61. Form of tax clearance and exemption certificate, etc

61. Form of tax clearance and exemption certificate, etc. ---      

(1)   Every application for a tax clearance certificate or an exemption certificate shall be  made in the following form :--

Application for a certificate under section 107 of the Income Tax Ordinance, 1984:

To
The Deputy Commissioner of Taxes.                                  ..

Sir,
I request that a tax clearance an exemption certificate be granted to me. I give below the necessary particulars.
1. Name of applicant ...
(in block letters).
2. Domicile ...                                                                           ..
3. Present address                                                                    ..
4. Permanent address
5. Nature of Business or profession of Bangladesh   ......................... ..(if the visit to Bangladesh was made only as a tourist and no income was earned during the period of stay in Bangladesh, it should be so stated).
6.   Place(s)   at   which   the   business   or   profession   is   or   was   carried   on
                                                                                                  ..
7. Name and address of employer(s) of the applicant........................ .(in case the applicant is representing a firm or a company, the name and address of the firm or company should be stated)
8. Name of the Deputy commissioner of Taxes, if any where last assessment of the applicant was made                                    .
9. Date of arrival in Bangladesh                                                   .
10. Probable date of departure   ...
11. Destination                                                                           ..
12. Mode of travel (air/sea/land) ...

Place:                                                                      Yours faithfully,
Date : (Applicant)
N.B. Please see   the certificate.
When the applicant is an existing assessee, the application should be addressed to the Deputy Commissioner of Taxes who completed the last assessment.

*Strike out whichever is inapplicable.
Certificate to be furnished by Employers/Associates/Agents/Head Office/ Branch Office,
      etc.

1. Certified that............................................................... . is our employee/

(Name in block letters)

representative/associate.
2.  (i)    Certified that.......................................... ...(Give name) is leaving Bangladesh temporarily on leave/duty and will return by .......................... .(Give approximate
date).
*(ii) Certified that his/her income was less than the taxable minimum during the period (s).
(iii)   A cheque for the amount of tax due along with the computation of income is enclosed.
(iv) We undertake to pay the liability, if any, when determined.

Signature   ...
Designation ...
Name and address of the Employers/
Associates/Agents/Head Office/Branch Office.

*Strike out whichever is inapplicable.

Guarantee Certificate to be furnished by a tax payer in Bangladesh in the case of persons who are neither employees nor representatives of any firm.

We/I, ................................................... .certify (name in block letters) that
.is known to us/me and that we/I undertake to pay his/her tax
liability, if any, when determined.
Signature of the guarantor ................... ..
Name and address ...
TIN ...
Circle ...     

(2) Tax clearance certificate issued by the Deputy Commissioner of Taxes shall be in the following form :—

1. Book No………………………….Serial No.Counterfoil of certificate under section 107 of the Income Tax Ordinance, 1984 (XXXVI of 1984)   Date………………….. Name ………………………………. Present address ………………….. Permanent address………………. ………………………………………… Business or profession …………………… Date of arrival in Bangladesh ………………. Date of departure…………………………. (as stated in the application) Date up to which the certificate is valid……. Challan No. and date of payment of tax…….. Signature or left-hand thumb impression of the person named in the certificate ………… Deputy Commissioner of Taxes ……………….. /Circle.

   Book No…………………………..Serial No.TAXES DEPARTMENT   Certificate under section 107 of the Income Tax Ordinance, 1984 (XXXVI of 1984) Office of the Deputy Commissioner of Taxes …………………… Circle …………………………. Place…………………………………………………. Date…………………………………………………. This is to certify that…………………………….. of………………(whose signature or thumb impression is affixed below) no has no liabilities made satisfactory arrangements for his/her under the Income Tax Ordinance, 1984 (XXXVI of 1984), the Income-tax Act, 1922 (XI of 1922), the Gift-tax Act, 1963 (XIT of 1963), or the Wealth-tax Act, 1963 (XV of 1963). This certificate is valid up to……………………. Signature………………………… Deputy Commissioner of Taxes, Signature or left-hand…………………../Circle. thumb impression of the person named in the certificate………………..

(3) Exemption certificate issued by the Deputy Commissioner of Taxes shall be in the following form :

1. Book No. Serial No.Counterfoil of certificate under section 107 of the Income Tax Ordinance, 1984 (XXXVI of 1984)   Date……………… Name……………………….. Present address………………………. Permanent address …………………….. Business or profession …………………… Date of arrival in Bangladesh …………… Date of application …………………….. Date of departure (as stated in the application) Deputy Commissioner of Taxes ……………………………../Circle. Signature or left-hand thumb Impression of the person named in the certificate…………………………….

   Book No. Serial No.TAXES DEPARTMENT   Certificate of exemption under section 107 of the Income Tax Ordinance, 1984 (XXXVI of 1984) Office of the Deputy Commissioner of Taxes …………………………………….Circle Place ……………………………………. Date …………………………………….. This is to certify that ………………… of……………(whose signature or thumb impression is affixed below) is exempted from producing evidence of payment of taxes in connection with his journey to all journey performed before. …………………………………………….. This certificate is valid up to……………………….. (Signature) ……………………. Deputy Commissioner of Taxes, ………………………../Circle, Signature or left-hand thumb impression of the person named in the certificate…………

                                          .

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