 7016
iv 7016
17 Total Assets [15+16] 7019
* Serial # 16 has been separated from Any Other Assets at Serial # 13 for clarity.
Signatures: Date:
WEALTH STATEMENT UNDER SECTION 116 OF THE INCOME TAX ORDINANCE, 2001 4/4
Name* Tax Year 2022
CNIC* NTN
18 Credit (Non-Business) [Sum of 18 (i) to 18 (viii)] 7021
 Form Creditor's NTN / CNIC Creditor's Name Code Value at Cost
i Advance 7021
ii Borrowing 7021
iii Credit 7021
Loan

iv Loan 7021
v Mortgage 7021
vi Overdraft 7021
vii Payable 7021
viii Others 7021
19 Total Liabilities 7029
20 Net Assets Current Year [17-19] 703001
21 Net Assets Previous Year 703002
22 Increase / Decrease in Assets [20-21] 703003
23 Inflows [Sum of 23 (i) to 23(x)] 7049
i Income declared as per Return for the year subject to normal tax 7031
Reconciliation of Net Assets

ii Income declared as per Return for the year exempt from tax 7032

iii Income Attributable to Receipts, etc. Declared as per Return for the year subject to Final / Fixed Tax 7033
iv Adjustments in Income Declared as per Return for the year 7034
vi Foreign Remittance 7035
vii Inheritance 7036
viii Gift 7037
ix Gain on Disposal of Assets, excluding Capital Gain on Immovable Property 7038
x Others 7048
 Recon
24 Personal Expenses [Transfer from Sr.1 Annex-F] 7089
25 Outflows [Sum of 25 (i) to 25 (iii)] 7099
i Gift 7091
ii Loss on Disposal of Assets 7092
iii Others 7098
26 Unreconciled Amount [23-24-25] 703000 0
Disposed Assets

27 Assets Transferred / Sold / Gifted / Donated during the year [Sum of 27 (i) to 27 (ii)] 703004 0
Description Code Value at Cost
i 703004
ii 703004
I, , CNIC No. , in my capacity
Verification

as Self / Representative (as defined in section 172 of the Income Tax Ordinance, 2001) of Taxpayer named above, do hereby
solemnly declare that to the best of my knowledge & belief the information given in this statement of the assets & liabilities of myself,
my spouse(s), minor children & other dependents as on 30.06.2022 & of my personal expenditure for the year ended 30.06.2022 are
correct & complete in accordance with the provisions of the Income Tax Ordinance, 2001, Income Tax Rules, 2002.
Signatures: Date: ".