SAMPLE COMPANY RETURN FORM FOR YEAR OF …

1 SAMPLE COMPANY RETURN form FOR year OF ASSESSMENT 2015 For further information:- x LHDNM Branch x Toll Free Line : 1-800-88-5436 (LHDN) x Calls From Overseas : 603-77136666 x Official Portal : x e-Filing Website : 2 This SAMPLE form is provided for reference and learning purpose. 2 This SAMPLE form CANNOT be used for the purpose of submission to the Inland Revenue Board of Malaysia. 2 Pursuant to the Income Tax Act 1967 (ITA 1967), a COMPANY shall furnish a RETURN on an electronic medium or by way of electronic transmission [subsection 77A(1A)], and declare its income based on audited accounts [subsection 77A(4)] with effect from year of Assessment 2014.

2 LEMBAGA HASIL DALAM NEGERI MALAYSIA SAMPLE OF COMPANY RETURN form CP5 [Pin. 2015] year OF ASSESSMENT 2015 1 PART A: STATUTORY INCOME, TOTAL INCOME AND CHARGEABLE INCOME [Declare in Ringgit Malaysia(RM) currency] <>>>? A1 Business Code Amount (RM) Business 1 Business 2 Statutory Business Income Business 3 Business 4 Business 5 + 6 and so forth A5 A4 A3 A2 <>>>? <>>>? <>>>? <>>>? <>_>>_>>_>>? , , , <>_>>_>>_>>? , , , <>_>>_>>_>>? , , , <>_>>_>>_>>? , , , <>_>>_>>_>>? , , , Date received 1 Date received 2 Date received 3 FOR OFFICE USE <>>>>>>>>>>>>>>>>>>>>>>>>>>?

3 I Name of COMPANY <>>>>>>>>>>>>>>>>>>>>>>>>>>? V II [Submit form 13 if there is a change in name) Reference no. (registration no.) <? Country of residence (Use the Country Code) <>>>>>>>>>>? IV Resident in Malaysia (Indicate ; ! ! Yes No <>>>>>>>>? C VI Income tax no. IX Basis period <>>>>>>? Day Month year FromIII (PSOR\HU V no. <>>>>>>>>? E VIII Accounting period <>>>>>>? Day Month year Substantial change in shareholding and subsection 44(5A) applies ! XIV 1 = Yes 2 = No 3 = Not relevant To <>>>>>>? Day Month year To <>>>>>>? Day Month year X Record-keeping (Indicate X ) !)]

4 ! Yes No FromSmall and medium enterprise ! XI 1 = Yes 2 = No ! 1 = Claim 2 = Surrender 3 = Not relevant Claim / Surrender loss under the Group Relief provision [If claiming, submit C (RK-T); If surrendering, submit form C (RK-S)] XIII VII Date of commencement of operations <>>>>>>? Day Month year XIV Claim industrial building allowance under subparagraph 42(1) Schedule 3 ,QGLFDWH ; ! ! Yes No <>>>>>>>>? Income Tax No. Statutory Partnership Income Amount (RM) Partnership 1 Partnership 2 D D D Partnership 3 + 4 and so forth Aggregate statutory income from businesses ( A1 to A8 ) A9 A8 A7 A6 <>>>>>>>>?

5 <>>>>>>>>? <>_>>_>>_>>? , , , <>_>>_>>_>>? , , , <>_>>_>>_>>? , , , <>_>>_>>_>>? , , A9 2 1 DPH RI &RPSDQ\ C <>>>>>>>>? A10 A11 TOTAL ( A9 - A10 ) Business losses brought forward (Restricted to A9) A10 A11 <>_>>_>>_>>? <>_>>_>>_>>? , , , , , , Less: A12 A13 A18 A19 A20 A21 Other Statutory Income Dividends Interest Other income Additions pursuant to paragraph 43(1)(c) Aggregate statutory income from other sources ( A12 to A19 ) AGGREGATE INCOME ( A11 + A20 ) A12 A13 A18 A19 A20 A21 <>_>>_>>_>>?

6 , , , <>_>>_>>_>>? , , , <>_>>_>>_>>? , , , <>_>>_>>_>>? , , , <>_>>_>>_>>? , , , <>_>>_>>_>>? , , , <>_>>_>>_>>? A22 A23 Current year business losses (Restricted to A21) TOTAL ( A21 - A22 ) A22 A23 <>_>>_>>_>>? , , , Less: , , , <>_>>_>>_>>? <>_>>_>>_>>? <>_>>_>>_>>? A24 A25 A26 A27 Other expenses Prospecting expenditure - Schedule 4 and paragraph 44(1)(b) Pre-operational business expenditure - Schedule 4B and paragraph 44(1)(b) Permitted expenses under section 60H TOTAL [ A23 ( A24 to A27 ) ] ((QWHU LI YDOXH LV Qegative) A24 A25 A26 A27 <>_>>_>>_>>?)

7 , , , , , , , , , , , , Less: Less: A28 A28<>_>>_>>_>>? , , , Gift of money to the Government/ local authority Donations / Gifts / Contributions / Zakat A14 A15 A16 A17 Discounts Rents Royalties Premiums A14 A15 A16 A17 <>_>>_>>_>>? , , , <>_>>_>>_>>? , , , <>_>>_>>_>>? , , , <>_>>_>>_>>? , , , <>_>>_>>_>>? A29 A29 , , , Permitted expenses under section 60F A30 AGift of money to approved institutions or organisations A30B <>_>>_>>_>>? , , , Gift of money or cost of contribution in kind for any approved sports activity or sports body A30C Gift of money or cost of contribution in kind for any project of national interest approved by the Minister of Finance <>_>>_>>_>>?

8 , , , <>_>>_>>_>>? , , , <>_>>_>>_>>? , , , Restricted to 10% of A21 A30 3 C <>>>>>>>>? Name of COMPANY : .. Gift of artefacts, manuscripts or paintings Gift of money for the provision of library facilities or to libraries A31 A32 A31 <>_>>_>>_>>? , , , <>_>>_>>_>>? , , , Gift of paintings to the National Art Gallery or any state art gallery A33 A33 <>_>>_>>_>>? , , , <>_>>_>>_>>? <>_>>_>>_>>? A36 A34 Zakat perniagaan (restricted to of aggregate income in A21) TOTAL INCOME [ A28 ( A29 to A35 ) ] (Enter 0 if value is negative) A34 A36 , , , , , , <>_>>_>>_>>?

9 A35 Claim for loss under Group Relief provision A35 , , , <>_>>_>>_>>? <>_>>_>>_>>? <>_>>_>>_>>? A37 CHARGEABLE INCOME ( A36 + A37 ) A39 A38 CHARGEABLE INCOME OF FOREIGN FUND MANAGEMENT (section 60G) TAXABLE PIONEER INCOME A37 A38 A39 , , , , , , , , , Apportionment of Chargeable Income <_>>_>>_>>_>>? B1 CHARGEABLE INCOME [ from ( A38 + A39 ) ] , , , B1 , Rate (%) Income Tax <>_>>_>>_>>_>? <>_>>_>>_>>_>? <>_>>_>>_>>_>? <>_>>_>>_>>_>? <>_>>_>>_>>_>? <>_>>_>>_>>_>? <>_>>_>>_>>_>? B2 B3 B4 B7 B8 TOTAL INCOME TAX CHARGED (B2 to B7 ) 5 8 10 15 25 <>_>>_>>_>>?

10 <>_>>_>>_>>? <>_>>_>>_>>? <>_>>_>>_>>? <>_>>_>>_>>? <>_>>_>>_>>? B8 B5 B6 , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , .. TAX PAYABLE PART B: <>_>>_>>_>>_>? 20 <>_>>_>>_>>? B5A , , , , , , . <_? . A32 Less: B11 B10 Section 110B tax deduction <>_>>_>>_>>_>? B10 , , , . <>_>>_>>_>>_>? B11 , , , . <>_>>_>>_>>_>? B13 Section 132 tax relief B13 , , , . B9 Tax reduction on income derived from exploration and exploitation of petroleum in a Joint Development Area <>_>>_>>_>>_>? B9 , , , . B12 <>_>>_>>_>>_>?