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 FORM TA 2016 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 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 Guide Book which is available at the LHDNM Official Portal, http://www.hasil.gov.my. 3) All relevant items have to be completed 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.hasil.gov.my/creditcard/ - LHDNM payment counters in Peninsular Malaysia (Kuala Lumpur Payment Centre), Sabah and FT Labuan (LHDNM Kota Kinabalu Branch) dan 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:- Tol Free Line: 1-800-88-5436 (LHDN) Calls From Overseas: 603-77136666
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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 TTAA 22001166 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 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 Guide Book which is available at the LHDNM Official Portal, http://www.hasil.gov.my.
3) All relevant items have to be completed 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.hasil.gov.my/creditcard/
- LHDNM payment counters in Peninsular Malaysia (Kuala Lumpur Payment Centre), Sabah and FT Labuan (LHDNM Kota Kinabalu Branch) dan 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:-
Tol Free Line: 1-800-88-5436 (LHDN) Calls From Overseas: 603-77136666
GUIDE NOTES ON FORM TA FOR YEAR OF ASSESSMENT 2016
Director General of Inland Revenue Lembaga Hasil Dalam Negeri Malaysia
Income Tax No.
:
:
Date
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
CP5D
Toll Free Line
Fax
Official Portal
:
: : http://www.hasil.gov.my
1-800-88-5436(LHDN)
03-89221801
1. Form TA 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. Therefore, you are required to:
(a) complete this return form correctly and clearly. Please refer to the “Criteria On Incomplete Income Tax Return Form (ITRF)” at the Official Portal of Lembaga Hasil Dalam Negeri Malaysia (LHDNM).
(b) compute your tax in accordance with the explanatory notes or guidebook which can be printed from the LHDNM Official Portal. However, working sheets used for computation need not be furnished with this return form but must be kept for the purpose of examination by LHDNM for a period of seven (7) years after the end of the year in which the return is furnished.
(c) furnish the following working sheets which can be printed from the Official Portal if entitled to a tax refund as per item C7or 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 TA. The Form TA must be completed
and furnished to LHDNM at the above address within the stipulated period . 4. Only original return forms 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”
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CP2B [Pin. 2016] TA
LEMBAGA HASIL DALAM NEGERI MALAYSIA
UNDER SECTION 77A OF THE INCOME TAX ACT 1967
RETURN FORM OF A TRUST BODY
This form is prescribed under section 152 of the Income Tax Act 1967
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Name of
Trust Body
Form
PART A: PARTICULARS OF TRUST BODY
Resident in Malaysia
Accounting Period
Tax Exemption
Approval No. (if any)
A2
A3
A1
A9
Income Tax No. TA
To
Country of
Residence (Use Country Code)
2016 YEAR OF ASSESSMENT
1
2
A5 Employer’s No.
E <>>>>>>>>?
1
Basis Period
A4
Tax Exemption
Approval A7
Date received 1 Date received 2 Date received 3
FOR OFFICE USE
Tax Repayable (item C7 / CA5 whichever is relevant)
Tax paid in excess (item D4)
There is balance of tax payable (item C6 / CA4 / D3 whichever is relevant)
hereby declare that this return form contains information that is true, complete and correct pertaining to the income tax of this trust body as required under the Income Tax Act 1967.
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Name Income Tax No.
a
State
Address of Firm
Name of Firm
c
e
Telephone No.
e-Mail
d
Tax Agent’s Approval No.
b
PARTICULARS OF THE FIRM AND SIGNATURE OF THE PERSON WHO COMPLETES THIS RETURN FORM