Form It-11ga - Form Of Return Of Income Under The Income Tax Ordinance, 1984 (Xxxvi Of 1984) Page 5

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IT-10B
Statement of Assets and Liabilities (as on .........................................)
Name of the Assessee: .................
TIN
-
-
1. (a) Business Capital (Closing balance)
Tk. ........
(b) Directors Shareholdings in Limited Companies (at cost)
Tk. .........
Name of Companies
Number of shares
2. Non-Agricultural Property (at cost with legal expenses ) :
Tk. .........
Land/House property (Description and location of property)
3. Agricultural Property (at cost with legal expenses ) :
Tk. .........
Land (Total land and location of land property)
4. Investments:
(a) Shares/Debentures
Tk. ...........
(b) Saving Certificate/Unit Certificate/Bond Tk. ...........
(c) Prize bond/Savings Scheme
Tk. ...........
(d) Loans given
Tk. ...........
(e) Other Investment
Tk. ...........
Total =
Tk. .........
5. Motor Vehicles (at cost) :
Tk. .........
Type of motor vehicle and Registration number
6. Jewellery (quantity and cost) :
Tk. .........
7. Furniture (at cost) :
Tk. .........
8. Electronic Equipment (at cost) :
Tk. .........
9. Cash Asset Outside Business:
(a) Cash in hand
Tk. ...........
(b) Cash at bank
Tk. ...........
(c) Other deposits
Tk. ...........
Total =
Tk. .........
5

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