Tax Year Zone Circle National Tax No. - ANNEX I PARTICULARS OF DIRECTORS / SHARE HOLDERS* Particulars / Descriptions Code Percentage of Shares held

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1 Name Company ANNEX I PARTICULARS OF DIRECTORS / SHARE HOLDERS* 1 Name Particulars / Descriptions Code Percentage of Shares held 2. Name 3. Name 4. Name * In case of Private Limited Companies, particulars of share holders with share holding of 10% or more. In case of Public Companies, details of directors only.

2 Address and Description of the property (Use extra sheets for more than 3 Properties) Property No. 1 Address Property No. 2 Address ANNEX II INCOME FROM PROPERTY U/S 15 Property No. 3 Address 1. Rent received or receivable /10th of the un-adjustable advance / security deposit from the tenant Forfeited deposit under a contract for sale of land or building Recovery of unpaid irrecoverable rent allowed as deduction in earlier tax 2104 years 5. Unpaid liabilities exceeding three years Amount claimed as irrecoverable rent Payment of liabilities treated as income at S.No Description / Particulars Code Property No. 1 Property No. 2 Property No. 3 Amount Amount Amount Total [ 1 to 5 ] /5th of rent of building for repairs 2131 Expenditure on collecting rent 2137 Insurance premium Interest on capital borrowed for investment in the property 13. Share in rental income paid to HBFC / Banks 14. Interest on mortgage / capital charge Provincial / local property tax Ground rent Legal service charges Total [ 7 to 17] Net income / (loss) from property ( ) In case taxpayer is co-owner of property, percentage of share 21. Net income from property chargeable 2199 to tax 22. Total of income from all properties including extra sheets, if any

3 Name of Company ANNEX III CAPITAL GAINS U/S 37 Particulars and description of the Capital Asset disposed (Use extra sheets for more than 3 Properties) Capital Asset No. 1 Capital Asset No. 2 Capital Asset No. 3 Particulars / Description Code Capital Asset No. 1 Capital Asset No. 2 Capital Asset No. 3 Amount Amount Amount 1. Date of disposal 2. Date of acquisition Deductions Consideration received on disposal 4101 (a) Consideration at the time of acquisition 4131 (b) Incidental expenditure incurred in acquiring and disposing 4132 (c) Expenditure incurred to alter or improve 4133 (d) Cost incurred in producing or constructing (e) Others (Specify) (f) Total deductions [ a to e ] 6. Gain/(loss) on disposal ( 3 minus 4(f)) 7. Chargeable gain/(loss) **** Total of capital gains from all assets including extra sheets, if any **** (a) In case of disposal of capital asset held for upto one year 100% of the gain/(loss) on disposal (b) In case of disposal of capital asset held for more than one year: (i) In case of (loss) 100% of the (loss) on disposal (ii) In case of gain 75% of the gain on disposal (c) No capital loss can be set off against income under any other head of income.

4 ANNEX IV INCOME FROM OTHER SOURCES U/S 39 Particulars / Description Code Amount (Rupees) 1. (a) Dividend (From non-resident companies only) (b) Royalty (Received by resident persons) (c) Profit on debt (d) Ground rent (e) Rent from sub-lease of land or building (f) Lease of building together with plant & machinery (g) Consideration or benefit received for the provision, use or exploitation of property (h) One-tenth of the consideration for vacating the possession of a building (i) Loan, advance, deposit or gift received otherwise than by a crossed cheque drawn on a bank or through banking channel from a person holding NTN card (j) Others (Specify) (k) Total [ 1(a) to 1(j) ] (a) Any expenditure paid to derive the income chargeable to tax (i) Specify 5188 (ii) Specify (b) Zakat paid on debt of which profit is chargeable (attach evidence) 5187 (c) Depreciation & initial allowance in respect of plant, machinery or building used to derive income at 1(e) and 1(f) above 5194 (d) Total deduction [ 2(a) to 2(c) ] 3. Net income/(loss) from Other Sources [ 1(k) minus 2(d) ]

5 ANNEX V FOREIGN INCOME Description / Particulars Code Amount 1. Income from Property 2. Income from Business 3. Capital Gains 4. Income from Other Sources 5. Net foreign income [1 to 4]

6 ANNEX VI INCOME TAX REDUCTIONS AND CREDITS 1. Particulars / Description Code Amount Income tax reductions (a) Specify* (b) Specify* (c) Total income tax reductions [ (a) to (b) ] 2. Income tax credits Eligible Amount 9251 (a) Charitable donations U/S 61 (attach evidence) (b) Investment in shares U/S 62 (attach evidence) 9252 Profit or share in rent etc. on loan obtained (c) (attach evidence) U/S (d) Total eligible amount [ (a) to (c) ] (e) Income tax credits on total eligible amount (f) Income tax credit on foreign source income (Attach prescribed application) (g) Others* (attach evidence) (h) Surrender of income tax credit on investments in shares disposed of within twelve months (i) Total income tax credits [ 2(e) to 2(g) minus 2(h) ] Note:- * Indicate the relevant provision of Law under which tax reduction or credit, if any, is claimed

7 ANNEX VII TAX DEDUCTED/COLLECTED AT SOURCE (other than final tax) Description / Particulars Code Amount 1. Paid on imports (attach evidence) 2. Deducted from salary (attach evidence) 3. Deducted/collected from profit on debt (attach evidence) 4. Deducted from non-residents recipients (attach evidence) 5. Deducted from payments for goods and services (attach evidence) 6. Deducted from realization of foreign indenting commission (attach evidence) 7. Deducted from rent of immovable property (attach evidence) 8. Deducted from brokerage and commission (attach evidence) 9. Paid alongwith motor vehicle tax (attach evidence) 10. Paid on electricity consumption (attach evidence) 11. Paid on use of telephone (attach evidence) 12. Total [ 1 to 11 ]

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