FOR INDIVIDUAL & OTHER TAX PAYERS (OTHER THAN

FORM OF RETURN OF INCOME UNDER THE INCOME TAX

ORDINANCE, 1984 (XXXVI OF 1984) IT-11GA

Be a Photograph of the
RespectableTaxpayer Assessee
Submit return in due
[to be attested on
the photograph]
Put the tick()mark wherever applicable

Self UniversalSelf Normal

1. Name of the Assessee:…………… MOHAMMAD ANWARUL ISLAM …….….……….…

2. National ID No(ifany): …………………1906030216……………………………………
3.UTIN(if any): - -

4.TIN: 3 4 2 8 4 6 6 5 0 6 5 8

5. (a)Circle:……292 ……………………………… (b)Taxes Zone:14 …………

6. Assessment Year:2023-2024 7.Residential Status:Resident 

8. Status:Individual FirmAssociation of PersonsHindu Undivided Family

9. Name of the employer/business(where applicable):… DELOYAR IRON STORE …….…..…

10. Wife/Husband'sName(if assessee,please mentionTIN):

11. Father'sName:………………… Md. A Sattar ………………………

12. Mother’sName:…………………………… Ojifa Begum ……………..……………
13. Date of Birth (in case of individual): 0 6 0 6 1 9 6 1
Day Month Year

Address(a)Present: EAST DOGAIR SARULIA, DEMRA, DEMRA, SARULIA-1361, DHAKA, BANGLADESH.HA

..............................................................................................................

(b)Permanent: EAST DOGAIR SARULIA, DEMRA, DEMRA, SARULIA-1361, DHAKA, BANGLADESH.

.........................................................................................................

8. Telephone:Office/Business.................................Residential:.................................
9. VAT Registration Number (if any):.................................Notapplicable.................................

1
 Statement of income of the Assessee
Statement of income during the income year ended on30thJune2023
HeadsofIncome Amountintaka
1.Salaries:u/s21(as per schedule1)
2.Interest on Securities:u/s22
3.Income from house property:u/s24(as per schedule2) ware house rent: 240,000/-
4.Agricultural income:u/s26 600,000/-
5.Income from business or profession:u/s28 1,40,00,000/-
6.Share of profit in a firm :
7.Income of the spouse or minor childas applicable:u/s43(4)
8.Capital Gains: u/s31
9.Income from other source:u/s33
10.Tota l(Serial1 to9) TK 1,48,40,000
/-
11.Foreign Income:
12.Total income(Serial 10 and 11) TK 1,48,40,000/
-
13.Tax leviable on total income TK 3,482,500/-
14.Tax rebate:u/s44(2)(b)(as per schedule-3)
15.Tax payable(difference between serial 13 and 14) TK 3,482,500/-
16. Tax Payments:
(a) Tax deducted /collected at source
(Please submit supporting documents/ statement)

Tk.
(b) Advance tax u/s64/68(Please attach challan) Tk..............
(c) Tax paid on the basis of this return(u/s74)
(Please attach challan/payorder/bankdraft/cheque) Tk..............
(d) Adjustment of Tax Refund (if any) Tk..............
Tk.
Totalof (a)(b),(c)and (d)
17.Difference between serial 15 and 16 (if any) TK
18.Tax exempted & Tax free income TK ------------------
19.Income tax paid in the last assessment year TK.3,432,500/-

*I fneeded,please use separate sheet.

Verification
I MOHAMMAD ANWARUL ISLAM,Father/husband Md. A Sattar .solemnly declare that to the best of my
knowledge and belief the information given in this return and statements and documents annexed here with is
correct and complete.

Place:Dhaka
Date:
Signature

(MOHAMMAD ANWARUL ISLAM)

Designation and
Seal(for other than individual)

2
 SCHEDULES SHOWING DETAILS OF INCOME

Nameof the Assessee: MOHAMMAD ANWARUL TIN 3 4 2 8 4 6 6 5 0 6 58

ISLAM
Schedule-1(Salaries)
Pay&Allowance Amountof Amount of Nettaxable
Income exemptedincome income
(Tk.) (Tk.) (Tk.)
Basicpay
Specialpay
Dearness allowance
Conveyance allowance
House rent allowance
Medical allowance
Servant allowance
Leave allowance
Honorarium/Reward/ Fee
Overtime allowance
Bonus/Ex-gratia
Other allowances
Employee’sContribution to Recognized
Provident Fund
Interest accruedon Recognized Provident
Fund
Deemed income for transport facility
Deemed income for free
furnished/unfurnished accommodation
Other,ifany(givedetail)
Net tax able income from salary

Schedule-2(House Property income)

Locationand Particulars Tk. Tk.
Description of property
1.Annual renta lincome
2.Claimed Expenses:
Repair,Collection,etc.
Municipalorlocal tax
Land Revenue
Interest onloan/Mortgage/Capital
charge
Insurance Premium
Vacanc yallowance
Other,ifany
Total=
3.Net income (difference between seria l1 and2)

3
 Schedule-3(Investment tax credit)
(Section44(2)(b)readwithpart‘B’ofSixthSchedule)
1.Life insurance premium Tk.0
2.Contribution to de ferredannuity Tk .0
3.contribution toProvident Fund to which Provident Fund Tk .0
Act,1925applies
4.Self contribution & employer’scontribution to Tk .0
Recognized Provident Fund
5.Contribution to Super annuation Fund Tk .0
6.Investment in approved debenture or debenture stock, Tk .0
StockorShares
7.Contribution to deposit pension scheme Tk .0
8.Contribution to Benevolent Fund and group insurance premium Tk .0
9.Contribution to Zakat Fund Tk .0
10.Others,if any( givedetails) toAB Bank/Flat/DBH Tk .0
Total Tk .0

*Please attach certificates of investment.

List of documents furnished

1. 6.

2. 7.

3. 8.

4. 9.

5. 10.

In complete return is not acceptable

4
 IT-10B
Statement of assets and liabilities(as on 30THJUNE 2023)

Name of the Assessee: MOHAMMAD ANWARUL TIN 3 4 2 8 4 6 6 5 0 6 58

ISLAM.

1. (a)Business Capital (Closing balance) Tk.4,50,00,000/-

(b) Directors Share holdings in Limited Companies ( at cost) Tk...........................
Name of Companies Number of shares

2. Non-Agricultura lProperty (at cost with legal expenses): Tk. 4 ,50,00,000/-

MANIKGANJ & SAVAR

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

Land (Total land and location of land property)

4. Investments:
(a) Saving Certificate(MANUAL) Tk.
(b) Saving Certificate/Unit Certificate/BondTk.
(c) Prizebond/Savings Scheme Tk…………………
(d) Loans given Tk..............................
(e) Other Investment Tk………………..
Total= Tk.

5. Motor Vehicles (at cost) : Tk...........................

Type of motor vehicle and Registration number

6. Jewellery(quantity and cost):25 BHORI (MARRIGE GIFT) B/F Tk.UNKNOWN

7. Furniture(at cost): Tk.

8. Electronic Equipment(at cost): Tk.

9. Cash asset Outside Business:

(a) Cash in hand Tk……………
(b) Cashat bank Tk. …………..
(c) Other deposits Tk…………….

Total= Tk.60,00,000 /-

5
 B/F= Tk. 9,60,00,000/-
10. Anyotherassets
(Givedetails)

Total assets Tk. 9,60,00,000/-

11. Less Liabilities:

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

Totalliabilities Tk.

12.Net wealth as on last date of this income year

(difference between total assets & total liabilities) Tk. 96,000,000/-
13.Net wealth as on last date of previous income year Tk. 96,000,000/-
14.Accretionin wealth(differencebetweenserialno.12&13) Tk. 0.00
15.(a)Family Expenditure:(TotalexpenditureasperFormIT10 BB) Tk. 1,48,40,000/-
(b)Number of dependant children of the family:

Adult Child

16. Totalaccretionof wealth(totalofserial14&15) Tk. 1,48,40,000/-

17. SourcesofFund:
(i) Shown Return Income Tk. 1,48,40,000/-
(ii) Tax exempted/Tax free Income Tk...........................
(iii) Other receipts father Tk. ……………..

TotalsourceofFund= Tk. 1,48,40,000/-.....

.....................
18.Difference(between serial 16 &17) Tk.

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

MOHAMMAD ANWARUL ISLAM

Name & signature of the Assessee
Date

 Assets and liabilities of self,spouse (if she/he is not an assessee),minor children and
dependant(s) to be shown in the above statements.
 If needed ,please use separate sheet.

6
 FORM FormNo.IT-10BB

Statement under section75(2)(d)(i)andsection80oftheIncomeTaxOrdinance, 1984

(XXXVI of 1984) regarding particulars of life style

Name of theAssessee: MOHAMMAD ANWARUL TIN 3 4 2 8 4 6 6 5 0 6 58

ISLAM
Serial Particulars of Expenditure Amount of Tk. Comments
No.
1. Personal and fooding expenses Tk. -------------
2. Tax paid including deduction at source of the last Tk. -------------
Financial year
3. Accommodation expenses Tk. -------------
4. Transport expenses Tk. -------------
5. Electric 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. ForeignTour Tk. -----------
11. Medical Expenses Tk. -----------
12 Festival and ot her special expenses,if any Tk. -------------
Total Expenditure Tk. 1,48,40,000/-

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

MOHAMMAD ANWARUL ISLAM

Name &s ignature of the Assessee
Date:
If needed,please use separate sheet.


..................................................................................................................................................................

Acknowledgement Receipt of Income Tax Return

Nameof the Assessee: ..... Bikiron Barua …….....Assessment Year:……2023-2024..…

UTIN/TIN: 7 8 4 8 3 4 6 6 4 1 8 0 Circle: 292 Taxes Zone:14

7
 Instructionstofillupthe ReturnForm
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) Enclosewhereapplicable:
(a) Salary statement for salary Income; 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) Statement of income and expenditure; Manufacturing A/C, Trading & Profit &
LossA/C and Balance sheet;
(c) Depreciationchartclaiming depreciation asper THIRD SCHEDULEoftheIncome Tax
Ordinance, 1984;
(d) ComputationofincomeaccordingtoIncometaxLaw;
(3) Encloseseparatestatementfor:
(a) any income of the spouse of the assessee (if she/he is not an assessee), minor children
and dependant;
(b) taxexempted/taxfreeincome.
(4) Fulfillment of the conditions laid down in rule-38 is mandatory for submission of a return
under "Self Assessment".
(5) Documents furnished to support the declaration should be signed by the assessee or his/her
authorized representative.
(6) Theassesseshallsubmithis/herphotographwithreturnaftereveryfiveyear.
(7) Furnishthefollowinginformation:
(a) Name,address&TINof thepartnersif the assesseeisafirm;
(b) Nameoffirm,address&TINiftheassesseeisa partner;
(c) Nameof thecompany,address&TINif theassesseeisadirector.

(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) Ifneeded,pleaseuseseparatesheet.

..............................................................................................................................................................

Total income shown in Return: Tk.….… 38,58,000/- ……. Taxpaid:Tk.…… 737,000/-……….

…. Net Wealth of Assessee: ………… Tk. 2, 83,00,000 /-…………
Dateof receiptof return:............................................. SerialNo.inreturnregister.......................

Natureof Return: Self UniversalSelf Normal

SignatureofReceiving
officer with seal