BAYARAN POS JELAS POSTAGE PAID PUSAT MEL … · bayaran pos jelas postage paid pusat mel nasional malaysia no. wp0218 urusan seri paduka baginda ... k24 other fixed assets k24 _>>_>>_>>?

BAYARAN POS JELAS POSTAGE PAID

PUSAT MEL NASIONAL SHAH ALAM MALAYSIA

NO. WP0218

URUSAN SERI PADUKA BAGINDA

If undelivered, return to: PUSAT PEMPROSESAN MAKLUMAT LEMBAGA HASIL DALAM NEGERI MALAYSIA MENARA HASIL NO. 3, JALAN 9/10, SEKSYEN 9 KARUNG BERKUNCI 221 43659 BANDAR BARU BANGI SELANGOR

FFOORRMM CC11 22001166 IMPORTANT REMINDER

1) Due date to furnish this form and pay the balance of tax payable: Within 7 months from the date following the close of accounting period. a) Penalty under subsection 112(3) of the Income Tax Act 1967 (ITA 1967) shall be imposed for failure to furnish this return

form before or on the due date for submission. b) An increase in tax of 10% under subsection 103(3) of ITA 1967 shall be imposed for failure to pay the balance of tax payable

before or on the due date for submission. Any balance remaining unpaid upon the expiration of 60 days from the date of such increase, shall be further increased by 5% of the balance unpaid under subsection 103(4) of ITA 1967.

2) Before filling up this form, please refer to the Guide Book which is available at the LHDNM Official Portal, http://www.hasil.gov.my.

3) All relevant items have to be completed in BLOCK LETTERS and use black ink pen. 4) METHOD OF PAYMENT

a) Payment can be made at: i) Bank - Information regarding payment via bank is available at the LHDNM Official Portal, http://www.hasil.gov.my ii) LHDNM - ByrHASiL via FPX (Financial Process Exchange) at the LHDNM Official Portal, http://www.hasil.gov.my

- ByrHASiL via Visa, Mastercard & American Express Credit Cards at https://byrhasil.hasil.gov.my/creditcard - LHDNM payment counters in Peninsular Malaysia (Kuala Lumpur Payment Centre), Sabah and FT Labuan

(LHDNM Kota Kinabalu Branch) dan Sarawak (LHDNM Kuching Branch) or by mail. Cheques, money orders and bank drafts must be crossed and made payable to the Director General of Inland Revenue. When making payment, use the Remittance Slip (CP207) which is available at the LHDNM Official Portal, http://www.hasil.gov.my.

If sent by post, payment must be sent separately from the form. Payment by CASH must not be sent by post. iii) Pos Malaysia Berhad - Counter and Pos Online

b) Write down the name, address, telephone number, income tax number, year of assessment, payment code and installment on the reverse side of the financial instrument.

5) Pursuant to section 89 of ITA 1967, a change of address must be furnished to LHDNM within 3 months of the change. Notification can be made via e-Kemaskini or by using Form CP600B (Change of Address Notification Form) which can be obtained at the LHDNM Official Portal, http://www.hasil.gov.my.

6) For further information, please contact:- Tol Free Line: 1-800-88-5436 (LHDN) Calls From Overseas: 603-77136666

1. Form C1 is:

(a) a statement under section 77A Income Tax Act 1967 (ITA 1967); (b) an income tax computation pursuant to subsection 77A(3) of ITA 1967; and (c) a deemed notice of assessment under subsection 90(2) of the same Act.

2. Therefore, you are required to:

(a) complete this return form correctly and clearly. Official Portal of Lembaga Hasil Dalam Negeri Malaysia (LHDNM).

(b) compute your tax based on audited accounts and refer to the guidebook which can be printed from the LHDNM Official Portal. However, working sheets / appendices used for computation need not be furnished with this return form but must be kept for the purpose of examination by LHDNM for a period of seven (7) years after the end of the year in which the return is furnished.

(c) furnish the following appendices which can be printed from the Official Portal if entitled to a tax refund as per item B10 of this return form:-

(i) Appendix B2 pertaining to the claim for section 110 tax deduction (others); and

(ii) Appendix B3 / Appendix B4, if applicable, relating to the foreign tax deducted in the country of origin.

(d) use the enclosed Remittance Slip (CP207) when paying the balance of tax payable (if any) as per item C3 of this return form within the stipulated period.

3. Detach the Remittance Slip (CP207) before you furnish the Form C1. The Form C1 must be completed

and furnished to LHDNM at the above address within the stipulated period. 4. Only original return forms are acceptable. Return forms submitted via fax are not considered as

furnished in accordance with ITA 1967. Thank you.

To

:

GUIDE NOTES ON FORM C1 FOR YEAR OF ASSESSMENT 2016

Director General of Inland Revenue Lembaga Hasil Dalam Negeri Malaysia

Income Tax No.

:

:

Date

PUSAT PEMPROSESAN MAKLUMAT LEMBAGA HASIL DALAM NEGERI MALAYSIA MENARA HASIL NO.3, JALAN 9/10, SEKSYEN 9 KARUNG BERKUNCI 221 43659 BANDAR BARU BANGI SELANGOR

CP5B

Toll Free Line Fax Official Portal

: : : http://www.hasil.gov.my

1-800-88-5436(LHDN) 03-89221801

SERVICE TO THE COUNTRY TOGETHER WE DEVELOP THE NATION

Reference No. (Registration No.) :

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

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

LEMBAGA HASIL DALAM NEGERI MALAYSIA RETURN FORM OF A CO-OPERATIVE SOCIETY UNDER SECTION 77A INCOME TAX ACT 1967

This form is prescribed under section 152 Income Tax Act 1967 C1 Form

CP5(CS) [Pin. 2016]

YEAR OF ASSESSMENT

2016 <>>>>>>>>>>>>>>>>>>>>>>>>>>? 1

9

4 3

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

<>>>>>>>>? <>>>>>>>>? CS E

Accounting Period 7

8

No. Income Tax No.

Name of Co-Operative Society

Basis Period

<>>>>>>?

<>>>>>>?Record-keeping 1 = Yes

2 = No

Status of Tax ( f rom page 4 ) (Enter in the re levant box)

Tax repayable (Item B10)

Tax paid in excess (Item C4)

There is balance of tax payable (Item B9/C3 whichever is relevant)

Not taxable / Nil balance (If B9/B10/C3/C4 =

<>>>>>>>>>>>>>>? 2 Reference No. (Registration No.)

1

[Declare in Ringgit Malaysia (RM) currency]

Business Code Amount (RM)

PART A: STATUTORY INCOME, TOTAL INCOME AND TOTAL TAX PAYABLE Statutory Business Income

<>>>? A1 Business 1

Business 2

Business 3

Business 4

Business 5 + 6 and so forth A5

A4

A3

A2 <>>>?

<>>>?

<>>>?

<>>>?

, , ,

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

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

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

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

Date received 1 Date received 2 Date received 3

FOR OFFICE USE

Income Tax No. Statutory Partnership Income

Amount (RM)

<>>>>>>>>? Partnership 1

Partnership 2

D

D

, , ,

A7

A6

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

<>>>>>>?

<>>>>>>?From To

From To

Status of Business 5

Day Month Year

Day Month Year Day Month Year

Day Month Year

Date of Commencement of Operations 6 <>>>>>>?

Day Month Year

1 = In operation 2 = Dormant 3 = In the process of liquidation

10 Carry on e-Trading Business

1 = Yes

2 = No

11 Claim Input Tax from the Royal Malaysian Customs Department

1 = Yes

2 = No 12

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

Goods & Services Tax Registration No. (Complete if item 11=1)

2

CS <>>>>>>>>?

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

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

A14

A15

A16

A17

A18

A19

A20

A21

A22

A23

A24

Other Statutory Income

Dividends

Interests and discounts

Rents, royalties and premiums

Other income

Additions pursuant to paragraph 43(1)(c)

Aggreggate of other statutory income (A14 to A18)

AGGREGATE INCOME (A13 + A19)

Current year business losses (Restricted to A20)

TOTAL (A20 A21)

Other Expenditure

Prospecting expenditure Schedule 4 and paragraph 44(1)(b)

Pre-operation business expenditure Schedule 4B dan paragraph 44(1)(b)

A14

A15

A16

A17

A18

A19

A20

A21

A22

A23

A24

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

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

,

, ,

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

,

, ,

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

,

, ,

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

,

, ,

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

,

, , ,

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

, ,

, ,

,

, , ,

LESS:

LESS:

<>_>>_>>_>>? , , , TOTAL (A22 A23 A24) A25 A25

A26

Donations / Gift / Contributions / Zakat

A26 Gift of money to the Government / Local Authority

LESS:

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

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

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

, , ,

, , ,

TOTAL (A11 A12)

A11

A12

A13

Aggregate statutory income from businesses (A1 hingga A10)

Business losses brought forward (Restricted to A11)

A11

A12

A13

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

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

, ,

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

, , ,

, , ,

LESS:

D Partnership 3

Partnership 4

Partnership 5 + 6 and so forth

D

D A10

A9

A8 <>>>>>>>>?

<>>>>>>>>?

<>>>>>>>>?

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

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

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

, , ,

, , ,

Name of Co-operative Society

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

,

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

3

<>_>>_>>_>>? TAXABLE PIONEER INCOME A33

A32 A32

A33

, , ,

, ,

TOTAL INCOME [A25 (A26 to A31)]

A31 A31 Zakat Perniagaan (restricted to 2.5% of aggregate income in A20)

A30

A28 A28

A30

A29 A29 Gift of money for the provision of library facilities or to libraries <>_>>_>>_>>?

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

, , ,

, , ,

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

, ,

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

PART B: TAX PAYABLE

B3b

B3c

B2a

INCOME TAX COMPUTATION (AT FIXED RATE)

Apportionment of Income Tax

B1

5

8

B4

B1

B2

TOTAL INCOME TAX (B2a + B2b + B3a + B3b + B3c)

Tax on the balance

Tax on the first

Chargeable Income (from A36)

INCOME TAX COMPUTATION [AT CO-OPERATIVE SICIETY RATE (Refer to the schedule)]

B3a

B3

, , ,

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

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

<>_>>_>>? , ,

<>_>>_>>? , ,

<>_>>_>>? , ,

->>_>>_>>_>? , , , .

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

<_? .

Rate (%)

At Rate (%)

->>_>>_>>_>? , , , .

->>_>>_>>_>? , , , . B4

A35

A34

Deduction under subsection 65A(b)

CHARGEABLE INCOME (A32 + A33 A34 A35) A36

A34

A35

A36

Deduction under subsection 65A(a)

LESS:

B2b

->>_>>_>>_>? , , , .

Income Tax

A27C

A27B

A27A

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

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

Gift of money to approved institutions or organisations

Restricted to 7% of A20 <>_>>_>>_>>? , , ,

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

<>_>>_>>_>>? , , , A27

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

Income Tax

Gift of artefacts, manuscripts or paintings

, , ,

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

, , ,

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

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

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

CS <>>>>>>>>? Name of Co-operative Society

Gift of paintings to the National Art Gallery or State Art Gallery

<>?

4

<>_>>_>>?

<>_>>_>>?

<>_>>_>>?

<>_>>_>>?

<>_>>_>>?

<>_>>_>>?

<>_>>_>>?

<>_>>_>>?

<>_>>_>>?

<>_>>_>>?

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

<>? Amount (RM)

, ,

D3

D2

D1

D4

D5

D11

Claim Code Amount (RM)

TOTAL CLAIMED (D1 to D10)

PART D: SPECIAL DEDUCTION, FURTHER DEDUCTION AND DOUBLE DEDUCTION

Claim Code

D11

D8

D7

D6

D9

D10

<>? , ,

<>?

<>? , ,

<>? , ,

, ,

, ,

<>? , ,

<>? , ,

<>? , ,

<>? , ,

, , ,

B10

TAX PAYABLE * (B4 B8)

TAX REPAYABLE * (B8 B4) [ M7 and M8 on page 9]

B10

OR

->>_>>_>>_>? , , , .

PART C: STATUS OF TAX

->>_>>_>>_>? C1

C2

C3

C4

Tax payable (from B9)

Instalments paid

Balance of tax payable * (C1 C2)

Tax paid in excess * (C2 C1)

OR

, , ,

LESS:

C1

C2

C3

C4

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

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

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

.

.

.

. * Please enter the tax position (B9 / B10 / C3 / C4 whichever is applicable) under the item

1.

->>_>>_>>_>? B5

B6

B8

B9

Section 133 tax relief

Total Deduction / Relief (B5 to B7)

LESS:

B6

B8

B9

Section 132 tax relief

Section 110 tax deduction (others) B5 , , , .

->>_>>_>>_>? , , , .

->>_>>_>>_>? , , , .

->>_>>_>>_>? , , , .

B7 B7 ->>_>>_>>_>? , , , . Restricted to B4


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

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

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

5

CS <>>>>>>>>?

E1

E2

E3

E4

E5

E6

E7

E8

E9

E10

Business

PART E: CLAIM FOR SCHEDULE 3 ALLOWANCE Amount Absorbed

1

2

3

4

5

E1a

E5a

E4a

E3a

E2a

1

2

3

4

5

E6a

E10a

E9a

E8a

E7a

Balance Carried Forward

E1b

E5b

E4b

E3b

E2b


E6b

E10b

E9b

E8b

E7b

, , ,

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

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

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

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

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

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

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

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

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

, , ,

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

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

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

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

, , ,

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

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

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

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

Partnership Amount Absorbed

F1A

F1

PART F: CLAIM FOR LOSSES Type of Loss

F1 Business/Partnership losses

Pioneer Losses

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


<>_>>_>>_>>? , , , Amount Absorbed

, , ,

G1 Schedule 4 expenditure

G2 Schedule 4B expenditure

G3 Schedule 7A allowance

G1

G2

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

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

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

PART H: INCOME OF PRECEDING YEAR NOT DECLARED

PART G: INCENTIVE CLAIM

G4 Investment tax allowance <>_>>_>>_>>? , , , <>_>>_>>_>>? , , ,

Amount Absorbed


PART J: DISPOSAL OF ASSET UNDER THE REAL PROPERTY GAINS TAX ACT 1976

J1 Has disposed of asset?

J2 Has the disposal been declared to LHDNM? (If J1 = 1)

! !

1 = Yes 2 = No

1 = Yes 2 = No

<>_>>_>>_>>? , , , H1 <>>? Amount Year of Assessment Type of Income


CS <>>>>>>>>?

6

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

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

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

, , ,

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

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

K16

K17

K18

K19

K20

Bad debts

Other expenses

TOTAL EXPENSES (K13 to K17)

NET PROFIT / LOSS

Non-allowable expenses

!

K16

K17

K18

K19

K20

PART K: FINANCIAL PARTICULARS OF CO-OPERATIVE SOCIETY [ MAIN BUSINESS ] Business Income:

K1 Business Code

K2 Sales or turnover

K3 Opening stock

K4 Purchases and cost of production

K5 Closing stock

K6 Cost of sales (K3 + K4 K5)

K7 GROSS PROFIT / LOSS (K2 K6)

K8 Other business income

K9 Rental income

K10 Interest income

K11 Dividend income

K12 Other income

!

K1

K2

K3

K4

K5

K6

K7

K8

K9

K10

K11

K12

<>>>?

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

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

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

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

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

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

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

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

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

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

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

LESS:

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

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

K13 Loan interest <>_>>_>>_>>? , , ,

, , ,

, , ,

K14

K15

Salaries and wages

Rental

K13

K14

K15

Expenses

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

K1A Type of business activity


<>_>>_>>_>>? , , , K16A Input tax not claimable from the Royal Malaysian Customs Department K16A

7

CS <>>>>>>>>?

<>_>>_>>_>>? , , , K24 Other fixed assets K24

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

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

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

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

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

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

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

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

, , ,

, , ,

, , ,

K27

K28

K29

, , ,

K30

K31

K32

K33

Current Assets:

Stock

Trade debtors

Sundry debtors

Cash at bank

Other current assets

TOTAL ASSET (K25 + K26 + K33)

TOTAL CURRENT ASSET (K27 to K32)

Cash in hand

K34

K27

K28

K29

K30

K31

K32

K33

K34

!

K35 Trade creditors

Sundry creditors

Liabilities:

K36

K35

K36

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

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

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

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

K25

K26

TOTAL FIXED ASSET (K21 to K24)

Investments:

Investments

K25

K26

Funds K39

TOTAL LIABILITY AND FUNDS (K38 + K39) K40

period K41

Amount transferred during the basis period to the Statutory Reserve Fund pursuant to subsection 65A(a) K42

Amount pursuant to subsection 65A(b) K43

K39

K40

K41

K42

K43

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

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

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

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

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

K37

K38

Other liabilities

TOTAL LIABILITY (K35 to K37)

K37

K38

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

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

<>_>>_>>_>>? , , , K23 Land and buildings K23


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

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

K21

K22

Fixed Assets:

Motor vehicles

Plant and machinery

K21

K22

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

8

CS <>>>>>>>>?

Section

107A

109

109A

109B

L1

L2

L3

L4

M1

M2 Correspondence Address

Total Gross Amount Paid Total Tax Withheld And

Remitted To LHDNM Total Net Amount Paid

PART M: PARTICULARS OF CO-OPERATIVE SOCIETY

Registered Address

PART L: PARTICULARS OF WITHHOLDING TAX Gross payments to non-residents subject to withholding tax provision under section 107A, 109, 109A, 109B and 109F.

State

Town Postcode

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

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

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

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

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

, ,

<>_>>_>>? , ,

<>_>>_>>? , ,

<>_>>_>>? , ,

, ,

<>_>>_>>? , ,

<>_>>_>>? , ,

<>_>>_>>? , ,

<>_>>_>>? , ,

<>_>>_>>? , ,

<>_>>_>>? , ,

<>_>>_>>? , ,

State

Town Postcode

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

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

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

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

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

109F L5 <>_>>_>>? , , <>_>>_>>? , , <>_>>_>>? , ,

M4 Date Registered <>>>>>>? Day Month Year

M3 Address of Business Premise

State

Town Postcode

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

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

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

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

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


9

CS <>>>>>>>>?

M8

M9

M10

M11

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

!

Name of Bank

Bank Account Number

Address where co-operative

If item 9 does not apply, state the address where the co-

Telephone No.

1 = Address as per M1 2 = Address as per M2 3 = Address as per M3

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

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

M7

e-Mail M12

State

Town Postcode

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

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

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

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

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

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

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

<>>>>>>>>>>>>>>>>>>>>>>>>? Website / Blog address M6

M13a

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

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

Particulars of Co- M13

Name

Chairman

Treasurer

Secretary

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

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

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

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

Notes : Enter the name of the bank and bank account number for the purpose of electronic income tax refund


<>>>>>>>>>>>>>>>>>>>>>>>>? M5 Place of Registration

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

10

CS <>>>>>>>>?

Chairman

M13b Identification No.

Treasurer

Secretary

Chairman

Treasurer

Secretary

Chairman

Treasurer

Secretary

Chairman

Treasurer

Secretary

M13h Amount of Allowance

<>_>>_>>? , ,

<>_>>_>>? , ,

<>_>>_>>? , ,

Passport No. M13c

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

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

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

, ,

M13f Salary / Commission / Bonus

<>_>>_>>?

<>_>>_>>? , ,

<>_>>_>>? , ,

M13d Income Tax No.

<>>>>>>>>>?

<>>>>>>>>>?

<>>>>>>>>>?

<?

<?

<?

Type of file: SG/OG

Type of file: SG/OG

Type of file: SG/OG

Telephone No.

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

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

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

M13e

<_>?

<_>?

<_>?

.

.

Equity Holding (%) M13g

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

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

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

.

Name

Identification / Passport No.

Income Tax No.

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

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

Particulars of co-b

M14

M14a

M14b

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

<>>>>>>>>>? <? Type of file:

SG/OG

Name


Income Tax No.

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

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

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

<>>>>>>>>>? <? Type of file:

SG/OG


DECLARATION 11


M14c

M14d

M15e

Name <>>>>>>>>>>>>>>>>>>>>>>>>>>?

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

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

<>>>>>>>>>? <? SG/OG

Name <>>>>>>>>>>>>>>>>>>>>>>>>>>?

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

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

<>>>>>>>>>? <? SG/OG

Name <>>>>>>>>>>>>>>>>>>>>>>>>>>?

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

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

<>>>>>>>>>? <? SG/OG


Income Tax No. Type of file:





DECLARATION

I

Identification / Passport No.* (* Delete whichever is not relevant)

hereby declare that this return form contains information that is true, correct and complete pertaining to the income tax of the above co-operative as required under the Income Tax Act 1967.

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

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

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

Signature Date

Designation

Day Month Year <>>>>>>?

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

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

12

CS <>>>>>>>>?

Approval No. <>>>>>>>>>>>>>?

Signature Date

Day Month Year <>>>>>>?

PARTICULARS OF THE FIRM AND SIGNATURE OF THE PERSON WHO COMPLETE THIS FORM

a

b

Name of Firm

Address of Firm

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

Postcode

State

Town

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

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

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

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

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

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

c

d

e

Telephone No.

e-Mail <>>>>>>>>>>>>>>>>>>>>>>>>?

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


RM

REMITTANCE SLIP DIRECTOR GENERAL OF INLAND REVENUE To :

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

INCOME TAX NO. INSTALLMENT YEAR OF ASSESSMENT

Amount of Payment

CP207 [Pin. 1/2016]

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

PAYMENT CODE

086 99 2016

Reference No. (Registration No.)

Cheque No. and Others

Telephone No.

Date :

Name of Bank

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

(ABB), RHB Bank Berhad (RHB), Bank Simpanan Nasional (BSN) and Bank Rakyat by using the bank payment slip. - PBB, Maybank, Hong Leong Bank, Citibank, RHB & Alliance Bank Malaysia Berhad internet banking and Maybank phone

banking. - Auto Teller Machine (ATM) PBB dan Maybank. 1.2 LHDNM - ByrHASiL through FPX (Financial Process Exchange) at LHDNM Official Portal, http://www.hasil.gov.my - ByrHASiL via Visa, Mastercard & American Express Credit Cards at LHDNM Official Portal, https://byrhasil.gov.my/creditcard - LHDNM payment counters or by mail:

Cheques, money orders and bank drafts must be crossed and made payable to Director General of Inland Revenue. Use the Remittance Slip (CP 207) when making payment

1.3 Pos Malaysia Berhad - Counter and Pos Online

MALAYSIAN INCOME TAX Remittance Slip

2. Write down the name, address, telephone number, income tax number, year of assessment dan payment code on the reverse side of financial instument.

3. Check the receipts/ bank payment slips before leaving the payment counter.

Lembaga Hasil Dalam Negeri Malaysia Pusat Bayaran, Tingkat 15, Blok 8A Kompleks Bangunan Kerajaan, Jalan Tuanku Abdul Halim Karung Berkunci 11061 50990 Kuala Lumpur

Postal Address Kaunter Bayaran PENINSULAR MALAYSIA

SABAH & WP 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 Tuanku Abdul Halim Kuala Lumpur

Tingkat Bawah Wisma Hasil Jalan Tunku Abdul Rahman Kota Kinabalu

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

Documents

BAYARAN POS JELAS POSTAGE PAID PUSAT MEL … · bayaran pos jelas postage paid pusat mel nasional malaysia no. wp0218 urusan seri paduka baginda ... k24 other fixed assets k24 _>>_>>_>>?