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TF 2010 1 2 F A1 A2 A3 A5 A6 A7 A8 A9 A10 % E - <>>>>>>>>>>>>>>>>>>>>>>>>>? <>>>>>>>>>>>>>>>>>>>>>>>>>? <>>>>>>>>? <? <>>>>>>? <>? A4 ! ! ! ! <>>>>>>>>>>>>>>>>>>>>>>>>>? - <>>>>>>>>>>>>>>>>>>>>>>>>>? A10a ! <>>>>>>>>? <>>>>>>? CP 2D - Pin. 2010 A10b ! 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 and 9 ) (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’) 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) Compliance with Public Rulings 1 = Yes 2 = No Tax Exemption Approval 1 = Yes 2 = No Tax Exemption Approval No. (if any) Registration Certificate No. (if any) Date Established Day Month Year Type of Association 1 = Institution 2 = Association 3 = Religious Institution/Organization 4 = Trade Association 5 = Club 6 = Fund 7 = Management 8 = Others Corporation Percentage of Expenses Incurred on Association's Activities Employer's No. Record-keeping 1 = Yes 2 = No Carry-back of Current Year Loss 2 = No 1 = Yes For Office Use Date received (3) Date received (1) Date received (2)

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TF

2010

1

2 F

BAHAGIAN A:

A1 A2

A3

A5

A6 A7

A8 A9

A10

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E

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MAKLUMAT PERTUBUHAN

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CP 2D - Pin. 2010

A10b !

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 ( f rom page 8 and 9 ) ( 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’)

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)

Compliance with Public Rulings

1 = Yes

2 = No

Tax Exemption Approval 1 = Yes

2 = No

Tax Exemption Approval No.

(if any)

Registration Certificate No. (if any)

Date Established

Day Month Year

Type of Association

1 = Institution 2 = Association 3 = Religious Institution/Organization 4 = Trade Association 5 = Club 6 = Fund 7 = Management 8 = Others Corporation

Percentage of Expenses Incurred on Association's Activities

Employer's No. Record-keeping 1 = Yes

2 = No

Carry-back of Current Year Loss

2 = No 1 = Yes

For Office Use

Date received (3)

Date received (1)

Date received (2)

2

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A14

Postcode

State

Town

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Town Postcode

A12

State

A13

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A11

Postcode

State

Town

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

A14a <>>>>>>>>>>>>>>>>>>>>>>?

Name Income Tax No.

Correspondence Address of Association

Registered Address

Address Where Association's Records are Maintained 1 = If maintained at address as per A11 2 = If maintained at address as per A12 3 = If maintained at an address other than A11 and A12

Other Address (if A13 = 3)

Website / Blog Address

3

<>>>>>>>>?Name

A16

A16a

A16b

A16c

Name of Bank

Bank Account No.

Address of Bank

Postcode

State

Town

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A15d Income Tax No.

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A15e Telephone No.

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A15b

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A15c Pasport No.

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A15

A15a Name

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Income Tax No.

Particulars of Association's Controlling Members

Manager / President *

Secretary

Treasurer

Manager / President *

Secretary

Treasurer

Identity Card / Police / Army No.*

Manager / President *

Secretary

Treasurer

Type of File: SG/OG/C

Type of File: SG/OG/C

Type of File: SG/OG/C

* delete whichever is not relevant

Particulars of Association's Bank Account (for purpose of income tax refund, if any)

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

B18

B14

B15

B16

B17

B18

AGGREGATE INCOME (B9 + B16)

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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

Dividends

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)

LESS: Current yea r bus iness losses (Restricted to amount in B17)

LESS : Other expenditure

B20

B21

B22

B26

B27

B29

B31

B30

B32

TOTAL (B19 - B20)

LESS : Donations and Gifts

5

B20

B21

B25

B27

B29

B31

B30

B32

TOTAL (B21 – B29)

(Enter ‘0’ if value is negative)

(Enter ‘0’ if value is negative)

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B28 B28 <>_>>_>>_>>?, , ,

TAXABLE PIONEER INCOME

TOTAL INCOME / CHARGEABLE INCOME (B30 + B31)

B22

B26

B22A

B23

B24

Restricted to 7% of B17

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B25

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B33a

B33b

B33

B34

Tax on the first

Tax on the balance

TOTAL TAX CHARGEABLE (B33a + B33b) B34

At Rate (%)

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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 to approved institutions and organizations

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

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

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 (B22 to B28)

Zakat perniagaan (Restricted to 2.5% of amount in B17)

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

C1

C2

C3

C4

C5

C6

C7

C8

C9

C10

C11

C12

C13

C14

C15

C16

C17

C18

D

D

D

C7

C8

C9

C10

C11

C12

C13

C14

C15

C16

C17

C18

TOTAL (C7 - C8)

AGGREGATE INCOME (C9 + C16)

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

Dividends

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 C17)

LESS: Donations and Gifts

C22

C25

C26

C28

C29

C33a

C33b

C33c

C27

C33

C33d

C34

Total donations and gifts (C22 to C28)

Other income (please specify )

TOTAL INCOME / CHARGEABLE INCOME (C32 to C33d)

C22

C25

C26

C27

C28

C29

C33a

C33b

C33d

C34

7

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C33c <>_>>_>>_>>?, , ,

C30

C31

C32

TOTAL (C21 – C29) (Enter '0' if value is negative)

TAXABLE PIONEER INCOME

TOTAL (C30 + C31)

C30

C31

C32

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C22A

C23

C24

Restricted to 7% of C17

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C19 C19TOTAL (C17 - C18)

C20

C21 C21

C20

LESS : Other expenditure

TOTAL (C19 - C20) (Enter ‘0’ 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 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

Zakat perniagaan (Restricted to 2.5% of amount in C17)

Gross income subject to tax at other rates

Interest

Royalties

Special classes of income under section 4A

D1

D2

D3

D4

D5

D6

TOTAL TAX CHARGEABLE (from B34 or C36)

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

Section 110 tax deduction (others)

Section 132 tax relief

8

TAX REPAYABLE * [(D2 + D3 + D4 + D5) - D1]

OR

LESS

D6

D2

D3

D4

D5

D1

D7

Section 133 tax releif

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

D7

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C35a

C35c

C35d

C35e

C35

C35b

C35f

C35g

C36

COMPUTATION OF TAX CHARGEABLE

Division of chargeable income according to the rate applicable

TOTAL TAX CHARGEABLE (C35a to C35g)

Gross income subject to tax at other rates

Chargeable Income Rate (%) Tax Chargeable

26

5

8

10

12

15

C36

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Restricted to D1

PART D: TAX PAYABLE / REPAYABLE

[For a ’Tax Repayable’ case, fill in items A16a, A16b and A16c on page 3]

E1

E4

E2

E3

Tax payable (from D6)

LESS : Instalments paid

Balance of tax payable * (E1 - E2)

Tax paid in excess * (E2 - E1)

E2

E3

E4

9

E1

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F1

F2

Type of Income Gross Amount Year for Which Paid

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G1

G1a

G1b

G1c Losses carried forward [G1a(ii) + G1b]

LOSSES

G1a(ii)

Balance from previous years’ losses

Balance from current year losses

G1b

G1c

Balance Carried Forward

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Amount Carried Back

G1d Pioneer loss

Amount Absorbed

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PART E: STATUS OF TAX FOR YEAR OF ASSESSMENT 2010

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

PART F: INCOME OF PRECEDING YEARS NOT DECLARED

PART G: PARTICULARS OF BUSINESS INCOME

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H1

H5

H2

J1

J3

Claim Code

Schedule 7A Allowance

Claim Code Amount

H3

H4

TOTAL CLAIMED

Type of Incentive

J3

J2

Amount

Amount Absorbed Balance Carried Forward

H5

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G3a

G3 Total Gross Amount Paid

107A

G3b

G3c

G3d

PARTICULARS OF WITHHOLDING TAXES

109

109A

109B

Total Tax Withheld and Remitted to LHDNM

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G2

G2f

G2a

G2b

G2c

G2d

CAPITAL ALLOWANCES Allowance Absorbed Balanced Carried Forward

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Business 1

Business 2

Business 3 + 4 and so forth (if any)

Partnership 1

Partnership 2

Partnership 3 + 4 and so forth (if any)

PART H: SPECIAL DEDUCTION, FURTHER DEDUCTION AND DOUBLE DEDUCTION

PART J: INCENTIVE CLAIM

Schedule 4 Qualifying Expenditure

Increased Exports Allowance for Qualifying Services

K1

K2

K3

K4

K5

K12

K15

K6

K13

K14

11

INCOME:

K1

K7

K8

K9

K11

K2

K3

K4

K16

K20

EXPENSES:

K20

K16

K17

K18

K19

K17

K18

K19

K10

TOTAL INCOME (K1 to K12)

K15

K14

K13

K5

K12

K7

K8

K9

K11

K10

K6

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PART K: 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

Entrance Fees

Seminars / conventions / training

Legal & professional fees

Rental / lease

Meetings

Travelling and accommodation

Interest

Salaries and wages

K32

K33

K38

TOTAL ASSETS (K30 + K31 + K39)

12

K32

K39

K40

K33

K34

K35

TOTAL CURRENT ASSETS (K32 to K38)

K36

Current Assets:

K37

K34

K35

K36

K38

K39

K40

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K37(Enter “X” if negative)

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K25

K24

K28

K30 TOTAL FIXED ASSETS (K26 to K29)

K24

K25

SURPLUS / DEFICIT

K30

K31

K29

K31 Investments

K27

K26

K28

K29

K27

K26

K23K23

BALANCE SHEET

Non-allowable expenses

TOTAL EXPENSES (K14 to K22)

(Enter “X” if negative)

Fixed Assets:

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K21 K21 <>_>>_>>_>>? , , ,

K22 K22 <>_>>_>>_>>? , , , Other expenses

Welfare / Charitable expenses

Plant and machinery

Land and buildings

Motor vehicles

Other fixed assets

Cash in hand

Cash at bank

Stock

Short-term savings

Trade debtors

Sundry debtors

Other current assets

K43

K46

K44

K45

13

K42

LIABILITIES:

K41

TOTAL LIABILITIES (K41 to K45)

K44

K43

K42

K41

K46

K45

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

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

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

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

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

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

, , ,

, , ,

, , ,

, , ,

, , ,

, , ,

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

K47

MEMBERS’ FUNDS:

K48

K49

K47

K48

K49

(Enter “X” if negative)

K50

K51

!

!

!

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

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

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

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

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

K50

K51 , , ,

, , ,

, , ,

, , ,

, , ,

L2

L6

L4 L4

L3L3

L1

L2

L1

L5

L6

L5

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

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

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

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

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

, , ,

, , ,

, , ,

, , ,

, , ,

, , ,

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

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 “X” if negative)

(Enter “X” if negative)

PART L: PARTICULARS OF EXEMPT INCOME

Interest

Business and Partnership

Pioneer income

Other income

Rents

Dividends

a

State

Address of Firm

Name of Firm

c

d

f

Telephone No.

Handphone No.

e-mail e

Tax Agent’s Approval No.

b

Postcode Town

-

-

14

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

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

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

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

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

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

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

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

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

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

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

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

Designation

Signature

Day Month Year

- - Date <>>>>>>?

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

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

Designation

Signature

Day Month Year

- - Date

I <>>>>>>>>>>>>>>>>>>>>>>>>>>?

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

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

<>>>>>>?

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

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

DECLARATION BY ASSOCIATION’S CONTROLLING MEMBER

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

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

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

PENINSULAR MALAYSIA

SABAH & FT LABUAN

SARAWAK

Please read the following reminder before signing this return form

REMINDERPlease 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 TF 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.

All information has been clearly filled in the spaces provided.

Name and income tax number 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 EON Bank by using the bankpayment slip.

- CIMB, PBB, Maybank, EON Bank internet banking and Maybank phonebanking.

- 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 madepayable to the Director General of Inland Revenue. Use the RemittanceSlip (CP501) when making payment.

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

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

• Payment by CASH must not be sent by post.

(c) Pos Malaysia Berhad – counter and Pos Online

An increase in tax of 10% under subsection 103(3) ITA 1967 shall be imposed for failure topay the tax or balance of tax payable on or before 30 April 2011 (does not carry on business)OR 30 June 2011 (carry on business). Any balance remaining unpaid upon the expiration of60 days from the date of such increase, shall be further increase by 5% under subsection103(4) ITA 1967 of the balance unpaid.

RM

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. PAYMENT CODE INSTALMENT NO.

Amount of Payment

CP501 [Pin. 1/2010]

Name and Postal Address

084 99

!!!!!!!!!!!!, , , .

REMITTANCE SLIP

YEAR OF ASSESSMENT

2010

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

Cheque No. and Others

Name of Bank

Telephone No.

Date :

MALAYSIA INCOME TAXRemittance 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.

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

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 EON Bank by

using the bank payment slip. - CIMB, PBB, Maybank, EON Bank 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 (CP501) when making payment. 1.3 Pos Malaysia Berhad – counter and Pos Online