use black ink pen & do not fold · 2017. 2. 24. · (ii) (iii) (e) 3. (a) (b) appendix b1 and...
TRANSCRIPT
USE BLACK INK PEN & DO NOT FOLD
FORM C & FORM R 2008
BAYARAN POS JELASPOSTAGE 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 Further Information:-
• LHDNM Branch
• Hunting Line : 1-300-88-3010
• Main Line – Calls From Overseas : 603-4289-3500
• Website : http://www.hasil.org.my
To
:
FORM C AND FORM R FOR YEAR OF ASSESSMENT 2008
The above has reference.
2. a statement under section 77A of the Income Tax Act (ITA) 1967; an income tax computation pursuant to subsection 77A(3) of ITA 1967; and a notice of assessment under subsection 90(2) of the same Act.
Therefore, you are required to: complete this return form with care, correctly and clearly.
The amount of excess which is a debt due to the Government, shall be payable within the stipulated period. Use the Remittance Slip (CP207) for Form R (enclosed with the FormC) when making payment.
Detach the Remittance Slip (CP207) before you furnish the Form C. The Form C and Form R must be completed, affirmed, duly signed and furnished to LHDNM at the above address within the stipulated period.
Director General of Inland Revenue Lembaga Hasil Dalam Negeri Malaysia
Tax Reference No.
Date
:
:
Company Registration No.
:
compute your tax in accordance with the guidebook which is available at the website of Lembaga Hasil Dalam Negeri Malaysia (LHDNM). Working sheets/appendices (from the guidebook) usedfor computation need not be furnished with this return form but must be kept for a period of seven(7) years after the end of the year in which the return is furnished, for the purpose of examination byLHDNM.
furnish Form C (RK-T) / Form C (RK-S) which is available at the website if the company claims/surrenders loss under the Group Relief provision.
furnish the following appendices which are available at the website if entitled to a tax refund as per item A17 of this return form:
Form C is:
(a) (b)
(c)
(d)
(i) (ii)
(iii)
(e)
3. (a)
(b)
4.
Appendix B1 and original dividend vouchers;
Appendix B2 and relevant documents pertaining to the claim for section 110 tax deduction(others); and
Appendix B3/Appendix B4 (if applicable) and relevant documents relating to the foreign tax deducted in the country of origin.
use the Remittance Slip (CP207) for Form C when paying the balance of tax payable (if any) as per item B3 of this return form.
Form R is a statement under subparagraph 45(1)(a)(ii) Part II in Chapter II of the Finanace Act.
You are required to to complete this return form with care, correctly and clearly in accordance with the explanatory notes available at the website.
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
CP5ASULIT
Telephone Fax Website
: : : http://www.hasil.org.my
1-300-88-3010 03-42893400
• • •
5. Photocopy of the form and form furnished via fax are not acceptable.
<>>>>>>>>>>>>>>>>>>>>>>>>>>?I Name of company
PART A: TAX PAYABLE
Less:
<>>>>>>>>>>>>>>>>>>>>>>>>>>?
IV ! !
Employer’s no.
Resident in Malaysia (Indicate ‘X’)
V <?Country of residence (Use the Country Code)
VI <>>>>>>>>>>? Company registration no.
Declare in Ringgit Malaysia currency
II Tax reference no. <>>>>>>>>? C
III <>>>>>>>>>>? E
Yes No
Apportionment of Chargeable Income
LEMBAGA HASIL DALAM NEGERI MALAYSIA RETURN FORM OF A COMPANY UNDER
SECTION 77A OF THE INCOME TAX ACT 1967This form is prescribed under section 152 of the Income Tax Act 1967 C
Form CP5 [Pin. 2008]
YEAR OF ASSESSMENT
2008
<_>>_>>_>>_>>?A1 CHARGEABLE INCOME [ from ( C32 + C33 ) ] , , , A1 ,
!!Yes No IX Compliance with Public Rulings (Indicate ‘X’)
X Record-keeping (Indicate ‘X’) !!Yes No
Substantial change in shareholding and subsection 44(5A) applies (Indicate ‘X’)
XII
!1 = Claim 2 = Surrender 3 = Not relevant
Claim / Surrender loss under the Group Relief provision
[If claiming, submit Form C (RK-T); If surrendering, submit Form C (RK-S)]
XI
Rate (%) Income Tax
<>_>>_>>_>>_>?<>_>>_>>_>>_>?<>_>>_>>_>>_>?<>_>>_>>_>>_>?<>_>>_>>_>>_>?<>_>>_>>_>>_>?<>_>>_>>_>>_>?<>_>>_>>_>>_>?
A2
A3
A4
A6
A7
A8 TOTAL INCOME TAX CHARGED (A2 to A7 )
5
8
10
15
20
26
<>_>>_>>_>>?<>_>>_>>_>>?<>_>>_>>_>>?<>_>>_>>_>>?<>_>>_>>_>>?<>_>>_>>_>>?<>_>>_>>_>>? <_?
A8
A5
A5A
, , ,
, , ,
, , ,
, , ,
, , ,
, , ,
, , ,
, , ,
, , ,
, , ,
, , ,
, , ,
, , ,
, , ,
, , , .
.
.
.
.
.
.
.
.
1
PART B: STATUS OF TAX FOR YEAR OF ASSESSMENT 2008
A17 TAX REPAYABLE ( A15 – A8 )
Or
B4 Tax paid in excess Or
A12
B4
A11 Tax deduction under section 110 of Income Tax Act1967 / section 51 of Finance Act 2007 (dividends) <>_>>_>>_>>_>?A11 , , , .
<>_>>_>>_>>_>?A12 Section 110 tax deduction (others) , , , .
<>_>>_>>_>>_>?A13 Section 132 tax relief A13 , , , . <>_>>_>>_>>_>?A14 Section 133 tax relief A14 , , , .
A15 Total Tax Reduction / Deduction / Relief ( A9 to A14 ) A15 <>_>>_>>_>>_>?, , , . <>_>>_>>_>>_>?A16 TAX PAYABLE ( A8 – A15 ) A16 , , , .
A17
<>_>>_>>_>>_>?B1 Tax payable ( from A16 ) , , , B1 . <>_>>_>>_>>_>?B2 Instalment payments made
, , , Less: B2 . B3 Balance of tax payable B3 <>_>>_>>_>>_>?, , , .
<>_>>_>>_>>_>?, , , .
A10 Section 110B tax deduction <>_>>_>>_>>_>?A10 , , , .
A9 Tax reduction on income derived from exploration and exploitation of petroleum in a Joint Development area <>_>>_>>_>>_>?A9 , , , .
VII
VIII
Opening date of accounts
Closing date of accounts <>>>>>>?
<>>>>>>?
[Submit Form 13 if there is a change in name)
!1 = Yes 2 = No 3 = Not relevant
<>_>>_>>_>>_>?, , , .
<>_>>_>>_>>?
<>_>>_>>_>>?<>_>>_>>_>>?
<>>>?C1
<>>>>>>>>?
Business Code Amount
Business 1
Business 2
Tax Reference No. Statutory Partnership Income Amount
Partnership 1
Partnership 2
Aggregate statutory income from businesses ( C1 to C10 )
D
D
D
Statutory Business Income
Business 3
Business 4
Business 5 + 6 and so forth C5
C4
C3
C2
Partnership 3
Partnership 4
Partnership 5 + 6 and so forth
D
D C10
C9
C8
C7
C6
C11
C12
C13
C14
C15
C16
C17
C18
C19
C20
C21
C22
C23
C24
C25
TOTAL ( C11 - C12 )
Business losses brought forward (Restricted to C11)
Other Statutory Income
Interest and discounts
Rents, royalties and premiums
Other income
Additions pursuant to paragraph 43(1)(c)
Aggregate statutory income from other sources ( C14 to C17 )
AGGREGATE INCOME ( C13 + C18 )
Current year business losses (Restricted to C19)
TOTAL ( C19 - C20 )
Other Expenses
Prospecting expenditure - Schedule 4 and paragraph 44(1)(b)
Pre-operational business expenditure - Schedule 4B andparagraph 44(1)(b)
Expenditure allowed under sectionn 60F or 60H
TOTAL ( C21 - C22 – C23 - C24 ) (Enter ‘0’ if value is negative)
Less:
Less:
Less:
C11
C12
C13
C14
C15
C16
C17
C18
C19
C20
C21
C22
C23
C24
C25
<>>>?<>>>?<>>>?
<>>>>>>>>? <>>>>>>>>? <>>>>>>>>?
<>>>?
<>>>>>>>>? <>_>>_>>_>>?,
<>_>>_>>_>>?, ,
<>_>>_>>_>>?, , ,
, , ,
<>_>>_>>_>>?, ,
<>_>>_>>_>>?,
, , ,
<>_>>_>>_>>?, , ,
<>_>>_>>_>>?, , ,
<>_>>_>>_>>?, , ,
<>_>>_>>_>>?, , ,
<>_>>_>>_>>?, , ,
, , ,
<>_>>_>>_>>?<>_>>_>>_>>?
, , ,
, , ,
, , ,
, , ,
Name of Company:
……………………………..……………………………………………………………...
…………………………………………………………………….
2
STATUTORY INCOME, TOTAL INCOME AND CHARGEABLE INCOME PART C:
<>_>>_>>_>>?, , ,
<>_>>_>>_>>?, , ,
<>_>>_>>_>>?, , ,
<>_>>_>>_>>?, , ,
<>_>>_>>_>>?, , ,
<>_>>_>>_>>?, , ,
<>_>>_>>_>>?, , ,
<>_>>_>>_>>?, , ,
<>_>>_>>_>>?, , ,
<>_>>_>>_>>?, , ,
<>_>>_>>_>>?<>_>>_>>_>>?
<>_>>_>>_>>?C29
C27
C26
Zakat perniagaan (restricted to 2.5% of aggregate income in C19)
Donation (gifts of money / contributions – restricted to 7% of aggregate income in C20 for gifts of money except to the government)
Less:
TOTAL INCOME ( C25 - C26 - C27 - C28 ) (Enter ‘0’ if value is negative)
C26
C27
C29
, , ,
, , ,
, , ,
<>_>>_>>_>>? C28 Loss claim under Group Relief provision C28 , , ,
C <>>>>>>>>?
<>_>>_>>?
<>_>>_>>?
<>_>>_>>?
<>_>>_>>?
<>_>>_>>?
<>_>>_>>?
<>_>>_>>?
<>_>>_>>?
<>_>>_>>?
<>_>>_>>?
<>_>>_>>_>>?
<>_>>_>>_>>?
<>_>>_>>_>>?
<>_>>_>>_>>?
<>?
Amount
, ,
C31
CHARGEABLE INCOME ( C29 + C30 + C31 )
D3
D2
D1
C33
C32
D4
D5
D11
E1
E2
E3
E4
E5
E6
E7
E8
E9
E10
CHARGEABLE INCOME OF FOREIGN FUND MANAGEMENT(section 60G)
Business 1
Claim Code
TAXABLE PIONEER INCOME
Amount
TOTAL CLAIMED
PART D: SPECIAL DEDUCTION. DOUBLE DEDUCTION AND FURTHER DEDUCTION
PART E: CAPITAL ALLOWANCE CLAIM
Amount Absorbed
E1(a)
E5(a)
E4(a)
E3(a)
E2(a)
Partnership Amount Absorbed
E6(a)
E10(a)
E9(a)
E8(a)
E7(a)
C31
C32
C33
Claim Code
D8
D7
D6
D9
D10
Balance Carried Forward
E1(b)
E5(b)
E4(b)
E3(b)
E2(b)
Balance Carried Forward
E6(b)
E10(b)
E9(b)
E8(b)
E7(b)
<>? , ,
<>?
<>? , ,
<>? , ,
, ,
<>_>>_>>_>>?, , ,
<>_>>_>>_>>?, , ,
<>_>>_>>_>>?, , ,
<>_>>_>>_>>?, , ,
<>_>>_>>_>>?, , ,
<>_>>_>>_>>?, , ,
<>_>>_>>_>>?, , ,
<>_>>_>>_>>?, , ,
<>_>>_>>_>>?, , ,
<>_>>_>>_>>?, , ,
, , ,
, , ,
, , ,
<>? , ,
<>? , ,
<>? , ,
<>? , ,
<>? , ,
<>_>>_>>_>>?, , ,
<>_>>_>>_>>?, , ,
<>_>>_>>_>>?, , ,
<>_>>_>>_>>?, , ,
<>_>>_>>_>>?, , ,
<>_>>_>>_>>?, , ,
<>_>>_>>_>>?, , ,
<>_>>_>>_>>?, , ,
<>_>>_>>_>>?, , ,
<>_>>_>>_>>?, , ,
, , ,
Total capital allowance on assets acquired in the basis periodE11 E11 <>_>>_>>_>>?, , ,
Name of Company:
……………………………..……………………………………………………………...
…………………………………………………………………….
3
C <>>>>>>>>?
D11
Total capital allowance brought forward but disregarded due to substantial change in shareholding E12 E12 <>_>>_>>_>>?, , ,
Business n 2
Business 3
Business 4
Business 5 + 6 and so forth
Business
Partnership 1
Partnership 2
Partnership 3
Partnership 4
Partnership 5 + 6 and so forth
<>_>>_>>_>>?C30 Statutory income from dividends C30 , , ,
Name od Company:
……………………………..……………………………………………………………...
……………………………………………………………………
4
C <>>>>>>>>?CLAIM FOR LOSSESPART F:
F1
Type of Loss
<_>>_>>_>>?, , ,
Balance Carried Forward
F1(b) F1(a) <_>>_>>_>>?, , ,
Amount Disregarded
F2
F1A
F5
F4
F3
Losses surrendered under Group Relief provision
Pioneer losses
Losses from approved service projects Business losses from Operational Headquarters/Foreign Fund Management Shipping losses under section 54A
Business / Partnership losses
PART G: INCENTIVE CLAIM
F2(a)
F3(a)
F4(a)
F5(a)
F1A(a) <_>>_>>_>>?, , ,
<_>>_>>_>>?, , ,
<_>>_>>_>>?, , ,
<_>>_>>_>>?, , ,
F2(b)
F3(b)
F4(b)
F5(b)<_>>_>>_>>?, , ,
<_>>_>>_>>?, , ,
<_>>_>>_>>?, , ,
<_>>_>>_>>?, , ,
<_>>_>>_>>?, , ,
Balance Carried Forward
Amount Surrendered
Amount Absorbed
Amount Absorbed Type of Incentive Balance Carried Forward
G10 TOTAL TRANSFERRED TO EXEMPT ACCOUNT[ G1(a) to G6E(a) ] G10
, , ,
G7 Schedule 4 expenditure G7 <>_>>_>>_>>? , , , G8 G8 <>_>>_>>_>>?, , , G9 TOTAL CLAIM TUNTUTAN [ C22, C23 dan G1(a) hingga G6E(a) ] G9 <>_>>_>>_>>?, , ,
<>_>>_>>_>>? , , ,
G1 Investment Tax Allowance
G1(a) G1(b) <>_>>_>>_>>?, , , <>_>>_>>_>>?G2 Industrial
Adjustment Allowance
G2(a) G2(b) <>_>>_>>_>>? , , , <>_>>_>>_>>?, , ,
G3 Infrastructure Allowance
G3(a) G3(b) <>_>>_>>_>>?, , , <>_>>_>>_>>?, , , G4 Schedule 7A
Allowance G4(a) G4(b) <>_>>_>>_>>?, , , <>_>>_>>_>>?, , ,
G6 Increased Exports Allowance
G6(a) G6(b) <>_>>_>>_>>? , , , <>_>>_>>_>>?, , ,
G6A Allowance for Increased Agriculture Exports
G6A(a) G6A(b) <>_>>_>>_>>?, , , <>_>>_>>_>>?, , ,
G6B Increased Exports Allowance for Malaysian International Trading Company
G6B(a) G6B(b) <>_>>_>>_>>? , , , <>_>>_>>_>>?, , ,
G6C Value of Increased Export of Services
G6C(a) G6C(b) <>_>>_>>_>>? , , , <>_>>_>>_>>?, , ,
G5 Schedule 7B Allowance
G5(a) G5(b) <>_>>_>>_>>? , , , <>_>>_>>_>>?, , ,
G6D Special Incentive for Exports
G6D(a) G6D(b) <>_>>_>>_>>? , , , <>_>>_>>_>>?, , ,
F1A(b) <_>>_>>_>>?, , ,
Balance Carried Forward
Schedule 4B expenditure
G6E Allowance for Bionexus status company
G6D(a) G6D(b) <>_>>_>>_>>? , , , <>_>>_>>_>>?, , ,
<>_>>_>>_>>?
<>_>>_>>_>>?
<>_>>_>>_>>?
Amount
Foreign income remittances
PART H: INCOME TRANSFERRED TO EXEMPT ACCOUNT
H1 <>_>>_>>_>>? , , ,
H2 , , ,
H3 , , , H4 <>_>>_>>_>>? , , ,
H5 <>_>>_>>_>>? , , ,
H6 <>_>>_>>_>>? , , ,
H6A , , ,
H7 <>_>>_>>_>>?, , ,
H7A <>_>>_>>_>>?, , ,
H7B <>_>>_>>_>>?, , ,
H8 <>_>>_>>_>>?, , ,
H9 <>_>>_>>_>>?, , ,
H10 <>_>>_>>_>>? , , ,
H11 <>_>>_>>_>>? , , ,
H12 <>_>>_>>_>>?, , , H13 <>_>>_>>_>>? , , ,
H14 <>_>>_>>_>>?, , ,
H15 <>_>>_>>_>>? , , ,
H16 <>_>>_>>_>>?, , ,
H17 <>_>>_>>_>>?, , ,
H1
H2
H3
H4
H5
H6
H6A
H7
H7A
H7B
H8
H9
H10
H11
H12
H13
H14
H15
H16
H17
<>_>>_>>_>>?, , ,
H18
<>_>>_>>_>>?
, , ,
H19
H18
Pioneer income / Portion of pioneer income
Exempt income from approved service projects
Exempt income under subsection 60A(2)
Exempt income under subsection 60B(2)
Income of Venture Capital Company
Income of Venture Capital Management Company
Income of Operational Headquarters Company
Exempt income of International Procurement Company
Exempt income of Regional Distribution Centre
Income of Foreign Fund Management Company
Income of Closed-end Fund Company
Income from Domestic Tour and / or Group Inclusive Tour Operating Business
Tax exempt dividend income
Shipping income under section 54A
Exempt income under paragraph 127(3)(b) and subsection 127(3A)
Income of organisers of approved international trade exhibitions
Income from offshore trading via website in Malaysia
Exempt income from the provision of chartering services of luxury yachts
Income from approved food production projects
Income of conference promoter in Malaysia
Income of Bionexus status company H19
Name of Company:
……………………………..……………………………………………………………...
…………………………………………………………………….
5
C <>>>>>>>>?
, , , <>_>>_>>_>>?H20 H20Income from branches / investee companies established by banks outside Malaysia
, , , <>_>>_>>_>>?, , ,
H21
<>_>>_>>_>>? H22
H21Income from Islamic banking and takaful business transacted in international currencies
Income from business of providing Islamic fund management services to foreign and local investors in Malaysia H22
, , , <>_>>_>>_>>?H24 H24TOTAL TRANSFERRED TO EXEMPT ACCOUNT
, , , <>_>>_>>_>>? H23 Income exempted under subsection 60AA(22) H23
Name of Company:
……………………………..……………………………………………………………...
…………………………………………………………………….
6
Business Income:
Business code (main business)
Sales / Turnover (main business)
L1
L2
L1
L2 <>_>>_>>_>>?, , ,
<>>>?
L3
L4
L4A
L5
L6
L7
L8
L9
L10
L11
L12
Less:
Opening stock
Purchases
Cost of production
Closing stock
Cost of sales
GROSS PROFIT ( L2 - L6 ) / GROSS LOSS ( L6 - L2 ) (Enter ‘X’ if value is negative)
Other business income
Other income
Non-taxable profits
Expenditure:
Interest
Professional, technical management and legal fees
L3
L4
L4A
L5
L6
L7
L8
L9
L10
L11
L12
<>_>>_>>_>>? , , ,
<>_>>_>>_>>? , , ,
<>_>>_>>_>>? , , ,
<>_>>_>>_>>? , , ,
<>_>>_>>_>>?, , ,
<>_>>_>>_>>?, , , !
<>_>>_>>_>>?, , ,
<>_>>_>>_>>?, , ,
<>_>>_>>_>>?, , ,
<>_>>_>>_>>? , , ,
<>_>>_>>_>>? , , ,
L13
L14
Contract payments
Salaries and wages
L13
L14
<>_>>_>>_>>? , , ,
<>_>>_>>_>>? , , ,
L15
L16
L17
L18
Royalties
Rental / lease
Maintenance and repairs
Research and development
L15
L16
L17
L18
<>_>>_>>_>>? , , ,
<>_>>_>>_>>? , , ,
<>_>>_>>_>>? , , ,
<>_>>_>>_>>? , , ,
FINANCIAL PARTICULARS OF COMPANY PART L:
C <>>>>>>>>>>?
PART K: DISPOSAL OF SHARES IN A REAL PROPERTY COMPANY AND DISPOSAL OF REAL PROPERTY SUBJECT TO REAL PROPERTY GAINS TAX [ROVISION
K1 !!
! !
Any disposal of shares in a real property company and / or real property before 1st April 2007? Yes
Yes
No
No
(Enter ‘X’ in the relevant box)
K2 Has the disposal been declared to LHDNM?(If K1 = ‘Yes’)
L12A Technical fee payments to non-resident recipients L12A <>_>>_>>_>>? , , ,
L14A Cost of Employee Stock Options L12 <>_>>_>>_>>? , , ,
<>_>>_>>_>>?
<>_>>_>>_>>? <>_>>_>>_>>?
J1 <>_>>_>>_>>? , , ,
I3
, , , I2
, , ,
I1
, , ,
PART I: EXEMPT ACCOUNT
PART J: INCOME OF PRECEDING YEAR NOT DECLARED
I1
I2
I3
J1
Credit in account
Tax exempt dividend paid
Balance carried forward
Chargeable income of preceding year not declared (if any)
Amount
!(Enter ‘X’ if value is negative)
Name of Company:
……………………………..……………………………………………………………...
…………………………………………………………………….
7
Motor vehicles
TOTAL FIXED ASSETS
Fixed Assets:
Plant and machinery
Land and buildings
Other fixed assets
L25 L25 <>_>>_>>_>>? , , , L26
L27
L28
L29
L30
L31
L32
L32A
L33
L34
L35
L36
L37
L38
L39
L40
L41
L42
L43
Current Assets:
Investments
Trade debtors
Sundry debtors
Stock
Loans to directors
Cash in hand and cash at bank
Other current assets
TOTAL CURRENT ASSETS
TOTAL ASSETS ( L29 + L30 + L36 )
Current Liabilities: LIABILITIES AND OWNERS’ EQUITY
Loans and overdrafts
Trade creditors
Sundry creditors
Loans from directors
Other current liabilities
TOTAL CURRENT LIABILITIES
L26
L27
L28
L29
L30
L31
L32
L32A
L33
L35
L36
L37
L38
L39
L40
L41
L42
L43
<>_>>_>>_>>? , , ,
<>_>>_>>_>>? , , ,
<>_>>_>>_>>? , , ,
<>_>>_>>_>>?, , ,
<>_>>_>>_>>?, , ,
<>_>>_>>_>>? , , ,
<>_>>_>>_>>? , , ,
<>_>>_>>_>>? , , ,
<>_>>_>>_>>? , , ,
<>_>>_>>_>>? , , ,
<>_>>_>>_>>? , , ,
<>_>>_>>_>>?, , ,
<>_>>_>>_>>?, , ,
<>_>>_>>_>>? , , ,
<>_>>_>>_>>? , , ,
<>_>>_>>_>>? , , ,
<>_>>_>>_>>? , , ,
<>_>>_>>_>>? , , ,
<>_>>_>>_>>?, , , L44 Long-term liabilities L44 <>_>>_>>_>>?, , , L45 TOTAL LIABILITIES L45 <>_>>_>>_>>?, , ,
C <>>>>>>>>?
(Tandakan ‘X’ jika nilai negatif) L34 !
L29A Total cost of fixed assets acquired in the basis period L29A <>_>>_>>_>>?, , ,
L19
L20
L21
L22
L23
L24
Promotion and advertisement
Travelling and accomodation
Other expenditure
TOTAL EXPENDITURE
NET PROFIT / NET LOSS
Non-allowable expenses
(Enter ‘X’ if value is negative)
L19
L20
L21
L22
L23
L24
<>_>>_>>_>>? , , ,
<>_>>_>>_>>? , , ,
<>_>>_>>_>>? , , ,
<>_>>_>>_>>?, , ,
<>_>>_>>_>>?, , ,
<>_>>_>>_>>?, , ,
!
Name of Company:
……………………………..……………………………………………………………...
…………………………………………………………………….
8
Section
107A
109
109A
109B
N1
N2
N3
N4
N5
N6
N7
N8
N9
N10
N11
N12
M1
M2
M3
M4
N1
N2
N3
N4
N5
N6
N7
N8
N9
N10
N11
Total sales to related companies in Malaysia
Total sales to related companies outside Malaysia
Total purchases from related companies in Malaysia
Total purchases from related companies outside Malaysia
Other payments to related companies in Malaysia
Other payments to related companies outside Malaysia
Loans to related companies in Malaysia
Loans to related companies outside Malaysia
Loans from related companies in Malaysia
Loans from related companies outside Malaysia
Receipts from related companies in Malaysia
Receipts from related companies outside Malaysia
Total gross amount paid Total tax withheld and remitted to LHDNM
Total net amount paid
PART N: TRANSACTION BETWEEN RELATED COMPANIES
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PART M: PARTICULARS OF WITHHOLDING TAXES
Amount
N12
C <>>>>>>>>?
Gross payments to non-residents in the basis period subject to withholding tax under sections 107A, 109, 109A, 109B and 109E.
109E M5
L46
L47
L48
L49
L50
Shareholders’ Equity:
Paid-up capital
Profit and loss appropriation account (Enter ‘X’ if value is negative)
Reserve account
Total Equity
TOTAL LIABILITIES AND EQUITY
(Enter ‘X’ if value is negative)
(Enter ‘X’ if value is negative)
L46
L47
L48
L49
L50
!
!
!
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Name of Company:
……………………………..……………………………………………………………...
…………………………………………………………………….
9
O5
O7
O8
Address of business premise
<>>>>>>>>>>>>>>>>>>>>>>?
! ! !
O6 <>>>>>>>>>>>>>>>>>>>>>>? Name of bank
Bank account no.
Address as per O2 Address as per O4 Address as per O5
C <>>>>>>>>?
Postcode
<>>>>>>>>>>>>>>>>>>>>>>? <>>>>>>>>>>>>>>>>>>>>>>? <>>>>>>>>>>>>>>>>>>>>>>?
<>>>>>>>>>>>>>>>>>>>>>>? <>>>? <>>>>>>>>>>>>>>?
State
Town
PART O:
O2
O3
Registered address
State
Town Postcode
<>>>>>>>>>>>>>>>>>>>>>>? <>>>>>>>>>>>>>>>>>>>>>>?
<>>>>>>>>>>>>>>>>>>>>>>?
<>>>>>>>>>>>>>>>>>>>>>>? <>>>? <>>>>>>>>>>>>>>?
O4 Correspondence address
O1 !
!!
!
!
!
!
!
!
!
!
! !
!
<>>>? <>>>>>>>>>>>>>>?<>>>>>>>>>>>>>>>>>>>>>>?<>>>>>>>>>>>>>>>>>>>>>>?<>>>>>>>>>>>>>>>>>>>>>>?
<>>>>>>>>>>>>>>>>>>>>>>?
<>>>>>>>>>>?
O9 Other address if O8 does not apply
Postcode
<>>>>>>>>>>>>>>>>>>>>>>? <>>>>>>>>>>>>>>>>>>>>>>? <>>>>>>>>>>>>>>>>>>>>>>?
<>>>>>>>>>>>>>>>>>>>>>>? <>>>? <>>>>>>>>>>>>>>?
State
Town
Status of company: (Enter ‘X’ in the relevant box) Public
Bionexus Investment Holding
Regional Distribution Centre
Controlled
Venture Capital
International Procurement Centre Others
Charitable Organisation
Closed-end Fund
Foreign Fund Management
Institution
Operational Headquarters
Malaysian International Trade
PARTICULARS OF COMPANY
State
Town Postcode
Telephone no. of business premise
Address where company’s records are kept (Enter ‘X’ in the relevant box)
Name of Company:
……………………………..……………………………………………………………...
………………………………………………………………….…
10
O10
O13
Director I
Director II
Director III
Directors’ Name
Directors’ tax reference no.
Director I
Director II
Director III
<>>>>>>>>>>>>>>>>>>>>>>>>>>?<>>>>>>>>>>>>>>>>>>>>>>>>>>?
<>>>>>>>>>>>>>>>>>>>>>>>>>>?<>>>>>>>>>>>>>>>>>>>>>>>>>>?
<>>>>>>>>>>>>>>>>>>>>>>>>>>?<>>>>>>>>>>>>>>>>>>>>>>>>>>?
SG / OG
SG / OG
SG / OG
<?
<?
<?
<>>>>>>>>>?
<>>>>>>>>>?
<>>>>>>>>>?
C <>>>>>>>>?
O15 Directors’ salary / bonus
Director I
Director II
Director III
O14 Directors’ equity shareholding (%)
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O16 Directors’ fees / commission / allowance
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O11 Directors’ identity card / passport no.
Director I
Director II
Director III
<>>>>>>>>>>?
<>>>>>>>>>>?
<>>>>>>>>>>?
O12 Directors’ telephone no.
<>>>>>>>>>>?
<>>>>>>>>>>?
<>>>>>>>>>>?
Name of Company:
……………………………..……………………………………………………………...
…………………………………………………………………….
11
C <>>>>>>>>? PARTICULARS OF FIVE MAJOR SHAREHOLDERS OF CONTROLLED COMPANY PART P:
P1
P2
P3
P5
P4
Identity Card / Passport / Company Registration No.
Name
Direct shareholding (%)
Country of origin (Use the Country Code)
<>>>>>>>>>>?
<>>>>>>>>>>>>>>>>>>>>>>>>>>? <>>>>>>>>>>>>>>>>>>>>>>>>>>?
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Identity Card / Passport / Company Registration No.
Name
Direct shareholding (%)
Country of origin (Use the Country Code)
<>>>>>>>>>>?
<>>>>>>>>>>>>>>>>>>>>>>>>>>? <>>>>>>>>>>>>>>>>>>>>>>>>>>?
<>_>? <?
Identity Card / Passport / Company Registration No.
Name
Direct shareholding (%)
Country of origin (Use the Country Code)
<>>>>>>>>>>?
<>>>>>>>>>>>>>>>>>>>>>>>>>>? <>>>>>>>>>>>>>>>>>>>>>>>>>>?
<>_>? <?
Identity Card / Passport / Company Registration No.
Name
Direct shareholding (%)
Country of origin (Use the Country Code)
<>>>>>>>>>>?
<>>>>>>>>>>>>>>>>>>>>>>>>>>? <>>>>>>>>>>>>>>>>>>>>>>>>>>?
<>_>? <?
Identity Card / Passport / Company Registration No.
Name
Direct shareholding (%)
Country of origin (Use the Country Code)
<>>>>>>>>>>?
<>>>>>>>>>>>>>>>>>>>>>>>>>>? <>>>>>>>>>>>>>>>>>>>>>>>>>>?
<>_>? <?
.
.
.
.
.
OTHER PARTICULARS PART Q:
Q1
! !
(Enter ‘X’ in the relevant box)
70% - 100% 51% - 69% 20% - 50% < 19% Nil ! ! !
Foreign equity in comparison with paid-up capital
!!Yes No Q2a Advance Ruling
Q2c Material difference in arrangement (To be completed if Q2a = ‘Yes’)
!!Yes No
!!Q2b Compliance with Advance Ruling (To be completed if Q2a = ‘Yes’)
Advance Ruling: (Enter ‘X’ in the relevant box) Q2
Yes No
Name of Company:
……………………………..……………………………………………………………...
……………………………………………………………………
12
C <>>>>>>>>?
PARTICULARS OF THE FIRM AND SIGNATURE OF THE PERSON WHO COMPLETES THIS RETURN FORMPART S:
S1 Name of firm <>>>>>>>>>>>>>>>>>>>>>>?<>>>>>>>>>>>>>>>>>>>>>>?
S3
S4
Telephone
Tax agent’s approval no. <>>>>>>>>>>?
S6
S5
Business registration no.
<>>>>>>>>>>>>>>>>>>>>>>?
<>>>>>>>>>>?
S2 Address of firm
Postcode
State
<>>>>>>>>>>>>>>>>>>>>>>?<>>>>>>>>>>>>>>>>>>>>>>?<>>>>>>>>>>>>>>>>>>>>>>?<>>>? <>>>>>>>>>>>>>>?Town
<>>>>>>>>>>>>>>>>>>>>>>?
<>>>>>>>>>>?
Signature
Date Day Month Year <>>>>>>?
PARTICULARS OF AUDITORPART R:
R1 Name of firm <>>>>>>>>>>>>>>>>>>>>>>?<>>>>>>>>>>>>>>>>>>>>>>?
R3 Telephone no.
R2 Address of firm
Postcode
State
<>>>>>>>>>>>>>>>>>>>>>>?<>>>>>>>>>>>>>>>>>>>>>>?<>>>>>>>>>>>>>>>>>>>>>>?<>>>? <>>>>>>>>>>>>>>?Town
<>>>>>>>>>>>>>>>>>>>>>>?
<>>>>>>>>>>?
Name of Company:
……………………………..……………………………………………………………...
…………………………………………………………………….
13
C <>>>>>>>>?DECLARATION
I
Identity Card No. / Passport No. *
hereby declare that this return form contains information that is true, correct and complete pertaining to the income tax of the above company for the Year of Assessment 2008 as required under the Income Tax Act 1967.
( * Delete whichever is not relevant ) <>>>>>>>>>>?
<>>>>>>>>>>>>>>>>>>>>>>>>>>?<>>>>>>>>>>>>>>>>>>>>>>>>>>?
Signature
Date
Designation <>>>>>>>>>>>>>>>>>>>>>>>>>>?<>>>>>>>>>>>>>>>>>>>>>>>>>>?
Day Month Year <>>>>>>?
Name of Company:
……………………………..……………………………………………………………...
…………………………………………………………………….
14
Please read the following reminder before signing
REMINDERPlease ensure that this return form is completed and in order. Carefully check all information givenbefore 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 has been done on the appendices / working sheets provided and the amountsaccurately transferred to this Form C.
All appendices / working sheets, records and documents are properly kept for examination byLHDNM. All information have been clearly filled in the spaces provided.
The company’s name and tax reference number are clearly indicated at the top of every page ofthis return form and relevant appendices / working sheets.
C <>>>>>>>>?
Date received – 1 Date received – 2 Date received – 3
FOR OFFICE USE
• Payment can be made as follows: (a) Bank - counters of CIMB Bank Berhad (CIMB) and Public Bank Berhad (PBB) by
using the bank payment slip. - CIMB and PBB internet banking. (b) LHDNM - e-Payment at LHDNM website, http://www.hasil.org.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, tax reference 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 above address.
• Payment by cash must not be sent by post.
If there is any balance of tax payable, payment must be made according to the following:
SEMENANJUNG MALAYSIA
SABAH & WP 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 Unit Pungutan Tingkat Bawah, 3 & 4, Wisma Hasil Jalan Tunku Abdul Rahman 88600 Kota Kinabalu Lembaga Hasil Dalam Negeri Malaysia Unit Pungutan Aras 1, 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.
TAX REFERENCE NO. INSTALMENT NO. YEAR OF ASSESSMENT
Amount of Payment
RegistrationNo. Cheque No. and Others
Telephone No. Date :
CP207 [Pin. 1/2008]
Name and Postal Address !!!!!!!!!!!!, , , .
PAYMENT CODE
Name ofBank
REMITTANCE SLIP FOR FORM C
RM
REMITTANCE SLIP DIRECTOR GENERAL OF INLAND REVENUETo:
Enclosed herewith is the cheque/money order/postal order/bank draft for payment of income tax.
TAX REFERENCE NO INSTALMENT NO. YEAR OF ASSESSMENT
Amount of Payment
CP207 [Pin. 1/2008]
Name and Postal Address !!!!!!!!!!!!
PAYMENT CODE
REMITTANCE SLIP FOR FORM R
086 99 2008
151 99 2008
RegistrationNo. Cheque No. and Others
Telephone No.
Date :
Name of Bank
MALAYSIAN INCOME TAXRemittance Slip
1. Payment can be made as follows: 1.1 Bank - counters of CIMB Bank Berhad (CIMB) and Public Bank Berhad (PBB) by using the bank payment slip.
- CIMB and PBB internet banking. 1.2 LHDNM - e-Payment at LHDNM website.
- 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.
2. Write down the name, address, telephone number, tax reference 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 Unit Pungutan Tingkat Bawah, 3 & 4, Wisma Hasil Jalan Tunku Abdul Rahman 88600 Kota Kinabalu Lembaga Hasil Dalam Negeri Malaysia Unit Pungutan Aras 1, 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
MALAYSIAN INCOME TAX Remittance Slip
1. Payment can be made as follows: 1.1 Bank - counters of CIMB Bank Berhad (CIMB) and Public Bank Berhad (PBB) by using the bank payment slip.
- CIMB and PBB internet banking. 1.2 LHDNM - e-Payment at LHDNM website.
- 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.
2. Write down the name, address, telephone number, tax reference 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 Unit Pungutan Tingkat Bawah, 3 & 4, Wisma Hasil Jalan Tunku Abdul Rahman 88600 Kota Kinabalu Lembaga Hasil Dalam Negeri Malaysia Unit Pungutan Aras 1, 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