LEMBAGA HASIL DALAM NEGERI MALAYSIA Form YEAR OF ASSESSMENT

RETURN FORM OF AN ASSOCIATION

UNDER SECTION 77 OF THE INCOME TAX ACT 1967
This form is prescribed under section 152 of the Income Tax Act 1967
TF 2019
CP2D - Pin. 2019

COMPLETE THE FOLLOWING ITEMS

Name of association :

Reference no.
(Registration no. ) :

Income tax no. : F

Correspondence address :

Postcode Town

State

FORM TF 2019
IMPORTANT REMINDER
1) Due date to furnish this form and pay the balance of tax payable:
a) 30 April 2020 (Does not carry on any business); or
b) 30 June 2020 (Carries on business)
2) Failure to furnish a return on or before the due date for submission:
- Penalty under subsection 112(3) of the Income Tax Act 1967 (ITA 1967) shall be imposed.
3) Failure to pay the tax or balance of tax payable before the due date for submission:
- An increase in tax of 10% under subsection 103(3) of ITA 1967 shall be imposed.
4) Please: a) refer to the Explanatory Notes before filling up this form.
b) complete all relevant items in BLOCK LETTERS and use black ink pen.
5) METHOD OF PAYMENT
a) Payment can be made via:
i) ByrHASiL at the Lembaga Hasil Dalam Negeri Malaysia (LHDNM) Official Portal, [Link]
 Payment via FPX (Financial Process Exchange) at [Link]
 Payment via Visa, Mastercard & American Express credit cards at [Link]
ii) Appointed banks – Information is available at [Link]
iii) LHDNM payment counters at the Kuala Lumpur Payment Centre, Kota Kinabalu Branch and Kuching Branch or by post.
 Use the Remittance Slip (CP501) which is available at [Link]
 If send by post, payment must be sent separately from the form. Payment by CASH must not be sent by post. Cheques, money
orders and bank drafts must be crossed and made payable to the Director General of Inland Revenue.
iv) Pos Malaysia Berhad - Counter and Pos Online
b) Write down the name, address, telephone number, income tax number, year of assessment, payment code ‘084’ and
instalment no. ‘99’ on the reverse side of the financial instrument. Check the receipt(s) / bank payment slip(s) before leaving the
payment counter.
6) 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, [Link]
7) The use of e-Filing (e-TF) is encouraged. Please access via [Link]
8) For further information, please contact Hasil Care Line:-
Hotline: 03-89111000 / 603-89111100 (Oversea)

FOR OFFICE USE

Date Received 1 Date Received 2

 INLAND REVENUE BOARD OF MALAYSIA Form YEAR OF ASSESSMENT
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
TF 2019 CP 2D - Pin. 2019

1
Name of
association <>>>>>>>>>>>>>>>>>>>>>>>>>?
<>>>>>>>>>>>>>>>>>>>>>>>>>?
2 Income tax no. F <>>>>>>>>?

S ta tu s o f Ta x ( F r o m p a g e 8 ) [ I n d i c a t e ‘X ’ i n t h e r e l e v a n t b o x ]

Tax repayable Tax paid in excess There is balance of tax payable Not taxable / nil balance
(Item D6) (Item E4) (Item D5 / E3 whichever is relevant) (If D5 / D6 / E3 / E4 = ‘0’)

PART A: PARTICULARS OF ASSOCIATION

! <?
Association is 1 = Yes (Fill in Part B ) Country where management (Use country
A1 resident in 2 = No (Fill In Part C)
A2 and control of its affairs are code)
Malaysia exercised

A3 Employer's no. E <>>>>>>>>? ! A4 Tax exemption approval

1 = Yes
2 = No

Tax exemption
A5 approval no.
(If any) <>>>>>>>>>>>>>>>>>>>>>>>>>?
<>>>>>>>>>>>>>>>>>>>>>>>>>?
Registration
A6 certificate no.
(If any) <>>>>>>? <>>>>>>?
- - A7 Date established
Day Month Year

A8
Type of
association ! 1 = Institution
2 = Association
3 = Religious institution / organisation
4 = Trade association
5 = Club
6 = Fund
7 = Management corporation
8 = Others

Percentage of expenses
A9 incurred on association's
activities <>? ! % A10 Record-keeping
1 = Yes
2 = No

A11a Carries on e-Commerce

!
(If ‘Yes’, also complete item A11b)
1 = Yes
2 = No

A11b Website / blog address

<>>>>>>>>>>>>>>>>>>>>>>?
A12a Entitled to claim incentive
under section 127 (Indicate ‘X’)
! ! ! 1 = Paragraph 127(3)(b) 2 = Subsection 127(3A) 3 = Not relevant

A12b If A12a = 1 and / or 2, please specify: No. P.U.(A) No. / Approval No. of Incentive Amount of Exempt Income (RM)
i.

ii.

1
Name Income Tax No. <>>>>>>>>?
A13 Correspondence
address of association <>>>>>>>>>>>>>>>>>>>>>>?
<>>>>>>>>>>>>>>>>>>>>>>?
<>>>>>>>>>>>>>>>>>>>>>>?
Postcode
<>>>? <>>>>>>>>>>>>>?
Town

State
<>>>>>>>>>>>>>>>>>>>>>>?
A14 Registered address
<>>>>>>>>>>>>>>>>>>>>>>?
<>>>>>>>>>>>>>>>>>>>>>>?
<>>>>>>>>>>>>>>>>>>>>>>?
Postcode
<>>>? <>>>>>>>>>>>>>?
Town

State
<>>>>>>>>>>>>>>>>>>>>>>?
1 = If maintained at address as per A13
A15 Address where association's records are maintained
! 2 = If maintained at address as per A14
3 = If maintained at an address other than A13 and A14

A16 Other address (If A15 = 3)

<>>>>>>>>>>>>>>>>>>>>>>?
<>>>>>>>>>>>>>>>>>>>>>>?
<>>>>>>>>>>>>>>>>>>>>>>?
Postcode
<>>>? <>>>>>>>>>>>>>?
Town

State
<>>>>>>>>>>>>>>>>>>>>>>?

2
 Name Income Tax No. <>>>>>>>>?
A17 Particulars of association's controlling members

A17a Name
Manager /
President *
<>>>>>>>>>>>>>>>>>>>>>>>>>>?
<>>>>>>>>>>>>>>>>>>>>>>>>>>?
Secretary
<>>>>>>>>>>>>>>>>>>>>>>>>>>?
<>>>>>>>>>>>>>>>>>>>>>>>>>>?
Treasurer
<>>>>>>>>>>>>>>>>>>>>>>>>>>?
<>>>>>>>>>>>>>>>>>>>>>>>>>>?
A17b Identification no. A17c Pasport no.
Manager /
President * <>>>>>>>>>>? <>>>>>>>>>>?
Secretary
<>>>>>>>>>>? <>>>>>>>>>>?
Treasurer
<>>>>>>>>>>? <>>>>>>>>>>?
A17d Income tax no. A17e Telephone no.

Manager / Type of file:

President * SG/OG/C <? <>>>>>>>>>? <>>>>>>>>>>>?
-
Secretary
Type of file:
SG/OG/C
<? <>>>>>>>>>? <>>>>>>>>>>>?
-
Treasurer
Type of file:
SG/OG/C
<? <>>>>>>>>>? <>>>>>>>>>>>?
-
* Delete wichever is not relevant

A18 Particulars of association's bank account **

A18a Name of bank

<>>>>>>>>>>>>>>>>>>>>>>?
A18b Bank account no.
<>>>>>>>>>>>>>>>>>>>>>>?
<>>>>>>>>>>>>>>>>>>>>>>?
** NOTE: Enter the name of bank and bank account no. for the purpose of electronic refund of income tax.

A19 Has financial account(s) at financial institution(s) outside Malaysia

! 1 = Yes
2 = No

3
Name Income Tax No. <>>>>>>>>?
Note: If A1 = 1, fill in Part B for an association RESIDENT in Malaysia. (Part C need not be completed)

[Declare amount in Ringgit Malaysia currency (RM)]

PART B: STATUTORY INCOME, TOTAL INCOME AND
TOTAL TAX CHARGEABLE
Statutory Income From Business Business Code Amount (RM)

B1 Business 1
<>>>? <>_>>_>>_>>?
, , ,
B2 Business 2
<>>>? <>_>>_>>_>>?
, , ,
B3
Business 3 + 4 and
so forth (If any) <>>>? <>_>>_>>_>>?
, , ,
Statutory Income From Partnership Income Tax No. Amount (RM)

B4
B4
Partnership 1 D
<>>>>>>>>? <>_>>_>>_>>?
, , ,
B5 Partnership 2 D
<>>>>>>>>? <>_>>_>>_>>?
, , ,
B6
Partnership 3 + 4 and
so forth (If any) D
<>>>>>>>>? <>_>>_>>_>>?
, , ,
B7
<>_>>_>>_>>?
Aggregate statutory income from businesses ( B1 t o B6 )
, , , B7

B8
LESS: Business losses brought forward
(Restricted to B7) <>_>>_>>_>>?
, , , B8

B9 TOTAL ( B7 – B8 )
<>_>>_>>_>>?
, , , B9

Statutory Income From Other Sources

B10 Interest and discounts B10

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

B11 Rents, royalties and premiums B11

<>_>>_>>_>>?
, , ,
B12 Annuities and other periodical payments B12
<>_>>_>>_>>?
, , ,

B13 Other gains or profits B13

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

B14 Additions pursuant to paragraph 43(1)(c) B14

<>_>>_>>_>>?
, , ,
B15 Aggregate of other statutory income ( B10 to B14 ) B15
<>_>>_>>_>>?
, , ,
B16 AGGREGATE INCOME ( B9 + B15 ) B16
<>_>>_>>_>>?
, , ,

B17
LESS: Current year business losses
(Restricted to B16) B17
<>_>>_>>_>>?
, , ,

4
Name Income Tax No.
<>>>>>>>>?
B18 TOTAL ( B16 – B17 ) B18
<>_>>_>>_>>?
, , ,
LESS: Other expenses

B19
Qualifying prospecting expenditure
– Schedule 4 and paragraph 44(1)(b) B19
<>_>>_>>_>>?
, , ,

B20
TOTAL ( B18 – B19 )
[Enter ‘0’ if value is negative] B20
<>_>>_>>_>>?
, , ,
LESS: Donations / gifts / contributions / zakat

B21
Gift of money to the Government / State Government /
local authority B21
<>_>>_>>_>>?
, , ,
Gift of money to approved institutions / organisations
B21A / funds

<>_>>_>>_>>?
, , ,
Gift of money for any sports activity approved by
B22 the Minister of Finance
5

<>_>>_>>_>>?
, , ,
Restricted
to 7% of B16
<>_>>_>>_>>?
, , ,
Gift of money or cost of contribution in kind for any project
B23
of national interest approved by the Minister of Finance

<>_>>_>>_>>?
, , ,
B24 Gift of artefacts, manuscripts or paintings B24
<>_>>_>>_>>?
, , ,

B25 Gift of money for the provision of library facilities or to libraries B25
<>_>>_>>_>>?
, , ,
B26 Gift of paintings to the National Art Gallery or any state art gallery B26
<>_>>_>>_>>?
, , ,
B27
Zakat perniagaan
(Restricted to 2.5% of B16) B27
<>_>>_>>_>>?
, , ,
B28
Total donations / gifts / contributions / zakat
( B21 to B27 ) B28
<>_>>_>>_>>?
, , ,
B29 TOTAL ( B20 – B28 )
[Enter ‘0’ if value is negative] B29
<>_>>_>>_>>?
, , ,
B30 TAXABLE PIONEER INCOME B30
<>_>>_>>_>>?
, , ,
B31
TOTAL INCOME / CHARGEABLE INCOME
( B29 + B30 ) B31
<>_>>_>>_>>?
, , ,
B32 COMPUTATION OF TAX CHARGEABLE
(Refer to the tax rates schedule provided at the LHDNM Official Portal, [Link]

B32a Tax on the first

->>_>>_>>?
, , , ->>_>>_>>_>?
, , , .
At rate (%)

B32b Tax on the balance

->>_>>_>>?
, , , <? ->>_>>_>>_>?
, , , .
B33 TOTAL TAX CHARGEABLE ( B32a + B32b )
->>_>>_>>_>?
, , , . B33

5
Name Income Tax No.
<>>>>>>>>?
Note: If A1 = 2, fill in Part C for an association NOT RESIDENT in Malaysia. (Part B need not be completed)
[Declare amount in Ringgit Malaysia currency (RM)]

PART C: STATUTORY INCOME, TOTAL INCOME AND

TOTAL TAX CHARGEABLE

Statutory Income From Business Business Code Amount (RM)

C1 Business 1
<>>>? <>_>>_>>_>>?
, , ,
C2 Business 2
<>>>? <>_>>_>>_>>?
, , ,
C3
Business 3 + 4
and so forth (if any) <>>>? <>_>>_>>_>>?
, , ,
Statutory Income From Partnership Income Tax No. Amount (RM)

C4 Partnership 1 D
<>>>>>>>>? <>_>>_>>_>>?
, , ,
C5 Partnership 2 D
<>>>>>>>>? <>_>>_>>_>>?
, , ,
C6
Partnership 3 + 4
and so forth (if any) D
<>>>>>>>>? <>_>>_>>_>>?
, , ,
C7
<>_>>_>>_>>?
Aggregate statutory income from businesses ( C1 to C6 )
, , , C7

C8
LESS: Business losses brought forward
(Restricted to C7) <>_>>_>>_>>?
, , , C8

C9 TOTAL ( C7 – C8 )
<>_>>_>>_>>?
, , , C9

Statutory Income From Other Sources

C10 Discounts C10

<>_>>_>>_>>?
, , ,
C11 Rents and premiums C11
<>_>>_>>_>>?
, , ,
C12 Annuities and other periodical payments C12
<>_>>_>>_>>?
, , ,
C13 Other gains or profits C13
<>_>>_>>_>>?
, , ,
C14 Additions pursuant t o paragraph 43(1)(c) C14
<>_>>_>>_>>?
, , ,

C15 Aggregate of other statutory income ( C10 to C14 ) C15

<>_>>_>>_>>?
, , ,
C16 AGGREGATE INCOME ( C9 + C15 ) C16
<>_>>_>>_>>?
, , ,
C17
LESS: Current year business losses
(Restricted to C16) C17
<>_>>_>>_>>?
, , ,

6
Name <>>>>>>>>?
Income Tax No.

C18 TOTAL ( C16 – C17 )

LESS: Other expenses

C18
<>_>>_>>_>>?
, , ,

C19
Qualifying prospecting expenditure
– Schedule 4 and paragraph 44(1)(b)
C19
<>_>>_>>_>>?
, , ,
C20
TOTAL ( C18 – C19 )
[Enter ‘0’ if value is negative]

LESS: Donations / gifts / contribution / zakat

C20
<>_>>_>>_>>?
, , ,

C21
Gift of money to the Government / State Government /
local authority C21
<>_>>_>>_>>?
, , ,
Gift of money to approved institutions / organisations /
C21A
funds

C22
<>_>>_>>_>>?
, , ,
Gift of money for any sports activity approved by the
5 Minister of Finance

<>_>>_>>_>>?
, , ,
Restricted to
7% of C16 <>_>>_>>_>>?
, , ,
C23 Gift of money or cost of contribution in kind for any project
of national interest approved by the Minister of Finance

<>_>>_>>_>>?
, , ,
C24 Gift of artefacts, manuscripts or paintings C24
<>_>>_>>_>>?
, , ,
C25 Gift of money for the provision of library facilities or to libraries C25
<>_>>_>>_>>?
, , ,
C26
Gift of paintings to the National Art Gallery or any state art
gallery C26
<>_>>_>>_>>?
, , ,
C27
Zakat perniagaan
(Restricted to 2.5% of C16) C27
<>_>>_>>_>>?
, , ,
C28 Total donations / gifts / contributions / zakat ( C21 to C27 ) C28
<>_>>_>>_>>?
, , ,
C29
TOTAL ( C20 – C28 )
[Enter '0' if value is negative] C29
<>_>>_>>_>>?
, , ,
C30 TAXABLE PIONEER INCOME C30
<>_>>_>>_>>?
, , ,
C31 TOTAL ( C29 + C30 ) C31
<>_>>_>>_>>?
, , ,
C32 Gross income subject to tax at other rates

C32a Interest C32a

<>_>>_>>_>>?
, , ,
C32b Royalties C32b
<>_>>_>>_>>?
, , ,
C32c Special classes of income under section 4A C32c
<>_>>_>>_>>?
, , ,
C32d Other income (Please specify ) C32d
<>_>>_>>_>>?
, , ,
C33
TOTAL INCOME / CHARGEABLE INCOME
( C31 to C32d ) C33
<>_>>_>>_>>?
, , ,

7
Name Income Tax No.
<>>>>>>>>?
C34 COMPUTATION OF TAX CHARGEABLE

Division of chargeable income according to the rate applicable

Chargeable Income R a t e (%) Tax Chargeable

C34a
<>_>>_>>_>>?
, , ,
Gross income subject to tax at other rates
->>_>>_>>_>?
, ,
28
, .
C34b
<>_>>_>>_>>?
, , , ->>_>>_>>_>?
, ,
5
, .
C34c
<>_>>_>>_>>?
, , , ->>_>>_>>_>?
, ,
8
, .
C34d
<>_>>_>>_>>?
, , , ->>_>>_>>_>?
, ,
10
, .
C34e
<>_>>_>>_>>?
, , , ->>_>>_>>_>?
, ,
12
, .
C34f
<>_>>_>>_>>?
, , , ->>_>>_>>_>?
, ,
15
, .
C34g
<>_>>_>>_>>?
, , , <_?
. ->>_>>_>>_>?
, , , .
C35 TOTAL TAX CHARGEABLE ( C34a to C34g )
->>_>>_>>_>?
, , , .
C35

PART D: TAX PAYABLE / REPAYABLE

D1 TOTAL TAX CHARGEABLE ( From B33 or C35 )

LESS:
D1
->>_>>_>>_>?
, , , .
D2 Section 110 tax deduction (others) D2
->>_>>_>>_>?
, , , .
D3 Section 132 tax relief

Restricted to D1
D3
->>_>>_>>_>?
, , , .
D4 Section 133 tax relief D4
->>_>>_>>_>?
, , , .
D5 TAX PAYABLE * [ D1  ( D2 + D3 + D4 ) ]
OR
D5
->>_>>_>>_>?
, , , .
D6
TAX REPAYABLE * [ ( D2 + D3 + D4 )  D1 ]
(For a ‘Tax Repayable’ case, fill in items A18a and A18b on page 3) D6
->>_>>_>>_>?
, , , .
PART E: STATUS OF TAX

E1 Tax payable ( From D5 ) E1

->>_>>_>>_>?
, , , .
E2 LESS: Instalments paid E2
->>_>>_>>_>?
, , , .
E3 Balance of tax payable * ( E1  E2 ) E3
->>_>>_>>_>?
, , , .
OR

E4 Tax paid in excess * ( E2  E1 ) E4

->>_>>_>>_>?
, , , .
* Please enter the tax position (D5 / D6 / E3 / E4 whichever is applicable ) under the item ‘Status of
Tax’ on page 1

8
Name Income Tax No. <>>>>>>>>?
PART F: DISPOSAL OF ASSET UNDER THE REAL PROPERTY GAINS TAX ACT 1976
Disposal of asset under 1 = Yes Disposal been 1 = Yes
F1 the Real Property Gains Tax Act 1976. F2 declared to LHDNM.
2 = No 2 = No
(If ‘Yes’, also complete item F2)
PART G: INCOME OF PRECEDING YEARS NOT DECLARED
Type of Income Year of Assessment Amount (RM)

G1
<>>? <>_>>_>>_>>?
, , ,
G2
<>>? <>_>>_>>_>>?
, , ,
G3
<>>? <>_>>_>>_>>?
, , ,
PART H: PARTICULARS OF BUSINESS INCOME
Enter the amount without sen.

H1 LOSSES
LOSSES OF CURRENT YEAR OF ASESSMENT (including pioneer losses after tax relief period)
(a) (b) (c)
Current Year Of Assessment Amount Absorbed Balance Carried Forward
Business And Partnership Losses In The Current Year Of Assessment (c=a-b)

LOSSES OF PRIOR YEAR OF ASESSMENT ( including pioneer losses after tax relief period )
Losses Absorbed / Disregarded Until The Year Of Losses Absorbed / Disregarded In
Assessment Preceding The Current Year Of Assessment The Current Year Of Assessment
Year Of
(d) (e) (f) (g) (h) (j) (k)
Assessment In
Amount Of Amount Disregarded Amount Absorbed Balance After Amount Disregarded Amount Balance
Which Loss Is
Loss Incurred [Subsection 44(5F)] Disregarded / Absorbed [Subsection 44(5F)] Absorbed Carried
Incurred
Forward
(g=d-e-f) (k=g-h-j)
2018 and before

H2 SCHEDULE 7A ALLOWANCE

SCHEDULE 7A ALLOWANCE DURING THE QUALIFYING PERIOD

(a) (b) (c) (d) (e) (f)
Balance Amount Of Allowance Entitled To Be Amount Withdrawn Pursuant Amount Cannot Be Carried Amount Balance Carried
Brought Claimed In Respect Of Capital To Paragraph 2A Of Forward Due To Cessation Absorbed In The Forward
Forward Expenditure Incured In The Current Schedule 7A Of Business Of The Current Year Of
Year Of Assessment Qualifying Project Assessment (f=a+b-c-d-e)

SCHEDULE 7A ALLOWANCE AFTER THE QUALIFYING PERIOD

Allowance Cannot Be Carried Forward And Allowance Disregarded / Allowance Cannot Be Carried Forward And
Absorbed Until The Year Of Assessment Preceding The Current Year Allowance Disregarded / Absorbed In The
Of Assessment Current Year Of Assessment
(g) (h) (j) (k) (m) (n) (p) (q) (r)
First Year Of
Amount Of Amount Cannot Be Amount Amount Balance Of Allowance Amount Cannot Amount Amount Balance
Assessment
Allowance Carried Forward Disregarded Absorbed Be Carried Disregarded Under Absorbed Carried
For The
Due To Cessation Under Paragraph Forward Due Paragraph 4B Of Forward
Purpose Of
Of Business Of The 4B Of Schedule To Cessation Schedule 7A
Paragraph 4B
Qualifying Project 7A Of Business Of
Of Schedule
The Qualifying
7A
(m = g - h - j -k ) Project ( r= m - n -p - q)
2018 and
before

H3 CAPITAL ALLOWANCES
Allowance Absorbed Balance Carried Forward
H3a Business 1
<>_>>_>>_>>?
, , , <>_>>_>>_>>?
, , ,
H3b Business 2
<>_>>_>>_>>?
, , , <>_>>_>>_>>?
, , ,
H3c
Business 3 + 4 and
so forth (if any) <>_>>_>>_>>?
, , , <>_>>_>>_>>?
, , ,
H3d Partnership 1
<>_>>_>>_>>?
, , , <>_>>_>>_>>?
, , ,
H3e Partnership 2
<>_>>_>>_>>?
, , , <>_>>_>>_>>?
, , ,
H3f
Partnership 3 + 4
and so forth (if any) <>_>>_>>_>>?
, ,
PARTICULAR OF WITHHOLDING TAXES
, <>_>>_>>_>>?
, , ,
H4
1 = Yes
Payments to non-residents in the basis period subject to 2 = No
withholding tax under sections 107A, 109, 109A, 109B and 109F.
9
Name Income Tax No.
<>>>>>>>>?
PART J: SPECIAL DEDUCTION, FURTHER DEDUCTION AND DOUBLE DEDUCTION
Claim Code Amount Claim Code Amount

J1
<>? ->>_>>_>>?
, , , J3
<>? ->>_>>_>>?
, , ,

J2
<>? ->>_>>_>>?
, , , J4
<>? ->>_>>_>>?
, , ,

J5 TOTAL CLAIMED
<>_>>_>>_>>?
J5
, , ,

PART K: INCENTIVE CLAIM

Type of Incentive Amount Absorbed Balance Carried Forward

Increased exports
K1 allowance for
qualifying services <>_>>_>>_>>?
, , , <>_>>_>>_>>?
, , ,

K2 Schedule 4 expenditure
<>_>>_>>_>>?
, , , K2

PART L: FINANCIAL PARTICULARS OF ASSOCIATION

INCOME:

L1 Annual / members' fees L1

<>_>>_>>_>>?
, , ,
L2 Entrance fees L2
<>_>>_>>_>>?
, , ,
L3 Visitors' / green fees L3
<>_>>_>>_>>?
, , ,
L4 Seminars / conventions / training L4
<>_>>_>>_>>?
, , ,

L5 Donations L5
<>_>>_>>_>>?
, , ,

L6 Receipts from non-members L6

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

L7 Publishing L7
<>_>>_>>_>>?
, , ,

L8 Other businesses L8
<>_>>_>>_>>?
, , ,

L9 Dividends L9
<>_>>_>>_>>?
, , ,
L10 Interest and discounts L10
<>_>>_>>_>>?
, , ,

L11 Rents, royalties and premiums L11

<>_>>_>>_>>?
, , ,
L12 Other income L12
<>_>>_>>_>>?
, , ,

L13 TOTAL INCOME ( L1 to L12 )

<>_>>_>>_>>?
, , ,
L13

10
Name Income Tax No.
<>>>>>>>>?
EXPENSES:

L14 Salaries and wages L14

<>_>>_>>_>>?
, , ,
L15 Seminars / conventions / training L15
<>_>>_>>_>>?
, , ,
L16 Legal & professional fees L16
<>_>>_>>_>>?
, , ,
L17 Rental / lease L17
<>_>>_>>_>>?
, , ,
L18 Meetings L18
<>_>>_>>_>>?
, , ,
L19 Interest L19
<>_>>_>>_>>?
, , ,
L20 Travelling and accommodation L20
<>_>>_>>_>>?
, , ,
L21 Welfare / charitable expenses L21
<>_>>_>>_>>?
, , ,
L22 Other expenses L22
<>_>>_>>_>>?
, , ,

L23 TOTAL EXPENSES (L14 to L22)

<>_>>_>>_>>?
, , , L23

L24 SURPLUS / DEFICIT

! <>_>>_>>_>>?
, , ,
L24
(Enter “X” if negative)

L25 Non-allowable expenses

BALANCE SHEET
<>_>>_>>_>>?
, , , L25

FIXED ASSETS:

L26 Land and buildings L26

<>_>>_>>_>>?
, , ,
L27 Plant and machinery L27
<>_>>_>>_>>?
, , ,
L28 Motor vehicles L28
<>_>>_>>_>>?
, , ,
L29 Other fixed assets L29
<>_>>_>>_>>?
, , ,

L30 TOTAL FIXED ASSETS ( L26 to L29 )

<>_>>_>>_>>?
, , , L30

L31 Investments

CURRENT ASSETS:
<>_>>_>>_>>?
, , , L31

L32 Stock L32

<>_>>_>>_>>?
, , ,
L33 Trade debtors L33
<>_>>_>>_>>?
, , ,
L34 Sundry debtors L34
<>_>>_>>_>>?
, , ,
L35 Short-term savings L35
<>_>>_>>_>>?
, , ,

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

L36 Cash in hand

<>_>>_>>_>>?
L36
, , ,
L37 Cash at bank L37
(Enter “X” if negative)
! <>_>>_>>_>>?
, , ,
L38 Other current assets
<>_>>_>>_>>?
L38
, , ,

L39 TOTAL CURRENT ASSETS ( L32 to L38 )

<>_>>_>>_>>?
, , , L39

L40 TOTAL ASSETS ( L30 + L31 + L39 )

LIABILITIES:
<>_>>_>>_>>?
, , , L40

L41 Loans and overdrafts L41

<>_>>_>>_>>?
, , ,
L42 Trade creditors L42
<>_>>_>>_>>?
, , ,
L43 Sundry creditors L43
<>_>>_>>_>>?
, , ,
L44 Other current liabilities L44
<>_>>_>>_>>?
, , ,
L45 Long term liabilities L45
<>_>>_>>_>>?
, , ,

L46 TOTAL LIABILITIES ( L41 to L45 )

<>_>>_>>_>>?
, , , L46

MEMBERS’ FUNDS:

L47 Current account balance brought forward L47

(Enter “X” if negative)
! <>_>>_>>_>>?
, , ,
L48 Current year's surplus / deficit L48
(Enter “X” if negative)
! <>_>>_>>_>>?
, , ,
L49 Transfer to special fund
<>_>>_>>_>>?
L49
, , ,
L50 Current account balance carried forward L50
(Enter “X” if negative)
! <>_>>_>>_>>?
, , ,
L51 Balance in special fund
<>_>>_>>_>>?
L51
, , ,
PART M: PARTICULARS OF EXEMPT INCOME

M1 Business and Partnership M1

<>_>>_>>_>>?
, , ,
M2 Dividends M2
<>_>>_>>_>>?
, , ,
M3 Interest M3
<>_>>_>>_>>?
, , ,
M4 Rents M4
<>_>>_>>_>>?
, , ,
M5 Pioneer income M5
<>_>>_>>_>>?
, , ,
M6 Other income M6
<>_>>_>>_>>?
, , ,

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Name Income Tax No. <>>>>>>>>?
DECLARATION BY ASSOCIATION’S CONTROLLING MEMBER

I
<>>>>>>>>>>>>>>>>>>>>>>>>>>?
<>>>>>>>>>>>>>>>>>>>>>>>>>>?
Identification / passport no. *
<>>>>>>>>>>?
( * Delete whichever is not relevant )

hereby declare that this return form contains information that is true, correct and complete pertaining to the income tax of this association as
required under the Income Tax Act 1967.

Signature Date
<>>>>>>?
- -
Day Month Year

Designation
<>>>>>>>>>>>>>>>>>>>>>>?
<>>>>>>>>>>>>>>>>>>>>>>?
PARTICULARS OF THE FIRM AND SIGNATURE OF THE PERSON
WHO COMPLETES THIS RETURN FORM

a Name of firm
<>>>>>>>>>>>>>>>>>>>>>>?
<>>>>>>>>>>>>>>>>>>>>>>?
b Telephone no.
<>>>>>>>>>>>?
-
c Tax agent’s approval no.
<>>>>>>>>>>>>>?
Signature Date
<>>>>>>?
- -
Day Month Year

13