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Part IX Annual Statement of Deduction of Income Tax from Salary [ See rule 44(1) ] A. Employer's Profile

Tax Year :______________

Page No_______________

LTU/RTO:_________________________________________

NTN/FTN:___________________

Employer Name:____________________________________

Address:__________________________________________(in block letters)

Telephone:__________________

Fax:_______________________

Email______________________________________________________

B. Particulars of Employees and details of Tax Deducted

Serial

NTN

CNIC

Name of Employee

Chargeable Salary

1

2

3

4

5

Gross Tax

Teacher/ researcher/re duction in gross tax

6

7

Credit for tax paid by Tax Deducted employees & Deposited given by by Employer Employer(*) 8

9=(6-7-8)

Total (*) Credit for tax collected alongwith telephone, mobile, motor vehicles I, _____________________________holder of CNIC No________________________ in my capacity as Self / Member or Partner of Association of Persons / Principal Officer / Trustee / Representative of the Employer named above do hereby solemnly declare that to the best of my knowledge and belief the information given in this Statement is correct, complete and in accordance with the provisions of the Income Tax Ordinance, 2001 and Income Tax Rules, 2002. I further certifiy that the amount of chargeable salary indicated against each employee has been determined / calculated. Keeping in view the provisions of the Income Tax Ordinance 2001 and Income Tax Rules, 2002. (The altermative in the verification, which is not applicable, Should be scored out) Date_________________(dd/mm/yyyy)

Signature:____________________