E Form 2009 - Hasil

1 1 FOR REFERENCE ONLYCP 8 - Pin. 2009 RETURN form OF EMPLOYERLEMBAGA Hasil DALAM NEGERI MALAYSIAFormEThis form is prescribed under section 152 of the Income Tax Act 1967 Name ofEmployer asRegistered1 Reference IdentityCard ERegistration CompaniesCommission ofMalaysia or others86 Status(use the status code)3 Date received (1)Date received (2)Date received (3) 2009 REMUNERATION FOR YEARUNDER SUBSECTION 83(1) OF THE INCOME TAX ACT 1967 Old IdentityCard Address11e-mailPostcodeTown-State03 = D 05 = J07 = TP09 = TC01 = SG06 = F08 = TA02 = OG04 = C11 = TR10 = CS12 = OthersFOR OFFICE USE2 FOR REFERENCE ONLYNameReference No. EPART A: INFORMATION ON NUMBER OF EMPLOYEES FOR THE YEAR ENDED 31 DECEMBER 2009A2A3 Number of new employeesA4 Number of employees whoceased employmentA1 Number of employeesNumber of employeesunder the STD schemeA5 Number of employeeswho ceased employmentand left MalaysiaA6 Has the cessation beenreported to LHDNM?

2 (If A5 is applicable)1 = Yes2 = Nohereby declare that the information given in this form is true, correct and complete in accordance with the requirements of theIncome Tax Act B:DECLARATIONI,Identity Card No. / Passport No. /Police No. / Army No.** Delete whichever is not relevantSignatureDesignationDate:DayMont hYear--4 FOR REFERENCE ONLYRETURN OF REMUNERATION FROM EMPLOYMENT FOR THE YEAR ENDED 31ST DECEMBER 2009 ANDPARTICULARS OF INCOME TAX DEDUCTION UNDER INCOME TAX RULES(DEDUCTION FROM REMUNERATION) 1994 NameReference No. EBName Of EmployeeReference employer is required to fill in this section if there is any employee whose annual gross remuneration is RM30,000 andabove OR for any employee whose annual gross remuneration is less than RM30,000 but the monthly gross remunerationis RM2,500 and above (inclusive of bonus but excluding remuneration in arrears in respect of preceding years) forwhichever month in the year 2009 .

3 NOTE:AN EMPLOYER CAN PREPARE COPIES AS PER THE FORMAT IN THIS SECTION IF THE SPACE PROVIDED INTHIS form IS EMPLOYER IS ENCOURAGED TO SUBMIT 8D ON DISKETTE/TAPE/COMPACT DISC IN ACCORDANCEWITH THE FORMAT SPECIFIED BY LHDNM.( 8D - Pin. 2009 )5 FOR REFERENCE ONLYNameReference No. EEGDT otal Gross Remuneration(including benefits-in-kindand value of livingaccommodation benefitprovided but excludingremuneration in arrears inrespect of preceding years)Identity Card No. /Passport No. / PoliceNo. / Army Exempt Allowances /Perquisities / Gifts /BenefitsTotal Tax DeductionSTDCP 38 RMRMRMRMTOTALFHRETURN OF REMUNERATION FROM EMPLOYMENT FOR THE YEAR ENDED 31ST DECEMBER 2009 ANDPARTICULARS OF INCOME TAX DEDUCTION UNDER INCOME TAX RULES(DEDUCTION FROM REMUNERATION) 1994( 8D - Pin. 2009 )7 FOR REFERENCE ONLYCName of and Address of form EA MUST BE PREPARED AND PROVIDED TO THE EMPLOYEE FOR INCOME TAX PURPOSEEMPLOYMENT INCOME, BENEFITS AND LIVING ACCOMMODATION (Excluding Tax ExemptAllowances/Perquisites/Gifts/Benef its) RM1.

4 Gross salary, wages or leave pay (including overtime pay)..Fees (including director fees), commissions or tips, perquisites, awards/rewards or other allowances (Details of payment ..)..Income tax borne by the employer in respect of his Value of benefits-in-kind:(a) Motorcars (Actual date )(i) Value of motorcar and ( )(ii) Value of (b) Electricity, water, telephone and other ( c ) Value of household benefits: ( *Delete whichever is not relevant )(i) Semi-furnished with furniture*/air-conditioners*/curtains*/c arpets*, (ii)Fully-furnished with kitchen equipment, crockery, utensils and appliances, (iii) Separate Items:Furniture and and (d) Household servant and (e) Benefit of leave passage for ( f ) Others (for example food and garments)..3. Value of living accommodation provided ( ).

5 4. Refund from unapproved Pension/Provident Fund, Scheme Or Compensation for loss of AND OTHERS1. Annuities or other Periodical TO APPROVED PENSION/PROVIDENT FUND, SCHEME OR SOCIETYName of Provident Fund ..Amount of contribution (state the employee's share of contribution only) RM .. ( 8A - Pin. 2009 )DEMALAYSIAINCOME TAXSTATEMENT OF REMUNERATION FROM EMPLOYMENTFOR THE YEAR ENDED 31 DECEMBER ..APARTICULARS OF EMPLOYEE1. Full Name of Employee/Pensioner ( ) ..2. Job New Identity Card No.. Identity Card EPF If the period of employment is less than a year, please state:(a) Date of (b) Date of DEDUCTION1. Current Year's Schedular Tax Deductions (STD) remitted to CP 38 Deductions for Zakat remitted to the collection authority of Malaysian OF PAYMENT IN ARREARS AND OTHER PAYMENTS IN RESPECT OF PRECEDING YEARS (PRIOR TO CURRENTYEAR)Year for which PaidType of IncomeTotal Payment (RM)EPF Contribution (RM)Schedular Tax Deductions (STD) (RM).

6 FSerial 's No. E ..Employee's Reference SECTOR Employee'sStatement of RemunerationTOTAL TAX EXEMPT ALLOWANCES / PERQUISITES / GIFTS / REFERENCE ONLY( 8C - Pin. 2009 )ECEMPLOYMENT INCOME AND BENEFITS (Excluding Tax Exempt Allowances/Perquisites/Gifts/Benefits) (a) Salary, including Leave Pay, Bonuses and (b) Gratuity for the period from .. to .. (State the ).. of Leave Passage for Travel (if relevant)..TAXABLE INCOME ( B1 + B2 + B3 )Date ..BDCONTRIBUTION TO EMPLOYEES PROVIDENT FUND (state the employee's share of contribution only)..APARTICULARS OF EMPLOYEE1. Full Name of Employee/Pensioner ( )..2. Job New Identity Card No .. Identity Card EPF If the period of employment is less than a year, please state:(a) Date of (b) Date of DEDUCTION1.

7 Current Year's Schedular Tax Deductions (STD) remitted to CP 38 Deductions for Zakat remitted to the collection authority of Malaysian OF PAYMENT IN ARREARS AND OTHER PAYMENTS IN RESPECT OF PRECEDING YEARS (PRIOR TO CURRENTYEAR)Year for which PaidType of IncomeTotal Payment (RM)EPF Contribution (RM)Schedular Tax Deductions (STD) (RM)..CEmployee's Reference 's No. E ..PUBLIC SECTOR Employee'sStatement of RemunerationTHIS form EC MUST BE PREPARED AND PROVIDED TO THE EMPLOYEE FOR INCOME TAX PURPOSEMALAYSIAINCOME TAXSTATEMENT OF REMUNERATION FROM EMPLOYMENTFOR THE YEAR ENDED 31 DECEMBER ..LIST OF TAX EXEMPT ALLOWANCES / PERQUISITES / GIFTS / BENEFITS WITH RESPECTIVE AMOUNTType of Allowances/Perquisites/Gifts/BenefitsExe mpted Amount (RM)Type of Allowances/Perquisites/Gifts/BenefitsExe mpted Amount (RM)1..3..2..FEName of and Address of REFERENCE ONLYP etrol card, petrol allowance or travel allowance or any of its combination for travelling between the homeand place of work (up to year of assessment 2010 only).

8 Petrol card, petrol allowance, travelling allowance or toll payment or any of its combination for officialduties. If the amount received exceeds RM6,000 a year, the employee can make a further deduction inrespect of the amount spent for official duties. Records pertaining to the claim for official duties and theexempted amount must be kept for a period of 7 years for audit care allowance in respect of children up to 12 years of business products of the employer provided free of charge or at a partly discounted price tothe employee, his spouse and unmarried children. The value of the goods is based on the sales received by the employee from a company within the same group of companies as his employerare not exempted from of fixed line telephone, mobile phone, pager or Personal Digital Assistant (PDA) registered in thename of the employee or employer including cost of registration and bills for subscription of broadband, fixed line telephone, mobile phone, pager and PDA registeredin the name of the employee or employer including cost of registration and of new personal computer (one unit).

9 Personal computer means a desktop computer, laptopcomputer and handheld computer but does not include a hand phone with computer facilities. [ (A)191/2008] (up to year of assessment 2010 only).Perquisite (whether in money or otherwise) provided to the employee pursuant to his employment in respect of:-(i) past achievement award;(ii) service excellence award, innovation award or productivity award; and(iii)long service award (provided that the employee has exercised an employment for more than 10 yearswith the same employer).Leave passage for travel (confined only to the cost of fares for the employee and members of hisimmediate family):(i) within Malaysia including meals and accommodation for travel not exceeding 3 times in anycalendar year; or(ii)outside Malaysia not exceeding one passage in any calendar year, is limited to a maximum ofRM3,000 Services provided free or at a discount by the business of the employer to the employee, his spouse andunmarried children.

10 Benefits received by the employee from a company within the same group ofcompanies as his employer are not exempted from rate and parking allowance. This includes parking rate paid by the employer directly to the allowance received on a regular basis and given at the same rate to all employees. Meal allowanceprovided for purposes such as overtime or outstation / overseas trips and other similar purposes in exercisingan employment are only exempted if given based on the rate fixed in the internal circular or written instructionof the exempt medical benefits are extended to include traditional medicine and maternity medicine means Malay, Chinese and Indian Traditional Medicine given by a medical practitionerregistered with bodies which are certified or registered in accordance with the rules governing traditionalmedicine as laid down by the Ministry of Health.