Form No.
IT-10BB
FORM
Statement under section 75(2)(d)(i) and section 80 of the Income Tax Ordinance, 1984 (XXXVI
of 1984) regarding particulars of life style
Name of the Assessee: ..................................... TIN - -
Serial Particulars of Expenditure Amount of Tk. Comments
No.
1 Personal and fooding expenses Tk.
2 Tax paid including deduction at source of the last Tk.
financial year
3 Accommodation expenses Tk.
4 Transport expenses Tk.
5 Electricity Bill for residence Tk.
6 Wasa Bill for residence Tk.
7 Gas Bill for residence Tk.
8 Telephone Bill for residence Tk.
9 Education expenses for children Tk.
10 Personal expenses for Foreign travel Tk.
11 Festival and other special expenses, if any Tk.
Total Expenditure Tk.
I solemnly declare that to the best of my knowledge and belief the information given in the
IT-10BB is correct and complete.
Name and signature of the Assessee
Date ....................
*If needed, please use separate sheet.
..............................................................................................................................................
Acknowledgement Receipt of Income Tax Return
Name of the Assessee: ...................................................................... Assessment Year: .......…………….
UTIN/TIN: - - Circle: .......... Taxes Zone .……………........
7
Instructions to fill up the Return Form
Instructions:
(1) This return of income shall be signed and verified by the individual assessee or person as
prescribed u/s 75 of the Income Tax Ordinance, 1984.
(2) Enclose where applicable:
(a) Salary statement for salary income; Bank statement for interest; Certificate for interest on
savings instruments; Rent agreement, receipts of municipal tax and land revenue, statement
of house property loan interest, insurance premium for house property income; Statement of
professional income as per IT Rule-8; Copy of assessment/ income statement and balance
sheet for partnership income; Documents of capital gain; Dividend warrant for dividend
income; Statement of other income; Documents in support of investments in savings
certificates, LIP, DPS, Zakat, stock/share etc.
(b) Statement of income and expenditure; Manufacturing A/C, Trading and Profit & Loss A/C
and Balance sheet;
(c) Depreciation chart claiming depreciation as per THIRD SCHEDULE of the Income Tax
Ordinance, 1984;
(d) Computation of income according to Income tax Law;
(3) Enclose separate statement for:
(a) Any income of the spouse of the assessee (if she/he is not an assessee), minor children and
dependant;
(b) Tax exempted / tax free income.
(4) Fulfillment of the conditions laid down in rule-38 is mandatory for submission of a return under
"Self Assessment".
(5) Documents furnished to support the declaration should be signed by the assessee or his/her
authorized representative.
(6) The assesse shall submit his/her photograph with return after every five year.
(7) Furnish the following information:
(a) Name, address and TIN of the partners if the assessee is a firm;
(b) Name of firm, address and TIN if the assessee is a partner;
(c) Name of the company, address and TIN if the assessee is a director.
(8) Assets and liabilities of self, spouse (if she/he is not an assessee), minor children and dependant(s)
to be shown in the IT-10B.
(9) Signature is mandatory for all the assessee or his/her authorized representative. For individual,
signature is also mandatory in I.T-10B and I.T-10BB.
(10) If needed, please use separate sheet.
..............................................................................................................................................
Total income shown in Return: Tk ......................... Tax paid: Tk ...................................
Net Wealth of Assessee: Tk ........................
Date of receipt of return: ............................................. Serial No. in return register .......................
Nature of Return : Self Universal Self Normal
Signature of Receiving
Officer with seal
