URUSAN SERI PADUKA BAGINDA USE BLACK INK PEN & DO NOT FOLD

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1 URUSAN SERI PADUKA BAGINDA BAYARAN POS JELAS POSTAGE PAID PEJABAT POS BESAR KUALA LUMPUR MALAYSIA NO. WP0218 USE BLAK INK PEN & DO NOT FOLD FORM & FORM R 2012 For Further Information:- LHDNM Branch Main Line : Main Line alls From Overseas : Website : If Undelivered, Return To: LEMBAGA HASIL DALAM NEGERI MALAYSIA PUSAT PEMPROSESAN KARUNG BERKUNI KUALA LUMPUR MALAYSIA

2 LEMBAGA HASIL DALAM NEGERI MALAYSIA PUSAT PEMPROSESAN ARAS 10-18, MENARA, PERSIARAN MPAJ JALAN PANDAN UTAMA, PANDAN INDAH KARUNG BERKUNI KUALA LUMPUR Telephone Fax Website P5A SULIT : : : To : Reference No. (Registration No.) : Income Tax No. Date : : GUIDE NOTES FOR FORM AND FORM R FOR YEAR OF ASSESSMENT Form is: a statement under section 77A of the Income Tax Act 1967 (ITA 1967); an income tax computation pursuant to subsection 77A(3) of ITA 1967; and a deemed notice of assessment under subsection 90(2) of the same Act. 2. Therefore, you are required to: (a) (b) (c) (d) (e) complete this return form correctly and clearly. Please refer to the riteria On Incomplete Income Tax Return Form (ITRF) at the website of Lembaga Hasil Dalam Negeri Malaysia (LHDNM). compute your tax based on audited accounts and refer to the guidebook which can be printed from the LHDNM website. Working sheets / appendices used for computation need not be furnished with this return form but must be kept for a period of seven (7) years after the end of the year in which the return form is furnished, for the purpose of examination by LHDNM. furnish Form (RK-T) / Form (RK-S) which can be printed from the website if the company claims/surrenders loss under the Group Relief provision. furnish the following appendices which can be printed from the website if entitled to a tax refund as per item B17 of this return form: (i) Appendix B1 in respect of the claim for tax deduction under section 51 of Finance Act 2007 (dividends); (ii) (iii) Appendix B2 and relevant documents pertaining to the claim for section 110 tax deduction (others); and Appendix B3 / Appendix B4, if applicable relating to the foreign tax deducted in the country of origin. use the Remittance Slip (P207) for Form when paying the balance of tax payable (if any) as per item 3 of this return form. 3. Form R is a statement under subparagraph 45(1)(a)(ii) Part II in hapter II of the Finance Act 2007 (Act 683) and subsection 48(1) Part II in hapter II of the Finance Act 2009 (Act 693). (a) (b) You are required to to complete this return form correctly and clearly in accordance with the explanatory notes which can be printed from the website. The amount of excess which is a debt due to the Government, shall be payable within the stipulated period. Use the Remittance Slip (P207) for Form R which is enclosed with the Form, when making payment. 4. Detach the Remittance Slip (P207) before you furnish the Form. The Form and Form R must be completed, affirmed, duly signed and furnished to LHDNM at the above address within the stipulated period. 5. Only original return forms printed by LHDNM are acceptable. Return forms submitted via fax are not considered as furnished in accordance with ITA Thank you. SERVIE TO THE OUNTRY TOGETHER WE DEVELOP THE NATION Director General of Inland Revenue Lembaga Hasil Dalam Negeri Malaysia

3 Name of I company [Submit Form 13 if there is a change in name) Reference no. ompliance with Public II (registration no.) IX Yes No Rulings (Indicate X ) Record-keeping III Employer s no. E X Yes No (Indicate X ) Resident in Malaysia 1 = laim IV Yes No XI (Indicate X ) 2 = Surrender 3 = Not relevant ountry of residence V (Use the ountry ode) <? VI VII VIII Income tax no. Opening date of accounts Form LEMBAGA HASIL DALAM NEGERI MALAYSIA RETURN FORM OF A OMPANY UNDER SETION 77A OF THE INOME TAX AT 1967 This form is prescribed under section 152 of the Income Tax Act 1967 <>>>>>>? XII laim / Surrender loss under the Group Relief provision 2012 YEAR OF ASSESSMENT P5 [Pin. 2012] [If claiming, submit Form (RK-T); If surrendering, submit Form (RK-S)] Substantial change 1 = Yes in shareholding and 2 = No subsection 44(5A) applies 3 = Not relevant Day Month Year Small and medium 1 = Yes XIII enterprise 2 = No losing date of accounts <>>>>>>? Day Month Year Status of Tax (from page 4) (Indicate X in the relevant box) Tax Repayable (item B17) Tax paid in excess (item 4) There is balance of tax payable (item B16 / 3 whichever is relevant) Not taxable / Nil balance (if B16 / B17 / 3 / 4 = 0 ) FOR OFFIE USE Date received 1 Date received 2 Date received 3 PART A: Statutory Business Income [Declare in Ringgit Malaysia(RM) currency] STATUTORY INOME, TOTAL INOME AND HARGEABLE INOME Business ode A1 Business 1 <>>>? A2 Business 2 <>>>? A3 Business 3 <>>>? A4 Business 4 <>>>? A5 Business and so forth <>>>? Amount (RM) 1

4 Name of ompany:... Statutory Partnership Income A6 A7 A8 A9 A10 A11 A12 Less: A13 TOTAL ( A11 - A12 ) Other Statutory Income A14 A15 A16 A17 A18 A19 A20 A21 A22 A23 A24 A25 A26 A Partnership 1 Partnership 2 Partnership 3 Partnership 4 Partnership and so forth Business losses brought forward (Restricted to A11) Interest and discounts Rents, royalties and premiums Other income Additions pursuant to paragraph 43(1)(c) Aggregate statutory income from other sources ( A14 to A17 ) AGGREGATE INOME ( A13 + A18 ) Less: urrent year business losses (Restricted to A19) TOTAL ( A19 - A20 ) Less: Other expenses Prospecting expenditure - Schedule 4 and paragraph 44(1)(b) Pre-operational business expenditure - Schedule 4B and paragraph 44(1)(b) Permitted expenses under section 60F or 60H and income exempted from tax by the Minister under section 127 TOTAL ( A21 - A22 - A23 - A24 ) (Enter 0 if value is negative) Less: Donations / Gifts / ontributions / Zakat Gift of money to the Government/ local authority Income Tax No. Aggregate statutory income from businesses ( A1 to A10 ) D D D D D A11 A12 A13 A14 A15 A16 A17 A18 A19 A20 A21 A22 A23 A24 A25 A26 Amount (RM) 2

5 Name of ompany:... A27A A A27B A27 A28 A29 A30 A31 A33 Gift of money to approved institutions or organisations Gift of money or cost of contribution in kind for any approved sports activity or sports body Gift of money or cost of contribution in kind for any project of national interest approved by the Minister of Finance Gift of artefacts, manuscripts or paintings Gift of money for the provision of library facilities or to libraries Gift of paintings to the National Art Gallery or any state art gallery Zakat perniagaan (restricted to 2.5% of aggregate income in A19) TOTAL INOME [ A25 ( A26 to A32 ) ] (Enter 0 if value is negative) Restricted to 10% of A19 A32 laim for loss under Group Relief provision A32 A35 A36 A37 TAXABLE PIONEER INOME HARGEABLE INOME ( A33 + A34 + A35 ) HARGEABLE INOME OF FOREIGN FUND MANAGEMENT (section 60G) 3 A27 A28 A29 A30 A31 A33 A35 A36 A37 A34 Statutory income from dividends A34 PART B: B1 HARGEABLE INOME [ from ( A36 + A37 ) ] B2 B3 B4 B5 B5A B6 B7 Apportionment of hargeable Income B8 TOTAL INOME TAX HARGED (B2 to B7 ) TAX PAYABLE Rate (%) B1 B8 <_>>_>>_>>_>>?, Income Tax <_?.

6 Name of ompany:... B9 B17 Less: Tax reduction on income derived from exploration and exploitation of petroleum in a Joint Development Area B10 Section 110B tax deduction B10. B11 B12 Tax deduction under section 51 of Finance Act 2007 (dividends) Section 110 tax deduction (others) B11 B12 B13 Section 132 tax relief B13 B14 Section 133 tax relief B14. B15 Total Tax Reduction / Deduction / Relief ( B9 to B14 ) B15. B16 TAX PAYABLE * ( B8 B15 ) B16 Or TAX REPAYABLE * ( B15 B8 ) [For a Tax Repayable case, fill in items P7 and P8 on page 11] B9. B17. PART : STATUS OF TAX FOR YEAR OF ASSESSMENT Tax payable ( from B16 ) 1. 2 Less: Instalment payments made 2. 3 Balance of tax payable * 3. Or 4 Tax paid in excess * 4. Please enter the tax position ( B16 / B17 / 3 / 4 whichever is applicable ) under the item * Status of Tax on page 1. PART D: SPEIAL DEDUTION, DOUBLE DEDUTION AND FURTHER DEDUTION D1 D2 D3 D4 D5 D11 laim ode Amount <>? <>_>>_>>? <>? <>_>>_>>? <>? <>_>>_>>? <>? <>_>>_>>? <>? <>_>>_>>? TOTAL LAIMED D6 D7 D8 D9 D10 D11 laim ode Amount <>? <>_>>_>>? <>? <>_>>_>>? <>? <>_>>_>>? <>? <>_>>_>>? <>? <>_>>_>>? 4

7 Name of ompany:... PART E: E1 E2 E3 E4 E5 E6 E7 E8 E9 E10 Business Business 1 Business 2 Business 3 Business 4 Business and so forth Partnership Partnership 1 Partnership 2 Partnership 3 Partnership 4 Partnership and so forth E1(a) E2(a) E3(a) E4(a) E5(a) E6(a) E7(a) E8(a) E9(a) E10(a) LAIM FOR SHEDULE 3 ALLOWANE Amount Absorbed Amount Absorbed E1(b) E2(b) E3(b) E4(b) E5(b) E6(b) E7(b) E8(b) E9(b) Balance arried Forward Balance arried Forward E10(b) Total accelerated E11 E11(a) E11(b) capital allowance Total capital allowance on assets E12 acquired in the basis period E12 Total capital allowance brought forward but E13 disregarded due to substantial change in shareholding E13 PART F: F1 F1A F2 F3 F4 F5 Type of Loss Business / partnership losses Losses surrendered under Group Relief provision Pioneer losses Losses from approved service projects Business losses from Operational Headquarters / Foreign Fund Management Section 54A shipping losses LAIM FOR LOSSES Amount Disregarded F1(a) <_>>_>>_>>? F1(b) F2(a) F3(a) F4(a) F5(a) Amount Surrendered F1A(a) <_>>_>>_>>? F1A(b) Amount Absorbed <_>>_>>_>>? <_>>_>>_>>? <_>>_>>_>>? F2(b) F3(b) F4(b) <_>>_>>_>>? F5(b) Balance arried Forward <_>>_>>_>>? Balance arried Forward <_>>_>>_>>? Balance arried Forward <_>>_>>_>>? <_>>_>>_>>? <_>>_>>_>>? <_>>_>>_>>? 5

8 Name of ompany:... PART G: G1 G2 G3 G4 G5 G6 G6A G6B G6 G6D G10 Jenis Insentif Investment Tax Allowance Industrial Adjustment Allowance Infrastructure Allowance Schedule 7A Allowance Schedule 7B Allowance Increased Exports Allowance Allowance for Increased Agriculture Exports Increased Exports Allowance for Malaysian International Trading ompany Value of Increased Export of Services Special Incentive for Exports G1(a) G2(a) G3(a) G4(a) G5(a) G6(a) G6A(a) G6B(a) G6(a) G6D(a) TOTAL TRANSFERRED TO EXEMPT AOUNT [ G1(a) to G6E(a) ] INENTIVE LAIM Amount Absorbed 6 G10 Balance arried Forward G1(b) G2(b) G3(b) G4(b) G5(b) G6(b) G6A(b) G6B(b) G6(b) G6D(b) G6E Allowance for G6E(a) G6E(b) BioNexus status company G7 Schedule 4 expenditure G7 G8 Schedule 4B expenditure G8 G9 TOTAL LAIMED [ A22, A23 and G1(a) to G6E(a) ] G9 PART H: H1 H2 H3 H4 H5 H11 Income ode <>? <>? <>? <>? <>? Amount TOTAL TRANSFERRED TO EXEMPT AOUNT INOME TRANSFERRED TO EXEMPT AOUNT H6 H7 H8 H9 H10 Income ode <>? <>? <>? <>? Amount <>? H11

9 Name of ompany:... PART I: EXEMPT AOUNT I1 redit in account I1 I2 Tax exempt dividend paid I2 I3 Balance carried forward I3 (Enter X if value is negative) Amount J1 PART J: hargeable income of preceding year not declared (if any) INOME OF PREEDING YEAR NOT DELARED PART K: DISPOSAL OF ASSET UNDER THE REAL PROPERTY GAINS TAX AT 1976 K1 K2 PART L: L1 L2 L3 L4 L4A L5 L6 L7 L9 L10 L11 Any disposal of asset? Has the disposal been declared to LHDNM? (If K1 = Yes ) Business Income: Business code (main business) Sales / Turnover (main business) Less: Opening stock Purchases ost of production losing stock ost of sales GROSS PROFIT / LOSS ( L2 L6 ) Other business income Other income Non-taxable profits L3 L4 L4A L5 7 Yes Yes (Enter X if value is negative) J1 FINANIAL PARTIULARS OF OMPANY L7 L1 L2 L6 No No (Indicate X in the relevant box) <>>>? L9 L10 L11 L8 Foreign currency exchange gain L8

10 Name of ompany:... L12 L13 L13A L14 L15 L15A ost of Employee Stock Options L15A L16 L17 L18 L20 L21 L30 L31 L31A Expenditure: Interest Professional, technical, management and legal fees Technical fee payments to non-resident recipients ontract payments Salaries and wages Royalties Rental / Lease Maintenance and repairs Promotion and advertisement Travelling and accommodation Other fixed assets TOTAL FIXED ASSETS Total cost of fixed assets acquired in the basis period L16 L17 L18 L20 L21 L30 8 L19 Research and development L19 L14 L15 L22 Foreign currency exchange loss L22 L23 Other expenditure L12 L13 L13A L23 L24 TOTAL EXPENDITURE L24 L25 NET PROFIT / LOSS L25 (Enter X if value is negativef) L26 Non-allowable expenses L26 L27 Motor vehicles L27 L28 L29 Fixed Assets: Plant and machinery Land and buildings L28 L29 L31 L31A

11 Name of ompany:... L35 L36 L37 L38 L39 L40 L41 L42 Loans to directors Other current assets TOTAL URRENT ASSETS TOTAL ASSETS ( L31 + L32 + L38 ) LIABILITIES AND OWNERS EQUITY urrent Liabilities: Loans and overdrafts Trade creditors Sundry creditors L35 L37 L40 L41 L42 9 L38 L39 L32 Investments L32 L33 L34 L43 L44 L45 L48 L49 L50 L51 L52 urrent Assets: Trade debtors Sundry debtors ash in hand and cash at bank L36 (Enter X if value is negative) Loans from directors Other current liabilities TOTAL URRENT LIABILITIES Shareholders Equity: Paid-up capital Profit and loss appropriation account Reserve account Total Equity TOTAL LIABILITIES AND EQUITY L49 (Enter X if value is negative) L33 L34 L43 L44 L48 L50 (Enter X if value is negative) (Enter X if value is negative) L34A Stock L34A L46 Long-term liabilities L46 L47 TOTAL LIABILITIES L47 L51 L52 L45

12 Name of ompany:... PART M: PARTIULARS OF WITHHOLDING TAXES Gross payments to non-residents in the basis period subject to withholding tax under sections 107A, 109, 109A, 109B, 109E and 109F. Section Total gross amount paid Total tax withheld and remitted to LHDNM Total net amount paid M1 107A M2 109 M3 109A M4 109B M5 109E M6 109F PART N: TRANSATION BETWEEN RELATED OMPANIES N1 N2 N3 N4 N9 N10 N11 N12 Total sales to related companies in Malaysia Total sales to related companies outside Malaysia Total purchases from related companies in Malaysia Total purchases from related companies outside Malaysia Loans from related companies in Malaysia Loans from related companies outside Malaysia Other income from related companies in Malaysia Other income from related companies outside Malaysia N1 N2 N3 N4 N9 N10 N11 N12 Amount N5 Total of other expenses to related companies in Malaysia N5 N6 Total of other expenses to related companies outside Malaysia N6 N7 N8 Loans to related companies in Malaysia Loans to related companies outside Malaysia N7 N8 10

13 Name of ompany:... PART P: P1 P2 P3 P4 P5 PARTIULARS OF OMPANY Status of company ontrolled (Enter X in the relevant box) losed-end Operational Investment BioNexus Real Property Venture apital Fund Headquarters Holding International Foreign Fund Malaysian Regional Institution International Distribution Others Procurement entre Management Trade entre Registered address Postcode Town <>>>? <>>>>>>>>>>>>>>? State Telephone no. of business premise orrespondence address State Address of business premise Postcode Postcode State MS 11 Public haritable Organisation Town <>>>? <>>>>>>>>>>>>>>? Town <>>>? <>>>>>>>>>>>>>>? P6 Website / Blog address P7 Name of bank P8 Bank account no. Address where company s records are kept P9 (Enter X in the relevant box) Address as per P2 Address as per P4 Address as per P5

14 Name of ompany:... P10 P11 Director I Director II Director III Other address if P9 does not apply Directors Name Postcode State Town <>>>? <>>>>>>>>>>>>>>? P12 Director I Director II Director III Directors identity card / passport no. P13 Directors telephone no. P14 Director I Director II Director III Directors income tax no. SG / OG SG / OG SG / OG <? <? <? <>>>>>>>>>? <>>>>>>>>>? <>>>>>>>>>? P15 Directors equity shareholding (%) <>_>?. <>_>?. <>_>?. P16 Director I Director II Director III Directors salary / bonus <>_>>_>>? <>_>>_>>? <>_>>_>>? P17 Directors fee / commission / allowance <>_>>_>>? <>_>>_>>? <>_>>_>>? 12

15 Name of ompany:... PART Q: PARTIULARS OF FIVE MAJOR SHAREHOLDERS OF ONTROLLED OMPANY Q1 Q2 Q3 Q4 Q5 Identity ard / Passport / ompany Registration No. Name Direct shareholding (%) ountry of origin <>_>?. <? (Use the ountry ode) Identity ard / Passport / ompany Registration No. Name Direct shareholding (%) ountry of origin <>_>?. <? (Use the ountry ode) Identity ard / Passport / ompany Registration No. Name Direct shareholding (%) ountry of origin <>_>?. <? (Use the ountry ode) Identity ard / Passport / ompany Registration No. Name Direct shareholding (%) ountry of origin <>_>?. <? (Use the ountry ode) Identity ard / Passport / ompany Registration No. Name Direct shareholding (%) ountry of origin <>_>?. <? (Use the ountry ode) 13

16 Name of ompany:... PART R: OTHER PARTIULARS R1 Foreign equity in comparison with paid-up capital: (Enter X in the relevant box) 70% - 100% 51% - 69% 20% - 50% < 19% NIL R2 Advance Ruling: (Enter X in the relevant box) R2a R2c Advance Ruling Material difference in arrangement (To be completed if R2a = Yes ) Yes Yes No No R2b ompliance with Advance Ruling (To be completed if R2a = Yes ) Yes No R3 Advance Pricing Arrangement: R3a R3c Advance Pricing Arrangement Material difference in arrangement (To be completed if R3a = Yes ) (Enter X in the relevant box) Yes Yes No No R3b ompliance with Advance Pricing Arrangement (To be completed if R3a = Yes ) Yes No PART S: PARTIULARS OF AUDITOR S1 Name of firm S2 Address of firm Postcode Town <>>>? <>>>>>>>>>>>>>>? State S3 Telephone no. 14

17 Name of ompany:... PART T: T4 T5 T6 PARTIULARS OF THE FIRM AND SIGNATURE OF THE PERSON WHO OMPLETES THIS RETURN FORM T1 Name of firm T2 Address of firm Postcode Town <>>>? <>>>>>>>>>>>>>>? State T3 Telephone no. Tax agent s approval no. <>>>>>>>>>>>>>? Business registration no. Signature Date <>>>>>>? Day Month Year Identity ard No. / Passport No. * ( * Delete whichever is not relevant DELARATION I ) hereby declare that this return form contains information that is true, correct and complete pertaining to the income tax of the above company for the Year of Assessment 2012 as required under the Income Tax Act Signature Date <>>>>>>? Day Month Year Designation 15

18 Name of ompany:... Please read the following reminder before signing this return form REMINDER Please ensure that the tax computation and financial particulars entered in this return form are complete, in order and based on audited accounts. arefully check all information given before it is furnished to LHDNM. heck to ensure that the following have been done (Tick in the relevant box): Tax computation has been done on the appropriate appendices / working sheets provided and the amounts accurately transferred to this Form. All appendices / working sheets, records and documents are properly kept for examination by LHDNM. All information have been clearly filled in the spaces provided. The company s name and income tax number are clearly indicated at the top of every page in this return form and relevant appendices / working sheets. If there is any balance of tax payable, payment must be made according to the following: Payment can be made as follows: (a) Bank - ounters of IMB Bank Berhad (IMB), Public Bank Berhad (PBB), Malayan Banking Berhad (Maybank) and Affin Bank Berhad (ABB) by using the bank payment slip. - PBB, Maybank, Hong Leong Bank, itibank internet banking and Maybank phone banking. - Auto Teller Machine (ATM) of PBB and Maybank. (b) LHDNM - e-payment through FPX (Financial Process Exchange) at LHDNM website, - Payment counters of LHDNM or by mail: heques, money orders and bank drafts must be crossed and made payable to the Director General of Inland Revenue. Use the Remittance Slip (P501) when making payment. Write down the name, address, telephone number, income tax number, year of assessment and payment code on the reverse side of the financial instrument. Payment by HEQUE / MONEY ORDER / POSTAL ORDER / BANK DRAFT must be separately remitted to LHDNM at the following address. Payment by ASH must not be sent by post. (c ) Pos Malaysia Berhad - counter and Pos Online PENINSULAR MALAYSIA SABAH & FT LABUAN SARAWAK Postal Address Lembaga Hasil Dalam Negeri Malaysia awangan Pungutan, Tingkat 15, Blok 8A Kompleks Bangunan Kerajaan, Jalan Duta Karung Berkunci Kuala Lumpur Lembaga Hasil Dalam Negeri Malaysia awangan Kota Kinabalu Wisma Hasil Jalan Tunku Abdul Rahman Kota Kinabalu Lembaga Hasil Dalam Negeri Malaysia awangan Kuching Aras 17, Wisma Hasil No. 1, Jalan Padungan Kuching Payment ounter Tingkat Bawah, Blok 8A Kompleks Bangunan Kerajaan Jalan Duta Kuala Lumpur Tingkat Bawah Wisma Hasil Jalan Tunku Abdul Rahman Kota Kinabalu Aras 1, Wisma Hasil No. 1, Jalan Padungan Kuching 16

19 REMITTANE SLIP FOR FORM REMITTANE SLIP To: DIRETOR GENERAL OF INLAND REVENUE Enclosed herewith is the cheque/money order/postal order/bank draft for payment of inco me tax. INOME TAX NO. PAYMENT ODE INSTALMENT NO. YEAR OF ASSESSMENT Amount of Payment RM. Name and Postal Address Reference No. (Registration No.) heque No. and Others Name of Bank Telephone No. Date : P207 [Pin. 1/2012] REMITTANE SLIP FOR FORM R REMITTANE SLIP To: DIRETOR GENERAL OF INLAND REVENUE Enclosed herewith is the cheque/money order/postal order/bank draft for payment of income tax. P207 [Pin. 1/2012] INOME TAX NO. PAYMENT ODE INSTALMENT NO. YEAR OF ASSESSMENT Name and Postal Address Amount of Payment RM Reference No. (Registration No.) heque No. and Others. Name of Bank Telephone No. Date :

20 MALAYSIAN INOME TAX Remittance Slip 2. Payment can be made as follows: 1.1 Bank - ounters of IMB Bank Berhad (IMB), Public Bank Berhad (PBB), Malayan Banking Berhad (Maybank) and Affin Bank Berhad (ABB) by using the bank payment slip. - PBB, Maybank, Hong Leong Bank, itibank internet banking and Maybank phone banking. - Auto Teller Machine (ATM) of PBB and Maybank. 1.2 LHDNM - e-payment through FPX (Financial Process Exchange) at LHDNM website, - Payment counters of LHDNM or by mail: heques, money orders and bank drafts must be crossed and made payable to the Director General of Inland Revenue. Use the Remittance Slip (P501) when making payment. 1.3 Pos Malaysia Berhad - counter and Pos Online Postal Address Payment ounter PENINSULAR MALAYSIA SABAH & FT LABUAN SARAWAK Lembaga Hasil Dalam Negeri Malaysia awangan Pungutan, Tingkat 15, Blok 8A Kompleks Bangunan Kerajaan, Jalan Duta Karung Berkunci Kuala Lumpur Lembaga Hasil Dalam Negeri Malaysia awangan Kota Kinabalu Wisma Hasil Jalan Tunku Abdul Rahman Kota Kinabalu Lembaga Hasil Dalam Negeri Malaysia awangan Kuching Aras 17, Wisma Hasil No. 1, Jalan Padungan Kuching Tingkat Bawah, Blok 8A Kompleks Bangunan Kerajaan Jalan Duta Kuala Lumpur Tingkat Bawah Wisma Hasil Jalan Tunku Abdul Rahman Kota Kinabalu Aras 1, Wisma Hasil No. 1, Jalan Padungan Kuching 2. Write down the name, address, telephone number, income tax number, year of assessment and payment code on the reverse side of the financial instrument. 3. heck the receipts/bank payment slips before leaving the payment counter. MALAYSIAN INOME TAX Remittance Slip 1. Payment can be made as follows: 1.1 Bank - ounters of IMB Bank Berhad (IMB), Public Bank Berhad (PBB), Malayan Banking Berhad (Maybank) and Affin Bank Berhad (ABB) by using the bank payment slip. - PBB, Maybank, Hong Leong Bank, itibank internet banking and Maybank phone banking. - Auto Teller Machine (ATM) of PBB and Maybank. 1.2 LHDNM - e-payment through FPX (Financial Process Exchange) at LHDNM website, - Payment counters of LHDNM or by mail: heques, money orders and bank drafts must be crossed and made payable to the Director General of Inland Revenue. Use the Remittance Slip (P501) when making payment. 1.3 Pos Malaysia Berhad - counter and Pos Online Postal Address Payment ounter PENINSULAR MALAYSIA SABAH & FT LABUAN SARAWAK Lembaga Hasil Dalam Negeri Malaysia awangan Pungutan, Tingkat 15, Blok 8A Kompleks Bangunan Kerajaan, Jalan Duta Karung Berkunci Kuala Lumpur Lembaga Hasil Dalam Negeri Malaysia awangan Kota Kinabalu Wisma Hasil Jalan Tunku Abdul Rahman Kota Kinabalu Lembaga Hasil Dalam Negeri Malaysia awangan Kuching Aras 17, Wisma Hasil No. 1, Jalan Padungan Kuching Tingkat Bawah, Blok 8A Kompleks Bangunan Kerajaan Jalan Duta Kuala Lumpur Tingkat Bawah Wisma Hasil Jalan Tunku Abdul Rahman Kota Kinabalu Aras 1, Wisma Hasil No. 1, Jalan Padungan Kuching 2. Write down the name, address, telephone number, income tax number, year of assessment and payment code on the reverse side of the financial instrument. 3. heck the receipts/bank payment slips before leaving the payment counter.

for reference only Form PARTICULARS OF INDIVIDUAL FOR OFFICE USE A7a Knowledge Worker A10 E Date received (1) Date received (2) Date received (3)

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