FORM TC 2012

BAYARAN POS JELAS POSTAGE PAID

PEJABAT POS BESAR KUALA LUMPUR

MALAYSIA NO. WP0218

URUSAN SERI PADUKA BAGINDA

If Undelivered, Return To:

LEMBAGA HASIL DALAM NEGERI MALAYSIA PUSAT PEMPROSESAN KARUNG BERKUNCI 11018 50990 KUALA LUMPUR MALAYSIA

For Enquiries:-

LHDNM Branch

Main Line : 1-300-88-3010

Main Line – Calls From Overseas : 603-4289-3500

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

USE BLACK INK PEN & DO NOT FOLD

To

:

GUIDE NOTES ON FORM TC FOR YEAR OF ASSESSMENT 2012

Director General of Inland Revenue Lembaga Hasil Dalam Negeri Malaysia

Reference No. (Registration No.)

Date

:

:

Income Tax No.

:

LEMBAGA HASIL DALAM NEGERI MALAYSIA

PUSAT PEMPROSESAN ARAS 10-18, MENARA C, PERSIARAN MPAJ JALAN PANDAN UTAMA, PANDAN INDAH KARUNG BERKUNCI 11018 50990 KUALA LUMPUR

CP5C SULIT

Telephone

Fax

Website

:

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

1-300-88-3010

03-42893400

1. Form TC is:

a statement under section 77A Income Tax Act 1967 (ITA 1967);

an income tax computation pursuant to subsection 77A(3) of ITA 1967; and

a notice of assessment under section 90(2) of the same Act. 2. Therefore, you are required to:

(a) complete this return form with care, correctly and clearly. Please refer to the “Criteria On Incomplete Income Tax Return Form (ITRF)” at the website of Lembaga Hasil Dalam Negeri Malaysia (LHDNM).

(b) compute your tax based on audited accounts and in accordance with the enclosed explanatory notes or guidebook which can be printed from the website of LHDNM. However, working sheets 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 working sheets which can be printed from the website if entitled to a tax refund as per item C8 or CA6 of this return form:-

(i) Working Sheet HK-3 (enclosed) in respect of the claim for tax deduction under section 51 of Finance Act 2007 (dividends);

(ii) Working Sheet HK-6 pertaining to the claim for section 110 tax deduction (others); and

(iii) Working Sheet HK-8 / HK-9, 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 D3 of this return form.

3. Detach the Remittance Slip (CP207) before you furnish the Form TC. The Form TC 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.

“SERVICE TO THE COUNTRY” “TOGETHER WE DEVELOP THE NATION”

1

CP2A [Pin. 2012] TC

LEMBAGA HASIL DALAM NEGERI MALAYSIA

UNDER SECTION 77A OF THE INCOME TAX ACT 1967 RETURN FORM OF A UNIT / PROPERTY TRUST

This form is prescribed under section 152 of the Income Tax Act 1967

Form

2012 YEAR OF ASSESSMENT

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<>>>>>>>>?

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

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

Registration Date

PART A: PARTICULARS OF UNIT TRUST / PROPERTY TRUST

Resident in Malaysia

1 = Unit Trust 2 = Property Trust Type of Trust

Opening Date of Accounts

A2

A5

A3

A1

A4

A6

A8

A11

Income Tax No. TC

Closing Date

of Accounts

Country of

Residence (Use Country Code)

<>>>>>>?

Day Month Year

- -

1

3

<>>>>>>?

Day Month Year

- -

Employer’s No.

E <>>>>>>>>?

3 = Other types of trust

<>>>>>>?

Hari Bulan Tahun

- - A7

Compliance with Public Rulings

Tax Exemption Approval No. (if any)

!

1 = Yes 2 = No

A10 Tax Exemption Approval

1 = Yes (Fill in Parts B and C)

2 = No (Fill in Parts BA and CA)

A9 Record-keeping !

1 = Yes 2 = No

Date received - 1 Date received - 2 Date received - 3

For Office Use

Name of Unit Trust / Property Trust

[Declare in Ringgit Malaysia currency (RM)]

Tax Repayable (item C8 / CA6 whichever is relevant)

Tax paid in excess (item D4)

There is balance of tax payable (item C7 / CA5 / D3 whichever is relevant)

Not taxable / Nil balance (if C7 / C8 / CA5 / CA6 / D3 / D4 = ‘0’)

Status of Tax (from page 8) (Enter ‘X’ in the relevant box)

!

1 = Yes 2 = No

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

Reference No.

(Registration No.) [if any] 2

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

A13 Correspondence Address of Unit Trust / Property Trust

2

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Town Postcode

State

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

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

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

Address where Records of Unit Trust / Property Trust are maintained

Other Address (if A14 = 3)

A15

A14 !

<>>>?

Postcode <>>>>>>>>>>>>>?

Town

1 = Address as per A12

2 = Address as per A13

3 = Address other than A12 and A13

State

<>>>>>>>>?

Name Income Tax No.

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

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

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

Town Postcode

State

Registered Address of Unit Trust / Property Trust

A12

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

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

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

Name of Bank

A18

A17

Bank Account No.

3

<>>>>>>>>?

Name Income Tax No.

Income Tax No. A16c

<>>>>>>>>?

Trustee

Fund Manager <>>>>>>>>?

Company Registration No.

tidak berkenaan

Telephone No. A16d

A16b

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

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

-

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

-

Trustee

Fund Manager

Trustee

Fund Manager

C

C

A16 Particulars of Trustee / Fund Manager

Trustee

Name

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A16a

Fund Manager <>>>>>>>>>>>>>>>>>>>>>>>>>>? <>>>>>>>>>>>>>>>>>>>>>>>>>>?

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

B1

B2

B3

STATUTORY INCOME

Dividends

Interest and discounts

Rents, royalties and premiums

AGGREGATE INCOME ( B1 to B5 )

B4

B5

B6

NOTE: If A1 = 1, fill in Parts B and C for a Unit Trust / Property Trust RESIDENT in Malaysia. (Parts BA and CA need not be filled)

PART B: STATUTORY INCOME AND TOTAL INCOME

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Annuities and other periodical payments

Other gains or profits

LESS: Other Expenditure

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B1

B2

B3

B4

B5

B6

4

<>>>>>>>>?

Name Income Tax No.

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B7

B8

B7

B8

Special deduction for expenses of unit trust under section 63B

B11 B11

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B13

B14

B15 CHARGEABLE INCOME [ B8 – ( B9 to B14 ) ] (Enter ‘0’ if value is negative)

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TOTAL ( B6 – B7 )

LESS: Donations / Gifts / Contributions / Zakat

Gift of artefacts, manuscripts or paintings

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

Zakat perniagaan (restricted to 2.5% of aggregate income in B6)

B12

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B12

B13

B14

B15

Amount

B9 B9 Gift of money to the Government / local authority

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Gift of money to approved institutions or organizations

Gift of money or cost of contribution in kind for any

approved sports activity or sports body

Restricted to 7% of B6

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B10A

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Gift of money or cost of contribution in kind for any

approved project of national interest approved by

the Minister of Finance

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B10B

B10C

B10 <>_>>_>>_>>?

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C1

C2

C3

C4

C5

C6

C1

C2

C3

C4

TAX AT RATE OF 25% ( B15 x 25% )

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

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

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PART C: TAX PAYABLE / REPAYABLE

LESS:

Section 110 tax deduction (others)

Section 132 tax relief

Section 133 tax relief

Total deduction and relief ( C2 to C5 )

TAX PAYABLE * ( C1 – C6 )

TAX REPAYABLE * ( C6 – C1 ) [For a ‘Tax Repayable’ case, fill in items A17 and A18 on page 3]

OR

C5

C6

C7

C8

.

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C7

C8

5

<>>>>>>>>?

Name Income Tax No.

Restricted to C1

STATUTORY INCOME

NOTE: If A1 = 2, fill in Parts BA and CA for a Unit Trust / Property Trust NOT RESIDENT in Malaysia. (Parts B and C need not be filled)

PART BA: STATUTORY INCOME AND TOTAL INCOME

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

BA1

BA2

BA3

Dividends

Discounts

Rents and premiums

AGGREGATE INCOME ( BA1 to BA5 )

BA4

BA5

BA6

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Annuities and other periodical payments

Other gains or profits

LESS: Other Expenditure

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BA1

BA2

BA3

BA4

BA5

BA6

6

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

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

BA7

BA8

BA7

BA8

Special deduction for expenses of unit trust under section 63B

BA11 BA11

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

BA13

BA14

BA15 TOTAL [ BA8 – ( BA9 to BA14 ) ] (Enter ‘0’ if value is negative)

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TOTAL ( BA6 – BA7 )

LESS: Donations / Gifts / Contributions / Zakat

Gift of artefacts, manuscripts or paintings

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

Zakat perniagaan (restricted to 2.5% of aggregate income in BA6)

BA12 <>_>>_>>_>>?

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BA12

BA13

BA14

BA15 <>_>>_>>_>>?

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

<>>>>>>>>?

Name Income Tax No.

Amount (RM)

BA9

BA10

BA9

BA10C

BA10B

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

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

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Gift of money to the Government / local authority Gift of money to approved institutions or organizations

Gift of money or cost of contribution in kind for any

approved sports activity or sports body Restricted to

7% of BA6

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Gift of money or cost of contribution in kind for any

project of national interest approved by the Minister

of Finance

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

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BA10A

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

<_?

25

5

8

10

12

15

CA1

CA1a

CA1b

CA1c

CA1d

CA1e

CA1f

CA1g

Gross income subject to tax at other rates

COMPUTATION OF TAX CHARGEABLE

Chargeable Income Rate (%) Tax Chargeable

Division of chargeable income according to the rate applicable

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PART CA: TAX PAYABLE / REPAYABLE

TAX AT RATE OF 25% ( BA15 x 25% )

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->>_>>_>>_>? CA3

CA4

CA5

CA6

CA2

CA5

TOTAL TAX CHARGEABLE ( CA1a to CA1g )

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

OR

LESS:

CA4

CA3

CA2

Section 110 tax deduction (others)

TAX REPAYABLE * ( CA3 + CA4 – CA2 ) [For a ‘Tax Repayable’ case, fill in items A17 and A18 on page 3]

TAX PAYABLE * ( CA2 – CA3 – CA4 )

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

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,

7

<>>>>>>>>?

Name Income Tax No.

BA16a

BA16c

BA16b

BA16

BA16a

BA16b

BA16c

BA16d

BA17

Gross income subject to tax at other rates

Interest

Royalties

Special classes of income under section 4A

Other income (please specify………...………………………..)

TOTAL INCOME / CHARGEABLE INCOME ( BA15 to BA16d )

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BA16d

BA17

PART D: STATUS OF TAX FOR YEAR OF ASSESSMENT 2012

8

<>>>>>>>>?

Name Income Tax No.

D1 ->>_>>_>>_>?

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Gross payments to non-residents in the basis period subject to withholding tax under sections 107A, 109, 109A, 109B and 109F.

PART G: PARTICULARS OF INCOME OF UNIT TRUST / PROPERTY TRUST

G1

G1b

G1c

PARTICULARS OF WITHHOLDING TAXES

G1a

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

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

G2

G2a

G2b

Section

107A

109

109A

109B

Total tax withheld and remitted to LHDNM

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Qualifying capital expenditure in respect of rental income of Unit Trust / Property Trust

SPECIAL DEDUCTION FOR QUALIFYING CAPITAL EXPENDITURE IN RESPECT OF RENTAL INCOME PURSUANT TO SECTION 63A OR SPECIAL DEDUCTION FOR EXPENSES UNDER SECTION 63B Section

Special deduction for expenses of Unit Trust / Property Trust

63A

63B

Total Claimed

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G1d

Total gross amount paid

109F <>_>>_>>_>>?

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

F1 ! !

! !

Any disposal of asset? Yes

Yes

No

No

(Indicate ‘X’ in the relevant box)

F2 Has the disposal been declared to LHDNM? (If F1 = ‘Yes’)

PART E: INCOME OF PRECEDING YEARS NOT DECLARED Year For

Which Paid Type of Income Gross Amount

<>>?

D4

D3

E3

E2

E1

Tax paid in excess * ( D2 – D1 )

D2

D3

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

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<>>? <>>?

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OR

LESS: Instalments paid

Balance of tax payable * ( D1 – D2 )

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D2 ->>_>>_>>_>?

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D4

Please enter the tax position ( C7 / C8 / CA5 / CA6 / D3 / D4 whichever is applicable ) under the item ‘Status of Tax’ on page 1.

*

PART H: FINANCIAL PARTICULARS OF UNIT TRUST / PROPERTY TRUST

STATEMENT OF INCOME AND EXPENDITURE

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

!

H2

H3

H4

H11

H10

H12

H13

H14

H15

H16

H1

H2

H3

H4

H5

H6

H7

H8

H9

H10

H11

H12

H13

H14

H15

H16

Share registration

Accounting

Non-allowable expenses

FIXED ASSETS:

EXPENSES:

TOTAL FIXED ASSETS ( H13 to H15 )

Land and buildings

Other fixed assets

Plant and machinery

Telephone, printing, stationery and postage

Other expenses

NET PROFIT / LOSS

TOTAL EXPENDITURE ( H2 to H9 )

(Enter ‘X’ if value is negative)

Audit fee

Trustees’ fee

Profit/Loss on disposal of investments

Management fee

Maintenance of register of unit holders

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

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

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H1

(Enter ‘X’ if value is negative)

H5

H6

H7

H8

H9

BALANCE SHEET

9

<>>>>>>>>?

Name Income Tax No.

H17

H18

H19

H17

H18

H19

H20

Quoted derivatives

Quoted fixed income securities

Quoted foreign equity securities

Quoted equity securities

INVESTMENTS:

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

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H23

H21

H22

H23 TOTAL INVESTMENT ( H17 to H22 )

Unquoted fixed income securities

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H21

H22 Deposits with financial institutions

LIABILITIES:

H29 H29

H30

H31

H32

H33

H34

H35

H36

H37

H38

H39

H40

J1

J2

J3

J4

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

!

H30

H31

H32

H33

H34

H36

H37

H38

H40

H39

H35

J1

J2

J3

UNDISTRIBUTABLE INCOME:

Unitholders’ capital

Balance brought forward

RESERVE ACCOUNT

BALANCE CARRIED FORWARD ( H35 + H36 – H37 )

Trade creditors

Sundry creditors

Long term liabilities

Other current liabilities

TOTAL LIABILITIES ( H29 to H32 )

UNITHOLDERS’ FUNDS

Current year’s net income

Distributed income

TOTAL UNITHOLDERS’ FUNDS ( H34 + H38 + H39 )

Rents

Interest

Other income (including gains from realization of investments)

Dividends

(Enter ‘X’ if value is negative)

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

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

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PART J: PARTICULARS OF EXEMPT INCOME

10

<>>>>>>>>?

Name Income Tax No.

LESS:

H24

H25

H28

H24

H25

H26

H27

H28 TOTAL CURRENT ASSETS ( H24 to H27 )

CURRENT ASSETS:

Cash in hand and at bank

Other current assets

Sundry debtors

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H27

Trade debtors

!

H26

(Enter ‘X’ if value is negative)

a

State

Address of Firm

Name of Firm

c

d

f

Telephone No.

Handphone No.

e-Mail

e

Tax Agent’s Approval No.

b

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

Postcode Town

Identity Card / Police / Army / Passport No. * ( * Delete whichever is not relevant )

I

DECLARATION

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

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

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

<>>>?

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

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

Signature Date

11

hereby declare that this return form contains information that is true, complete and correct pertaining to the income tax of the above unit trust / property trust for the Year of Assessment 2012 as required under the Income Tax Act 1967.

Signature

Date

Designation <>>>>>>>>>>>>>>>>>>>>>>? <>>>>>>>>>>>>>>>>>>>>>>?

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

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

Day Month Year <>>>>>>?

<>>>>>>>>?

Name Income Tax No.

Day Month Year <>>>>>>?

12

<>>>>>>>>?

Name Income Tax No.

Please read the following reminder before signing this return form

REMINDER

Please ensure that the tax computation and financial particulars entered in this return form are complete, in order and based on audited accounts. Carefully check all information given before it is furnished to Lembaga Hasil Dalam Negeri Malaysia. Check to ensure that the following have been done (Enter ‘ ’ in the relevant box):

Tax computation have been done on the working sheets provided and the amounts accurately transferred to the Form TC.

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

All information have been clearly filled in the spaces provided.

Name and income tax number of the unit trust / property trust are clearly indicated at the top of every page of this return form and relevant working sheets.

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

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 bank payment slip by using the bank payment slip.

- PBB, Maybank, Hong Leong Bank & Citibank internet banking and Maybank phone banking.

- Auto Teller Machine (ATM) of PBB and Maybank.

(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 to the Director General of Inland Revenue. Use the Remittance Slip (CP207) when making payment.

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

Payment by CHEQUE / MONEY ORDER / POSTAL ORDER / BANK DRAFT must be separately remitted to LHDNM at the following address.

CASH payment must not be sent by mail. (c) Pos Malaysia Berhad

- counter and Pos Online

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

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

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

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. INSTALMENT NO. YEAR OF ASSESSMENT

Amount of Payment

Reference No. (Registration No.) Cheque No. and Others

Telephone No.

Date :

CP207 [Pin. 1/2012]

Name and Postal Address

!!!!!!!!!!!!

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PAYMENT CODE

Name of Bank

086

99

2012

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

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 (CP207) 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