14
TJ Form INLAND REVENUE BOARD OF MALAYSIA UNDER SECTION 77 INCOME TAX ACT 1967 RETURN FORM OF A HINDU JOINT FAMILY 2012 This form is prescribed under section 152 Income Tax Act 1967 CP 2E - Pin. 2012 YEAR OF ASSESSMENT 1 Name of Hindu Joint Family Income Tax No. 2 J PART A: A1 2 = No (Fill in Part C) Karta is Resident in Malaysia Country Where Karta is Resident Correspondence Address of Karta 1 = Yes (Fill in Part B) (Use Country Code) A3 A2 A4 A5 Business Premise Address of Hindu Joint Family Postcode State Town A6 Address Where Records of Hindu Joint Family are Maintained 1 = If maintained at address as per A4 2 = If maintained at address as per A5 3 = If maintained at address as per A4 and A5 For Office Use Date received (1) Date received (2) Date received (3) 1 PARTICULARS OF HINDU JOINT FAMILY 2 = No 1 = Yes State Postcode Town <>>>>>>>>>>>>>>>>>>>>>>>>>>? <>>>>>>>>>>>>>>>>>>>>>>>>>>? <>>>>>>>>? ! ! ! <? <>>>>>>>>>>>>>>>>>>>>>>? <>>>>>>>>>>>>>>>>>>>>>>? <>>>>>>>>>>>>>>>>>>>>>>? <>>>>>>>>>>>>>>>>>>>>>>? <>>>>>>>>>>>>>>>>>>>>>>? <>>>>>>>>>>>>>>>>>>>>>>? <>>>>>>>>>>>>>>>>>>>>>>? <>>>>>>>>>>>>>>>>>>>>>>? <>>>? <>>>>>>>>>>>>>? <>>>? <>>>>>>>>>>>>>? Record-keeping Status of Tax (from page 7 ) (Indicate ‘X’in the relevant box) Tax Repayable (item D7) Tax paid in excess (item E4) There is balance of tax payable (item D6/E3 whichever is relevant) Not taxable / Nil balance (if D6/D7/E3/E4 = ‘0’)

Form INLAND REVENUE BOARD OF MALAYSIA TJ 2012lampiran1.hasil.gov.my/pdf/pdfborang/Form_TJ2012_2.pdfForm INLAND REVENUE BOARD OF MALAYSIA UNDER SECTION 77 INCOME TAX ACT 1967 RETURN

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Page 1: Form INLAND REVENUE BOARD OF MALAYSIA TJ 2012lampiran1.hasil.gov.my/pdf/pdfborang/Form_TJ2012_2.pdfForm INLAND REVENUE BOARD OF MALAYSIA UNDER SECTION 77 INCOME TAX ACT 1967 RETURN

TJ Form INLAND REVENUE BOARD OF MALAYSIA

UNDER SECTION 77 INCOME TAX ACT 1967 RETURN FORM OF A HINDU JOINT FAMILY 2012

This form is prescribed under section 152 Income Tax Act 1967 CP 2E - Pin. 2012

YEAR OF ASSESSMENT

1 Name of Hindu Joint Family

Income Tax No. 2 J

PART A:

A1 2 = No (Fill in Part C) Karta is Resident in Malaysia

Country Where Karta is Resident

Correspondence Address of Karta

1 = Yes (Fill in Part B) (Use Country Code)

A3

A2

A4

A5 Business Premise Address of Hindu Joint Family

Postcode

State

Town

A6 Address Where Records of Hindu Joint Family are Maintained

1 = If maintained at address as per A4 2 = If maintained at address as per A5 3 = If maintained at address as per A4 and A5

For Office Use

Date received (1) Date received (2) Date received (3)

1

PARTICULARS OF HINDU JOINT FAMILY

2 = No 1 = Yes

State

Postcode Town

<>>>>>>>>>>>>>>>>>>>>>>>>>>?

<>>>>>>>>>>>>>>>>>>>>>>>>>>?

<>>>>>>>>?

!

!

!

<?

<>>>>>>>>>>>>>>>>>>>>>>?

<>>>>>>>>>>>>>>>>>>>>>>?

<>>>>>>>>>>>>>>>>>>>>>>?

<>>>>>>>>>>>>>>>>>>>>>>?

<>>>>>>>>>>>>>>>>>>>>>>?

<>>>>>>>>>>>>>>>>>>>>>>?

<>>>>>>>>>>>>>>>>>>>>>>?

<>>>>>>>>>>>>>>>>>>>>>>?

<>>>? <>>>>>>>>>>>>>?

<>>>? <>>>>>>>>>>>>>?

Record-keeping

Status of Tax ( f rom page 7 ) ( Ind icate ‘X ’ in the re levant box) Tax Repayable (item D7)

Tax paid in excess (item E4)

There is balance of tax payable (item D6/E3 whichever is relevant)

Not taxable / Nil balance (if D6/D7/E3/E4 = ‘0’)

Page 2: Form INLAND REVENUE BOARD OF MALAYSIA TJ 2012lampiran1.hasil.gov.my/pdf/pdfborang/Form_TJ2012_2.pdfForm INLAND REVENUE BOARD OF MALAYSIA UNDER SECTION 77 INCOME TAX ACT 1967 RETURN

Name Income Tax No.

A8 Particulars of Karta

A8a

A8b

A8c

A8d

A8e

A9

A9a

A9b

A9c

Name

Identification No.

Karta

Passport No.

Income Tax No.

Telephone No. -Indicate type of file: SG or OG

* delete whichever is not relevant

Particulars of Karta’s Bank Account (for purpose of income tax refund, if any)

Name of Bank

Bank Account No.

Address of Bank

Postcode

State

Town

2

SG/OG

<>>>>>>>>?

<>>>>>>>>>>>>>>>>>>>>>>?

<>>>>>>>>>>>>>>>>>>>>>>?

<>>>>>>>>>>>>>>>>>>>>>>?

<>>>>>>>>>>>?

<>>>>>>>>>>>?

<>>>>>>>>>? <?

<>>>>>>>>>>>?

<>>>? <>>>>>>>>>>>>>?

<>>>>>>>>>>>>>>>>>>>>>>?

<>>>>>>>>>>>>>>>>>>>>>>?

<>>>>>>>>>>>>>>>>>>>>>>?

<>>>>>>>>>>>>>>>>>>>>>>?

<>>>>>>>>>>>>>>>>>>>>>>?

<>>>>>>>>>>>>>>>>>>>>>>?

Postcode

State

A 7 Other Address (if A6 = 3)

Town <>>>>>>>>>>>>>?<>>>?

<>>>>>>>>>>>>>>>>>>>>>>?

<>>>>>>>>>>>>>>>>>>>>>>?

<>>>>>>>>>>>>>>>>>>>>>>?

<>>>>>>>>>>>>>>>>>>>>>>?A7a Website / Blog

Address <>>>>>>>>>>>>>>>>>>>>>>?

Page 3: Form INLAND REVENUE BOARD OF MALAYSIA TJ 2012lampiran1.hasil.gov.my/pdf/pdfborang/Form_TJ2012_2.pdfForm INLAND REVENUE BOARD OF MALAYSIA UNDER SECTION 77 INCOME TAX ACT 1967 RETURN

<>_>>_>>_>>?<>>>?

<>_>>_>>_>>?

<>_>>_>>_>>?

<>>>?

<>>>?

B1

B2

B3

<>>>>>>>>?

<>>>>>>>>?

<>>>>>>>>?

<>_>>_>>_>>?

<>_>>_>>_>>?

<>_>>_>>_>>?

<>_>>_>>_>>?

<>_>>_>>_>>?

<>_>>_>>_>>?

B7

B8

B9

Statutory Business Income Business Code Amount (RM)

Business 1

Business 2

Business 3 + 4 and so forth (if any)

Income Tax No. Statutory Partnership Income Amount (RM)

B4

B5

B6

B7

B8

B9

Partnership 1

Partnership 2

Partnership 3 + 4 and so forth (if any)

Aggregate statutory income from businesses ( B1 t o B6 )

LESS: Business losses brought forward (Restricted to amount in B7)

TOTAL ( B7 – B8 )

Name Income Tax No. <>>>>>>>>?

BAHAGIAN B: PENDAPATAN BERKANUN, JUMLAH PENDAPATAN DAN JUMLAH CUKAI YANG DIKENAKAN

Note:

PART B: STATUTORY INCOME, TOTAL INCOME AND TOTAL TAX CHARGEABLE

B10 B10

B11

B12

B13

B14

B15

B16

B17

B18

B19

<>_>>_>>_>>? B11

B12

B13

B14

B15

B16

B17

B18

B19

Dividends

Statutory Income from Other Sources

Interest and discounts

Rents, royalties and premiums

Annuities and other periodical payments

Other gains or profits

Additions pursuant to paragraph 43(1)(c)

Aggregate statutory income from other sources ( B10 to B15 )

AGGREGATE INCOME ( B9 + B16 )

LESS: Current yea r bus iness losses

TOTAL ( B17 – B18 )

D

D

D

3

Fill in Part B if the Karta is RESIDENT in Malaysia ( If A1 = 1 )

(Restricted to amount in B17)

<>_>>_>>_>>?

<>_>>_>>_>>?

<>_>>_>>_>>?

<>_>>_>>_>>?

<>_>>_>>_>>?

<>_>>_>>_>>?

<>_>>_>>_>>?

<>_>>_>>_>>?

<>_>>_>>_>>?

, , ,

, , ,

, , ,

, , ,

, , ,

, , ,

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, , ,

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, , ,

, , ,

, , ,

, , ,

, , ,

, , ,

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, , ,

, , ,

, , ,

[Declare amount in Ringgit Malaysia (RM) currency]

Page 4: Form INLAND REVENUE BOARD OF MALAYSIA TJ 2012lampiran1.hasil.gov.my/pdf/pdfborang/Form_TJ2012_2.pdfForm INLAND REVENUE BOARD OF MALAYSIA UNDER SECTION 77 INCOME TAX ACT 1967 RETURN

Name Income Tax No.

LESS : Other expenditure

B20

B21

B30

B33a

B32

B33b

B31

B33

B34

Qualifying prospecting expenditure – Schedule 4 and paragraph 44(1)(b)

TOTAL ( B19 – B20 )

TOTAL INCOME ( B21 – B29 )

CHARGEABLE INCOME ( B30 – B31)

COMPUTATION OF TAX CHARGEABLE ( Refer to the tax rates schedule provided )

Tax on the first

Tax on the balance

TOTAL TAX CHARGEABLE ( B33a + B33b ) B34

4

At Rate (%)

B20

B21

B30

B32

LESS: Personal relief

( Enter ‘0’ if value is negative )

( Enter ‘0’ if value is negative )

( Enter ‘0’ if value is negative )

<>>>>>>>>?

<>_>>_>>_>>?

<>_>>_>>_>>?

->>_>>_>>_>?

<>_>>_>>_>>?

<>_>>_>>_>>?

->>_>>_>>_>?

->>_>>_>>_>?

->>_>>_>>?

->>_>>_>>?

->>?

<?

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.

.

.

9 0 0 0,

B22

B25

B26

B29

B27

LESS: Donations and Gifts

Gift of money to the Government, State Government, local authorities

Gift of artefacts, manuscripts or paintings to the Government / State Government

Gift of money for the provision of library facilities or to libraries

Gift of paintings to the National Art Gallery or any state art gallery

B22

B25

B26

B29

B27

Total donations and gifts ( B22 to B28 )

<>_>>_>>_>>?

<>_>>_>>_>>?

<>_>>_>>_>>?

<>_>>_>>_>>?

<>_>>_>>_>>?

, , ,

, , ,

, , ,

, , ,

, , ,

B24 Gift of money or cost of contribution in kind for any approved project of national interest approved by the Minister of Finance

<>_>>_>>_>>?, , ,

B28 Zakat perniagaan (Restricted to 2.5% of amount in B17) B28 <>_>>_>>_>>?, , ,

B22A Gift of money to approved institutions and organizations

<>_>>_>>_>>?, , ,

B23 Gift of money or cost of contribution in kind for any approved sports activity

<>_>>_>>_>>?, , , Restricted to 7% of B17 <>_>>_>>_>>?, , ,

Page 5: Form INLAND REVENUE BOARD OF MALAYSIA TJ 2012lampiran1.hasil.gov.my/pdf/pdfborang/Form_TJ2012_2.pdfForm INLAND REVENUE BOARD OF MALAYSIA UNDER SECTION 77 INCOME TAX ACT 1967 RETURN

Name Income Tax No. <>>>>>>>>?

Note: Fill in Part C if the Karta is NOT RESIDENT in Malaysia (If A1 = 2 )

PART C: STATUTORY INCOME, TOTAL INCOME AND TOTAL TAX CHARGEABLE

Statutory Business Income Business Code Amount (RM)

<>>>? <>_>>_>>_>>?

<>>>>>>>>?

Income Tax No. Statutory Partnership Income Amount (RM)

C7

C8

C9

C10

C11

C12

C13

C14

C15

C17

C18

5

C17

C18

C13

C14

C15

C8

C9

C10

C11

C12

C4

C5

C6

C7

C1

C2

C3

Business 1

Business 2

Business 3 + 4 and so forth (if any)

Partnership 1

Partnership 2

Partnership 3 + 4 and so forth (i f any)

LESS: Business losses brought forward (Restricted to amount in C7)

Dividends

TOTAL ( C7 – C8 )

Rents and premiums

Annuities and other periodical payments

Other gains or profits

Additions pursuant to paragraph 43(1)(c)

Discounts

AGGREGATE INCOME ( C9 + C16 )

LESS: Current yea r bus iness losses (Restricted to amount in C 17)

D

D

D

Aggregate statutory income from businesses ( C1 to C6 )

<>>>?

<>>>?

<>_>>_>>_>>?

<>_>>_>>_>>?

<>>>>>>>>?

<>>>>>>>>?

<>_>>_>>_>>?

<>_>>_>>_>>?

<>_>>_>>_>>?

<>_>>_>>_>>?

<>_>>_>>_>>?

<>_>>_>>_>>?

<>_>>_>>_>>?

<>_>>_>>_>>?

<>_>>_>>_>>?

<>_>>_>>_>>?

<>_>>_>>_>>?

<>_>>_>>_>>?

<>_>>_>>_>>?

<>_>>_>>_>>?

, , ,

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, , ,

Statutory Income from Other Sources

C16C16 Aggregate statutory income from other sources ( C10 to C15 ) <>_>>_>>_>>?, , ,

[Declare amount in Ringgit Malaysia (RM) currency]

Page 6: Form INLAND REVENUE BOARD OF MALAYSIA TJ 2012lampiran1.hasil.gov.my/pdf/pdfborang/Form_TJ2012_2.pdfForm INLAND REVENUE BOARD OF MALAYSIA UNDER SECTION 77 INCOME TAX ACT 1967 RETURN

Name Income Tax No.

LESS: Donations and Gifts

C31

C31d

C32

C30

C31a

C31b

C31c

TOTAL [ C22 – C29 )

Gross income subject to tax at other rates

Interest

Royalties

Special classes of income under section 4A

TOTAL INCOME/CHARGEABLE INCOME ( C30 to C31d )

C30

C31a

C31b

C31c

C31d

C32

6

( Enter ‘0’ if value is negative )

<>_>>_>>_>>?

<>_>>_>>_>>?

<>_>>_>>_>>?

<>_>>_>>_>>?

<>_>>_>>_>>?

<>_>>_>>_>>?

<>>>>>>>>?

, , ,

, , ,

, , ,

, , ,

, , ,

, , ,

Other income (please specify )

C22

C25

C26

C27

C29

Gift of money to the Government, State Government, local authorities

Gift of artefacts, manuscripts or paintings to the Government / State Government

Gift of money for the provision of library facilities or to libraries

Gift of paintings to the National Art Gallery or any state art gallery

Total donations and gifts ( C22 to C28 )

C22

C25

C26

C27

C29

<>_>>_>>_>>?

<>_>>_>>_>>?

<>_>>_>>_>>?

<>_>>_>>_>>?

<>_>>_>>_>>?

, , ,

, , ,

, , ,

, , ,

, , ,

C23

C24

Gift of money or contribution in kind for any approved sports activity

Gift of money or contribution in kind for any approved project of national interest approved by the Minister of Finance

<>_>>_>>_>>?, , ,

C28 Zakat perniagaan (Restricted to 2.5% of amount in C17) C28 <>_>>_>>_>>?, , ,

C22A Gift of money approved institutions and organizations

<>_>>_>>_>>?, , ,

<>_>>_>>_>>?, , ,

<>_>>_>>_>>?, , ,

Restricted to 7% of C17

C19

C21

C20

C19

C20

C21

TOTAL ( C17 - C18 )

LESS : Other expenditure

Qualifying prospecting expenditure - Schedule 4 andparagraph 44(1)(b) 

TOTAL ( C19 – C20 ) ( Enter ‘0’ if value is negative )

<>_>>_>>_>>?

<>_>>_>>_>>?

<>_>>_>>_>>?

, , ,

, , ,

, , ,

Page 7: Form INLAND REVENUE BOARD OF MALAYSIA TJ 2012lampiran1.hasil.gov.my/pdf/pdfborang/Form_TJ2012_2.pdfForm INLAND REVENUE BOARD OF MALAYSIA UNDER SECTION 77 INCOME TAX ACT 1967 RETURN

->>_>>_>>_>?

PART E: STATUS OF TAX FOR YEAR OF ASSESSMENT 2012

7

E2

E3

E1

D6

D2

D3

D4

D5

D1

E1

E4

E2

E3

E4

Name Income Tax No. <>>>>>>>>?

PART D: TAX PAYABLE / REPAYABLE

D4

D5

D6

TOTAL TAX CHARGEABLE ( from B34 or C34 )

Tax deduction under section 51 of Finance Act 2007 (dividends)

Section 132 tax relief

OR

LESS

Tax payable (from D6)

LESS : Instalments paid

Balance of tax payable* ( E1 – E2 )

Tax paid in excess* ( E2 – E1 )

D3

D2

D1

Section 110 tax deduction (others)

,

Section 133 tax relief

D7 TAX REPAYABLE* [ ( D2 + D3 + D4 + D5 ) – D1 ] [For a ‘Tax Repayable’ case, fill in items A9a, A9b, A9c on page 2]

D7

TAX PAYABLE* [ D1 – (D2 + D3 + D4 + D5) ]

->>_>>_>>_>?

->>_>>_>>_>?

->>_>>_>>_>?

->>_>>_>>_>?

->>_>>_>>_>?

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->>_>>_>>_>?

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.

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.

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.

.

.

.

.

OR

* Please enter the tax position (D6 / D7 / E3 / E4 whichever is applicable) under the item’Status of Tax’ on page 1

C33

C33a

C33c

C33d

C33e

C33b

C33f

C33g

C34

COMPUTATION OF TAX CHARGEABLE Division of chargeable income according to the rate applicable

TOTAL TAX CHARGEABLE ( C33a to C33g )

Gross income subject to tax at other rates

Chargeable Income  Rate (%) Tax Chargeable 

26

5

8

10

12

15

C34

<>_>>_>>_>>?

<>_>>_>>_>>?

<>_>>_>>_>>?

<>_>>_>>_>>?

<>_>>_>>_>>?

<>_>>_>>_>>?

<>_>>_>>_>>?

->>_>>_>>_>?

->>_>>_>>_>?

->>_>>_>>_>?

->>_>>_>>_>?

->>_>>_>>_>?

->>_>>_>>_>?

->>_>>_>>_>?

->>_>>_>>_>?

<_?

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.

.

.

.

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.

.

.

Restricted to D1

Page 8: Form INLAND REVENUE BOARD OF MALAYSIA TJ 2012lampiran1.hasil.gov.my/pdf/pdfborang/Form_TJ2012_2.pdfForm INLAND REVENUE BOARD OF MALAYSIA UNDER SECTION 77 INCOME TAX ACT 1967 RETURN

Allowance Absorbed Balanced Carried ForwardCAPITAL ALLOWANCES

Section

PARTICULARS OF WITHHOLDING TAXES Total Tax Withheld and Remitted

to LHDNM Total Gross Amount Paid

Name Income Tax No.<>>>>>>>>?

PART G: PARTICULARS OF BUSINESS INCOME

<>_>>_>>_>>? <>_>>_>>_>>?

<>_>>_>>_>>? <>_>>_>>_>>?

Business 1

G2

G2e

G2f

G3

G2a

G2b

G2c

G2d

G3a

G3b

G3c

G3d

107A

109

109A

109B

Partnership 2

Partnership 3 + 4 and so forth (if any)

8

Business 2

Partnership 1

Business 3 + 4 and so forth (if any)

<>_>>_>>_>>?

<>_>>_>>_>>?

<>_>>_>>_>>?

<>_>>_>>_>>?

<>_>>_>>_>>?

<>_>>_>>_>>?

<>_>>_>>_>>?

<>_>>_>>_>>?

<>_>>_>>_>>?

<>_>>_>>_>>?

<>_>>_>>_>>?

<>_>>_>>_>>?

<>_>>_>>_>>?

<>_>>_>>_>>?

<>_>>_>>_>>?

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G3e 109F <>_>>_>>_>>? <>_>>_>>_>>?, , , , , ,

Year for which paid Type of Income Gross Amount

<>>?

PART F: INCOME OF PRECEDING YEARS NOT DECLARED

F1

F3

F2 <>>?

<>>?

->>_>>_>>_>?

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.

.

G1

G1a

G1b

G1c Losses carried forward [ G1a + G1b ]

LOSSES

G1a

Balance from previous years’ losses

Balance from current year losses

G1b

G1c

Balance Carried Forward

<>_>>_>>_>>?

<>_>>_>>_>>?

, , ,

, , ,

<>_>>_>>_>>?, , ,

Page 9: Form INLAND REVENUE BOARD OF MALAYSIA TJ 2012lampiran1.hasil.gov.my/pdf/pdfborang/Form_TJ2012_2.pdfForm INLAND REVENUE BOARD OF MALAYSIA UNDER SECTION 77 INCOME TAX ACT 1967 RETURN

Name Income Tax No.<>>>>>>>>?

PART K: FINANCIAL PARTICULARS OF HINDU JOINT FAMILYTRADING, PROFIT AND LOSS ACCOUNT

<>_>>_>>_>>?

<>>>?

!

K1

K2

K3

K4

K5

K7

K8

K9

K11

K10

K6

K12

K13

K1

K2

K3

K4

K5

K6

K7

K8

K9

K10

K11

K12

K13

GROSS PROFIT / LOSS ( K2 - K6 ) OTHER INCOME:

TOTAL INCOME ( K8 to K12 )

LESS:

Other business income

Dividends

Interest and discounts

Other income

Rents, royalties and premiums

(Enter "X" if negative)

Closing stock

Opening stock

Business Code

Sales or Turnover

Purchases and cost of production

Cost of sales ( K3 + K4 - K5 )

<>_>>_>>_>>?

<>_>>_>>_>>?

<>_>>_>>_>>?

<>_>>_>>_>>?

<>_>>_>>_>>?

<>_>>_>>_>>?

<>_>>_>>_>>?

<>_>>_>>_>>?

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9

Amount Amount

Type of Incentive Amount Absorbed

Schedule 4 Qualifying Expenditure

Schedule 7A

Allowance

Increased Exports Allowance For Qualifying Services

Balance Carried Forward

<>? ->>_>>_>>?<>? ->>_>>_>>?

<>_>>_>>_>>?

<>_>>_>>_>>?<>_>>_>>_>>?

H3

H4

J3

PART H: SPECIAL DEDUCTION, FURTHER DEDUCTION AND DOUBLE DEDUCTIONClaim Code

PART J: INCENTIVE CLAIM

H1

H2

TOTAL CLAIMED H5

J1

J3

J2

H5

<>?

Claim Code

->>_>>_>>? <>? ->>_>>_>>?

<>_>>_>>_>>? <>_>>_>>_>>?

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Page 10: Form INLAND REVENUE BOARD OF MALAYSIA TJ 2012lampiran1.hasil.gov.my/pdf/pdfborang/Form_TJ2012_2.pdfForm INLAND REVENUE BOARD OF MALAYSIA UNDER SECTION 77 INCOME TAX ACT 1967 RETURN

Name Income Tax No. <>>>>>>>>?

!

K14

K15

K16

K17

K18

K19

K20

K22

K23

K24

K25

K14

K15

K16

K17

K18

K19

K20

K22

K23

K24

K25

EXPENSES:

TOTAL EXPENSE (K14 to K22)

NET PROFIT / LOSS (Enter "X" if negative)

Non-allowable expenses

Other expenses

Travelling and transport

Bad debts

Commissions

Contracts and subcontracts

Salaries and wages

Rental/lease

Loan interest <>_>>_>>_>>?

<>_>>_>>_>>?

<>_>>_>>_>>?

<>_>>_>>_>>?

<>_>>_>>_>>?

<>_>>_>>_>>?

<>_>>_>>_>>?

<>_>>_>>_>>?

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K21K21 Repairs and maintenance <>_>>_>>_>>? , ,

10

Current Assets:

K32K32

K33

K34

K35

K33

K34

K35

Stock

Trade debtors

Cash in hand

Sundry debtors

<>_>>_>>_>>?

<>_>>_>>_>>?

, , ,

, , ,

, , ,

, , ,

<>_>>_>>_>>?

<>_>>_>>_>>?

K26

K27

K28

K29

K30

K31

K26

K27

K28

K29

K30

K31

BALANCE SHEET Fixed Assets:

TOTAL FIXED ASSETS ( K26 to K29 )

Land and buildings

Motor vehicles

Other fixed assets

Investments

Plant and machinery

<>_>>_>>_>>?

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Page 11: Form INLAND REVENUE BOARD OF MALAYSIA TJ 2012lampiran1.hasil.gov.my/pdf/pdfborang/Form_TJ2012_2.pdfForm INLAND REVENUE BOARD OF MALAYSIA UNDER SECTION 77 INCOME TAX ACT 1967 RETURN

Name Income Tax No.<>>>>>>>>?

<>_>>_>>_>>?

K36

K37

K38

K39

K40

K41

K42

K43

K44

K45

K46

K47

K48

K49

<>_>>_>>_>>?

!

K36

K37

11

K38

K39

K40

K41

K42

K43

K44

K45

K46

K47

K48

K49

TOTAL ASSET ( K30 + K31 + K38 )

TOTAL CURRENT ASSET ( K32 to K37 )

LIABILITIES:

OWNER’S EQUITY:

TOTAL LIABILITY ( K40 to K42 )

Cash at bank

Other current assets

Loans and overdrafts

Trade creditors

Sundry creditors

Capital account

Transfer to special fund

Net advance / drawing

Current account balance brought forward

Current account balance carried forward

Current year profit / loss

(Enter "X" if negative)

(Enter "X" if negative)

(Enter "X" if negative)

(Enter "X" if negative)

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!

!

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K50 K50Special fund balance (Enter "X" if negative) <>_>>_>>_>>?, , , !

! (Enter "X" if negative)

PARTICULARS OF EXEMPT INCOME

L2

L4

L3

L1

L5

L4

L3

L2

L1

L5

Interest

Business and Partnership

Other income

Rents

Dividends

.

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PART L :

Page 12: Form INLAND REVENUE BOARD OF MALAYSIA TJ 2012lampiran1.hasil.gov.my/pdf/pdfborang/Form_TJ2012_2.pdfForm INLAND REVENUE BOARD OF MALAYSIA UNDER SECTION 77 INCOME TAX ACT 1967 RETURN

a

State

Address of Firm

Name of Firm

c

d

f

Telephone No.

Handphone No.

e-mail

Day Month Year

e

Tax Agent's Approval No.

b

Date: - -

Designation

Signature

PARTICULARS OF THE FIRM AND SIGNATURE OF THE PERSON WHO COMPLETES THIS RETURN FORM

Postcode Town

Identification / Passport No.

I

KARTA’S DECLARATION

hereby declare that the information regarding the income and claim for deductions as given by me in this return form and in any document attached is true, correct and complete.

Name Income Tax No.

-

-

12

<>>>>>>>>?

<>>>>>>>>>>>>>>>>>>>>>>>>>>?

<>>>>>>>>>>>>>>>>>>>>>>>>>>?

<>>>>>>>>>>>>>>>>>>>>>>?

<>>>>>>>>>>>>>>>>>>>>>>?

<>>>>>>>>>>>>>>>>>>>>>>?

<>>>>>>>>>>>>>>>>>>>>>>?

<>>>>>>>>>>>>>>>>>>>>>>?

<>>>>>>>>>>>>>>>>>>>>>>?

<>>>>>>>>>>>>>>>>>>>>>>?

<>>>>>>>>>>?

<>>>? <>>>>>>>>>>>>>?

<>>>>>>>>>>>?

<>>>>>>>>>>>?

<>>>>>>?

<>>>>>>>>>>>>>>>>>>>>>>?

<>>>>>>>>>>>>>>>>>>>>>>?

Day Month Year

Date: - -

Designation

Signature <>>>>>>?

<>>>>>>>>>>>>>>>>>>>>>>?

<>>>>>>>>>>>>>>>>>>>>>>?

<>>>>>>>>>>>>>?

Page 13: Form INLAND REVENUE BOARD OF MALAYSIA TJ 2012lampiran1.hasil.gov.my/pdf/pdfborang/Form_TJ2012_2.pdfForm INLAND REVENUE BOARD OF MALAYSIA UNDER SECTION 77 INCOME TAX ACT 1967 RETURN

REMITTANCE SLIP DIRECTOR GENERAL OF INLAND REVENUETo:

Enclosed herewith is the cheque/money order/postal order/bank draft for payment of income tax..

CP501 [Pin. 1/2012]

Please read the following reminder before signing this return form REMINDER

Please ensure that this return form is completed and in order. Carefully check all information given before it is furnished to Lembaga Hasil Dalam Negeri Malaysia (LHDNM). Check to ensure that the following have been done. (Tick ‘ ’ in the relevant box)

Tax computation has been done on the appropriate working sheets (according to the Form TJ Explanatory Notes and Guidebook) and the amounts accurately transferred to this return form.

All working sheets, records and documents are properly kept for examination by LHDNM.

If there is any balance of tax payable, payment must be made according to the following:-

Name and income tax number are clearly indicated at the top of every page of this return form andrelevant working sheets.

All information has been clearly filled in the spaces provided.

Payment can be made as follows: (a) Bank - Counters of CIMB Bank Berhad (CIMB), Public Bank Berhad (PBB), Malayan

Banking Berhad (Maybank) and Affin Bank Berhad (ABB) by using the bankpayment slip.

- CIMB, PBB, Maybank & Hong Leong Bank internet banking and Maybank phone banking. - Auto Teller Machine (ATM) of PBB, Maybank & CIMB, PBB Cheque Deposit Machine

and CIMB Cash Deposit Machine. (b) LHDNM - e-Payment through FPX (Financial Process Exchange) at LHDNM website,

http://www.hasil.gov.my - Payment counters of LHDNM or by mail:

• Cheques, money orders and bank drafts must be crossed and made payable tothe Director General of Inland Revenue. Use the Remittance Slip (CP501)when making payment.

• Write down the name, address, telephone number, income tax number,year of assessment and payment code on the reverse side of thefinancial instrument.

• Payment by CHEQUE / MONEY ORDER / POSTAL ORDER / BANK DRAFTmust be separately remitted to LHDNM at the above address.

• Payment by CASH must not be sent by post. (c) Pos Malaysia – Counter and Pos Online

An increase in tax of 10% under subsection 103(3) ITA 1967 shall be imposed for failure to pay the tax orbalance of tax payable on or before 30 April 2013 (does not carry on business) OR 30 June 2013 (carryon business). Any balance remaining unpaid upon the expiration of 60 days from the date of suchincrease, shall be further increased by 5% under subsection 103(4) ITA 1967 of the balance unpaid.

RM

INCOME TAX NO. PAYMENT CODE INSTALMENT NO. YEAR OF ASSESSMENT

Amount of Payment

Reference No. (Identity Card /Police / Army / Passport No.)

Cheque No. and Others

Name of Bank

Telephone No.

Date :

Name and Postal Address !!!!!!!!!!!!, , , .

084 99 2012

PENINSULAR MALAYSIA

SABAH & FT LABUAN

SARAWAK

Lembaga Hasil Dalam Negeri Malaysia Cawangan Pungutan, Tingkat 15, Blok 8A Kompleks Bangunan Kerajaan, Jalan Duta Karung Berkunci 11061 50990 Kuala Lumpur

Postal Address Payment Counter Tingkat Bawah, Blok 8A Kompleks Bangunan Kerajaan Jalan Duta Kuala Lumpur

Tingkat Bawah Wisma Hasil Jalan Tunku Abdul Rahman Kota Kinabalu

Aras 1, Wisma Hasil No. 1, Jalan Padungan Kuching

Lembaga Hasil Dalam Negeri Malaysia Cawangan Kota Kinabalu Wisma Hasil Jalan Tunku Abdul Rahman 88600 Kota Kinabalu Lembaga Hasil Dalam Negeri Malaysia Cawangan Kuching Aras 17, Wisma Hasil No. 1, Jalan Padungan 93100 Kuching

Page 14: Form INLAND REVENUE BOARD OF MALAYSIA TJ 2012lampiran1.hasil.gov.my/pdf/pdfborang/Form_TJ2012_2.pdfForm INLAND REVENUE BOARD OF MALAYSIA UNDER SECTION 77 INCOME TAX ACT 1967 RETURN

MALAYSIAN INCOME TAX Remittance Slip

2. Write down the name, address, telephone number, income tax number, year of assessment and payment code on the reverse side of the financial instrument. 3. Check the receipts/bank payment slips before leaving the payment counter.

1. Payment can be made as follows: 1.1 Bank - Counters of CIMB Bank Berhad (CIMB), Public Bank Berhad (PBB), Malayan Banking Berhad (Maybank) and Affin Bank

Berhad (ABB) by using the bank payment slip. - CIMB, PBB, Maybank & Hong Leong Bank internet banking and Maybank phone banking. - Auto Teller Machine (ATM) of PBB, Maybank & CIMB, PBB Cheque Deposit Machine and CIMB Cash Deposit Machine. 1.2 LHDNM - e-Payment through FPX (Financial Process Exchange) at LHDNM website, http://www.hasil.gov.my - Payment counters of LHDNM or by mail: Cheques, money orders and bank drafts must be crossed and made payable to the Director General of Inland Revenue. Use

the Remittance Slip (CP501) when making payment. 1.3 Pos Malaysia Berhad - counter and Pos Online

Lembaga Hasil Dalam Negeri Malaysia Cawangan Pungutan, Tingkat 15, Blok 8A Kompleks Bangunan Kerajaan, Jalan Duta Karung Berkunci 11061 50990 Kuala Lumpur

Postal Address Payment Counter PENINSULAR MALAYSIA

SABAH & FT LABUAN

SARAWAK

Lembaga Hasil Dalam Negeri Malaysia Cawangan Kota Kinabalu Wisma Hasil Jalan Tunku Abdul Rahman 88600 Kota Kinabalu Lembaga Hasil Dalam Negeri Malaysia Cawangan Kuching Aras 17, Wisma Hasil No. 1, Jalan Padungan 93100 Kuching

Tingkat Bawah, Blok 8A Kompleks Bangunan Kerajaan Jalan Duta Kuala Lumpur

Tingkat Bawah Wisma Hasil Jalan Tunku Abdul Rahman Kota Kinabalu

Aras 1, Wisma Hasil No. 1, Jalan Padungan Kuching