Form It-11ga - Form Of Return Of Income Under The Income Tax Ordinance, 1984 (Xxxvi Of 1984) Page 6

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B/F =
Tk. .........
10. Any other assets
Tk. .........
(With details)
Total Assets
Tk. .........
11. Less Liabilities:
(a) Mortgages secured on property or land Tk. ...........
(b) Unsecured loans
Tk. ...........
(c) Bank loan
Tk. ...........
(d) Others
Tk. ...........
Total Liabilities
Tk. .........
12. Net wealth as on last date of this income year
(Difference between total assets and total liabilities)
Tk. .........
13. Net wealth as on last date of previous income year
Tk. ...........
14. Accretion in wealth (Difference between serial no. 12 and 13)
Tk. .........
15. (a) Family Expenditure: (Total expenditure as per Form IT 10 BB)
Tk. .......
(b) Number of dependant children of the family:
Adult
Child
16. Total Accretion of wealth (Total of serial 14 and 15)
Tk. .........
17. Sources of Fund :
(i) Shown Return Income
Tk. ...........
(ii) Tax exempted/Tax free Income
Tk. ...........
(iii) Other receipts
Tk. ...........
Total source of Fund =
Tk. ..........
18. Difference (Between serial 16 and 17)
Tk. ..........
I solemnly declare that to the best of my knowledge and belief the information given in the IT-10B is
correct and complete.
Name & signature of the Assessee
Date ....................
•
Assets and liabilities of self, spouse (if she/he is not an assessee), minor children and
dependant(s) to be shown in the above statements.
*If needed, please use separate sheet.
6

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