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TF 2016 1 2 F BAHAGIAN A: A1 A2 A3 A5 E MAKLUMAT PERTUBUHAN <>>>>>>>>>>>>>>>>>>>>>>>>? <>>>>>>>>>>>>>>>>>>>>>>>>? <>>>>>>>>? <? A4 ! ! <>>>>>>>>>>>>>>>>>>>>>>>>>? <>>>>>>>>>>>>>>>>>>>>>>>>>? <>>>>>>>>? CP 2D - Pin. 2016 1 INLAND REVENUE BOARD OF MALAYSIA RETURN FORM OF AN ASSOCIATION UNDER SECTION 77 INCOME TAX ACT 1967 This form is prescribed under section 152 of the Income Tax Act 1967 Form YEAR OF ASSESSMENT Name of Association Income Tax No. Status of Tax ( from page 8 ) (Indicate ‘X’ in the relevant box) Tax repayable (item D6) Tax paid in excess (item E4) There is balance of tax payable (item D5/E3 whichever is relevant) Not taxable / Nil balance (if D5/D6/E3/E4 = ‘0’) PART A: PARTICULARS OF ASSOCIATION Association is Resident in Malaysia 1 = Yes (Fill in Part B) 2 = No (Fill In Part C) Country where Management and Control of Its Affairs are Exercised (Use Country Code) Tax Exemption Approval Tax Exemption Approval No. (if any) A9 % <>? Percentage of Expenses Incurred on Association's Activities Employer's No. For Office Use Date received (3) Date received (1) Date received (2) A11b <>>>>>>>>>>>>>>>>>>>>>>? Website / Blog Address (Complete if item A11a=1) <>>>>>>>>>>>? Goods & Services Tax Registration No. (Complete if item A12a =1) A12b A12a Claim Input Tax from the Royal Malaysian Customs Department ! 1 = Yes 2 = No 1 = Yes 2 = No A6 A7 <>>>>>>? Registration Certificate No. (if any) Date Established A8 ! Type of Association 1 = Institution 3 = Religious Institution/Organization 5 = Club 7 = Management 2 = Association 4 = Trade Association Corporation 6 = Fund 8 = Others - - <>>>>>>? Day Month Year A10 Record-keeping ! 1 = Yes 2 = No ! A11a Carry on e-Commerce 1 = Yes 2 = No

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  • TF

    2016

    1

    2 F

    BAHAGIAN A: A1 A2

    A3

    A5

    E

    MAKLUMAT PERTUBUHAN

    >>>>>>>>>>>>>>>>>>>>>>>? >>>>>>>>>>>>>>>>>>>>>>>? >>>>>>>?

  • 2

    >>>>>>>?

    A16

    Postcode

    State

    Town

    >>>>>>>>>>>>>>>>>>>>>?

    >>>>>>>>>>>>>>>>>>>>>?

    >>>>>>>>>>>>>>>>>>>>>?

    >>>>>>>>>>>>>>>>>>>>>?

    >>? >>>>>>>>>>>>?

    Town Postcode

    A14

    State

    A15

    >>>>>>>>>>>>>>>>>>>>>?

    >>>>>>>>>>>>>>>>>>>>>?

    >>? >>>>>>>>>>>>?

    >>>>>>>>>>>>>>>>>>>>>?

    !

    >>>>>>>>>>>>>>>>>>>>>?

    A13

    Postcode

    State

    Town

    >>>>>>>>>>>>>>>>>>>>>?

    >>>>>>>>>>>>>>>>>>>>>?

    >>>>>>>>>>>>>>>>>>>>>?

    >>? >>>>>>>>>>>>?

    >>>>>>>>>>>>>>>>>>>>>?

    Name Income Tax No.

    Correspondence Address of Association

    Registered Address

    Address Where Association's Records are Maintained 1 = If maintained at address as per A13 2 = If maintained at address as per A14 3 = If maintained at an address other than A13 and A14

    Other Address (if A15 = 3)

  • *Delete wichever is not relevant

    3

    >>>>>>>? Name

  • B1

    B2

    B3

    Income Tax No. Amount (RM)

    B4

    B5

    B6

    B7

    B8

    B9

    B10

    B11

    B12

    B13

    D

    D

    D

    B7

    B8

    B9

    B10

    B11

    B12

    B13

    TOTAL (B7 - B8)

    4

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    B14

    B15

    B16

    B17

    B14

    B15

    B16

    B17

    AGGREGATE INCOME (B9 + B15)

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    Note : Fill in Part B if the Association is RESIDENT in Malaysia (If A1 = 1)

    [Declare amount in Ringgit Malaysia currency (RM)]

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

    Statutory Business Income Business Code Amount (RM)

    Business 1

    Business 2

    Business 3 + 4 and so forth (if any)

    Statutory Partnership Income

    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)

    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 B14)

    LESS: Current year bus ines s losses (Restricted to amount in B16)

  • LESS : Other expenditure

    B19

    B20

    B21

    B25

    B26

    B28

    B30

    B29

    B31

    TOTAL (B18 B19)

    LESS : Donations and Gifts

    5

    B19

    B20

    B24

    B26

    B28

    B30

    B29

    B31

    TOTAL (B20 B28)

    (Enter if value is negative)

    (Enter if value is negative)

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    B27 B27 _>>_>>_>>? , , ,

    TAXABLE PIONEER INCOME

    TOTAL INCOME / CHARGEABLE INCOME (B29 + B30)

    B21

    B25

    B21A

    B22

    B23

    Restricted to 7% of B16

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    B24

    B18 B18 TOTAL (B16 - B17) _>>_>>_>>? , , ,

    B32a

    B32b

    B32

    B33

    Tax on the first

    Tax on the balance

    TOTAL TAX CHARGEABLE (B32a + B32b) B33

    At Rate (%)

  • C1

    C2

    C3

    C4

    C5

    C6

    C7

    C8

    C9

    C10

    C11

    C12

    C13

    C14

    C15

    C16

    C17

    D

    D

    D

    C7

    C8

    C9

    C10

    C11

    C12

    C13

    C14

    C15

    C16

    C17

    TOTAL (C7 - C8)

    AGGREGATE INCOME (C9 + C15)

    6

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

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

    [Declare amount in Ringgit Malaysia currency (RM)]

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

    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)

    Partnership 1

    Partnership 2

    Partnership 3 + 4 and so forth (if any)

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

    Aggregate statutory income from businesses (C1 to C6)

    Statutory Income from Other Sources

    Rents and premiums

    Annuities and other periodical payments

    Other gains or profits

    Additions pursuant to paragraph 43(1)(c)

    Discounts

    Aggregate statutory income from other sources (C10 to C15)

    LESS: Current year business losses (Restricted to amount in C16)

  • LESS: Donations and Gifts

    C21

    C24

    C25

    C27

    C28

    C32a

    C32b

    C32c

    C26

    C32

    C32d

    C33

    Total donations and gifts (C21 to C27)

    Other income (please specify )

    TOTAL INCOME / CHARGEABLE INCOME (C31 to C32d)

    C21

    C24

    C25

    C26

    C27

    C28

    C32a

    C32b

    C32d

    C33

    7

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

    C32c _>>_>>_>>? , , ,

    C29

    C30

    C31

    TOTAL (C20 C28) (Enter '0' if value is negative)

    TAXABLE PIONEER INCOME

    TOTAL (C29 + C30)

    C29

    C30

    C31

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    C21A

    C22

    C23

    Restricted to 7% of C16

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    C18 C18 TOTAL (C16 - C17)

    C19

    C20 C20

    C19

    LESS : Other expenditure

    TOTAL (C18 C19) (Enter if value is negative)

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

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

    Gift of money approved institutions and organizations

    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 approved project of national interest approved by the Minister of Finance

    Gift of artifacts, 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

    Zakat perniagaan (Restricted to 2.5% of amount in C16)

    Gross income subject to tax at other rates

    Interest

    Royalties

    Special classes of income under section 4A

  • 8

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

    C34a

    C34 COMPUTATION OF TAX CHARGEABLE

    Division of chargeable income according to the rate applicable

    TOTAL TAX CHARGEABLE (C34a to C34g)

    Gross income subject to tax at other rates

    Chargeable Income Rate (%) Tax Chargeable

    28

    5

    8

    10

    12

    15

    C35

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    PART D: TAX PAYABLE / REPAYABLE

    C34c

    C34d

    C34e

    C34b

    C34f

    C34g

    C35

    D1

    D2

    D3

    D4

    D5

    D6

    TOTAL TAX CHARGEABLE (from B33 or C35)

    Section 110 tax deduction (others)

    Section 132 tax relief

    TAX REPAYABLE * [(D2 + D3 + D4) - D1] OR

    LESS

    D6

    D2

    D3

    D4

    D5

    D1

    Section 133 tax relief

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

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    Restricted to D1

    E1

    E4

    E2

    E3

    Tax payable (from D5)

    LESS : Instalments paid

    Balance of tax payable * (E1 - E2)

    Tax paid in excess * (E2 - E1)

    E2

    E3

    E4

    E1

    OR

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    PART E: STATUS OF TAX FOR YEAR OF ASSESSMENT 2015

    * Please enter the tax position (D5 / D6 / E3 / E4 whichever is applicable) under the item Status of Tax on page 1

  • >>>>>>>? Name Income Tax No.

    G1

    G2

    Type of Income Gross Amount

    PART G : INCOME OF PRECEDING YEARS NOT DECLARED Year for Which Paid

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    H1

    H1a

    H1b

    H1c Losses carried forward [H1a + H1b]

    PART H :

    LOSSES

    H1a

    Balance from current year losses

    H1b

    H1c

    Balance Carried Forward

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    H1d Pioneer loss

    Amount Absorbed

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    H3a

    H3

    Total Gross Amount Paid

    107A

    H3b

    H3c

    H3d

    PARTICULAR OF WITHHOLDING TAXES

    109

    109A

    109B

    Total Tax Withheld and Remitted to LHDNM

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    Section

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    H2e

    H2

    H2f

    Business 1 H2a

    H2b

    H2c

    H2d

    CAPITAL ALLOWANCES Allowance Absorbed

    Business 2

    Business 3 + 4 and so forth (if any)

    Partnership 1

    Partnership 2

    Partnership 3 + 4 and so forth (if any)

    Balance Carried Forward

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    PART F :

    F1

    F2 Disposal been declared to LHDNM. (if F1 = 1)

    Disposal of asset under the Real Property Gains Tax Act 1976. 1 = Yes 2 = No

    PARTICULARS OF BUSINESS INCOME

    DISPOSAL OF ASSET UNDER THE REAL PROPERTY GAINS TAX ACT 1976

    1 = Yes 2 = No

  • 10

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

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    J1

    J5

    J2

    K1

    Claim Code Claim Code Amount

    J3

    J4

    TOTAL CLAIMED

    Type of Incentive

    K2

    Amount

    Amount Absorbed Balance Carried Forward

    J5

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    PART H: SPECIAL DEDUCTION, FURTHER DEDUCTION AND DOUBLE DEDUCTION

    PART K: INCENTIVE CLAIM

    Schedule 4 Qualifying Expenditure

    Increased Exports Allowance for Qualifying Services

    L1

    L3

    L4

    L5

    L12

    L6

    L13

    INCOME:

    L1

    L7

    L8

    L9

    L11

    L3

    L4

    L10

    TOTAL INCOME (L1 to L12) L13

    L5

    L12

    L7

    L8

    L9

    L11

    L10

    L6

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    PART L : FINANCIAL PARTICULARS OF ASSOCIATION

    Seminars / conventions / training

    Donations

    Publishing

    Visitors' / green fees

    Annual / Members' Fees

    Receipts from non-members

    Other businesses

    Dividends

    Interest and discounts

    Other income

    Rents, royalties and premiums

    L2 L2 , , , Entrance Fees

    K2

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    11

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

    L15

    L14

    L16

    L20

    EXPENSES:

    L20

    L16

    L17

    L18

    L19

    L17

    L18

    L19

    L15

    L14

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    Seminars / conventions / training

    Legal & professional fees

    Rental / lease

    Meetings

    Travelling and accommodation

    Interest

    Salaries and wages

    L21A L21A , , , Input tax not claimable from The Royal Malaysian Customs Department

    L22 L22 , , , Other expenses

    L25

    L24 L24

    L25

    SURPLUS / DEFICIT

    L23 L23

    Non-allowable expenses

    TOTAL EXPENSES (L14 to L22)

    (Enter if negative) !

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    Current Assets:

    L32

    L33

    L32

    L33

    L34

    L35

    L34

    L35

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    Stock

    Short-term savings

    Trade debtors

    Sundry debtors

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    L28

    L30 TOTAL FIXED ASSETS (L26 to L29) L30

    L31

    L29

    L31 Investments

    L27

    L26

    L28

    L29

    L27

    L26

    BALANCE SHEET Fixed Assets:

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    Plant and machinery

    Land and buildings

    Motor vehicles

    Other fixed assets

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    L21 L21 , , , Welfare / Charitable expenses

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    M2

    M6

    M4 M4

    M3 M3

    M1

    M2

    M1

    M5

    M6

    M5

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    PART M : PARTICULARS OF EXEMPT INCOME

    Interest

    Business and Partnership

    Pioneer income

    Other income

    Rents

    Dividends

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    L43

    L46

    L44

    L45

    L42

    LIABILITIES:

    L41

    TOTAL LIABILITIES (K41 to K45)

    L44

    L43

    L42

    L41

    L46

    L45

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    L47

    L48

    L49

    L47

    L48

    L49

    (Enter negative)

    L50

    L51

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    Loans and overdrafts

    Trade creditors

    Long term liabilities

    Sundry creditors

    Other current liabilities

    Current year's surplus / deficit

    Transfer to special fund

    Current account balance carried forward

    Special fund balance

    Current account balance brought forward

    (Enter negative)

    (Enter negative)

    , , ,

    L38

    TOTAL ASSETS (L30 + L31 + L39)

    L39

    L40

    TOTAL CURRENT ASSETS (L32 to L38)

    L37

    L38

    L39

    L40

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    L37 (Enter if negative)

    Cash at bank

    Other current assets

    , , , L36 L36 _>>_>>_>>? Cash in hand

  • a Name of Firm >>>>>>>>>>>>>>>>>>>>>?

    >>>>>>>>>>>>>>>>>>>>>? b Telephone No. - >>>>>>>>>>?

    >>>>>>>>>>>>?

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

    Designation

    Signature

    Day Month Year

    - - Date

    I >>>>>>>>>>>>>>>>>>>>>>>>>?

    >>>>>>>>>>>>>>>>>>>>>>>>>?

    >>>>>>>>>?

    >>>>>?

    >>>>>>>>>>>>>>>>>>>>>?

    >>>>>>>>>>>>>>>>>>>>>?

    Identification No. / 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 this organization as required under the Income Tax Act 1967.

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

    c No.

    Signature

    Day Month Year

    - - Date >>>>>?