National Board of Revenue

www.nbr.go000v.bd IT-11GA (2023)

For Office Use

Serial No. of Return Register FORM OF RETURN OF INCOME
Volume No. of Return Register FOR INDIVIDUAL PERSON
Date of Return Submission

1. Name of the Taxpayer: … Warrant Officer (Retd) Mahabubul Islam..............................

2. National ID No. / Passport No. (If No NID): .9105598123............................................................

3. TIN: 6 2 2 9 7 5 7 7 0 5 5 0

4. (a) Circle: 019. (Salary)............................. (b) Taxes Zone: .......01, Chattagram................................

5. Assessment Year: .2024-2025........... 6. Residential Status: Resident  / Non-resident 

7. Taxpayer’s Status: Individual  Firm  Hindu Undivided Family  Others 

8. Tick on the box for getting special benefit:

A gazette war-wounded freedom fighter  Female  Third gender 
Disable person  Aged 65 years or more  A parent of a person with disability 

9. Date of Birth (DD MM YYYY)

0 1 0 1 1 9 7 7

10. Wife/Husband's Name: ……Sarmin Islam Sumi……………………………………………………...

TIN (if spouse is a Taxpayer): …………………………………………………………...........…

11. Address: ............Present- 264/15,Monjil Housing, Dream Park, West Manikdi ,Dhaka Cantt , Dhaka.......
Permanent- Vill-Kamrabo, PO-Kamrabo, PS -Shibpur, Dist -Narsingdi 1620.......................

Telephone: ..............-..................... Mobile: .01727478852 e-mail: mahbub086@gmail.com…….......................

12. If employed, employer’s name (latest employer’s name in case of multiple employment):
.........................................................................................................................................
.........................................................................................................................................
13. (a) Name of Organization: …………………………………………………………………......
(b) Business Identification number (BIN): .................................................................................

14. Name and TIN of Partners / Members in case of Firm / Association of Persons:
………………………………………………………………………….........……….
……………………………………………………………………………........……..
 Statement of Income and Tax during the Income Year ended on....2022-2023

Name of the Taxpayer Warrant Officer (Retd) 6 2 2 9 7 5 7 7 0 5 5 0

Mahabubul Islam: TIN:

Particulars of Income Amount in Taka

1. Income from Employment (annex Schedule 1) 2,07,004.00
2. Income from Rent (annex Schedule 2) -
3. Income from Agriculture (annex Schedule 3) -
4. Income from Business (annex Schedule 4) -
5. Income from Capital Gain -
6. Income from Financial Assets -
(Bank Interest, Dividend, Securities Profit etc)
7. Income from Other Sources -
(Royalty, License Fees, Honorarium, Govt. Incentive etc.)
8. Share of Income from Firm or AoP -
9. Income of Minor or Spouse (if not Taxpayer) -
10. Taxable Income from Abroad -
11. Total Income (Aggregate of Serial 1 to 10) 2,07,004.00
Tax Computation
Amount in Taka
12. Gross Tax on Taxable Income 2,07,004.00
13. Tax Rebate (annex Schedule 5) -
14. Net Tax after Rebate (12 – 13) -
15. Minimum Tax -
16. Tax Payable (Higher of 14 and 15) -
17. (a) Net Wealth Surcharge (if applicable) -
(b) Environmental Surcharge (if applicable) -
18. Delay Interest, Penalty or any other amount -
Under Income Tax Act (if any)
19. Total Amount Payable (16 + 17 + 18) -

Particulars of Tax Payment Amount in Taka

20. Tax Deducted or Collected at Source (attach proof) -

21. Advance Tax paid (attach proof) -
22. Adjustment of Tax Refund {mention assessment year(s) of refund} -
23. Tax Paid with this Return -
24. Total Tax Paid and Adjusted (20 + 21 + 22 + 23) -
25. Excess Payment -
26. Tax Exempted / Tax Free Income (attach proof) 40,49,944.00

List of Documents Furnished with this Return

1. Bank Statement -01 Copy.

 Verification

I,. Warrant Officer (Retd) Mahabubul Islam. father/husband.... Late Nazrul Islam
TIN: ...622975770550. Solemnly declare that to the best of my knowledge and belief the information given in this return and
statements and documents annexed herewith is correct and complete.
Place: ... Chattagram.......
Date: ........ Nov 2023......

Signature
Mahabubul Islam
Warrant Officer (Retd)
(Name in block letters)

Schedule 1

Particulars of Income from Employment

a. This part is applicable for employees’ receiving salary under government pay scale.

Name of the Taxpayer: Warrant Officer (Retd) TIN 6 2 2 9 7 5 7 7 0 5 5 0

Mahabubul Islam.

Particulars Total Exempted Amount Taxable

Amount (Taka) (Taka) Amount
(Taka)
1. Monthly Pension allowance (14786X12) 177432.00 177432.00
2. Arrear Pay (if not included in taxable income earlier) - - -
3. Special allowance (Ration Allowance) (1254.00X12) 15048.00 15048.00 -
4. House Rent allowance -
5. Medical allowance (1500.00X12) 18,000.00 18,000.00 -
6. Conveyance allowance - - -
7. Festival allowance (14786X\2) 29572.00 - 29572.00
8. Support Staff allowance - - -
9. Leave allowance - - -
10. Honorarium / Reward - - -
11. Overtime allowances - - -
12. Bangla Noboborsho allowances (20% of 14786.00) 2957.00 2957.00 -
13. Interest accrued on Provident Fund - - -
14. Lump Grant - - -
15. Gratuity - - -
16. Others, if any (provide detail) Pension Commutation 40,13,939.00 40,13,939.00 -
17. Total 4256948.00 40,49,944.00 2,07,004.00
b. This part is applicable for employees other than employees receiving salary under government pay scale.

Name of the Taxpayer: .. Warrant Officer (Retd) TIN 6 2 2 9 7 5 7 7 0 5 5 0

Mahabubul Islam

Particulars Income (Taka) Income

(Taka)
1. Basic pay - -
2. Allowances - -
3. Advance / Arrear Salary - -
4. Gratuity, Annuity, Pension or similar benefit - -
5. Perquisites - -
6. Receipt in lieu of or in addition to Salary or Wages - -
7. Income from Employee’s Share Scheme - -
8. Accommodation Facility - -
9. Transport Facility - -
10. Any other Facility provided by Employer - -
11. Employer’s Contribution to Recognized Provident Fund - -
12. Others, if any (provide detail) - -
13. Total Salary Received (aggregate of 1 to 12) - -
14. Exempted Amount (as per Part 1 of 6th Schedule) - -
15. Total Income from Salary (13 – 14) - -

Schedule-2
(Particulars of Income from Rent)

Name of the Taxpayer: ...Warrant Officer (Retd) TIN 6 2 2 9 7 5 7 7 0 5 5 0

Mahabubul Islam

Location, description and Amount Amount

ownership proportion of Total Rental Income Computation (Taka)
property (Taka)
1. Rent Received or Annual Value (whichever is higher) - -
2. Advance Rent Received - -
3. Value of any Benefit in addition to 1 & 2 - -
4. Adjusted Advance Rent - -
5. Vacancy Allowance - -
6. Total Rental Value (1 + 2 + 3 – 4 – 5) -
7. Allowable Deduction:
(a) Repair, Collection etc. -
(b) Municipal or Local Tax -
(c) Land Revenue -
(d) Interest Paid on Loan / Mortgage / Capital Charge -
(e) Insurance Premium Paid -
(f) Others, if any -
8. Total Admissible Deduction -
9. Net Income (6 – 8) -
10. Taxpayer’s Share, if applicable -
 Schedule-3
(Particulars of Income from Agriculture)
Name of the Taxpayer: .. Warrant Officer (Retd) TIN 6 2 2 9 7 5 7 7 0 5 5 0
Mahabubul Islam.
Nature of Agriculture:
Summary of Income Amount in Taka
1. Sales / Turnover / Receipt -
2. Gross Profit -
3. General Expenses, Selling Expenses, Land Revenue, -
Rates, Loan Interest, Insurance Premium and Other
Expenses
4. Net Profit ( 2 – 3) -

Schedule-4
(Particulars of Income from Business)
Name of the Taxpayer: . Warrant Officer (Retd) TIN 6 2 2 9 7 5 7 7 0 5 5 0
Mahabubul Islam.

Name of Business: N/A Nature of Business:

Address of Business:

Schedule-5
(Particulars of Investment Tax Credit)
Name of the Taxpayer: .. Warrant Officer (Retd) TIN 6 2 2 9 7 5 7 7 0 5 5 0
Mahabubul Islam.

Particulars of Rebatable Investment

Summary of Income Amount in Taka
1. Life Insurance Premium or Contractual Deferred Annuity Paid in Bangladesh -
2. Contribution to Deposit Pension Scheme -
3. Investment in Government Securities, Unit Certificate, Mutual Fund, ETF or Joint -
Investment Scheme Unit Certificate
4. Investment in Securities listed with Approved Stock Exchange -
5. Contribution to Provident Fund to which Provident Fund Act, 1925 applies -
6. Self & Employer’s Contribution to Recognized Provident Fund -
7. Contribution to Super Annuation Fund -
8. Contribution to Benevolent Fund / Group Insurance Premium -
9. Contribution to Zakat Fund -
10. Others, if any (provide detail) -
 11. Total Investment (aggregate of 1 to 10) -
12. Amount of Tax Rebate -

IT- 10 BB (2023)
Statement of Expenses Relating to Lifestyle

(For Individual Person)

Name of the Taxpayer: . Warrant Officer 6 2 2 9 7 5 7 7 0 5 5 0

TIN
(Retd) Mahabubul Islam.

Serial Particulars of Expenditure Amount of Taka Comments

No.
1. Personal and family fooding, clothing and other essentials 1,80,000.00 -
2. Housing Expense 1,26,000.00 -
3. Personal Transport Expense 48,000.00 -
4. Utility Expense (Electricity, Gas, Water, Telephone, Mobile, Internet etc. 60,960.00 -
Bills)
5. Education Expense 1,20,000.00 -
6. Personal Expense for Local and Foreign Travel, Vacation etc. - -
7. Festival and Other Special Expense 650,40.00 -
8. Ta Deducted / Collected at Source (with TS on Profit of Sanchay Patra) - -
and Tax & Surcharge Paid based on Tax Return of Last Year)
9. Interest Paid on Personal Loan Received from Institution & Other Source - -
Total: 6,00000.00 -

Verification
I solemnly declare that to the best of my knowledge and belief the information given in this IT-10BB (2023) is correct
and complete.

Mahabubul Islam
Warrant Officer (Retd)
Name & signature of the Taxpayer
Date: ...15.Nov 2023..................
 IT-10B (2023)
Statement of Assets, Liabilities and Expenses (as on 30 Jun 2023)

To Whom It May Concern

 All Public Servants.
 If the amount of Total Asset at home and abroad exceeds Taka 40,00,000
 The amount of Total Asset does not exceed Tk. 40,00,000 but owns a Motor Car in any time or Invested in
any House Popery or Apartment within the City Corporation area or Owns Assets outside Bangladesh or
being a Shareholder Director of a Company.
 Every Non-Bangladeshi and Non-Resident Bangladesh Natural Person shall submit the statement only in
respect of Assets Located in Bangladesh.

Name of the Taxpayer: Warrant Officer TIN 6 2 2 9 7 5 7 7 0 5 5 0

(Retd) Mahabubul Islam.

1. Sources of Fund: Amount (Tk.)

(a) Total Income Shown in Return (Sl. No. 11 of Statement of Total Income) 2,07,004.00
(b) Tax Exempted Income (Pls see Instruction Page) 40,49,944.00
(c) Receipt of Gift and Others -
Total Source of Fund: 42,56,948.00
2. Net Wealth as on Last Date of Previous Income Year 24,80,593.00
3. Sum of Source of Fund and Previous Year’s Net Wealth (1 +2) 67,37,541.00
4.
(a) Expense relating to Lifestyle (as per IT-10BB) 6,00000.00
(b) Gift / Expenses / Loss Not Mentioned in IT-10BB
Total Expense and Loss:
5. Net Wealth at the Last Date of this Financial Year (3 – 4) 6137541.00
6. Personal Liabilities Outside Business -
(a) Institutional Liabilities -
(b) Non-Institutional Liabilities -
(c) Other Liabilities
Total Liabilities Outside Business:
7. Gross Wealth (5 + 6) 6137541.00
8. Particulars of Assets (if needed attach separate sheet)
(a) Total Asset of Business -
Less: Business Liabilities (Institutional & Non-Institutional) -
(b) Director’s Shareholdings in the Companies -
(c) Business Capital of Partnership Firm -
(d) Non-Agricultural Property / land / House Property 44,86,190.00
(Acquisition / Cost Value with Legal Expense / Acquired Price / Building Cost /
Investment)
Location and Description of Non-Agricultural Property
(use separate sheet if needed)
Old,+New Purchased +Land Development + Construction Cost Diff Land.
264/15 Monjil Housing, West Manikdi, Dhaka cant Dhaka
(e) Agricultural Property 16,92,000.00
(Acquisition / Cost Value with Legal Expense)
Location and Description of Non-Agricultural Property
(use separate sheet if needed)
ECB Chattor1 8.5 Katha land share 1, out of 72 shares.
Gasa, board bazar ,Gazipur 5 Katha land share 1, out of 06 shares 10,00,000.00

(f) Financial Assets: Amount (Tk)

(i) Share / Debenture / Bond / Securities / Unit Certificate etc. -
(ii) Sanchay Patra / FDR. -
(iii) Loan Given (Mention Name & NID of Loan Receiver) -
(iv) Savings Deposit / Term Deposit -
 (v) Provident Fund or Other Fund (if any) -
(vi) Other Investment -
(g) Motor Vehicle(s),(Cost Value including Registration Expense) -
(Mention Type and Registration Number of Motor Vehicle)
(h) Ornaments (Mention Quantity) (Old + New Purchased) 22,00,000.00
(i) Furniture and Electronic Items (Old + New Purchased) 6,00000.00
(j) Other Assets (Except Assets Mentioned in Sl. k)
(k) Cash in Hand and Fund Outside Business
(i) Bank Balance 32,00,000.00
(ii) Cash in Hand -
(iii) Others -
9. Asset Outside Bangladesh -
10. Total Assets in Bangladesh and Outside Bangladesh (8 + 9) 1,31,78,190.00

Verification
I solemnly declare that to the best of my knowledge and belief the information given in this IT-10B (2023) is correct and
complete.

Mahabubul Islam
Warrant Officer (Rtd)
Name & Signature of the Taxpayer
Date: ..15.Nov 2023....................

Instructions to fill up the Return Form

Instructions:

(1) This Return of Income shall be Signed and Verified by the Taxpayer or his Authorized Representative as
prescribed in the Income Tax Act, 2023.
(2) Enclose where applicable:
(a) Salary statement for salary; Bank statement for interest; Certificate for interest on savings instruments;
Rent agreement, receipts of municipal tax & 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 & 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) Depreciation Chart claiming depreciation as per the Income Tax Act, 2023;
(c) Computation of Income according to the Income Tax Act, 2023.

(3) Enclose Separate Statement for:

(a) any income of the spouse of the Taxpayer (if she/he is not an Taxpayer), minor children and dependent;
(b) Tax exempted / Tax free Income.
(c) Income Exempted from Tax declared under Part 1 of the Sixth Schedule of the Income Tax Act, 2023.

(4) Documents furnished to support the declaration should be signed by the Taxpayer or his/her authorized
representative.
(5) Furnish the following information:
(a) Name, address & TIN of the partners if the Taxpayer is a firm;
(b) Name of firm, address & TIN if the Taxpayer is a partner;
(c) Name of the company, address & TIN if the Taxpayer is a director.

(6) Assets and liabilities of self, spouse (if she/he is not a Taxpayer), minor children and dependent(s) to be shown in
the IT-10B (2023).

(7) Signature is mandatory for all Taxpayer or his / her authorized representative.

(8) For Individual Person, signature is also mandatory in IT-10B (2023) & IT-10BB (2023).

(9) If needed, please use separate sheet.