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BAYARAN POS JELAS POSTAGE PAID
PUSAT MEL NASIONAL SHAH ALAM MALAYSIA NO. WP0218
URUSAN SERI PADUKA BAGINDA
If undelivered, return to:
PUSAT PEMPROSESAN MAKLUMAT
LEMBAGA HASIL DALAM NEGERI MALAYSIA
MENARA HASIL
NO. 3, JALAN 9/10, SEKSYEN 9 KARUNG BERKUNCI 221 43659 BANDAR BARU BANGI SELANGOR
FFOORRMM TTCC 22001177 IMPORTANT REMINDER
1) Due date to furnish this form and pay the balance of tax payable: Within 7 months from the date following the close of accounting period.
a) Penalty under subsection 112(3) of the Income Tax Act 1967 (ITA 1967) shall be imposed for failure to furnish this Return Form before or on the due date for submission.
b) An increase in tax of 10% under subsection 103(3) of ITA 1967 shall be imposed for failure to pay the tax or balance of tax payable before or on the due date for submission. Any balance remaining unpaid upon the expiration of 60 days from the date of such increase, shall be further increased by 5% of the balance unpaid under subsection 103(4) of ITA 1967.
2) Before filling up this form, please refer to the Guidebook which is available at the LHDNM Official Portal, http://www.hasil.gov.my.
3) Please complete all relevant items in BLOCK LETTERS and use black ink pen.
4) METHOD OF PAYMENT a) Payment can be made at:
i) Bank - Information regarding payment via bank is available at the LHDNM Official Portal, http://www.hasil.gov.my.
ii) LHDNM - ByrHASiL via FPX (Financial Process Exchange) at the LHDNM Official Portal, http://www.hasil.gov.my.
- ByrHASiL via Visa, Mastercard & American Express Credit Cards at https://byrhasil.gov.my/creditcard/.
- LHDNM payment counters in Peninsular Malaysia (Kuala Lumpur Payment Centre), Sabah and FT Labuan (LHDNM Kota Kinabalu Branch) and Sarawak (LHDNM Kuching Branch) or by mail. Cheques, money orders and bank drafts must be crossed and made payable to the Director General of Inland Revenue. When making payment, use the Remittance Slip (CP207) which is available at the LHDNM Official Portal, http://www.hasil.gov.my. If sent by post, payment must be sent separately from the form. Payment by CASH must not be sent by post.
iii) Pos Malaysia Berhad - Counter and Pos Online
b) Write down the name, address, telephone number, income tax number, year of assessment, payment code ‘086’ and instalment no. ‘99’ on the reverse side of the financial instrument.
5) Pursuant to section 89 of ITA 1967, a change of address must be furnished to LHDNM within 3 months of the change. Notification can be made via e-Kemaskini or by using Form CP600B (Change of Address Notification Form) which can be obtained at the LHDNM Official Portal, http://www.hasil.gov.my.
6) For further information, please contact Hasil Care Line:-
Toll Free Line: 1-800-88-5436 (LHDN) Calls From Overseas: 603-77136666
http://www.hasil.gov.my/http://www.hasil.gov.my/
To
:
GUIDE NOTES ON FORM TC FOR YEAR OF ASSESSMENT 2017
Director General of Inland Revenue Lembaga Hasil Dalam Negeri Malaysia
Reference No. (Registration No.)
Date
:
:
Income Tax No.
:
PUSAT PEMPROSESAN MAKLUMAT LEMBAGA HASIL DALAM NEGERI MALAYSIA MENARA HASIL NO.3, JALAN 9/10, SEKSYEN 9 KARUNG BERKUNCI 221 43659 BANDAR BARU BANGI SELANGOR
CP5C
Toll Free Line : 1-800-88-5436 (LHDN)
Fax : 03-89221801
Official Portal : http://www.hasil.gov.my
1. Form TC is:
(a) a statement under section 77A Income Tax Act 1967 (ITA 1967);
(b) an income tax computation pursuant to subsection 77A(3) of ITA 1967; and
(c) a deemed notice of assessment under subsection 90(2) of the same Act.
2. You are required to:
(a) complete this return form correctly and clearly. Please refer to the ‘Criteria On Incomplete Income Tax Return Form (ITRF) Which Is Unacceptable’ at the Official Portal of Lembaga Hasil Dalam Negeri Malaysia (LHDNM).
(b) compute your tax based on audited accounts and refer to the guidebook which can be printed from the LHDNM Official Portal. Working sheets / appendices used for 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 form is furnished, for the purpose of examination by LHDNM.
(c) furnish the following working sheets which can be printed from the Official Portal if entitled to a tax refund as per item C7 or CA5 of this return form:-
(i) Working Sheet HK-6 pertaining to the claim for section 110 tax deduction (others); and
(ii) 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 printed by LHDNM 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. 2017] 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
2017 YEAR OF ASSESSMENT
>>>>>>>>>>>>>>>>>>>>>>>>? >>>>>>>>>>>>>>>>>>>>>>>>?
>>>>>>>?
! !
>>>>>>>>>>>>>>>>>>>>>?
>>>>>>>>>>>>>>>>>>>>>? >>>>>>>>>>>>>>>>>>>>>?
A14 Correspondence Address Of Unit Trust / Property Trust
2
>>>>>>>>>>>>>>>>>>>>>?
>>>>>>>>>>>>?
>>?
Town Postcode
State
>>>>>>>>>>>>>>>>>>>>>? >>>>>>>>>>>>>>>>>>>>>?
>>>>>>>>>>>>>>>>>>>>>?
>>>>>>>>>>>>>>>>>>>>>?
Address Where Records Of Unit Trust / Property Trust Are Maintained
Other Address (if A15 = 3)
A16
A15 !
>>?
Postcode >>>>>>>>>>>>?
Town
1 = Address as per A13
2 = Address as per A14
3 = Address other than A13 and A14
State
>>>>>>>?
Name Income Tax No.
>>>>>>>>>>>>>>>>>>>>>?
>>>>>>>>>>>>>>>>>>>>>?
>>>>>>>>>>>>>>>>>>>>>?
Town Postcode
State
Registered Address Of Unit Trust / Property Trust
A13
>>>>>>>>>>>>>>>>>>>>>? >>?
>>>>>>>>>>>>?
>>>>>>>>>>>>>>>>>>>>>? >>>>>>>>>>>>>>>>>>>>>?
Name Of Bank
A19
A18
Bank Account No.
3
>>>>>>>?
Name Income Tax No.
Income Tax No. A17c
>>>>>>>?
Trustee
Fund Manager >>>>>>>?
Company Registration No.
tidak berkenaan
Telephone No. A17d
A17b
>>>>>>>>>? >>>>>>>>>?
>>>>>>>>>>?
-
>>>>>>>>>>?
-
Trustee
Fund Manager
Trustee
Fund Manager
C
C
A17 Particulars Of Trustee / Fund Manager
Trustee
Name
>>>>>>>>>>>>>>>>>>>>>>>>>? >>>>>>>>>>>>>>>>>>>>>>>>>?
A17a
Fund Manager >>>>>>>>>>>>>>>>>>>>>>>>>? >>>>>>>>>>>>>>>>>>>>>>>>>?
Note: Enter the name of the bank and bank account no. for the purpose of electronic income tax refund
_>>_>>_>>? _>>_>>_>>? _>>_>>_>>?
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
, , ,
, , ,
, , ,
Annuities and other periodical payments
Other gains or profits
LESS: Other Expenses
_>>_>>_>>? _>>_>>_>>? _>>_>>_>>?
, , ,
, , ,
, , ,
B1
B2
B3
B4
B5
B6
4
>>>>>>>?
Name Income Tax No.
_>>_>>_>>? _>>_>>_>>?
_>>_>>_>>? _>>_>>_>>? _>>_>>_>>?
B7
B8
B7
B8
Special deduction for expenses of unit trust under section 63B
B11 B11
_>>_>>_>>?
B13
B14
B15 CHARGEABLE INCOME [ B8 – ( B9 to B14 ) ] (Enter ‘0’ if value is negative)
, , ,
, , ,
, , ,
, , ,
, , ,
, , ,
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
_>>_>>_>>?
, , ,
B12
B13
B14
B15
Amount (RM)
B9 B9 Gift of money to the Government / local authority
_>>_>>_>>?
, , , Gift of money to approved institutions / organizations /
funds
Gift of money for any sports activity approved by the
Minister of Finance
Restricted to 7% of B6
B10A
_>>_>>_>>?
, , ,
Gift of money or cost of contribution in kind for any
project of national interest approved by the Minister
of Finance
_>>_>>_>>?
, , ,
B10B
B10C
B10 _>>_>>_>>?
, , ,
_>>_>>_>>?
, , ,
C1
C2
C3
C4
C5
C6
C1
C2
C3
C4
TAX AT RATE OF 24% ( B15 x 24% ) ->>_>>_>>_>?
, , ,
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 C4 )
TAX PAYABLE * ( C1 – C5 )
TAX REPAYABLE * ( C5 – C1 ) [For a ‘Tax Repayable’ case, fill in items A18 and A19 on page 3]
OR
C5
C6
C7
.
->>_>>_>>_>?
, , , .
->>_>>_>>_>?
, , , .
->>_>>_>>_>?
, , , .
->>_>>_>>_>?
, , , .
->>_>>_>>_>?
, , , .
->>_>>_>>_>?
, , , . C7
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
, , ,
, , ,
, , ,
Annuities and other periodical payments
Other gains or profits
LESS: Other Expenses
_>>_>>_>>? _>>_>>_>>? _>>_>>_>>?
, , ,
, , ,
, , ,
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)
, , ,
, , ,
, , ,
, , ,
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 _>>_>>_>>?
, , ,
_>>_>>_>>?
, , ,
BA12
BA13
BA14
BA15 _>>_>>_>>?
, , ,
Gift of money for the provision of library facilities or to libraries
>>>>>>>?
Name Income Tax No.
Amount (RM)
BA10
BA9
BA10C
BA10B
_>>_>>_>>?
BA9 _>>_>>_>>?
, , ,
, , ,
Gift of money to the Government / local authority Gift of money to approved institutions / organizations / funds
Gift of money for any sports activity approved by the
Minister of Finance Restricted to
7% of BA6
_>>_>>_>>?
, , ,
Gift of money or cost of contribution in kind for any
project of national interest approved by the Minister
of Finance
_>>_>>_>>?
, , ,
BA10A
_>>_>>_>>?
, , ,
->>_>>_>>_>?
>_>>_>>? _>>_>>_>>? _>>_>>_>>? _>>_>>_>>? _>>_>>_>>? _>>_>>_>>?
->>_>>_>>_>? ->>_>>_>>_>? ->>_>>_>>_>? ->>_>>_>>_>? ->>_>>_>>_>? ->>_>>_>>_>?
, , ,
, , ,
, , ,
, , ,
, , ,
,
, , ,
, , ,
, , ,
, , ,
, , ,
, , ,
, , ,
.
.
.
.
.
.
. .
PART CA: TAX PAYABLE / REPAYABLE
TAX AT RATE OF 24% ( BA15 x 24% )
, ,
->>_>>_>>_>? CA3
CA4
CA5
CA2
CA5
TOTAL TAX CHARGEABLE ( CA1a to CA1g )
OR
LESS:
CA4
CA3
CA2
Section 110 tax deduction (others)
TAX REPAYABLE * ( CA3 – CA2 ) [For a ‘Tax Repayable’ case, fill in items A18 and A19 on page 3]
TAX PAYABLE * ( CA2 – CA3)
->>_>>_>>_>? ->>_>>_>>_>? ->>_>>_>>_>?
, , ,
, , ,
, , ,
, ,
.
.
.
. ,
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 )
_>>_>>_>>?
, , ,
_>>_>>_>>?
, , ,
_>>_>>_>>?
, , ,
_>>_>>_>>?
, , ,
_>>_>>_>>?
, , ,
BA16d
BA17
PART D: STATUS OF TAX
8
>>>>>>>?
Name Income Tax No.
D1 ->>_>>_>>_>?
, , , . Tax payable ( from C6 or CA4 ) D1
Payments to non-residents in the basis period subject to withholding tax under sections 107A, 109, 109A, 109B ,109F and 109G
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
_>>_>>_>>?
_>>_>>_>>?
_>>_>>_>>?
_>>_>>_>>?
, , , , , ,
, , , , , ,
_>>_>>_>>?
, , , _>>_>>_>>?
, , ,
, , , , , ,
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
_>>_>>_>>?
, , ,
_>>_>>_>>?
, , ,
G1d
Total gross amount paid
109F _>>_>>_>>?
_>>_>>_>>?
, , , , , , G1e
PART F: DISPOSAL OF ASSET UNDER THE REAL PROPERTY GAINS TAX ACT 1976
F1 Disposal of asset under the Real Property Gains Tax Act 1976. (If ‘Yes’, also complete item F2)
F2 Disposal declared to LHDNM
PART E: INCOME OF PRECEDING YEARS NOT DECLARED
D4
D3
E3
E2
E1
Tax paid in excess * ( D2 – D1 )
D2
D3
->>_>>_>>_>?
, , , .
OR
LESS: Instalments paid
Balance of tax payable * ( D1 – D2 )
D2 ->>_>>_>>_>?
, , , .
->>_>>_>>_>?
, , , .
D4
Please enter the tax position ( C6 / C7 / CA4 / CA5 / D3 / D4 whichever is applicable ) under
the item ‘Status of Tax’ on page 1. *
_>>_>>_>>?
_>>_>>_>>?
, G1f 109G
, , , , ,
!
1 = Yes
2 = No
!
1 = Yes
2 = No
_>>_>>_>>? _>>_>>_>>?
, , ,
, , ,
_>>_>>_>>?
, , ,
Year of Assesment
>? >? >?
Amount Type of Income
PART H: FINANCIAL PARTICULARS OF UNIT TRUST / PROPERTY TRUST
STATEMENT OF INCOME AND EXPENDITURE
_>>_>>_>>?
H2
H3
H4
H1
H2
H3
H4
H5
EXPENSES:
Audit fee
Trustees’ fee
Profit/Loss on disposal of investments
Management fee
Maintenance of register of unit holders
_>>_>>_>>? _>>_>>_>>? _>>_>>_>>?
, , ,
, , ,
, , ,
, , ,
_>>_>>_>>?
, , ,
!
H1
(Enter ‘X’ if value is negative)
H5
H6 Share registration _>>_>>_>>?
, , , H6
9
>>>>>>>?
Name Income Tax No.
H16 H16 TOTAL FIXED ASSETS ( H13 to H15 ) _>>_>>_>>?
, , , INVESTMENTS:
H17
H18
H19
H17
H18
H19
H20
Quoted derivatives
Quoted fixed income securities
Quoted foreign equity securities
Quoted equity securities _>>_>>_>>? _>>_>>_>>? _>>_>>_>>? _>>_>>_>>?
, , ,
, , ,
, , ,
, , , H20
H21
H22
Unquoted fixed income securities
_>>_>>_>>? _>>_>>_>>?
, , ,
, , ,
H21
H22 Deposits with financial institutions
H6A Input tax not claimable from the Royal Malaysian Customs Department _>>_>>_>>?
, , , H6A
!
H11
H10
H12
H13
H14
H15
H7
H8
H9
H10
H11
H12
H13
H14
H15
Accounting
Non-allowable expenses
FIXED ASSETS:
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)
_>>_>>_>>? _>>_>>_>>?
_>>_>>_>>?
_>>_>>_>>? _>>_>>_>>?
, , ,
, , ,
, , ,
, , ,
_>>_>>_>>?
, , ,
, , ,
_>>_>>_>>?
, , ,
_>>_>>_>>? _>>_>>_>>?
, , ,
, , ,
H7
H8
H9
BALANCE SHEET
H38
H39
H40
!
H38
H40
H39 RESERVE ACCOUNT
BALANCE CARRIED FORWARD ( H35 + H36 – H37 )
TOTAL UNITHOLDERS’ FUNDS ( H34 + H38 + H39 )
(Enter ‘X’ if value is negative)
_>>_>>_>>? _>>_>>_>>? _>>_>>_>>?
, ,
, ,
, , ,
, , ,
LIABILITIES:
PART J: PARTICULARS OF EXEMPT INCOME
10
>>>>>>>?
Name Income Tax No.
H33
H34
H35
H36
H37
_>>_>>_>>?
H33
H34
H36
H37
H35
UNDISTRIBUTABLE INCOME:
Unitholders’ capital
Balance brought forward
TOTAL LIABILITIES ( H29 to H32 )
UNITHOLDERS’ FUNDS
Current year’s net income
Distributed income
_>>_>>_>>? _>>_>>_>>?
_>>_>>_>>? _>>_>>_>>?
, , ,
, , ,
, , ,
, , ,
, , ,
LESS:
H23 H23 TOTAL INVESTMENT ( H17 to H22 ) _>>_>>_>>?
, , ,
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
_>>_>>_>>? _>>_>>_>>? _>>_>>_>>? _>>_>>_>>? _>>_>>_>>?
, , ,
, , ,
, , ,
, , ,
, , ,
H27
Trade debtors
!
H26
(Enter ‘X’ if value is negative)
H29 H29
H30
H31
H32
H30
H31
H32
Trade creditors
Sundry creditors
Long term liabilities
Other current liabilities
_>>_>>_>>? _>>_>>_>>? _>>_>>_>>? _>>_>>_>>?
, , ,
, , ,
, , ,
, , ,
J1
J2
J3
J4
J1
J2
J3 Rents
Interest
Other income (including gains from realization of investments)
Dividends _>>_>>_>>? _>>_>>_>>? _>>_>>_>>? _>>_>>_>>?
, , ,
, , ,
, , ,
, , , J4
a
State
Address of Firm
Name of Firm
c
e
Telephone No.
d
Tax Agent’s Approval No.
b
PARTICULARS OF THE FIRM AND SIGNATURE OF THE PERSON WHO COMPLETES THIS RETURN FORM
Postcode Town
Identification No. / Passport No. ( * Delete whichever is not relevant )
I
DECLARATION
>>>>>>>>>>>>>>>>>>>>>>>>>? >>>>>>>>>>>>>>>>>>>>>>>>>? >>>>>>>>>?
>>>>>>>>>>>>>>>>>>>>>? >>>>>>>>>>>>>>>>>>>>>? >>>>>>>>>>>>>>>>>>>>>? >>>>>>>>>>>>>>>>>>>>>? >>>>>>>>>>>>>>>>>>>>>? >>>>>>>>>>>>>>>>>>>>>? >>>>>>>>>>>>>>>>>>>>>?
>>?
>>>>>>>>>>>>?
>>>>>>>>>>>>?
11
hereby declare that this return form contains information that is true, complete and correct pertaining to the income tax of this unit trust / property trust as required under the Income Tax Act 1967.
Signature
Designation >>>>>>>>>>>>>>>>>>>>>? >>>>>>>>>>>>>>>>>>>>>?
>>>>>>>>>>>>>>>>>>>>>?
>>>>>>>>>>?
>>>>>>>?
Name Income Tax No.
Date
Signature Date
Day Month Year >>>>>?
Day Month Year >>>>>?
1. Payment can be made as follows: 1.1 Bank - Counters of CIMB Bank Berhad (CIMB), Public Bank Berhad (PBB), Malayan Banking Berhad (Maybank), Affin Bank Berhad
(ABB), RHB Bank Berhad (RHB), Bank Simpanan Nasional (BSN) and Bank Rakyat by using the bank payment slip. - PBB, Maybank, Hong Leong Bank, Citibank, RHB & Alliance Bank Malaysia Berhad internet banking and Maybank phone banking. - Auto Teller Machine (ATM) of PBB and Maybank. 1.2 LHDNM - ByrHASiL through FPX (Financial Process Exchange) at the LHDNM Official Portal, http://www.hasil.gov.my. - ByrHASiL via Visa, Mastercard & American Express credit cards at the LHDNM Official Portal, https://byrhasil.gov.my/creditcard/. - LHDNM payment counters 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 (CP 207) when making payment. 1.3 Pos Malaysia Berhad - Counter and Pos Online
MALAYSIAN INCOME TAX MALAYSIA Remittance Slip
2. Write down the name, address, telephone number, income tax number, year of assessment dan 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 Pusat Bayaran, Tingkat 15, Blok 8A Kompleks Bangunan Kerajaan, Jalan Tuanku Abdul Halim 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 Tuanku Abdul Halim Kuala Lumpur
Tingkat Bawah Wisma Hasil Jalan Tunku Abdul Rahman Kota Kinabalu
Aras 1, Wisma Hasil No. 1, Jalan Padungan Kuching
http://www.hasil.gov.my/
RM
REMITTANCE SLIP To : DIRECTOR GENERAL OF INLAND REVENUE 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
CP207 [Pin. 1/2017]
Name and Postal Address
!!!!!!!!!!!!
, , , .
PAYMENT CODE
086
99
2017
Reference No. (Registration No.) Cheque No. and Others
Telephone No.
Date :
Name of Bank