RETURN OF TOTAL INCOME/STATEMENT OF FINA

CNIC
(for Individual)

UNDER THE INCOME TAX ORDINANCE, 2001 (FOR INDIV

3520114008571 syed Mujeeb Ali Bokhari

Taxpayer's Name

Business Name

Govt. Servant Code

64013 64011 64012 64015

Source
47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80 81 82 83 Imports

Dividend Profit on Debt Royalties/Fees (Non-Resident) Contracts (Non-Resident) Insurance Premium (Non-Resident) Advertisement Services (Non-Resident) Supply of Goods

64032 64033 64041 640511 640512 640521 640524 640525 640611 640612 640613

Payments to Ginners Contracts (Resident) Exports/related Commission/Service Foreign Indenting Commission Prizes/Winnings of cross word puzzles Winnings - Others Petroleum Commission Brokerage/Commission Advertising Commission Goods Transport Vehicles Gas consumption by CNG Station
Distribution of cigaratte and pharmaceutical products

640614 640631 640641 64072 64075 64091 64092 64101 64121 64122

64142 64143 310102 310103 210101 610401 610402 610403 310431 112001 63311

Retail Turnover upto 5 million Retail Turnover above 5 million Property Income
Capital gains on Securities held for < 6 months Capital gains on Securities held for >= 6 months and < 12 months Capital gains on Securities held for >= 12 months

Fixed Tax

Purchase of locally produced edible oil

Flying Allowance Services rendered / contracts executed outside Pakistan

Fi

84 85

Employment Termination Benefits

118301

Final/Fixed Tax Chargeable (47 to 84)

SYED MUJEEB ALI BOKHARI 352011400857-1

I, holder of CNIC No.

Verification

LIBRARIAN

Self/ Partner or Member of Association of Persons/ Representative (as defined in section 172 of the Income Tax Ordinance, 2001) of Taxpaye solemnly declare that to the best of my knowledge and belief the information given in this Return/Statement u/s 115(4) and the attached Ann Document(s) or Detail(s) is/are correct and complete in accordance with the provisions of the Income Tax Ordinance, 2001 and Income Tax Rul the verification, which is not applicable, should be scored out).

Date :
Note-1 : Grey blank fields are for official use

18.10.2011

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NCOME/STATEMENT OF FINAL TAXATION

TAX ORDINANCE, 2001 (FOR INDIVIDUAL / AOP)

IT-2 (Page 2 of 2)
N NTN Tax Year RTO/LTU

2413069-9

2011
0 Tax Chargeable
-

Receipts/Value

Rate (%)

Code
92013 92011 92012 92015 92032 92033 92041 920511 920512

5 2 1 3 10 7.5 10 15 6 5 10 3.5 1.5 1 6 0.5 1 5 10 20 10 10 5 4 1 1

920521 920524 920525 920611 920612 920613 920614 920631 920641 92072 92075 92091 92092 92101 92121 92122 92141 92142 92143 920202 920203 920235

10 7.50 0 2 2.5 1

961041 961042 961043 920208 920234 920236

920211

9202 Acknowledgement
, in my capacity as

ARI 7-1

ncome Tax Ordinance, 2001) of Taxpayer named above, do Statement u/s 115(4) and the attached Annex(es), Statement(s), Tax Ordinance, 2001 and Income Tax Rules, 2002 (The alternative in

Signatures

Signatures & Stamp of Receiving Officer with Date

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age 2 of 2)

069-9

11
-

0 argeable

amp with Date

Centre