| Part VIII |
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| Annual Statement
of Collection or Deduction of Income Tax (Other than from Salary) |
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| (See rule 44) |
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| Particulars of
withholding agent/payer/collector: |
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Name |
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NTN |
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Address |
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Statement for the year ending |
30th June, |
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| S. No. |
Name, address and NTN of the person from whom
tax collected or deducted |
Nature of payment etc. |
Section under
which tax collected or deducted |
Value / amount on
which tax collectible or deductible during the year. |
Amount of tax
collected or deducted during the year. |
Rate of tax collected or deducted. |
Amount of tax
deposited. |
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(As detailed on back of this form) |
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(Rupees) |
(Percentage) |
(Rupees) |
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| Where NTN is not available indicate NIC or
Consumer or Telephone or Registration No. etc. |
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(Rupees) |
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(2) |
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(3) |
(4) |
(5) |
(6) |
(7) |
(8) |
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| 1. |
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NTN/NIC/Etc. |
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NTN/NIC/Etc. |
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NTN/NIC/Etc. |
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| 4. |
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NTN/NIC/Etc. |
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| 5. |
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NTN/NIC/Etc. |
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| 6. |
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NTN/NIC/Etc. |
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| Verification |
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Total (Rupees) |
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| I, ____________________________________ (Name), holder of NIC
No. ________________________, in my capacity as__________________________
(Designation) and person responsible for collecting / deducting the tax , do
hereby solemnly declare that to the best of my knowledge the information
given in this statement is correct, complete and in accordance with the
Income Tax Ordinance, 2001 and the Income Tax Rules, 2002. |
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Tax deposited as per 1st quarter statement |
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Tax deposited as per 2nd quarter statement |
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Tax deposited as per 3rd quarter statement |
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Tax deposited as per 4th quarter statement |
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| Dated:_________________
(dd/mm/yyyy) |
Signature |
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Total (Rupees) |
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| Please see filling
instructions at back page. |
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| Filling
Instructions |
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| 1. |
Use additional sheet(s) wherever necessary |
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| 2. |
State amount excluding
tax relating to earlier year deposited during the year and including tax
deposited in following year relating to current year in column 8. |
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| 3. |
This statement should be filled in the order of each person from
whom tax has been collected or deducted and mentioning against it the details
relating to tax collected or deducted under various section as illustrated
below: |
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| S. No. |
Name, address and NTN of the person from whom
tax collected or deducted |
Nature of payment etc. |
Section
under which tax collected or deducted |
Value
/ amount on which tax collectible or deductible during the year |
Amount
of tax collected or deducted during the year |
Rate of tax collected or deducted |
*
Amount of tax deposited |
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(As detailed on back of this form) |
(Rupees) |
(Rupees) |
(Percentage) |
(Rupees) |
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| Where NTN is not available indicate NIC or
Consumer or Telephone or Registration No. etc. |
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| 1. |
XYZ & Co, 24, North, Jinnah Avenue, Islamabad |
Sale of goods |
153(1) |
275,865 |
9,655 |
3.50% |
9,655 |
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18-01-1234567 |
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Services |
153(1) |
12,650 |
633 |
5.00% |
633 |
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Commission |
233 |
35,000 |
3,500 |
10.00% |
3,500 |
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| 2. |
ABC, H.No. 20, Street No. 10, Sector VI, Rawalpindi |
Dividend |
150 |
1,250 |
125 |
10.00% |
125 |
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02-01-2345678 |
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Profit on debt |
151 |
6,230 |
623 |
10.00% |
623 |
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Rent |
155 |
320,000 |
16,000 |
5.00% |
16,000 |
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| 4. |
Description of
sections is as under: |
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Section |
On account of |
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Section |
On account of |
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148 |
Import of goods |
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153(3)(e) |
Payments
to a non-resident person on account of contract for advertisement services
rendered by TV Satellite Channels |
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150 |
Dividend paid: |
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151(1)(a) |
Profit on
debt paid or credited to a resident person on schemes of National Savings |
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154(1) |
Realization of
proceeds of exports of goods |
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151(1)(b) |
Profit on
debt paid or credited to a resident person on an account or deposit with a
banking company or a financial institution |
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154(2) |
Realization of foreign
indenting commission |
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154(3) |
Realization
of proceeds of sale of goods to an exporter under an inland back-to-back
letter of credit etc. |
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151(1)(c) |
Profit on
debt paid or credited to a resident person on securities of Federal or
Provencal Government or a local authority |
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154(3A) |
Export of
goods by an industrial undertaking located in an export processing zone |
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151(1)(d) |
Profit on
debt paid or credited to a resident person on any bond, certificate,
debenture, security or any other instrument by a banking company, financial
institution, company incorporated
under the Companies Ordinance,1984, a body corporate formed by or under any
law in force in Pakistan or a finance society |
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154(3B) |
Payment
against sale of goods by an indirect exporter to a direct exporter or an
export house registered under DTRE Rules, 2001 |
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155 |
Payment of rent of
immovable property |
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152(1) |
Payment to a
non-resident person on account of royalty or
fee for technical services |
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156 |
Payment of
prize on a prize bond or winnings from a raffle, lottery, cross-word puzzle
or quiz; and prize offered by companies for promotion of sale |
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152(2) |
Payment to a
non-resident person on any other account including profit on debt but
excluding those covered under section 153(3) |
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156A |
Payment of
commission on petroleum products of petrol pump operators |
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153(1)(a) |
Payments to a resident
person on account of sale of goods |
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153(1)(b) |
Payments to
a resident person on account of services rendered |
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233 |
Payment of
brokerage or commission including indenting, advertising, yarn, insurance or
travel agent |
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153(1)(c) |
Payments to
a resident person on account of execution of a contract, other than contract
for sale of goods or services rendered |
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233A(1)(a) and
233A(1)(b) |
On value of
shared purchased or sold by a member of a stock exchange in lieu of its
commission income |
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233A(1)(c) |
On value of
shared traded by a person (sold) through a member of a stock exchange |
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153(3)(a), 153(3)(b),
153(3)(c) and 153(3)(d) |
Payment to a
non-resident on account of turnkey contract, contract or sub-contract for the
design, construction or supply of plant and equipment under a hydel power
project or transmission line project or any other power project or any other
contract for construction or services rendered |
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233A(1)(d) |
On financing of carry
over trade (Badla) in shares business |
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234 |
Alongwith motor
vehicle tax of motor vehicles |
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235 |
Alongwith electricity
consumption bills |
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236 |
Telephone users
including mobile phones & pre-paid cards |
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