NTN N/A

S# 207 New FileCode

Male / Female MALE File Code JDI-L11

Status IND Check Digit
NTN 2397520-7 CNIC 43102 3822925 3
Undertaking NAME ADNAN SHOUKAT CNIC 43102 3822925 3
Name ADNAN SHOUKAT
Bussiness M/S. LIAQUAT ENGINEERING WORKS
Bussiness Address PETTY BAZAR, JACOABABAD
Resident Address NEAR KABOOTRI MASJID, IMAM BARGAH ROAD, JACOBABAD
Dep. NTN Name & Add 0 0
Principle Buss Activity Date of Birth (60 Years) 18-06-1986 N 32 years, 10 months, 21 days
Bussiness Description OthersAUTO ENGINEERING WORKS
0
Electricity %
1 08 38241 0022322 M.SHARIF ### 6,928
2 0 0 0% 0
3 0 0 0%
Telephone %
1 0%
2 0 0 0%
3 0 0 0%
A/c # Bank Branch Amount
1 0 0 0 0%
2 0 0 0 0%
3 0 0 0 0%
Deduction From Salary -------------> 0%
Advance Tax Refund Due
CPR NO. Amount Year Amt
CPR NO. Amount Year Amt
CPR NO. Amount Year Amt
CPR NO. Amount

2008 Tax Due 4,740 Tax Paid 4,350 Challan 390 Refund 0
2009 Tax Due 7,750 Tax Paid 7,750 Challan 0 Refund 0
2010 Tax Due 5,106 Tax Paid 6,050 Challan 0 Refund 0

2008 % 2009 % 2010 % 2011

AUTO 0
Net Profit 160,000 ### 165,000 ### 170,200 ### 278,280 52.58%
Profit & Loss 144,300 ### 148,800 ### 153,500 ### 250,975 47.42%
Other Bussiness 304,300 ### 313,800 ### 323,700 ### 529,255 ###

Closing Stock 0 0.00% 0 0.00% 0 0.00% 0 0.00%

M & T Expence 0 0.00% 0 0.00% 0 0.00% 0 0.00%

G.P % #DIV/0! #DIV/0! #DIV/0!

Sales 0 0 0 0
Parchase 0 0.00% 0 0.00% 0 0.00% 0 0.00%

Opening Stock 0 0.00% 0 0.00% 0 0.00% 0 0.00%

Gross Profit 0 0.00% 0 0.00% 0 0.00% 0 0.00%

Total N+P 304,300 0.00% 313,800 0.00% 323,700 0.00% 529,255 0.00%
Salary Income 0 0
Bonus
2011 Tax Due 0 Tax Paid Challan Refund

Amount % Share Amt

Taxed Share
AOP Name 0 0.00% 0
AOP Name 0 0.00% 0
AOP Name 0 0.00% 0

Un Taxed Share
AOP Name 0 0.00% 0
AOP Name 0
AOP Name 0

Tax Already Surchar

2009 2010 Value 2011 Paid ge
Lease Money 0 0
Agricultural Income 0 0
Property Income (Fixed Tax) 0 0
Profit on Debt 0 0
Contracts 0 0
Prizes 0 0
Petroleum Commission 0 0
Brokerage/Commission 0 0
Property Income (Taxable) 0 0
Supply 3.5 0
 NTN N/A
S# 207 New FileCode
Male / Female MALE File Code JDI-L11
Status IND Check Digit
NTN 2397520-7 CNIC 43102 3822925 3
Undertaking NAME ADNAN SHOUKAT CNIC 43102 3822925 3
Name ADNAN SHOUKAT
Bussiness M/S. LIAQUAT ENGINEERING WORKS
Bussiness Address PETTY BAZAR, JACOABABAD
Resident Address NEAR KABOOTRI MASJID, IMAM BARGAH ROAD, JACOBABAD
Dep. NTN Name & Add 0 0
Principle Buss Activity Date of Birth (60 Years) 18-06-1986 N 32 years, 10 months, 21 days
Bussiness Description OthersAUTO ENGINEERING WORKS
0
Supply 1.5 0
0 0

NTN Proprietor/Member/Partners' Name % in Capital Capital Amount

0 0 0% 0
0 0 0% 0
0 0 0% 0
Others 0 0% 0

PTCL & CODE MOBILE 1 CONTACT NAME MOBILE 2 CONTACT NAME

0722-650372 0 ADNAN 0 0

Special Instruction if any

NTN N/A

RES ELEC REF # RES ELEC NAME RES SSGC # RES SSGC NAME RES PTCL #

RETURN STATUS Submition Date Received By REVISION Revise Date

SUBMITED 15-11-2011 UDC KHALIL

ELEC BILL REF ----> 08 38241 0022322 ELEC BILL REF ----> 0
Per Month Per Month Per Month Per Month
Per Month Per Month
Month Minimum Refundable Units Month Minimum Refundable Units
Amount Amount Tax
Tax Tax Tax
07/2010 0 0 07/2010 0 0
08/2010 0 0 08/2010 0 0
09/2010 0 0 09/2010 0 0
10/2010 0 0 10/2010 0 0
11/2010 0 0 11/2010 0 0
12/2010 0 0 12/2010 0 0
01/2011 0 0 01/2011 0 0
02/2011 0 0 02/2011 0 0
03/2011 0 0 03/2011 0 0
04/2011 0 0 04/2011 0 0
05/2011 0 0 05/2011 0 0
06/2011 0 0 06/2011 0 0

Total 0 0 0 0 Total 0 0 0 0

BANK A/C # Credit Debit Closing Balance WHT Markup

0 0 0
0 0 0
0 0 0

0 0 0 0 0

Total Monds @ Rate Total Turn Over 0 As Per Monds

Total Tax 0 Total Turn Over 0 As Per Bank Deduction

Total Units 0 @ Rate Total Turn Over 0 As Per Electricity Consuption

Max: Turn Over 0

"PART-II B
RETURN OF TOTAL INCOME/STATEMENT OF FINAL TAXATION IT-2 (Page 1 of 2)

UNDER THE INCOME TAX ORDINANCE, 2001 (FOR INDIVIDUAL / AOP) N°

CNIC (for Individual) 4310238229253 NTN 2397520-7
Taxpayers Name ADNAN SHOUKAT Gender Male ü Female
Registration (*)

Bussines Name M/S. LIAQUAT ENGINEERING WORKS Year Ending 30.06.2011

Business Address PETTY BAZAR, JACOABABAD Tax Year 2011
Res. Address NEAR KABOOTRI MASJID, IMAM BARGAH ROAD, JACOBABAD Person IND ü AOP
E-Mail Address Phone 0722-650372 Res. Status Non-Res. Resident ü
Principal Activity , OthersAUTO ENGINEERING WORKS Code Birth Date 18-06-1986
Employer NTN Name 0 Filling Section u/s 114
Representative NTN 2397520-7 Name ADNAN SHOUKAT RTO/LTU R T O SUKKUR 53
Authorized Rep. NTN Name Authrized Rep. Applicable

NTN Proprietor/Member/Partners' Name % in Capital Capital Amount

Ownership

0 0 0% 0
0 0 0% 0
0 0 0% 0
Others 0 0% 0
Total 0% 0
Items Code Total
Manufacturing/ Trading Profit & Loss
Account ( including Final/Fixed Tax)

1 Net Sales (excluding Sales Tax/ Federal Excise Duty & Net of Commission/ Brokerage) (To be reconciled with Annex-C) 3103 0
2 Cost of Sales [3 + 4 + 5 - 6] (To be reconciled with Annex-C) 3116 0
3 Opening Stock 3117 0
4 Net Purchases (excluding Sales Tax/ Federal Excise Duty & Net of Commission / Brokerage) 3106 0
5 Manufacturing/ Trading Expenses 3111 0
6 Closing Stock 3118 0
7 Gross Profit/ (Loss) [1-2] (To be reconciled with Annex-C) 3119 0
8 Other Revenues/ Fee/ Charges for Professional and Other Services/ Commission 3131 529,255
9 Profit & Loss Expenses 3189 250,975
10 Net Profit/ (Loss) [(7 + 8) - 9] 3190 278,280
11 Inadmissible Deductions (Including Accounting Depreciation) 3191
Adjustments

12 Admissible Deductions (excluding tax depreciatio/ including proportionate FTR income) 3192
13 Unadjusted Loss from bussiness for previous year(s) [Tranfer from 24 of Aneex-A] 3902
14 Un-absorbed Tax Depriciation for previous/ current year(s) (Annex-A) 3988
15 Total Income [Sum of 16 to 21] 9099 278,280
16 Salary Income 1999 0
17 Business Income/ (Loss) [ (10 + 11) - 12 - 13 - 14 ] 3999 278,280
Total / Taxable Income Computation

18 Share of income from AOP 312021 0

19 Capital Gains 4999
20 Other Sources Income/ (Loss) 5999 0
21 Foreign Income/ (Loss) 6399
22 Deductible Allowances [23 + 24 + 25] 9139 0
23 Zakat 9121
24 Workers Welfare Fund 9122
25 Charitable donations admissible for straight deduction 9124
26 Exempt Income [Sum of 27 to 31] 6199 0
27 Salary Income 6101
28 Property Income/ (Loss) 6102
29 Business Income/ (Loss) 6103
30 Capital Gains 6104
31 Other Sources Income/ (Loss) 6105
32 Agriculture Income 6106 0
33 Taxable Income/ (Loss) [15 - 22] 9199 278,280
34 Tax chargeable on Taxable Income @ 0.00% 9201 0
35 Tax Reductions/Credits/Averaging (Including rebate on bahbood Certificate, etc.) 9249 0
36 Difference of minimum tax chargeable on certain business transactions [36(f)(v) minus 36(f)(iii)]
(i) (ii) (iii) (iv) (v)
Import Value/Services
receipts subject to Proportionate
collection or deduction of Chargeable Proportionate Higher of (Iii) or
tax at source income tax * Rate Minimum tax (iV)

(a) Imports Edible Oil U/S 148(8) 0 3% 0 0

(b) Import Packing Material U/S 153(6) 0 5% 0 0 9303 0

(c) Transport Services U/S 153(6) 0 2% 0 0

(d) Services to Zero rated taxpayers U/S 153(6 0 1% 0 0
(e) 0 0 0
Tax Computation

Other Services U/S 153(6) 6%

(f) Total 0 0 0 0 0
* [(34 minus 35) divided by 33 multiply by 36(a)(i) or 36(b)(i) or 36(c)(i) or 36(d)(i) or 36(e)(i), as the case may be]

37
6,928
Amount of tax collected alongwith electricity bill where the monthly bill amount is upto Rs. 30,000
38 Balance tax chargeable [ (34 minus 35 plus 36) or 37, whichever is higher 9305 6,928
39 Difference of minimum Tax Chargeable U/S 113 [39(iv) minus 38, if greater than zero, else zero]
(i) Total Turnover (iii) Reduction @ 0 9306 0
(ii) Minimum tax @ 1% 0 (iv) Net Minimum tax 0
40 Net tax chargeable [38 + 39 + 85] 9307 6,928
41 15% surcharge on proportionate net tax chargeable for the 3-1/2 months [col 40 divided by 12 multiplied by 3.5)*0.15] 93080 0
42 Total Tax and Surcharge Chargeable [40 + 41] 9299 6,928
43 Total Tax Payments (Transfer from Sr. 28 of Annex-B) 9499 6,928
44 Tax Payable/ Refundable [42 - 43 + WWF Payable from Sr. 29 of Annex-B] 9999 0
45 Refund Adjustments (not exceeding current year's tax payable) 9998
46 Annual Personal expenses for individual only (Transfer from Sr. 10 of annex-D) 6109 202,035
Net Tax Refundable, may be credited to my bank account as under:
Refund

A/C No.

Bank Branch Name & Code Signatures

JDI-L11
 RETURN OF TOTAL INCOME/STATEMENT OF FINAL TAXATION IT-2 (Page 2 of 2)

UNDER THE INCOME TAX ORDINANCE, 2001 (FOR INDIVIDUAL / AOP) N°

CNIC (for Individual) 4310238229253 NTN 2397520-7

Name ADNAN SHOUKAT T.Y 2011

Business Name M/S. LIAQUAT ENGINEERING WORKS RTO/LTU R T O SUKKUR 53

Source Code Receipts/Value Rate % Code Tax Chargeable

47 Imports 64013 4% 92013 0

48 64011 2% 92011 0

49 64012 1% 92012 0

50 64015 92015 0

51 Dividend 64032 10% 92032 0

52 64033 7.5% 92033 0

53 Profit on Debt 64041 0 10% 92041 0

54 Royalties/Fees (Non-Resident) 640511 15% 920511 0

55 640512 920512 0

56 Contracts (Non-Resident) 640521 6% 920521 0

57 Insurance Premium (Non-Resident) 640524 5% 920524 0

58 Advertisement Service (Non-Resident) 640525 10% 920525 0

Final Tax

59 Supply of Goods 640611 3.5% 920611 0

60 640612 0 1.5% 920612 0

61 640613 0 920613 0

62 Payment to Ginners 640614 1% 9201614 0

63 Contracts (Resident) 640631 0 6% 920631 0

Exports/related Commission/ Services 0
64 640641 0.5% 920641

65 64072 1.0% 92072 0

66 Foreign Indenting Commission 64075 5% 92075 0

67 Prizes/Winnings of cross word puzzles 64091 0 10% 92091 0

68 Winnings - Others 64092 20% 92092 0

69 Petroleum Commission 64101 0 10% 92101 0

70 Brokerage/Commission 64121 0 10% 92121 0

71 Advertising Commission 64122 5% 92122 0

72 Goods Transport Vehicles 92141 0

73 Gas Consumption by CNG Station 64142 4% 92142 0

74 Distribution of cigaratte and pharmaceutical product 64143 1% 92143 0

75 Retail Turnover upto 5 million 310102 0 1% 920202 0

76 Retail Turnover above 5 million 310103 0 920203 0

77 Property Income 210101 0 920235 0

78 Capital gains on Securities held for < 6 months 610401 10% 961041 0
Fixed Tax

79 Capital gains on Securities held for >= 6 months 610402 7.50% 961042 0

80 Capital gains on Securities held for >= 12 months 610403 0% 961043 0

81 Purchase of locally produced edible oil 310431 2% 920208 0

82 Flying Allowance 112001 2.50% 920234 0

Services rendered / contracts executed outside Pakistan 63311 1% 920236 0

83

84 Employment Termination Benefits 118301 920211

85 Final/ Fixed Tax Chargeable (47 to 84) 9202 0

ADNAN SHOUKAT

4310238229253 , in my capacity as
Acknowledgement

Self/ Partner or Member of Association of Persons/ Representative (as defined in section 172 of the
Verification

Income Tax Ordinance, 2001) of Taxpayer named above, do 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 Annex(es), Statement(s), Document(s) or Detail(s) is/are correct and complete in
accordance with the provisions of the Income Tax Ordinance, 2001 and Income Tax Rules, 2002
(The alternative in the verification, which is not applicable, should be scored out).

Signatures & Stamp

Date : Signatures of Receiving Officer with Date

Note : Grey blank fields are for official use

JDI-L11
 Annex-B 2011
Tax Already Paid (Including Surcharge) B
NTN 2397520-7 Reg/Inc/CNIC No. 4310238229253

Amount of Tax
Particulars Code Deducted (Rs.)

1 On import of goods (other than tax deducted treated as final tax) - Incl. Surcharge 94019

2 From salary - Incl. Surcharge 94029 0

3 On Dividend Income (other than tax deducted treated as final tax) - Incl. Surcharge 94039 0

4 On Government securities - Incl. Surcharge 94043 0

5 On profit on debt (other than tax deducted treated as final tax) - Incl. Surcharge
94049 0
Certificate/Account No. etc. Bank Branch Share%

6 On payments received by non-resident (other than tax deducted treated as final tax) - Incl. Surcharge 940539

7 On payments for goods (other than tax deducted treated as final tax) - Incl. Surcharge 940619

8 On payments for services (other than tax deducted treated as final tax) - Incl. Surcharge 940629

9 On payments for execution of contracts (other than tax deducted treated as final tax) - Incl. Surcharge 940630

10 On Property Income - Incl. Surcharge

Tax Collected/Deducted at Source (Adjustable Tax only)

11 On withdrawal from pension fund - Incl. Surcharge 94028

12 On cash withdrawal from bank - Incl. Surcharge

94119 0
Certificate/Account No. etc. Bank Branch Share%

0 0 0 0% 0

0 0 0 0% 0

0 0 0 0% 0
13 On certain transactions in bank - Incl. Surcharge 94120
14 With Motor Vehicle Registration Fee - Incl. Surcharge
94179 0
Registration No. Engine / Seating Capacity Owner's Name Manufacturer Particulars

15 On Sales/Purchase of shares through a Member os Stock Exchange - Incl. Surcharge 94131

16 On trading of shares through a Member os Stock Exchange - Incl. Surcharge 94138

17 On financing of carry over trade - Incl. Surcharge 94139

18 With motor vehicle token tax (Other than goods transport vehicles) - Incl. Surcharge
94149 0
Registration No. Engine / Seating Capacity Owner's Name Share%

19 With bill for electricity consumption - Incl. Surcharge

94159 6,928
Consumer No. Subscriber's CNIC Subscriber's Name Share%

08 38241 0022322 M.SHARIF 100% 6,928

0 0 0% 0

0 0 0% 0

20 With telephone bills, mobile phone and pre-paid cards - Incl. Surcharge
94169 0
Number Subscriber's CNIC Subscriber's Name Share%

0 0 0% 0

0 0 0% 0

0 0 0% 0

21 On Sale by Auction u/s 236A - Incl. Surcharge 94599

22 On purchase of domestic air travel ticket - Incl. Surcharge 94599

23 Total tax Deductions at source (Adjustable Tax) [Sum of 1 to 22) - Incl. Surcharge 94599 6,928

24 Total tax Deductions at source (Final Tax) - Incl. Surcharge 94591 0

25 Advance Tax U/S 147(1) [ a + b + c + d] - Incl. Surcharge 9461 0

a. First installment CPR No. 0 0

b. Second installment CPR No. 0 0

c. Third installment CPR No. 0 0

Tax Payments

d. Fourth installment CPR No. 0 0

26 Advance Tax U/S 147(5B) [ a + b + c + d] - Incl. Surcharge 9461 0

a. First installment CPR No. 0

b. Second installment CPR No. 0
c. Third installment CPR No. 0
d. Fourth installment CPR No. 0
27 Admitted tax U/S 137(1) CPR No. 9471 0

28 Total Tax Payments [23 + 24 + 25 + 26 + 27] (Transfer to Sr. 43 of Main Return) 6,928
WWF Payable with Return (WWF payable will be
29 adjusted against the excess payments made during the
current year) 9308

JDI-L11
 Annex C 2011
Breakup of Sales in case of Multipe Business C
Reg./Inc. No. 4310238229253 NTN 2397520-7
Taxpayer Name ADNAN SHOUKAT Tax Year 2011
Business Name M/S. LIAQUAT ENGINEERING WORKS RTO/LTU R T O SUKKUR 53

Business Name & Business Activity Sales Cost of Sales Gross Profit/Loss
Sr.
(1) (2) (3) (4) = (2) - (3)

Business Name M/S. LIAQUAT ENGINEERING WORKS

1 0 0 0
Business Acitivity , OthersAUTO ENGINEERING WORKS
BUSINESS WISE BREAKUP OF SALES

Business Name
2 0
Business Acitivity

Business Name
3 0
Business Acitivity

Business Name
4 0
Business Acitivity

Business Name
5 0
Business Acitivity

Total (to be reconciled with Sr. 1, 2 & 7 of Main Return) 0 0 0

Signature
Note : Grey blank fields are for official use
 Annex - D 2011
Details of Personal Expenses (for individual) D

NTN 2397520-7 CNIC (for individual) 4310238229253

Name ADNAN SHOUKAT

Sr Description Expenses

1 Residence electricity bills 8400

2 Residence telephone/mobile/internet bills 2400

3 Residence gas bills 3600

PESONAL EXPENSES

4 Residence rent/ground rent/property tax/fire insurance/security services/water bills

5 Education of children/ spouse/ self

6 Travelling (foreign and local) 5500

7 Motor vehicle in use (whether owned or not) running and maintinance including lease rental

8 Club membership fees/bills

Other personal and household expenses including repair/maintenance of residence,

9 182135
driver/servants, food, clothing, medical, marriages and functions

10 Total personal expenses (Sum of 1 to 9) transfer to Sr-46 of Main Return 202035

Adults Minor
11 Number of family members/dependenets

Signature

Back to Control Centre

 Rate Extent
Description Code WDV (BF) Additions Deletions (%) Initial Allowance Rate (%) (%) Depreciation WDV (CF)

Annex-A
1 Building (all types) 3202 50% - 10% - -

2011
2 Machinery and plant (not otherwise specified) 320301 50% - 15% - -

3 Computer hardware (including allied items) 320302 50% - 30% - -

4 Furniture (including fittings) 320303 0% - 15% - -

Tax Year 5 Technical and professional books 320304 50% - 15% - -

6 Below ground installations of mineral oil concerns 320306 50% - 100% - -

7 Off shore installations of mineral oil concerns 320307 50% - 20% - -

8 Machinery and equipment used in manufacture of IT prod 320308 50% - 30% - -

Depreciable Assets

9 Motor vehicles (not plying for hire) 32041 0% - 15% - -

10 Motor vehicles (plying for hire) 32042 50% - 15% - -

11 Ships 32043 50% - 15% - -

12 Air crafts and aero engines 32044 50% - 30% - -

Machinery and equipment Qualifying for 1st year
320309 90% - 15%
13 Allowance - -
Depreciation, Initial Allowance and Amortization

Computer hardware including printer, monitor and allied items, 320312 0% - 50%
14 that have been used previously in Pakistan - -
Any plant or machinery that has been used previously 320310 0% - 15%
15 in Pakistan - -
16
Any plant or machinery in relation to which a deduction
has been allowed under another section for the entire 320311 0% - 15%
cost of the asset in the tax year in which the asset is
acquired. - -
Reg/Inc/CNIC No.

Total - - - - - -
Extent
Description Code Acquisition Date Useful Life(Years) Original Cost . (%) Amortization
Intangibles

17 Intangibles 3205

18 Expenditure providing long term advantage/benefit 3207

19 Total - -
Original
Description Code Expenditure . Rate (%) Amortization

20 Pre commencement expenditure 3206 20%

Description Code Amount Tax Year Description Code Amount Tax Year

Unadjusted Business loss for previous year adjusted Unabsorbed Amortization of intangibles / expenditure
3902 2005
against Business income for current year providing long term advantage/benefit for previous year(s)
21 adjusted against Total Income for current year 3987 upto 2010
Brought Forward Adjustments

Unadjusted Business loss for previous year adjusted Amortization of intangibles / expenditure providing long
3902 2006
against Business income for current year term advantage/benefit for current year adjusted against
22 Total Income for current year 3987 2011

Unadjusted Business loss for previous year adjusted Unabsorbed tax depreciation/initial allowance of fixed
3902 2007 assets for previous year(s) adjusted against Total Income
against Business income for current year
23 for current year 3988 upto 2010

Unadjusted Business loss for previous year adjusted

3902 2008 Depreciation/initial allowance of fixed assets for current
against Business income for current year
24 year adjusted against Total Income for current year 3988 2011
Unadjusted Business loss for previous year adjusted
3902 2009
25 against Business income for current year
Unadjusted Business loss for previous year adjusted
3902 2010
26 against Business income for current year
NTN

Total (Not exceeding the amount of Business Income available Total (Not exceeding the amount of Total Income available for
27 for adjustment) (transfer to Sr. 13 of Main Return) - adjustment) (transfer to Sr. 14 of Main Return) -

Back to Control Centre Back to Control Centre

 INCOME TAX DEPARTMENT IT-31 (Rev-II)
TAX PAYMENT RECEIPT ORIGINAL for Department

Sukkur Region 5 3 2011

Name of LTU/ MTU/ RTO LTU/MTU/RTO Code Tax Year

Account Head (NAM)

Taxpayer's Particulars (To be filled for payments other than Withholding Taxes) (To be filled in by the bank)

NTN 2397520-7 CNIC / Reg./ Inc. No. 4310238229253

Taxpayer's Name ADNAN SHOUKAT Status (*) IND

Business Name M/S. LIAQUAT ENGINEERING WORKS

Address PETTY BAZAR, JACOABABAD

Payment Section
(Section) Code (Description of Payment Section)

137 2 4 Tax due on the basis of a Retrun Amount Rs. 0

147 2 3 Advance Tax Amount Rs.

149 Salary - Amount Rs.

WWF 2 7 WWF @ 2% of total income as defined in wwf ordinance Amount Rs.

Misc 2 8 Apeal Fee / Copy Fee/ etc Amount Rs.

Amount Rs.

Total 0

Amount of tax in words : #VALUE!

Mode of ü Cash Refund Adjustment (by Department only)

payment
Cheque/ Pay Order/ etc. No. Date :

Bank National Bank of Pak Branch Signature of Depositor

Treasury Challan No. & Date Bank Stamp & Branch Code

For use of Computer Section of Dept. To be endorsed by the Treasury Officer of Authorized Bank
JDI-L11
 WEALTH RECONCILIATION IN RESPECT OF
ADNAN SHOUKAT
CNIC: 4310238229253 NTN: 2397520-7
AS ON 30.06.2011

WEALTH AS ON 30.06.200 Rs.

PRIZE
RETRUN Agricultural
BOND / TOTAL
INCOME / PRESUMED
PROPERTY

FOR TAX YEAR 2001 - - - -

FOR TAX YEAR 2002 - - - -

FOR TAX YEAR 2003 - - - -

FOR TAX YEAR 2004 - - - -

FOR TAX YEAR 2005 - - - -

FOR TAX YEAR 2006 - - - -

FOR TAX YEAR 2007 - - - -

FOR TAX YEAR 2008 - - - -

FOR TAX YEAR 2009 - - - -

FOR TAX YEAR 2010 - - - -

FOR TAX YEAR 2011 - - - -

GRAND TOTAL - - - -

LESS P.D AND TAXED DEDUCTED/PAID Rs. -

BALANCE Rs. -

NET WEALTH AS ON 30.06.2011 Rs. -

ADNAN SHOUKAT
0
 WEALTH STATEMENT UNDER SECTION 116 WS 1/2
OF THE INCOME TAX ORDINANCE, 2001 N°
CNIC 4310238229253 NTN 2397520-7
Taxpayer's Name ADNAN SHOUKAT Tax Year 2011
Address NEAR KABOOTRI MASJID, IMAM BARGAH ROAD, JACOBABAD RTO/LTU R T O SUKKUR 53
Particulars/Description of assets and liabilities (Please read WS Notes for guidance) Code Amount (Rs.)

1. Business Capital (indicate name of business) 821311### -

2. Non-Agricultural Property (indicate location & identification) 711111 ### -

3. Agricultural Property - Land (indicate location & identification) 711211### -

4. Agricultural Property (Specify equipment, live stock, seeds, seedlings, fertilizer, etc.) 712111### -

5. Investments (Specify stocks, shares, debentures, Unit certificates, other certificates, 712611### -
deposits and certificates of National Saving Schemes,mortgages, loans, advances, etc.)

6. Loans and Advances, etc. 712641### -

7. Motor vehicles (Indicate make, model and registration number) 712211### -

8. Jewellery (Indicate description and weight) 712411### -

9. Furniture and Fittings - Residence 712311### -

10. Cash & Bank Balances 7128 ### -

(a) Non-business cash in hand 712811 -

(b) Non-business bank balances, etc. in current/ deposit/ savings accounts or any other deposit) 712711 -

11. Any Other Assets 7126 ### -

(a) Accumulated balance of life insurance premium actually paid 712661

(b) Accumulated balance of employees contribution to a Provident fund or any other fund 712671 -

12. Assets, if any, standing in the name of spouse, minor children & other dependents* 713111### -

13. Total Assets [ Sum(1 to 12) ] 719999### -

14. Liabilities 8213 ### -

(a) Business Capital - Overdrawn (indicate name of business) 821331 -

(b) Others (including mortgages, loans, overdrafts, advances, borrowings, amounts due under hire purchase agreement 721111 -
or any other debt)

15. Total Liabilities [ sum( 14(a) to 14(b) ] 729999### -

16. Net Wealth of the current year [13 minus 15] 799999### -

17. Annual personal expenses. 749999 -

18. Number of family members and dependents 740000 Adults Minors

19. Assets, if any, transferred to any person 714111### -

Verification
I, ADNAN SHOUKAT , holder of CNIC No. 4310238229253 in my
capacity as Self / Representative* of Taxpayer named above, do hereby solemnly declare that to the best of my knowledge and belief the information given in this statement of
the assets and liabilities of myself, my spouse or spouses, minor children and other dependents as on and of my personal expenditure for the year ended
are correct and complete in accordance with the provisions of the Income Tax Ordinance, 2001 and Income Tax Rules, 2002.
(The alternative in the verification, which is not applicable, should be scored out.)
* As defined in section 172 of the Income Tax Ordinance, 2001
Date (dd/mm/yyyy) Signature

Please see notes overleaf

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 WEALTH RECONCILIATION STATEMENT WS 2/2
N°
CNIC 4310238229253 NTN 2397520-7

Taxpayer's Name ADNAN SHOUKAT Tax Year 2011

Address NEAR KABOOTRI MASJID, IMAM BARGAH ROAD, JACOBABAD RTO/LTU R T O SUKKUR 53

Particulars Code Amount (Rs.)

1 Net assets as on 30-06-2011

2 Net assets as on 30-06-2010
3 Increase/Decrease [1 - 2] -

4 Income -

a) Income declared for the Tax Year - 2011

b) Exempt income including agriculture income
c) Others -

i)
ii)
iii)
iv)
v)
5 Expenditures -

a) Personal expenditures
b) Other expenditures -

i)
ii)
iii)
iv)
v)
6 Increase/ Decrease in wealth [4 - 5] -

Date : Signature

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 WEALTH STATEMENT UNDER SECTION 116
OF THE INCOME TAX ORDINANCE, 2001

(Notes on reverse)
Notes

1. If the space provided in the form is found to be inadequate, additional sheet(s) may be used.

2. All assets should be valued at cost.

3. If any exact figure can not be inserted, an estimate should be made, mark it clearly "ESTIMATE".

4. (a)

(b)

(c)

5. Agricultural equipment, such as irrigation pumps and tube-wells etc., should be detailed at cost with description.

6. Give details of stocks, shares and debentures, e.g., number, face value, name of the company and type.

7. Give details of assets of the spouse, minor children and other dependents and state whether such asset was transferred d
or indirectly to the spouse or minor children or other dependents or was acquired by them with funds provided by you.

8. In the case of assets acquired under a Hire Purchase agreement, the total price should be shown under the appropriate he
the assets and the balance amount due should be shown under the liabilities.

9. Where the statement is being filed for the first time or covers more than one tax year, separate re-conciliation of the increa
(decrease) in wealth and of the sources and applications should be provided for each year.
 WEALTH STATEMENT UNDER SECTION 116
OF THE INCOME TAX ORDINANCE, 2001

(Notes on reverse)
Notes

If the space provided in the form is found to be inadequate, additional sheet(s) may be used.

All assets should be valued at cost.

If any exact figure can not be inserted, an estimate should be made, mark it clearly "ESTIMATE".

If balance sheet in respect of any business has been submitted to the Department, the entry of "Business Capital" should
consist of the net balance on capital, current and loan accounts as shown in those Balance Sheets on the specified date, if
such net a
Where no Balance Sheet has been submitted, the assessed should list, on a separate sheet of paper attached to this form,
the assets and liabilities of the business on the specified date. The excess of assets listed, should be entered as "Business
Capital"
If the net balance at (a) above is a debit balance, it should be included in liabilities.

Agricultural equipment, such as irrigation pumps and tube-wells etc., should be detailed at cost with description.

Give details of stocks, shares and debentures, e.g., number, face value, name of the company and type.

Give details of assets of the spouse, minor children and other dependents and state whether such asset was transferred directly
or indirectly to the spouse or minor children or other dependents or was acquired by them with funds provided by you.

In the case of assets acquired under a Hire Purchase agreement, the total price should be shown under the appropriate head in
the assets and the balance amount due should be shown under the liabilities.

Where the statement is being filed for the first time or covers more than one tax year, separate re-conciliation of the increase/
(decrease) in wealth and of the sources and applications should be provided for each year.

For Assistance - Call Help line Center at Tele: 0800-00-227, 051-111-227-227 and E-mail at helpline@fbr.gov.pk
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