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CBDT notifies New Income Tax Return Forms for the Assessment Year 2011-12.

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....BDT notifies New Income Tax Return Forms for the Assessment Year 2011-12. <br>Income Tax<br>Dated:- 16-4-2011<br><BR>NEW RETURN FORMS FOR ASSESSMENT YEAR 2011-12 Notification Form No. &nbsp; &nbsp; ITR-1 SAHAJ Indian Individual Income tax Return English Form Instruction Hindi Form Instruction ITR - V Acknowledgment &nbsp; ITR-2 For Individuals and HUFs not having Income from Business or Profession English Form Instruction Hindi Form Instruction ITR - V Acknowledgment &nbsp; ITR-3 For Individuals/HUFs being partners in firms and not carrying out business or profession under any proprietorship English Form Instruction Hindi Form Instruction ITR - V Acknowledgment &nbsp; SUGAM (ITR-4S) Sugam - Presumptive Business Income tax Return English Form Instruction Hindi Form Instruction ITR - V Acknowledgment &nbsp; ITR-4 For individuals and HUFs having income from a proprietory business or profession English Form Instruction Hindi Form Instruction ITR - V Acknowledgment &nbsp; ITR-5 For firms, AOPs and BOIs English Form Instruction Hindi Form Instruction ITR - V Acknowledgment &nbsp; ITR-6 For Companies other than companies claiming exempt....

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....ion under section 11 English Form Instruction Hindi Form Instruction ITR - V Acknowledgment &nbsp; ITR-7 For persons including companies required to furnish return under section 139(4A) or section 139(4B) or section 139(4C) or section 139(4D) English Form Instruction Hindi Form Instruction Acknowledgment &nbsp; &nbsp; &nbsp; &nbsp; ============= Document 1 ITR-1 A1 FIRST NAME 2011-12 ITR-1, PAGE 1 SAHAJ INDIAN INDIVIDUAL INCOME TAX RETURN AY 2011-12 A2 MIDDLE NAME A3 LAST NAME A5 SEX A6 DATE OF BIRTH Male Female DDMMYYYY A8 FLAT/DOOR/BUILDING A7 INCOME TAX WARD/CIRCLE A9 ROAD/STREET A10 AREA/LOCALITY A12 STATE A14 EMAIL ADDRESS A15 RESIDENTIAL/OFFICE PHONE NO. WITH STD CODE A16 MOBILE NO. A4 PERMANENT ACCOUNT NUMBER A11 TOWN/CITY/DISTRICT A13 PINCODE اليي A17 Fill only one if you belong to ► Government ► PSU▸ Others A18 Fill only one ▸ A20 Fill only one: filed ▸ Tax Refundable ► Tax Payable▸ Nil Tax Balance A19 Fill only one ▸ Resident Non Resident ▸ Before due date-139(1) After due date-139(4) Revised Return-139(5) OR in response to notice O Resident but not ordinarily r....

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....esident 142(1) 148 ► 153A/153C ་ A21 If revised and Receipt Number of Original Return PART B-GROSS TOTAL INCOME DDMMYYYY Date of Filing Original Return Whole-Rupee() only. B1 Income from Salary/Pension NOTE ▸ B1 Ensure to fill "Sch TDS1" given in Page 2 If showing loss, mark the negative sign in bracket at left B2 Income from One House Property ► B2 ( NOTE Ensure to fill "Sch TDS2" given in Page 2 B3 Income from other sources B4 Gross Total Income (B1 + B2 + B3) PART C - DEDUCTIONS AND TAXABLE TOTAL INCOME (Refer to Instructions for Limits on Amount of Deductions as per “Income Tax Act") ▸ C2 80CCC ་ B3 ( ) B4 ( C1 80C C3 80CCD C1 C4 80CCF ▸ C5 80D ▸ C6 80DD to C7 80DDB -C10 (80GG - C8 ( 80E ►C11 80GGA ▸ C9 80G ་ » C12 80GGC C13 ་ C13 80U C14 Total Deductions ( Add items C1 to C13 ) C15 Taxable Total Income( B4 - C14) FOR OFFICIAL USE ONLY STAMP RECEIPT NO. HERE ▸ C14 ► C15 ( ) SEAL, DATE AND SIGNATURE OF RECEIVING OFFICIAL L PERMANENT ACCOUNT NUMBER 2011-12 ITR-1, PAGE 2 PART D-TAX COMPUTATION AND TAX STATUS D1 Tax Payable On Total Inco....

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....me(C15) to Secondary & Higher Education Cess D3 D1 D4 Relief u/s 89 to D6â–º D4 D7 Total Interest u/s 234A/234B/234C to D9 D7 D10 Total Self Assessment Tax Paid to D12 D10 â–¸ D2 TOTAL TAX AND CESS (D1 + D2) â–¸ D3 Relief u/s 90/91 Balance Tax After Relief (D3-D4-D5) â–¸ D5 â–¸ D6 Total Tax and Interest (D6+D7) Total Advance Tax Paid â–¸ D8 â–¸ D9 Total TDS Deducted D11 D13 Tax Payable (D8-D12, If D8>D12) to D14 D13 Refund (D12-D8, If D12 >D8) â–ºD14 Bank Account Details ( Mandatory in all cases irrespective of refund due or not) â–ºD15 ACCOUNT No. Total Prepaid Taxes (D9+D10+D11) â–ºD12 D16 MICR CODE deposited directly into your bank account â–ºD17 Type of account: cheque or â–¸ â–ºD19 Exempt income only for reporting purposes (From Dividends, Agricultural Income Document 2 ITR - V Received with thanks from_ ACKNOWLEDGEMENT ITR No. 1(SAHAJ) â–º 2 3 4S(SUGAM) â–º A1 FIRST NAME AY 2011-12 a return of income in 6 for assessment year 2011-12, having the following particulars A2 MIDDLE NAME A3 LAST NAME A5 SEX A6 DATE OF BIRTH DDMMYYYY Male Female DDMM A8 FLAT/DOOR/BUIL....

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....DING A7 INCOME TAX WARD/CIRCLE A9 ROAD/STREET A10 AREA/LOCALITY A12 STATE A4 PERMANENT ACCOUNT NUMBER A11 TOWN/CITY/DISTRICT A13 PINCODE A14 Fill only one: filed â–¸ Before due date-139(1) After due date-139(4) Revised Return-139(5) OR in response to notice COMPUTATION OF INCOME AND TAX RETURN 142(1) 148 153A/153C Whole-Rupee() only. â–¼If showing loss, mark the negative sign in bracket at left B1 Gross Total Income â–º B1 ( B2 Deductions under Chapter VI-A â–¸ B2 B3 Total Income B4 Current Loss if any â–º B3 ( â–º B4 ( B5 Net Tax Payable â–¸ B5 B6 Interest Payable â–¸ B6 B7 Total Tax and Interest Payable â–¸ B7 B8 Total Advance Tax Paid â–¸ B8 B9 Total Self Assessment Tax Paid â–¸ B9 B10 Total TDS Deducted â–ºB10 B11 Total TCS Deducted B12 Total Prepaid Taxes (B8+B9+B10+B11) B13 Tax Payable ( B7-B12, If B7 > B12) B14 Refund (B12-B7, If B12 > B7) FOR OFFICIAL USE ONLY STAMP RECEIPT NO. HERE â–ºB14 SEAL, DATE AND SIGNATURE OF RECEIVING OFFICIAL â–¸ B11 â–º B12 â–ºB13 L Document 3 FORM ITR-2 INDIAN INCOME TAX RETURN [For Individuals and HUFs not having Income from Business or....

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.... Profession] (Please see Rule 12 of the Income-tax Rules,1962) (Also see attached instructions) Assessment Year 2 0 1 1 - 1 2 Part A-GEN GENERAL PERSONAL INFORMATION First name Middle name Last name PAN Flat/Door/Block No Name Of Premises/Building/Village Status (Tick) Individual HUF Road/Street/Post Office Area/locality Date of Birth (DD/MM/YYYY) ( in case of individual) / / Town/City/District State Pin code Sex (in case of individual) (Tick) Male Female Residential/Office Phone Number with STD code Mobile No. Employer Category(if in employment) (Tick) Govt PSU Others Email Address Income Tax Ward/Circle FILING STATUS Return filed (Tick) [Please see instruction number-7] Before due date - 139(1) After due date -139(4) Revised Return- 139(5) OR I n response to notice 142(1) 148 153A/153C If revised, then enter Receipt No and Date of filing original return (DD/MM/YYYY) / / Residential Status (Tick) Resident Non-Resident Resident but Not Ordinarily Resident Whether this return is being filed by a representative assessee? (Tick) Yes No If yes, please furnish following information - (a) Name of the representative (b) Address of the representative ( c) Permanent Account Number (PAN) of ....

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....the representative PART-B Part B - TI Computation of total income TOTAL INCOME 1 Salaries (6 of Schedule S) 1 2 Income from house property (3c of Schedule HP) (enter nil if loss) 2 3 Capital gains a Short term i Short-term (u/s 111A) (enter nil, if loss) (A5 of Schedule CG) 3ai ii Short-term (others) (A6 of Schedule CG) 3aii iii Total short-term (3ai + 3aii) (A4 of Schedule CG) 3aiii b Long-term (B5 of Schedule CG) (enter nil if loss) 3b c Total capital gains (3aiii + 3b) (enter nil if 3c is a loss) 3c 4 Income from other sources a from sources other than from owning race horses and Winnings from Lottery (3 of Schedule OS) 4a b from owning race horses (4c of Schedule OS) (enter nil if loss) 4b c Total (a + b) (enter nil if 4c is a loss) 4c 5 Total (1+2+3c +4c) 5 Do not write or stamp in this area (Space for bar code) For Office Use Only Receipt No Date Seal and Signature of receiving official 6 Losses of current year set off against 5 (total of 2vi and 3vi of Schedule CYLA) 6 7 Balance after set off current year losses (5-6) (also total of column 4 of Schedule CYLA) 7 8 Brought forward losses set off against 7 (2vi of Schedule BFLA) 8 9 Gross Total income (7-8) (also 3vii of Schedu....

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....le BFLA) 9 10 Deductions under Chapter VI-A (n of Schedule VIA) 10 11 Total income (9-10) 11 12 Net agricultural income/ any other income for rate purpose (4 of Schedule EI) 12 13 ‘Aggregate income’ (11+12) 13 14 Losses of current year to be carried forward (total of row xi of Schedule CFL) 14 Part B - TTI Computation of tax liability on total income COMPUTATION OF TAX LIABILITY 1 Tax payable on total income a Tax at normal rates 1a b Tax at special rates (11 of Schedule SI) 10 Deductions under Chapter VI-A (o of Schedule VIA) 10 11 Total income 11 12 Net agricultural income/ any other income for rate purpose (4 of Schedule EI) 12 13 ‘Aggregate income’ (8+ 9) 13 14 Losses of current year to be carried forward (total of 2viii and 3viii of Schedule CYLA) 14 1b c Tax Payable on Total Income (1a + 1b) 1c 2 Education cess , including secondary and higher education cess on 1c 2 3 Gross tax liability (1c+ 2 ) 3 4 Tax relief a Section 89 4 a b Section 90 4 b c Section 91 4 c d Total ( 4 a + 4 b+ 4 c) 4 d 5 Net tax liability ( 3 – 4 d) 5 6 Interest payable a For default in furnishing the return (section 234A) 6 a b For default in payment of advance tax (sect....

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....ion 234B) 6 b c For deferment of advance tax (section 234C ) 6 c d Total Interest Payable ( 6 a+ 6 b+ 6 c) 6 d 7 Aggregate liability ( 5 + 6 d) 7 TAXES PAID 8 Taxes Paid a Advance Tax (from Schedule-IT) 8 a b TDS (total of column 7 of Schedule-TDS1 and column 7 of Schedule-TDS2) 8 b c Self Assessment Tax (from Schedule-IT) 8 c d Total Taxes Paid (8 a+ 8b+8 c) 8 d 9 Amount payable (Enter if 7 is greater than 8 d, else enter 0) 9 REFUND 1 0 Refund (If 8 d is greater than 7 ) 1 0 11 Enter your bank account number (mandatory in all cases ) 1 2 Do you want your refund by cheque, or deposited directly into your bank account? (tick as applicable ) 1 3 Give additional details of your bank account MICR Code Type of Account (tick as applicable ) Savings Current VERIFICATION I, son/ daughter of holding permanent account number solemnly declare that to the best of my knowledge and belief, the information given in the return and schedules thereto is correct and complete and that the amount of total income and other particulars shown therein are truly stated and are in accordance with the provisions of the Income-tax Act, 1961, in respect of income chargeable to Income-tax for the previous year ....

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....relevant to the Assessment Year 20 1 1 - 201 2 . Place Date Sign here 1 4 If the return has been prepared by a Tax Return Preparer (TRP) give further details as below: Identification No. of TRP Name of TRP Counter Signature of TRP If TRP is entitled for any reimbursement from the Government, amount thereof 15 Schedule S Details of Income from Salary SALARIES Name of Employer PAN of Employer (optional) Address of employer Town/City State Pin code 1 Salary (Excluding all exempt/ non-exempt allowances, perquisites & profit in lieu of salary as they are shown separately below) 1 2 Allowances exempt under section 10 (Not to be included in 6 below) 2 3 Allowances not exempt ( refer Form 16 from employer ) 3 4 Value of perquisites (refer Form 16 from employer) 4 5 Profits in lieu of salary (refer Form 16 from employer) 5 6 Income chargeable under the Head ‘Salaries’ (1+3+4+5) 6 Schedule HP Details of Income from House Property (Please refer to instructions) HOUSE PROPERTY 1 Address of property 1 Town/ City State PIN Code (Tick) if let out Name of Tenant PAN of Tenant (optional) a Annual letable value/ rent received or receivable (higher if let out for whole of the year, lower....

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.... if let out for part of the year) 1a b The amount of rent which cannot be realized 1b c Tax paid to local authorities 1c d Total (1b + 1c) 1d e Balance (1a – 1d) 1e f 30% of 1e 1f g Interest payable on borrowed capital 1g h Total ( 1f + 1g) 1h i Income from house property 1 (1e – 1h) 1i 2 Address of property 2 Town/ City State PIN Code (Tick) if let out Name of Tenant PAN of Tenant (optional) a Annual letable value/ rent received or receivable (higher if let out for whole of the year, lower if let out for part of the year) 2a b The amount of rent which cannot be realized 2b c Tax paid to local authorities 2c d Total (2b + 2c) 2d e Balance (2a – 2d) 2e f 30% of 2e 2f g Interest payable on borrowed capital 2g h Total ( 2f + 2g) 2h i Income from house property 2 (2e – 2h) 2i 3 Income under the head “Income from house property” a Rent of earlier years realized under section 25A/AA 3a b Arrears of rent received during the year under section 25B after deducting 30% 3b c Total (3a + 3b + 1i + 2i) 3c NOTE ► Please include the income of the specified persons referred to in Schedule SPI while computing the income under this head Schedule CG Capit....

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....al Gains CAPITAL GAINS A Short-term capital gain 1 From assets in case of non-resident to which first proviso to section 48 is applicable 1 2 From assets in the case of others a Full value of consideration 2a b Deductions under section 48 i Cost of acquisition bi ii Cost of Improvement bii iii Expenditure on transfer biii iv Total ( i + ii + i i i ) biv c Balance (2 a – biv ) 2c d Loss, if any, to be ignored under section 94(7) or 94(8) (enter positive values only) 2d e Deduc tion under section 54B/54D 2e f Short-term capital gain (2c + 2d – 2e) 2f 3 Amount deemed to be short term capital gains under sections 54B/54D/54EC/ 54ED/54G/ 54GA A 3 4 Total short term capital gain (1 + 2f + A3 ) A 4 5 Short term capital gain under section 111A included in 4 A5 6 Short term capital gain other than referred to in section 111A ( A 4 – A 5) A6 B Long term capital gain 1 Asset in case of non-resident to which first proviso to section 48 is applicable 1 2 Asset in the case of others where proviso under section 112(1) is not exercised a Full value of consideration 2a b Deductions under section 48 i Cost of acquisition after indexation bi ii Cost of improvement after indexatio....

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....n bii iii Expenditure on transfer biii iv Total (bi + bii + biii ) biv c Balance (2a – biv ) 2c d Deduct ion under sections 54/54B/54D/54EC/54F 54G/54GA 2d e Net balance (2c – 2d) 2e 3 Asset in the case of others where proviso under section 112(1) is exercised a Full value of consideration 3a b Deductions under section 48 i Cost of acquisition without indexation b i ii Cost of improvement without indexation bii iii Expenditure on transfer biii iv Total (bi + bii + biii ) biv c Balance (3a – biv ) 3c d Deduc tion under sections 54/54B/54D/54EC/54F 3d e Net balance (3c-3d) 3e 4 Amount deemed to be long term capital gains under sections 54/54B/54D/54EC/54ED/54F B 4 5 Total long term capital gain 1 + 2e [ (enter 2e as nil if loss) + 3e (enter 3e as nil if loss) + 4 ) ] B5 C Income chargeable under the head “CAPITAL GAINS” (A4 + B5) (enter B5 as nil, if loss) C D Information about accrual/receipt of capital gain Date Upto 15/9 ( i ) i ) 16/9 to 15/12 (ii) 16/12 to 15/3 (iii) 16/3 to 31/3 (iv) 1 Long- term where proviso under section 112(1) is exercised (Without Indexation)- Code in SI Schedule is 22, Tax Rate is 10% ; Enter only positive value from Item ....

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....B3e of Schedule CG AFTER loss adjustment under this category in Schedule CYLA and BFLA, if any. 2 Long- term where proviso under section 112(1) is NOT exercised (With Indexation)- Code in SI Schedule is 21, Tax Rate is 20%; Enter only positive value from Item (B 5 -B 3e ) of Schedule CG AFTER loss adjustment under this category in Schedule CYLA and BFLA, if any. 3 Short-term under 111A- Code in SI Schedule is 1A, Tax Rate is 15% ; Enter only positive value from Item A7 of Schedule CG AFTER loss adjustment under this category in Schedule CYLA and BFLA, if any. 4 Short-term OTHERS- Taxed at normal rates; Enter only positive value from Item A8 of Schedule CG AFTER loss adjustment under this category in Schedule CYLA and BFLA, if any. NOTE â–º Please include the income of the specified persons referred to in Schedule SPI while computing the income under this head Schedule OS Income from other sources OTHER SOURCES 1 Income a Dividends, Gross 1a b Interest, Gross 1b c Rental income from machinery, plants, buildings, etc., Gross 1c d Others, Gross (excluding income from owning race horses) 1d e Total (1a + 1b + 1c + 1d) 1e f Deductions under section 57:- i Expenses / Deductions fi ii....

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.... Depreciation fii iii Total fiii g Balance (1e – fiii ) 1g 2 Winnings from lotteries, crossword puzzles, races, etc. 2 3 Income from other sources (other than from owning race horses and Winnings from Lottery ) (1g + 2) (enter 1g as nil, if loss) 3 4 Income from owning and maintaining race horses a Receipts 4a b Deductions under section 57 in relation to (4) 4b c Balance (4a – 4b) 4c 5 Income chargeable under the head “Income from other sources” (3 + 4c) (enter 4c as nil if loss and take 4c loss figure to Schedule CFL) 5 NOTE ► Please include the income of the specified persons referred to in Schedule SPI while computing the income under this head. Schedule CYLA Details of Income after Set off of current year losses CURRENT YEAR LOSS ADJUSTMENT Sl.No Head/ Source of Income Income of current year (Fill this column only if income is zero or positive) House property loss of the current year set off Other sources loss (other than loss from race horses) of the current year set off Current year’s Income remaining after set off Total loss (3c of Schedule –HP) Total loss (3 of Schedule-OS) 1 2 3 4=1-2-3 Loss to be adjusted i Salaries ii House p....

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....roperty iii Short-term capital gain iv Long term capital gain v Other sources ( in cl. profit from owning race horses but excluding winnings from lottery ) vi Total loss set off vii Loss remaining after set-off out of 2 & 3 Schedule BFLA Details of Income after Set off of Brought Forward Losses of earlier years BROUGHT FORWARD LOSS A DJUSTMENT Sl. No. Head/ Source of Income Income after set off, if any, of current year’s losses as per 4 of Schedule CYLA Brought forward loss set off Current year’s income remaining after set off 1 2 3 i Salaries ii House property iii Short-term capital gain iv Long-term capital gain v Other sources ( profit from owning race horses but excluding winnings from lottery ) vi Total of brought forward loss set off vii Current year’s income remaining after set off Total (i3 + ii3 + iii3 + iv3 + v3) Schedule CFL Details of Losses to be carried forward to future years CARRY FORWARD OF LOSS Assessment Year Date of Filing (DD/MM/YYYY) House property loss Short-term capital loss Long-term Capital loss Other sources loss (from owning race horses) i 200 3 -0 4 ii 200 4 -0 5 iii 200 5 -0 6 iv 200 6 -0 7 v 200 7 -0 8 vi 200 8 -0 9 vii 200 9 - 10....

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.... viii 20 10 -1 1 ix Total of earlier year losses x Adjustment of above losses in Schedule BFLA xi 201 1 - 1 2 (Current year losses) xii Total loss Carried Forward to future years Schedule VIA Deductions under Chapter VI-A (Section) TOTAL DEDUCTIONS a 80C h 80E b 80CCC i 80G c 80CCD j 80GG d 80CCF k 80GGA e 80D l 80GGC f 80DD m 80RRB g 80DDB n 80U o Total deductions (total of a to n ) o Schedule SPI Income of specified persons (spouse, minor child etc) includable in income of the assessee (income of the minor child to be included after Rs. 1,500 per child) Sl No Name of person PAN of person (optional) Relationship Nature of Income Amount (Rs) 1 2 3 Schedule SI Income chargeable to Income tax at special rates [Please see instruction No.9(iii) for section code and rate of tax] SPECIAL RATE Sl No Section code Special rate (%) Income i Tax thereon ii Sl No Section code Special rate (%) Income i Tax thereon ii 1 1A 15 6 2 22 10 7 3 21 20 8 4 5BB 30 9 5 10 11 Total (1ii to 10 ii) Schedule EI Details of Exempt Income (Income not to be included in Total Income) EXEMPT INCOME 1 Interest income 1 2 Dividend income 2 3 Long-term capital gains from transactions on which Securities Transaction T....

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....ax is paid 3 4 Net Agriculture income /any other income for rate purpose 4 5 Others , including exempt income of minor children 5 6 Total (1+2+3+4+5) 6 Schedule IT Details of Advance Tax and Self Assessment Tax Payments of Income-tax TAX PAYMENTS Sl No BSR Code Date of Deposit (DD/MM/YYYY) Serial Number of Challan Amount (Rs) i ii iii iv v NOTE â–º Enter the totals of Advance tax and Self Assessment tax in Sl No. 8 a & 8 c of Part B-TTI Schedule TDS1 Details of Tax Deducted at Source from Salary [As per Form 16 issued by Employer(s)] TDS ON SALARY Sl No Tax Deduction Account Number (TAN) of the Employer Name of the Employer Income chargeable under Salaries Total tax deducted (1) (2) (3) (4) (5) i ii Schedule TDS2 Details of Tax Deducted at Source on Income [As per Form 16 A issued by Deductor(s)] TDS ON OTHER INCOME Sl No Tax Deduction Account Number (TAN) of the Deductor Name of the Deductor Total tax deducted Amount out of (4) claimed for this year (1) (2) (3) (4) (5) i ii NOTE â–º Please enter total of column 7 of Schedule-TDS1 an d column 7 of Schedule-TDS2 in 8 (b) of Part B-TTI Document 4 FORM ITR-3 INDIAN INCOME TAX RETURN [For Individuals/HUFs being partners in firm....

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....s and not carrying out business or profession under any proprietorship] (Please see r ule 12 of the Income-tax Rules,1962) (Also see attached instructions) Assessment Year 2 0 1 1 - 1 2 Part A-GEN GENERAL PERSONAL INFORMATION First name Middle name Last name PAN Flat/Door/Block No Name Of Premises/Building/Village Status (Tick) Individual HUF Road/Street/Post Office Area/locality Date of Birth (DD/MM/YYYY) ( in case of individual) / / Town/City/District State Pin code Sex ( in case of individual) (Tick) Male Female Residential/Office Phone Number with STD code Mobile No. Employer Category(if in employment) (Tick) Govt PSU Others FILING STATUS Email Address Income Tax Ward/Circle Return filed (Tick) [Please see instruction number-7] Before due date - 139(1) After due date -139(4) Revised Return- 139(5) OR In response to notice 142(1) 148 153A/153C If revised, then enter Receipt No and Date of filing original return (DD/MM/YYYY) / / Residential Status (Tick) Resident Non-Resident Resident but Not Ordinarily Resident Whether this return is being filed by a representative assessee? (Tick) Yes No If yes, please furnish following information - (a) Name of the representative (b) Address o....

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....f the representative (c) Permanent Account Number (PAN) of the representative PART-B Part B - TI Computation of total income TOTAL INCOME 1 Salaries (6 of Schedule S) 1 2 Income from house property (3c of Schedule HP) (enter nil if loss) 2 3 Profits and gains from business or profession (6vi of Schedule BP) (enter nil if loss) 3 4 Capital gains a Short term i Short-term (u/s 111A) (enter nil, if loss) (A5 of Schedule CG) 4ai ii Short-term (others) (A6 of Schedule CG) 4aii iii Total short-term (4ai + 4 aii) (enter nil if loss) (A4 of Schedule CG) 4aiii b Long-term (B5 of Schedule CG) (enter nil if loss) 4b c Total capital gain s (4aiii + 4 b) (enter nil if 4 c is a loss) 4c Do not write or stamp in this area (Space for bar code) For Office Use Only Receipt No Date Seal and Signature of receiving official 5 Income from other sources a from sources other than from owning race horses (3 of Schedule OS) (enter nil if loss) 5a b from owning race horses (4c of Schedule OS) (enter nil if loss) 5b c Total (5a + 5b) (enter nil if 5c is a loss) 5c 6 Total (1+2+3+4c+5c) 6 7 Losses of current year set off against 6 (total of 2vii,3vii and 4vii of Schedule CYLA) 7 8 Balance after set off current....

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.... year losses (6-7) (also total of column 5 of Schedule CYLA) 8 9 Brought forward losses set off against 8 (2vii of Schedule BFLA) 9 10 Gross Total income (8-9) (also 3viii of Schedule BFLA) 10 11 Deductions under Chapter VI-A (o of Schedule VIA) 11 12 Total income (10 – 11) 12 13 Net agricultural income/ any other income for rate purpose (4 of Schedule EI) 13 14 ‘Aggregate income’ (12+ 13) 14 15 Losses of current year to be carried forward (xi of Schedule CFL) 15 Part B - TTI Computation of tax liability on total income COMPUTATION OF TAX LIABILITY 1 Tax payable on total income a Tax at normal rates 1a b Tax at special rates (11 of Schedule SI) 10 Deductions under Chapter VI-A (o of Schedule VIA) 10 11 Total income 11 12 Net agricultural income/ any other income for rate purpose (4 of Schedule EI) 12 13 ‘Aggregate income’ (8+ 9) 13 14 Losses of current year to be carried forward (total of 2viii and 3viii of Schedule CYLA) 14 1b c Tax Payable on Total Income (1a + 1b) 1c 2 Education c ess , including secondary and higher education cess on 1c 2 3 Gross tax liability (1c+ 2) 3 4 Tax relief a Section 89 4 a b Section 90 4 b c Section 91 4 c d Total ( 4 ....

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....a + 4 b+ 4 c) 4 d 5 Net tax liability ( 3 – 4 d) 5 6 Interest payable a For default in furnishing the return (section 234A) 6 a b For default in payment of advance tax (section 234B) 6 b c For deferment of advance tax (section 234C ) 6 c d Total Interest Payable ( 6 a+ 6 b+ 6 c) 6 d 7 Aggregate liability ( 5 + 6 d) 7 TAXES PAID 8 Taxes Paid a Advance Tax (from Schedule-IT) 8 a b TDS (total of column 7 of Schedule-TDS1 and column 7 of Schedule-TDS2) 8 b c Self Assessment Tax (from Schedule-IT) 8 c d Total Taxes Paid ( 8 a+ 8 b+ 8 c) 8 d 9 Amount payable (Enter if 7 is greater than 8 d, else enter 0) 9 REFUND 1 0 Refund (If 8 d is greater than 7 ) 1 0 11 Enter your bank account number (mandatory in all cases) 1 2 Do you want your refund by cheque, or deposited directly into your bank account? (tick as applicable ) 1 3 Give additional details of your bank account MICR Code Type of Account (tick as applicable ) Savings Current VERIFICATION I, son/ daughter of , holding permanent account number ____________ solemnly declare that to the best of my knowledge and belief, the information given in the return and schedules thereto is correct and complete and that the amount of total in....

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....come and other particulars shown therein are truly stated and are in accordance with the provisions of the Income-tax Act, 1961, in respect of income chargeable to Income-tax for the previous year relev ant to the Assessment Year 20 1 1 -20 1 2 . Place Date Sign here 1 4 If the return has been prepared by a Tax Return Preparer (TRP) give further details below: Identification No. of TRP Name of TRP Counter Signature of TRP If TRP is entitled for any reimbursement from the Government, amount thereof 1 5 Schedule S Details of Income from Salary SALARIES Name of Employer PAN of Employer (optional) Address of employer Town/City State Pin code 1 Salary (Excluding all exempt/ non-exempt allowances, perquisites & profit in lieu of salary as they are shown separately below) 1 2 Allowances exempt under section 10 (Not to be included in 6 below) 2 3 Allowances not exempt (refer Form 16 from employer) 3 4 Value of perquisites (refer Form 16 from employer) 4 5 Profits in lieu of salary (refer Form 16 from employer) 5 6 Income chargeable under the Head ‘Salaries’ (1+3+4+5) 6 Schedule HP Details of Income from House Property (Please refer to instructions) HOUSE PROPERTY 1 Address of ....

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....property 1 Town/ City State PIN Code (Tick) if let out Name of Tenant PAN of Tenant (optional) a Annual letable value/ rent received or receivable (higher if let out for whole of the year, lower if let out for part of the year) 1a b The amount of rent which cannot be realized 1b c Tax paid to local authorities 1c d Total (1b + 1c) 1d e Balance (1a – 1d) 1e f 30% of 1e 1f g Interest payable on borrowed capital 1g h Total ( 1f + 1g) 1h i Income from house property 1 (1e – 1h) 1i 2 Address of property 2 Town/ City State PIN Code (Tick) if let out Name of Tenant PAN of Tenant (optional) a Annual letable value/ rent received or receivable (higher if let out for whole of the year, lower if let out for part of the year) 2a b The amount of rent which cannot be realized 2b c Tax paid to local authorities 2c d Total (2b + 2c) 2d e Balance (2a – 2d) 2e f 30% of 2e 2f g Interest payable on borrowed capital 2g h Total ( 2f + 2g) 2h i Income from house property 2 (2e – 2h) 2i 3 Income under the head “Income from house property” a Rent of earlier years realized under section 25A/AA 3a b Arrears of rent received during the year under section 25B after deduct....

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....ing 30% 3b c Total (3a + 3b + 1i + 2i) 3c NOTE â–º Please include the income of the specified persons referred to in Schedule SPI while computing the income under this head Schedule IF Information regarding partnership firms in which you are partner FIRMS IN WHICH PARTNER Number of firms in which you are partner Sl. No. Name of the Firm PAN of the firm Percentage Share in the profit of the firm Amount of share in the profit Capital balance on 31 st March in the firm i ii 1 2 3 4 5 6 Total Schedule BP Details of Income from Firms of which partner INCOME FROM FIRMS Sl. No. Firm PAN (From Schedule-IF) Salary, bonus, commission or remuneration received from the firm Interest received from the firm on the capital Total ii + iii Expenses in relation to iv Net Income iv - v ii iii iv I v v vi 1 2 3 4 5 6 Total NOTE â–º Please include the income of the specified persons referred to in Schedule SPI while computing the income under this head Schedule CG Capital Gains A Short-term capital gain 1 From assets in case of non-resident to which first proviso to section 48 is applicable 1 2 From assets in the case of others a Full value of consideration 2a b Deduction under section 48 i Cos....

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....t of acquisition bi ii Cost of Improvement bii iii Expenditure on transfer biii iv Total ( i + ii + iii) biv c Balance (2a – biv ) 2c d Loss, if any, to be ignored under section 94(7) or 94(8) (enter positive values only) 2d e Deduction under section 54B/54D 2e f Short-term capital gain (2c + 2d – 2e) 2f 3 Amount deemed to be short term capital gains under sections 54B/54D/54EC/ 54ED/54G/ 54GA A3 4 Total short term capital gain (1 + 2f + A3) A4 5 Short term capital gain under section 111A included in 4 A5 6 Short term capital gain other than referred to in section 111A (A4 – A5) A6 B Long term capital gain 1 Asset in case of non-resident to which first proviso to section 48 is applicable 1 2 Asset in the case of others where proviso under section 112(1) not exercised a Full value of consideration 2a b Deductions under section 48 i Cost of acquisition after indexation bi ii Cost of improvement after indexation bii iii Expenditure on transfer biii iv Total (bi + bii + biii ) biv c Balance (2a – biv ) 2c d Deduction under sections 54/54B/54D/54EC/54F 54G/54GA 2d e Net balance (2c – 2d) 2e 3 Asset in the case of others where proviso under section 112(....

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....1) is exercised a Full value of consideration 3a b Deductions under section 48 i Cost of acquisition without indexation bi ii Cost of improvement without indexation bii iii Expenditure on transfer biii iv Total (bi + bii + biii ) biv c Balance (3a – biv ) 3c d Deduction under sections 54/54B/54D/54EC/54F 3d e Net balance (3c – 3d) 3e 4 Amount deemed to be long term capital gains under sections 54/54B/54D/54EC/54ED/54F B4 5 Total long term capital gain (1 + 2e [(enter 2e as nil if loss) + 3e (enter 3e as nil if loss) + 4 )] B5 C Income chargeable under the head “CAPITAL GAINS” (A4 + B5) (enter B5 as nil, if loss) C D Information about accrual/receipt of capital gain Date Upto 15/9 ( i ) i ) 16/9 to 15/12 (ii) 16/12 to 15/3 (iii) 16/3 to 31/3 (iv) 1 Long- term where proviso under section 112(1) is exercised (Without Indexation)- Code in SI Schedule is 22, Tax Rate is 10% ; Enter only positive value from Item B3e of Schedule CG AFTER loss adjustment under this category in Schedule CYLA and BFLA, if any. 2 Long- term where proviso under section 112(1) is NOT exercised (With Indexation)- Code in SI Schedule is 21, Tax Rate is 20%; Enter only positive value from....

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.... Item (B5-B3e) of Schedule CG AFTER loss adjustment under this category in Schedule CYLA and BFLA, if any. 3 Short-term under 111A- Code in SI Schedule is 1A, Tax Rate is 15% ; Enter only positive value from Item A7 of Schedule CG AFTER loss adjustment under this category in Schedule CYLA and BFLA, if any. 4 Short-term OTHERS- Taxed at normal rates; Enter only positive value from Item A8 of Schedule CG AFTER loss adjustment under this category in Schedule CYLA and BFLA, if any. NOTE ► Please include the income of the specified persons referred to in Schedule SPI while computing the income under this head Schedule OS Income from other sources OTHER SOURCES 1 Income a Dividends, Gross 1a b Interest, Gross 1b c Rental income from machinery, plants, buildings, etc., Gross 1c d Others, Gross (excluding income from owning race horses) 1d e Total (1a + 1b + 1c + 1d) 1e f Deductions under section 57:- i Expenses / Deductions fi ii Depreciation fii iii Total fiii g Balance (1e – fiii ) 1g 2 Winnings from lotteries, crossword puzzles, races, etc. 2 3 Income from other sources (other than from owning race horses) (1g + 2) (enter 1g as nil, if loss) 3 4 Income from owning and main....

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....taining race horses a Receipts 4a b Deductions under section 57 in relation to (4) 4b c Balance (4a – 4b) 4c 5 Income chargeable under the head “Income from other sources” (3 + 4c) (enter 4c as nil if loss and take 4c loss figure to Schedule C Y L A ) 5 NOTE ► Please include the income of the specified persons referred to in Schedule SPI while computing the income under this head Schedule CYLA Details of Income after set-off of current years losses CURRENT YEAR LOSS ADJUSTMENT Sl.No Head/ Source of Income Income of current year (Fill this column only if income is zero or positive) House property loss of the current year set off Business Loss Other sources loss (other than loss from race horses) of the current year set off Current year’s Income remaining after set off Total loss (3c of Schedule –HP) Total loss (6vi of Schedule-BP) Total loss (3 of Schedule-OS) 1 2 3 4 5=1-2-3-4 Loss to be adjusted -> i Salaries ii House property iii Business or profession iv Short-term capital gain v Long term capital gain vi Other sources (incl. profit from owning race horses but excluding winnings from lottery) vii Total loss set off viii Loss remaining after....

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.... set-off Schedule BFLA Details of Income after Set off of Brought Forward Losses of earlier years BROUGHT FORWARD LOSS ADJUSTMENT Sl. No. Head/ Source of Income Income after set off, if any, of current year’s losses as per 4 of Schedule CYLA) Brought forward loss set off Current year’s income remaining after set off 1 2 3 i Salaries ii House property iii Business or profession iv Short-term capital gain v Long-term capital gain vi Other sources ( incl. profit from owning race horses but excluding winnings from lottery ) vii Total of brought forward loss set off viii Current year’s income remaining after set off Total (i3 + ii3 + iii3 + iv3 + v3+vi3) Schedule CFL Details of Losses to be carried forward to future years CARRY FORWARD OF LOSS Sl. No. Assessment Year Date of Filing (DD/MM/YYYY) House property loss Business or profession Short-term capital loss Long-term Capital loss Other sources loss (from owning race horses) i 200 3 - 0 4 ii 200 4 -0 5 iii 200 5 -0 6 iv 200 6 -0 7 v 200 7 -0 8 vi 200 8 -0 9 vii 200 9 - 10 viii 20 10 - 1 1 ix Total of earlier year losses x Adjustment of above losses in Schedule BFLA xi 20 1 1 - 1 2 (Current year losses) xii Total l....

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....oss Carried Forward to future years Schedule VIA Deductions under Chapter VI-A (Section) TOTAL DEDUCTIONS a 80C i 80G b 80CCC j 80GG c 80CCD k 80GGA d 80CCF l 80GGC e 80D m 80QQB f 80DD n 80RRB g 80DDB o 80U h 80E p Total deductions (total of a to o ) p Schedule SPI Income of specified persons(spouse, minor child etc) includable in income of the assessee Sl No Name of person PAN of person (optional) Relationship Nature of Income Amount (Rs) 1 2 3 Schedule SI Income chargeable to Income tax at special rates IB [Please see instruction Number-9(iii) for section code and rate of tax] SPECIAL RATE Sl No Section code Special rate (%) Income i Tax thereon ii Sl No Section code Special rate (%) Income i Tax thereon ii 1 1A 15 6 2 22 10 7 3 21 20 8 4 5BB 30 9 5 10 11 Total (1ii to 10 ii) Schedule EI Details of Exempt Income (Income not to be included in Total Income) EXEMPT INCOME 1 Interest income 1 2 Dividend income 2 3 Long-term capital gains on which Securities Transaction Tax is paid 3 4 Net Agriculture income /any other income for rate purpose 4 5 Share in the profit of firm/AOP etc. 5 6 Others 6 7 Total (1+2+3+4+5+6) 7 Schedule IT Details of Advance Tax and Self Assessment Tax Paymen....

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....ts of Income-tax TAX PAYMENTS Sl No BSR Code Date of Deposit (DD/MM/YYYY) Serial Number of Challan Amount (Rs) i ii iii iv v NOTE â–º Enter the totals of Advance tax and Self Assessment tax in Sl No. 9a & 9c of PartB -TTI Schedule TDS1 Details of Tax Deducted at Source from Salary [As per Form 16 issued by Employer(s)] TDS ON SALARY Sl No Tax Deduction Account Number (TAN) of the Employer Name of the Employer Income chargeable under Salaries Total tax deducted (1) (2) (3) (4) (5) i ii Schedule TDS2 Details of Tax Deducted at Source on Income [As per Form 16 A issued by Deductor (s)] TDS ON OTHER INCOME Sl No Tax Deduction Account Number (TAN) of the Deductor Name of the Deductor Total tax deducted Amount out of (4) claimed for this year (1) (2) (3) (4) (5) i ii iii NOTE â–º Please enter total of column 7 of Schedule-TDS1 and column 7 of Schedule-TDS2 in 9(b) of PartB -TTI Document 5 2011-12 ITR-4S, PAGE 1 ITR-4S SUGAM PRESUMPTIVE BUSINESS INCOME TAX RETURN AY 2011-12 A1 FIRST NAME A3 LAST NAME A5 SEX A2 MIDDLE NAME A6 DATE OF BIRTH A7 INCOME TAX WARD/CIRCLE Male Female DDMMYYY A8 FLAT/DOOR/BUILDING A10 AREA/LOCALITY A12 STATE A15 EMAIL ADDRESS A16 RESIDENTIAL/O....

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....FFICE PHONE NO. WITH STD CODE A17 MOBILE NO. A9 ROAD/STREET A4 PERMANENT ACCOUNT NUMBER A11 TOWN/CITY/DISTRICT A13 PINCODE A14 Fill only one:STATUS Individual ▸ HUF A18 Fill only one if you belong to ▸ Government ► PSU ► Others ▸ Nil Tax Balance A20 Fill only one Resident Non Resident Resident but not ordinarily resident Revised Return-139(5) OR in response to notice ►O 142(1) 148 153A/153C Before due date-139(1) After due date-139(4) A19 Fill only one Tax Refundable Tax Payable A21 Fill only one: filed A22 If revised PART B and ་ DDMMYYYY Date of Filing Original Return Receipt Number of Original Return GROSS TOTAL INCOME B1 Income from Business NOTE Enter value from E6 of Schedule BP B2 Income from Salary/Pension NOTE➡Ensure to fill "Sch TDS1" given in Page 3 B3 Income from One House Property B4 Income from other sources NOTE➡Ensure to fill "Sch TDS2" given in Page 3 B5 Gross Total Income (B1 + B2 + B3 + B4) Whole-Rupee() only. ► B1 ▸ B2 ▼If showing loss, mark the negative sign in bracket at left ► B3 ( ) B4 ( ► B5 ( ) PART C - DEDUCTIONS AND TAXABLE TOTAL INCOM....

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....E (Refer to Instructions for Limits on Amount of Deductions as per "Income Tax Act”) C1 ( 80C ▸ C2 80CCC ▸ C3 80CCD C1 C4 80CCF ▸ C5 80D ▸ C6 80DD to C7 80DDB » C8 ( 80E ▸ C9 80G » C10 (80GG) ►C11 80GGA -C12 80GGC C13 C13 80U L FOR OFFICIAL USE ONLY STAMP RECEIPT NO. HERE SEAL, DATE AND SIGNATURE OF RECEIVING OFFICIAL PERMANENT ACCOUNT NUMBER 2011-12 ITR-4S, PAGE 2 C15 Taxable Total Income( B5 - C14) C14 Total Deductions (Add items C1 to C13) PART D―TAX COMPUTATION AND TAX STATUS ་ ་ D1 Tax Payable On Total Income(C15) Secondary & Higher Education Cess C14 C15( TOTAL TAX AND CESS (D1 + D2) to D3 D1 ▸ D2 ► D3 D4 Relief u/s 89 Relief u/s 90/91 Balance Tax After Relief (D3-D4-D5) to D6 D4 ▸ D5 ▸ D6 D7 Total Interest u/s 234A/234B/234C Total Tax And Interest (D6+D7) Total Advance Tax Paid to D9 ་ D7 ▸ D8 ► D9 D10 Total Self Assessment Tax Paid to Total TDS Deducted D12 D10 ➤ D11 D13 Total Prepaid Taxes(D9+D10+D11+D12) Tax Payable (D8 - D13, If D8>D13) to ►D14 D15 D13 Bank Account Details ( Mandatory in ....

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....all cases irrespective of refund due or not) ►D16 ACCOUNT No. ་ Total TCS Collected ►D12 Refund (D13 D8, If D13 >D8 ) ►D15 ▸ D17 MICR CODE D18 Type of account: ▸ Current ▸ cheque or deposited directly into your bank account ►D20 Exempt income only for reporting purposes (From Dividends, Agricultural Income Document 6 FORM ITR-4 INDIAN INCOME TAX RETURN ( For individuals and HUFs having income from a proprietory business or profession) (Please see r ule 12 of the Income-tax Rules,1962) (Also see attached instructions) Assessment Year 2 0 1 1 - 1 2 Part A-GEN GENERAL PERSONAL INFORMATION First name Middle name Last name PAN Flat/Door/Block No Name Of Premises /Building/ Village Status (Tick) Individual HUF Road/Street/Post Office Area/locality Date of Birth (DD/MM/YYYY) ( in case of individual) / / Town/City/District State Pin code Sex ( in case of individual) (Tick) Male Female Residential/Office Phone Number with STD code Mobile No. Employer Category (if in employment) (Tick) Govt. PSU Others Email Address Income Tax Ward/Circle FILING STATUS Return filed (Tick) [Please see instruction number-7] Before due date - 139(1) Afte....

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....r due date -139(4) Revised Return- 139(5) OR In response to notice 142(1) 148 153A/153C If revised, then enter Receipt No and Date of filing original return (DD/MM/YYYY) / / Residential Status (Tick) Resident Non-Resident Resident but Not Ordinarily Resident Whether this return is being filed by a representative assessee? (Tick) Yes No If yes, please furnish following information - (a) Name of the representative (b) Address of the representative ( c) Permanent Account Number (PAN) of the representative AUDIT INFORMATION Are you liable to maintain accounts as per section 44AA? (Tick) Yes No Are you liable for audit under section 44AB? (Tick) Yes No, If yes, furnish following information- (a) Name of the auditor signing the tax audit report (b) Membership no. of the auditor (c) Name of the auditor (proprietorship/ firm) (d) Permanent Account Number (PAN) of the proprietorship/ firm (e) Date of audit report. For Office Use Only For Office Use Only Receipt No Date Seal and Signature of receiving official NATURE OF BUSINESS Nature of business or profession, if more than one business or profession indicate the three main activities/ products S.No . Code [Please see instruction No.7( i )]....

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.... Trade name of the proprietorship, if any Description ( i ) (ii) (iii) Part A-BS Balance Sheet as on 31 st day of March, 201 1 OF THE PROPRIETORY BUSINESS (fill items 1 to 5 in a case where regular books of accounts are maintained, otherwise fill item 6) SOURCES OF FUNDS 1 Proprietor’s fund a Proprietor’s capital a b Reserves and Surplus i Revaluation Reserve bi ii Capital Reserve bii iii Statutory Reserve biii iv Any other Reserve biv v Total (bi + bii + biii + biv) bv c Total proprietor’s fund (a + bv ) 1c 2 Loan funds a Secured loans i Foreign Currency Loans ai ii Rupee Loans A From Banks iiA B From others iiB C Total ( iiA + i iB ) iiC iii Total ( ai + iiC ) aiii b Unsecured loans (including deposits) i From Banks bi ii From others bii iii Total (bi + bii ) biii c Total Loan Funds ( aiii + biii ) 2c 3 Deferred tax liability 3 4 Sources of funds (1c + 2c +3) 4 APPLICATION OF FUNDS 1 Fixed assets a Gross: Block 1a b Depreciation 1b c Net Block (a – b) 1c d Capital work-in-progress 1d e Total (1c + 1d) 1e 2 Investments a Long-term investments i Government and other Securities - Quoted ai ii Government and other Securities – Unquoted aii iii Total....

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.... ( ai + aii ) aiii b Short-term investments i Equity Shares , including share application money bi ii Preference Shares bii iii Debenture s biii iv Total (bi + bii + biii ) biv c Total investments ( aiii + biv ) 2c 3 Current assets, loans and advances a Current assets i Inventories A Stores / consumables including packing material iA B Raw materials iB C Stock-in-process iC D Finished Goods/Traded Goods iD E Total ( iA + iB + iC + iD ) iE ii Sundry Debtors aii iii Cash and Bank Balances A Cash-in-hand iiiA B Balance with banks iiiB C Total ( iiiA + iiiB ) iiiC iv Other Current Assets aiv v Total current assets ( iE + aii + iiiC + aiv ) av b Loans and advances i Advances recoverable in cash or in kind or for value to be received bi ii Deposits , loans and advances to corporates and others bii iii Balance with Revenue Authorities biii iv Total (bi + bii + biii ) biv c Total of current assets, loans and advances ( av + b i v ) 3c d Current liabilities and provisions i Current liabilities A Sundry Creditors iA B Liability for Leased Assets iB C Interest Accrued on above iC D Interest accrued but not due on loans iD E Total ( iA + iB + iC + iD ) iE ii Provisions A Provision for Income T....

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....ax iiA B Provision for Wealth Tax iiB C Provision for Leave encashment/Superannuation/Gratuity iiC D Other Provisions iiD E Total ( iiA + iiB + iiC + iiD ) iiE iii Total ( iE + iiE ) diii e Net current assets (3c – diii) 3e 4 a Miscellaneous expenditure not written off or adjusted 4a b Deferred tax asset 4b c Profit and loss account / Accumulated balance 4c d Total (4a + 4b + 4c) 4d 5 Total, application of funds (1e + 2c + 3e +4d) 5 NO ACCOUNT CASE 6 In a case where regular books of account of business or profession are not maintained - ( furnish the following information as on 31 st day of March, 201 1 , in respect of business or profession) a Amount of total sundry debtors 6a b Amount of total sundry creditors 6b c Amount of total stock-in-trade 6c d Amount of the cash balance 6d Part A-P& L Profit and Loss Account for the previous year 20 10 - 1 1 of the proprietary business (fill items 1 to 50 in a case where regular books of accounts are maintained, otherwise fill item 51) CREDITS TO PROFIT AND LOSS ACCOUNT 1 Sales/ Gross receipts of business or profession ( Net of returns and refunds and duty or tax, if any) 1 2 Duties, taxes and cess, received or receivable, in respec....

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....t of goods and services sold or supplied a Union Excise duties 2a b Service tax 2b c VAT/ Sales tax 2c d Any other duty, tax and cess 2d e Total of duties, taxes and cess, received or receivable(2a+2b+2c+2d) 2e 3 Other income a Rent 3a b Commission 3b c Dividend 3c d Interest 3d e Profit on sale of fixed assets 3e f Profit on sale of investment being securities chargeable to Securities Transaction Tax (STT) 3f g Profit on sale of other investment 3g h Profit on account of currency fluctuation 3h i Agriculture income 3i j Any other income 3j k Total of other income (3a to 3j) 3k 4 Closing Stock 4 5 Total of credits to profit and loss account (1+2e+3k+4) 5 DEBITS TO PROFIT AND LOSS ACCOUNT 6 Opening Stock 6 7 Purchases (net of refunds and duty or tax, if any) 7 8 Duties and taxes, paid or payable, in respect of goods and services purchased a Custom duty 8a b Counter vailing duty 8b c Special additional duty 8c d Union excise duty 8d e Service tax 8e f VAT/ Sales tax 8f g Any other tax, paid or payable 8g h Total (8a+8b+8c+8d+8e+8f+8g) 8h 9 Freight 9 10 Consumption of stores and spare parts 10 11 Power and fuel 11 12 Rents 12 13 Repairs to building 13 14 Repairs to machinery 14 15 Com....

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....pensation to employees a Salaries and wages 15a b Bonus 15b c Reimbursement of medical expenses 15c d Leave encashment 15d e Leave travel benefits 15e f Contribution to approved superannuation fund 15f g Contribution to recognised provident fund 15g h Contribution to recognised gratuity fund 15h i Contribution to any other fund 15i j Any other benefit to employees in respect of which an expenditure has been incurred 15j k Total compensation to employees (15a+15b+15c+15d+15e+15f+15g+15h+15i+15j) 15k 16 Insurance a Medical Insurance 16a b Life Insurance 16b c Keyman’s Insurance 16c d Other Insurance 16d e Total expenditure on insurance (16a+16b+16c+16d) 16e 17 Workmen and staff welfare expenses 17 18 Entertainment 18 19 Hospitality 19 20 Conference 20 21 Sales promotion including publicity (other than advertisement) 21 22 Advertisement 22 23 Commission 23 24 Hotel , boarding and Lodging 24 25 Traveling expenses including foreign traveling 25 26 Conveyance expenses 26 27 Telephone expenses 27 28 Guest House expenses 28 29 Club expenses 29 30 Festival celebration expenses 30 31 Scholarship 31 32 Gift 32 33 Donation 33 34 Rates and taxes, paid or payable to Government or any loca....

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....l body (excluding taxes on income) a Union excise duty 34a b Service tax 34b c VAT/ Sales tax 34c d Cess 34d e Any other rate, tax, duty or cess incl STT Paid 34e f Total rates and taxes paid or payable (34a+34b+34c+34d+34e) 34 f 35 Audit fee 35 36 Other expenses 36 37 Bad debts 37 38 Provision for bad and doubtful debts 38 39 Other provisions 39 40 Profit before interest, depreciation and taxes [5 – (6 + 7 + 8h + 9 to 14 + 15k + 16e + 17 to 33 + 34 f + 35 to 39)] 40 41 Interest 41 42 Depreciation 42 43 Profit before taxes (40-41-42) 43 tax Provisions AND appropriations 44 Provision for current tax 44 45 Provision for Deferred Tax 45 46 Profit after tax (43 – 44 – 45 ) 46 47 Balance brought forward from previous year 47 48 Amount available for appropriation (46 + 47) 48 49 Transferred to reserves and surplus 49 50 Balance carried to balance sheet in proprietor’s account (48 – 49) 50 NO ACCOUNT CASE 51 In a case where regular books of account of business or profession are not maintained, furnish the following in formation for previous year 20 10 - 1 1 in respect of business or profession a Gross receipts 51a b Gross profit 51b c Expenses 51c d Net ....

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....profit 51d Part A- OI Other Information (optional in a case not liable for audit under section 44AB) OTHER INFORMATION 1 Method of accounting employed in the previous year (Tick) mercantile cash 2 Is there any change in method of accounting (Tick) Yes No 3 Effect on the profit because of deviation, if any, in the method of accounting employed in the previous year from accounting standards prescribed under section 145A 3 4 Method of valuation of closing stock employed in the previous year a Raw Material (if at cost or market rates whichever is less write 1, if at cost write 2, if at market rate write 3) b Finished goods (if at cost or market rates whichever is less write 1, if at cost write 2, if at market rate write 3) c Is there any change in stock valuation method (Tick) Yes No d Effect on the profit or loss because of deviation, if any, from the method of valuation prescribed under section 145A 4d 5 Amounts not credited to the profit and loss account, being - a the items falling within the scope of section 28 5a b the proforma credits, drawbacks, refund of duty of customs or excise or service tax, or refund of sales tax or value added tax, where such credits, drawbacks or refund....

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....s are admitted as due by the authorities concerned 5b c escalation claims accepted during the previous year 5c d any other item of income 5d e capital receipt, if any 5e f Total of amounts not credited to profit and loss account (5a+5b+5c+5d+5e) 5f 6 Amounts debited to the profit and loss account, to the extent disallowable under section 36:- a Premium paid for insurance against risk of damage or destruction of stocks or store 6a b Premium paid for insurance on the health of employees 6b c Any sum paid to an employee as bonus or commission for services rendered, where such sum was otherwise payable to him as profits or dividend. 6c d Any amount of interest paid in respect of borrowed capital 6d e Amount of discount on a zero-coupon bond 6e f Amount of contributions to a recognised provident fund 6f g Amount of contributions to an approved superannuation fund 6g h Amount of contributions to an approved gratuity fund 6h i Amount of contributions to any other fund 6i j Amount of bad and doubtful debts 6j k Provision for bad and doubtful debts 6k l Amount transferred to any special reserve 6l m Expenditure for the purposes of promoting family planning amongst employees 6m n Any sum rec....

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....eived from employees as contribution to any provident fund or superannuation fund or any fund set up under ESI Act or any other fund for the welfare of employees to the extent credited to the employees account on or before the due date 6n o Any other disallowance 6o p Total amount disallowable under section 36 (total of 6a to 6o) 6p 7 Amounts debited to the profit and loss account, to the extent disallowable under section 37 a Expenditure of personal nature; 7a b Expenditure on advertisement in any souvenir, brochure, tract, pamphlet or the like, published by a political party; 7b c Expenditure by way of penalty or fine for violation of any law for the time being in force; 7c d Any other penalty or fine; 7d e Expenditure incurred for any purpose which is an offence or which is prohibited by law; 7e f Amount of any liability of a contingent nature 7f g Amount of expenditure in relation to income which does not form part of total income 7g h Any other amount not allowable under section 37 7h i Total amount disallowable under section 37(total of 7a to 7h) 7i 8 A. Amounts debited to the profit and loss account, to the extent disallowable under section 40 a Amount disallowable under sec....

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....tion 40 (a)( i ), 40(a)( ia ) and 40(a)(iii) on account of non-compliance with the provisions of Chapter XVII-B Aa b Amount paid as fringe benefit tax Ab c Amount of tax or rate levied or assessed on the basis of profits Ac d Amount paid as wealth tax Ad e Amount of interest, salary, bonus, commission or remuneration paid to any partner or member Ae f Any other disallowance Af g Total amount disallowable under section 40(total of Aa to Af ) 8Ag B. Any amount disallowed under section 40 in any preceding previous year but allowable during the previous year 8B 9 Amounts debited to the profit and loss account, to the extent disallowable under section 40A a Amounts paid to persons specified in section 40A(2)(b) 9a b Amount in excess of twenty thousand rupees paid to a person in a day otherwise than by account payee cheque or account payee bank draft under section 40A(3) – 100% disallowable 9b c Provision for payment of gratuity 9c d any sum paid by the assessee as an employer for setting up or as contribution to any fund, trust, company, AOP, or BOI or society or any other institution; 9d e Any other disallowance 9e f Total amount disallowable under section 40A (total of 9a to 9e....

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....) 9f 10 Any amount disallowed under section 43B in any preceding previous year but allowable during the previous year a Any sum in the nature of tax, duty, cess or fee under any law 10a b Any sum payable by way of contribution to any provident fund or superannuation fund or gratuity fund or any other fund for the welfare of employees 10b c Any sum payable to an employee as bonus or commission for services rendered 10c d Any sum payable as interest on any loan or borrowing from any public financial institution or a State financial corporation or a State Industrial investment corporation 10d e Any sum payable as interest on any loan or borrowing from any scheduled bank 10e f Any sum payable towards leave encashment 10f g Total amount allowable under section 43B (total of 10a to 10f ) 10g 11 Any amount debited to profit and loss account of the previous year but disallowable under section 43B:- a Any sum in the nature of tax, duty, cess or fee under any law 11a b Any sum payable by way of contribution to any provident fund or superannuation fund or gratuity fund or any other fund for the welfare of employees 11b c Any sum payable to an employee as bonus or commission for services rende....

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....red 11c d Any sum payable as interest on any loan or borrowing from any public financial institution or a State financial corporation or a State Industrial investment corporation 11d e Any sum payable as interest on any loan or borrowing from any scheduled bank 11e f Any sum payable towards leave encashment 11f g Total amount disallowable under Section 43B(total of 11a to 11f ) 11g 12 Amount of credit outstanding in the accounts in respect of a Union Excise Duty 12a b Service tax 12b c VAT/sales tax 12c d Any other tax 12d e Total amount outstanding (total of 12a to 12d) 12e 13 Amounts deemed to be profits and gains under section 33AB or 33ABA or 33AC 13 14 Any amount of profit chargeable to tax under section 41 14 15 Amount of income or expenditure of prior period credited or debited to the profit and loss account (net) 15 Part A – QD Quantitative details (optional in a case not liable for audit under section 44AB) QUANTITATIVE DETAILS (a) In the case of a trading concern 1 Opening stock 1 2 Purchase during the previous year 2 3 Sales during the previous year 3 4 Closing stock 4 5 Shortage/ excess, if any 5 (b) In the case of a manufacturing concern 6 Raw materials a Openin....

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....g stock 6a b Purchases during the previous year 6b c Consumption during the previous year 6c d Sales during the previous year 6d e Closing stock 6e f Yield finished products 6f g Percentage of yield 6g h Shortage/ excess, if any 6h 7 Finished products/ By-products a opening stock 7a b purchase during the previous year 7b c quantity manufactured during the previous year 7c d sales during the previous year 7d e closing stock 7e f shortage/ excess, if any 7f Part B - TI Computation of total income TOTAL INCOME 1 Salaries (6 of Schedule S) 1 2 Income from house property (4c of Schedule-HP) (enter nil if loss) 2 3 Profits and gains from business or profession i Profit and gains from business other than speculative business (A37 of Schedule-BP) 3i ii Profit and gains from speculative business (B41 of Schedule-BP) (enter nil if loss) 3ii iii Total (3i + 3ii) (enter nil if 3iii is a loss) 3iii 4 Capital gains a Short term i Short-term (under section 111A) (A7 of Schedule-CG) (enter nil if loss) 4ai ii Short-term (others) (A8 of Schedule-CG) 4aii iii Total short-term (4 ai + 4 aii) 4aiii b Long-term (B6 of Schedule-CG) (enter nil if loss) 4b c Total capital gains (4aiii + 4b) (enter nil if ....

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....4c is a loss) 4c 5 Income from other sources a from sources other than from owning race horses (3 of Schedule OS) (enter nil if loss) 5a b from owning race horses (4c of Schedule OS) (enter nil if loss) 5b c Total ( 5 a + 5 b) 5c 6 Total (1 + 2 + 3iii +4c +5c) 6 7 Losses of current year to be set off against 6 (total of 2vii,3vii and 4vii of Schedule CYLA) 7 8 Balance after set off current year losses (6 – 7) 8 9 Brought forward losses to be set off against 6 (total of 2vii, 3vii and 4vii of Schedule BFLA) 9 10 Gross Total income (8-9) (also 5viii of Schedule BFLA) 10 11 Deductions under Chapter VI-A (s of Schedule VIA) 11 12 Total income (10 – 11) 12 13 Net agricultural income/ any other income for rate purpose (4 of Schedule EI) 13 14 ‘Aggregate income’ (12 + 13) 14 15 Losses of current year to be carried forward (total of xi of CFL) 15 Part B - TTI Computation of tax liability on total income COMPUTATION OF TAX LIABILITY 1 Tax payable on total income a Tax at normal rates 1a b Tax at special rates (11 of Schedule-SI) 1b 2 Tax Payable on Total Income (1 a + 1b ) 2 3 Education c ess , including secondary and higher education cess on ( 2+ 3 ) 3 4 Gross ta....

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....x liability ( 2 + 3 ) 4 5 Tax relief a Section 89 5 a b Section 90 5 b c Section 91 5 c d Total ( 5 a + 5 b + 5 c) 5 d 6 Net tax liability ( 4 – 5 d) 6 7 Interest payable a For default in furnishing the return (section 234A) 7 a b For default in payment of advance tax (section 234B) 7 b c For deferment of advance tax (section 234C ) 7 c d Total Interest Payable ( 7 a+ 7 b+ 7 c) 7 d 8 Aggregate liability ( 6 + 7 d) 8 TAXES PAID 9 Taxes Paid a Advance Tax (from Schedule-IT) 9 a b TDS (total of column 7 of Schedule-TDS1 and column 7 of Schedule-TDS2) 9 b c TCS (column 7 of Schedule-TCS) 9 c d Self Assessment Tax (from Schedule-IT) 9 d e Total Taxes Paid (9 a+ 9 b+ 9 c + 9 d) 9 e 1 0 Amount payable (Enter if 8 is greater than 9 e, else enter 0) 1 0 REFUND 1 1 Refund (If 9 e is greater than 8 ) 1 1 12 Enter your bank account number (mandatory in all cases) 1 3 Do you want your refund by cheque, or deposited directly into your bank account? (tick as applicable ) 1 4 Give additional details of your bank account MICR Code Type of Account (tick as applicable ) Savings Current VERIFICATION I, son/ daughter of , holding permanent account number ____________ solemnly declare that to the....

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.... best of my knowledge and belief, the information given in the return and schedules thereto is correct and complete and that the amount of total income and other particulars shown therein are truly stated and are in accordance with the provisions of the Income-tax Act, 1961, in respect of income chargeable to Income-tax for the previous year r elevant to the Assessment Year 20 1 1 - 1 2 . Place Date Sign here 1 5 If the return has been prepared by a Tax Return Preparer (TRP) give further details below: Identification No. of TRP Name of TRP Counter Signature of TRP If TRP is entitled for any reimbursement from the Government, amount thereof…………… 1 6 Schedule S Details of Income from Salary SALARIES Name of Employer PAN of Employer (optional) Address of employer Town/City State Pin code 1 Salary (Excluding all exempt/ non-exempt allowances, perquisites & profit in lieu of salary as they are shown separately below) 1 2 Allowances exempt under section 10 (Not to be included in 6 below) 2 3 Allowances not exempt (refer Form 16 from employer) 3 4 Value of perquisites (refer Form 16 from employer) 4 5 Profits in lieu of salary (refer Form 16 from employer) 5 ....

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....6 Income chargeable under the Head ‘Salaries’ (1+3+4+5) 6 Schedule HP Details of Income from House Property (Please refer to instructions) HOUSE PROPERTY 1 Address of property 1 Town/ City State PIN Code (Tick) if let out Name of Tenant PAN of Tenant (optional) a Annual letable value/ rent received or receivable (higher if let out for whole of the year, lower if let out for part of the year) 1a b The amount of rent which cannot be realized 1b c Tax paid to local authorities 1c d Total (1b + 1c) 1d e Balance (1a – 1d) 1e f 30% of 1e 1f g Interest payable on borrowed capital 1g h Total ( 1f + 1g) 1h i Income from house property 1 (1e – 1h) 1i 2 Address of property 2 Town/ City State PIN Code (Tick) if let out Name of Tenant PAN of Tenant (optional) a Annual letable value/ rent received or receivable (higher if let out for whole of the year, lower if let out for part of the year) 2a b The amount of rent which cannot be realized 2b c Tax paid to local authorities 2c d Total (2b + 2c) 2d e Balance (2a – 2d) 2e f 30% of 2e 2f g Interest payable on borrowed capital 2g h Total ( 2f + 2g) 2h i Income from house property 2 (2e – 2h) 2i 3 Address of pr....

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....operty 3 Town/ City State PIN Code (Tick) if let out Name of Tenant PAN of Tenant (optional) a Annual letable value/ rent received or receivable (higher if let out for whole of the year, lower if let out for part of the year) 3a b The amount of rent which cannot be realized 3b c Tax paid to local authorities 3c d Total (3b + 3c) 3d e Balance (3a – 3d) 3e f 30% of 3e 3f g Interest payable on borrowed capital 3g h Total ( 3f + 3g) 3h i Income from house property 3 (3e – 3h) 3i 4 Income under the head “Income from house property” a Rent of earlier years realized under section 25A/AA 4a b Arrears of rent received during the year under section 25B after deducting 30% 4b c Total (4a + 4b + 1i + 2i + 3i) 4c NOTE ► Please include the income of the specified persons referred to in Schedule SPI while computing the income under this head Schedule BP Computation of income from business or profession INCOME FROM BUSINESS OR PROFESSION A From business or profession other than speculative business 1 Profit before tax as per profit and loss account (item 43 or item 51d of Part A-P&L ) 1 2 Net profit or loss from speculative business included in 1 2 3 Income/ receipt....

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....s credited to profit and loss account considered under other heads of income 3 4 Profit or loss included in 1, which is referred to in section 44AD/44AE/44AF/44B/44BB/44BBA/44BBB/ 44D/44DA Chapter-XII-G/ First Schedule of Income-tax Act 4 5 Income credited to Profit and Loss account (included in 1)which is exempt a share of income from firm(s) 5a b Share of income from AOP/ BOI 5b c Any other exempt income 5c d Total exempt income 5d 6 Balance (1– 2 – 3 – 4 – 5d) 6 7 Expenses debited to profit and loss account considered under other heads of income 7 8 Expenses debited to profit and loss account which relate to exempt income 8 9 Total (7 + 8) 9 10 Adjusted profit or loss (6+9) 10 11 Depreciation debited to profit and loss account included in 9 11 12 Depreciation allowable under Income-tax Act i Depreciation allowable under section 32(1)(ii) (column 6 of Schedule-DEP) 12i ii Depreciation allowable under section 32(1)(i) ( Make your own computation refer Appendix-IA of IT Rules) 12ii iii Total (12i + 12ii) 12iii 13 Profit or loss after adjustment for depreciation (10 +11 - 12iii) 13 14 Amounts debited to the profit and loss account, to the extent disallowa....

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....ble under section 36 (6p of Part-OI) 14 15 Amounts debited to the profit and loss account, to the extent disallowable under section 37 (7i of Part-OI) 15 16 Amounts debited to the profit and loss account, to the extent disallowable under section 40 (8A g of Part-OI) 16 17 Amounts debited to the profit and loss account, to the extent disallowable under section 40A ( 9f of Part-OI) 17 18 Any amount debited to profit and loss account of the previous year but disallowable under section 43B (11g of Part-OI) 18 19 Interest disallowable under section 23 of the Micro, Small and Medium Enterprises Development Act,2006 19 20 Deemed income under section 41 20 21 Deemed income under section 33AB/33ABA/35ABB/ 72A/80HHD/80-IA 21 22 Any other item or items of addition under section 28 to 44DA 22 23 Any other income (including income from salary, commission, bonus and interest from firms in which an individual/ HUF / Prop. concern is a partner) not included in profit and loss 23 24 Total (14 + 15 + 16 + 17 + 18 + 19 + 20 + 21+22 +23) 24 25 Deduction allowable under section 32(1)(iii) 25 26 Amount of deduction under section 35 in excess of the amount debited to profit and loss account (item vii(4) ....

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....of Schedule ESR) 26 27 Any amount disallowed under section 40 in any preceding previous year but allowable during the previous year(8Bof Part-OI) 27 28 Any amount disallowed under section 43B in any preceding previous year but allowable during the previous year(10g of Part-OI) 28 29 Deduction under section 35AC a Amount, if any, debited to profit and loss account 29a b Amount allowable as deduction 29b c Excess amount allowable as deduction (29b – 29a) 29c 30 Any other amount allowable as deduction 30 31 Total (25 + 26 + 27+28 +29c +30) 31 32 Income (13 + 24 – 31) 32 33 Profits and gains of business or profession deemed to be under - i Section 44AD 33i ii Section 44AE 33ii iii Section 44AF 33iii iv Section 44B 33iv v Section 44BB 33v vi Section 44BBA 33vi vii Section 44BBB 33vii viii Section 44D 33 viii ix Section 44DA 33ix x Chapter-XII-G 33 x xi First Schedule of Income-tax Act 33xi xii Total (33i to 33xi) 33xii 34 Profit or loss before deduction under section 10A/10AA/10B/10BA (32 + 33xi i ) 34 35 Deductions under section- i 10A (6 of Schedule-10A) 35i ii 10AA (d of Schedule-10AA) 35ii iii 10B (f of Schedule-10B) 35iii iv 10BA (f of Schedule-10BA) 35iv v Total (35i....

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.... + 35ii +35iii + 35iv) 35v 36 Net profit or loss from business or profession other than speculative business (34 – 35v) 36 37 Net Profit or loss from business or profession (same as above in 36 except in case of special business, after applying rule 7A, 7B or 7C ) A37 B Computation of income from speculative business 38 Net profit or loss from speculative business as per profit or loss account 38 39 Additions in accordance with section 28 to 44DA 39 40 Deductions in accordance with section 28 to 44DA 40 41 Profit or loss from speculative business (38+39-40) B41 C Income chargeable under the head ‘Profits and gains’ (A37+B41) C NOTE ► Please include the income of the specified persons referred to in Schedule SPI while computing the income under this head Schedule DPM Depreciation on Plant and Machinery DEPRECIATION ON PLANT AND MACHINERY 1 Block of assets Plant and machinery 2 Rate (%) 15 30 40 50 60 80 100 (i) (ii) (iii) (iv) (v) (vi) (vii) 3 Written down value on the first day of previous year 4 Additions for a period of 180 days or more in the previous year 5 Consideration or other realization during the previous year out of 3 or 4 6 Amount on which depr....

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....eciation at full rate to be allowed (3 + 4 -5) (enter 0, if result is negative) 7 Additions for a period of less than 180 days in the previous year 8 Consideration or other realizations during the year out of 7 9 Amount on which depreciation at half rate to be allowed (7-8) (enter 0, if result is negative) 10 Depreciation on 6 at full rate 11 Depreciation on 9 at half rate 12 Additional depreciation, if any, on 4 13 Additional depreciation, if any, on 7 14 Total depreciation* (10+11+12+13) 15 Expenditure incurred in connection with transfer of asset/ assets 16 Capital gains/ loss under section 50* (5 + 8 -3-4 -7 -15) (enter negative only if block ceases to exist) 17 Written down value on the last day of previous year* (6+ 9 -14) (enter 0 if result is negative) Schedule DOA Depreciation on other assets DEPRECIATION ON OTHER ASSETS 1 Block of assets Building Furniture and fittings Intangible assets Ships 2 Rate (%) 5 10 100 10 25 20 ( i ) (ii) (iii) (iv) (v) (vi) 3 Written down value on the first day of previous year 4 Additions for a period of 180 days or more in the previous year 5 Consideration or other realization during the previous year out of 3 or 4 6 Amount on which depreciat....

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....ion at full rate to be allowed (3 + 4 -5) (enter 0, if result is negative) 7 Additions for a period of less than 180 days in the previous year 8 Consideration or other realizations during the year out of 7 9 Amount on which depreciation at half rate to be allowed (7-8) (enter 0, if result is negative) 10 Depreciation on 6 at full rate 11 Depreciation on 9 at half rate 12 Additional depreciation, if any, on 4 13 Additional depreciation, if any, on 7 14 Total depreciation* (10+11+12+13) 15 Expenditure incurred in connection with transfer of asset/ assets 16 Capital gains/ loss under section 50* (5 + 8 -3-4 -7 -15) (enter negative only if block ceases to exist) 17 Written down value on the last day of previous year* (6+ 9 -14) (enter 0 if result is negative) Schedule DEP Summary of depreciation on assets SUMMARY OF DEPRECIATION ON ASSETS 1 Plant and machinery a Block entitled for depreciation @ 15 per cent ( Schedule DPM - 14 i) 1a b Block entitled for depreciation @ 30 per cent ( Schedule DPM - 14 ii) 1b c Block entitled for depreciation @ 40 per cent ( Schedule DPM - 14 iii) 1c d Block entitled for depreciation @ 50 per cent ( Schedule DPM - 14 iv) 1d e Block entitled for depreciati....

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....on @ 60 per cent ( Schedule DPM - 14 v) 1e f Block entitled for depreciation @ 80 per cent ( Schedule DPM – 14 vi) 1f g Block entitled for depreciation @ 100 per cent ( Schedule DPM - 14 vii) 1g h Total depreciation on plant and machinery ( 1a + 1b + 1c + 1d+ 1e + 1f + 1g ) 1h 2 Building a Block entitled for depreciation @ 5 per cent (Schedule DOA- 14i) 2a b Block entitled for depreciation @ 10 per cent (Schedule DOA- 14ii) 2b c Block entitled for depreciation @ 100 per cent (Schedule DOA- 14iii) 2c d Total depreciation on building (total of 2a + 2b + 2c) 2d 3 Furniture and fittings (Schedule DOA- 14 iv) 3 4 Intangible assets (Schedule DOA- 14 v) 4 5 Ships (Schedule DOA- 14 vi) 5 6 Total depreciation ( 1h+2d+3+4+5) 6 Schedule DCG Deemed Capital Gains on sale of depreciable assets 1 Plant and machinery a Block entitled for depreciation @ 15 per cent (Schedule DPM - 16i) 1a b Block entitled for depreciation @ 30 per cent (Schedule DPM – 16ii) 1b c Block entitled for depreciation @ 40 per cent (Schedule DPM - 16iii) 1c d Block entitled for depreciation @ 50 per cent (Schedule DPM - 16iv) 1d e Block entitled for depreciation @ 60 per cent (Schedule DPM – 16v) 1e f ....

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....Block entitled for depreciation @ 80 per cent (Schedule DPM – 16vi) 1f g Block entitled for depreciation @ 100 per cent (Schedule DPM – 16vii) 1g h Total ( 1a +1b + 1c + 1d + 1e + 1f + 1g) 1h 2 Building a Block entitled for depreciation @ 5 per cent (Schedule DOA- 16i) 2a b Block entitled for depreciation @ 10 per cent (Schedule DOA- 16ii) 2b c Block entitled for depreciation @ 100 per cent (Schedule DOA- 16iii) 2c d Total ( 2a + 2b + 2c) 2d 3 Furniture and fittings ( Schedule DOA- 16iv) 3 4 Intangible assets (Schedule DOA- 16v) 4 5 Ships (Schedule DOA- 16vi) 5 6 Total ( 1h+2d+3+4+5) 6 Schedule ESR Deduction under section 35 Sl No Expenditure of the nature referred to in section (1) Amount, if any, debited to profit and loss account (2) Amount of deduction allowable (3) Amount of deduction in excess of the amount debited to profit and loss account (4) = (3) - (2) i 35(1)( i ) ii 35(1)(ii) iii 35(1)(iii) iv 35(1)(iv) v 35(2AA) vi 35(2AB) vii total Schedule CG Capital Gains CAPITAL GAINS A Short-term capital gain 1 From slump sale a Full value of consideration 1a b Net worth of the under taking or division 1b c Short term capital gains from slump sale (1a – 1b) 1....

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....c d Deduction under sections 54B/54D 1d e Net short term capital gains from slum sale (1c – 1d) 1e 2 From assets in case of non-resident to which first proviso to section 48 is applicable 2 3 From assets in the case of others a Full value of consideration 3a b Deductions under section 48 i Cost of acquisition bi ii Cost of Improvement bii iii Expenditure on transfer biii iv Total ( b i + b ii + bi ii ) biv c Balance (3a – biv ) 3c d Loss, if any, to be ignored under section 94(7) or 94(8) (enter positive values only) 3d e Deduc tion under section 54B/54D 3e f Short-term capital gain (3c – 3d – 3e) 3f 4 Deemed short capital gain on depreciable assets (6 of Schedule-DCG) 4 5 Amount deemed to be short term capital gains under sections 54B/54D/54EC/ 54ED/54G/ 54GA 5 6 Total short term capital gain (1e + 2 + 3 f +4 +5) 6 7 Short term capital gain under section 111A included in 6 7 8 Short term capital gain other than referred to in section 111A (6 – 7) A8 B Long term capital gain 1 From slump sale a Full value of consideration 1a b Net worth of the under taking or division 1b c Long term capital gains from slump sale 1c d Deduc tion under sections 54/5....

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....4B/54D/54EC/ 54F/54G/54GA 1d e Net long term capital gain from slump sale (1c – 1d) 1e 2 Asset in case of non-resident to which first proviso to section 48 applicable 2 3 Asset in the case of others where proviso under section 112(1) is not exercised a Full value of consideration 3a b Deductions under section 48 i Cost of acquisition after indexation bi ii Cost of improvement after indexation bii iii Expenditure on transfer biii iv Total (bi + bii + biii ) biv c Balance (3a – biv ) 3c d Deduc tion under sections 54/54B/54D/54EC/ 54F/54G/54GA 3d e Net balance (3c – 3d) 3e 4 Asset in the case of others where proviso under section 112(1) is exercised a Full value of consideration 4a b Deductions under section 48 i Cost of acquisition without indexation bi ii Cost of improvement without indexation bii iii Expenditure on transfer biii iv Total (bi + bii + biii ) biv c Balance (4a – biv ) 4c d Deduc tion under sections 54/54B/54D/54EC/ 54F/54G/54GA 4d e Net balance 4e 5 Amount deemed to be long term capital gains under sections 54/54B/54D/54EC/ 54ED/ 54F/54G/54GA 5 6 Total long term capital gain (1e (enter nil if loss) + 2 + 3e ( enter nil if loss) + 4e (enter....

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.... nil if loss) + 5) B6 C Income chargeable under the head “CAPITAL GAINS” (A 6 + B6) (enter B 6 as nil, if loss) C D Information about accrual/receipt of capital gain Date Upto 15/9 ( i ) i ) 16/9 to 15/12 (ii) 16/12 to 15/3 (iii) 16/3 to 31/3 (iv) 1 Long- term where proviso under section 112(1) is applicable (Without Indexation)- Code in SI Schedule is 22, Tax Rate is 10% ; Enter only positive value from Item B4c of Schedule CG AFTER loss adjustment under this category in Schedule CYLA and BFLA, if any. 2 Long- term where proviso under section 112(1) is NOT applicable (With Indexation)- Code in SI Schedule is 21, Tax Rate is 20%; Enter only positive value from Item (B6-B4c) of Schedule CG AFTER loss adjustment under this category in Schedule CYLA and BFLA, if any. 3 Short-term under 111A- Code in SI Schedule is 1A, Tax Rate is 15% ; Enter only positive value from Item A7 of Schedule CG AFTER loss adjustment under this category in Schedule CYLA and BFLA, if any. 4 Short-term OTHERS- Taxed at normal rates; Enter only positive value from Item A8 of Schedule CG AFTER loss adjustment under this category in Schedule CYLA and BFLA, if any. NOTE ► Please include the incom....

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....e of the specified persons referred to in Schedule SPI while computing the income under this head S chedule OS Income from other sources OTHER SOURCES 1 Income other than from owning race horse(s):- a Dividends, Gross 1a b Interest, Gross 1b c Rental income from machinery, plants, buildings, etc., Gross 1c d Others, Gross (excluding income from owning race horses) 1d e Total (1a + 1b + 1c + 1d) 1e f Deductions under section 57:- i Expenses / Deductions fi ii Depreciation fii iii Total fiii g Balance (1e – fiii ) 1g 2 Winnings from lotteries, crossword puzzles, races, etc. 2 3 Income from other sources (other than from owning race horses) (1g + 2) (enter 1g as nil if loss) 3 4 Income from owning and maintaining race horses a Receipts 4a b Deductions under section 57 in relation to (4) 4b c Balance (2a – 2b) 4c 5 Income chargeable under the head “In come from other sources” ( 3 + 4c) (enter 4c as nil if loss and take 4c loss figure to Schedule CFL) 5 NOTE ► Please include the income of the specified persons referred to in Schedule SPI while computing the income under this head Schedule CYLA Details of Income after set-off of current years losses CURREN....

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....T YEAR LOSS ADJUSTMENT Sl.No Head/ Source of Income Income of current year (Fill this column only if income is zero or positive) House property loss of the current year set off Business Loss (other than speculation loss) of the current year set off Other sources loss (other than loss from race horses) of the current year set off Current year’s Income remaining after set off Total loss (4c of Schedule –HP) Total loss (A37 of Schedule-BP) Total loss (3 of Schedule-OS) 1 2 3 4 5=1-2-3-4 Loss to be adjusted -> i Salaries ii House property iii Business(including speculation profit) iv Short-term capital gain v Long term capital gain vi Other sources (incl. profit from owning race horses but excluding winnings from lottery) vii Total loss set off viii Loss remaining after set-off Schedule BFLA Details of Income after Set off of Brought Forward Losses of earlier years BROUGHT FORWARD LOSS ADJUSTMENT Sl. No. Head/ Source of Income Income after set off, if any, of current year’s losses as per 5 of Schedule CYLA) Brought forward loss set off Brought forward depreciation set off Brought forward allowance under section 35(4) set off Current year’s income remaining a....

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....fter set off 1 2 3 4 5 i House property i i Business (including speculation profit) Iii Short-term capital gain i v Long-term capital gain v Other sources ( incl. profit from owning race horses but excluding winnings from lottery ) v i Total of brought forward loss set off v ii Current year’s income remaining after set off Total (i5 + ii5 + iii5 + iv5+v5) Schedule CFL Details of Losses to be carried forward to future years CARRY FORWARD OF LOSS Sl. No. Assessment Year Date of Filing (DD/MM/YYYY) House property loss Loss from business other than loss from speculative business including unabsorbed depreciation allowance u/s 35(4) Loss from speculative business including unabsorbed depreciation allowance u/s 35(4) Short-term capital loss Long-term Capital loss Other sources loss (from owning race horses) i 200 3 -0 4 ii 200 4 -0 5 iii 200 5 -0 6 iv 200 6 -0 7 v 200 7 -0 8 vi 200 8 -0 9 vii 200 9 - 10 viii 20 10 - 1 1 ix Total of earlier year losses x Adjustment of above losses in Schedule BFLA (see instruction) xi 201 1 - 1 2 (Current year losses) xii Total loss Carried Forward to future years Schedule 10A Deduction under section 10A DEDUCTIONS U/S 10A DE 1 Deduction in respect....

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.... of units located in Software Technology Park a Undertaking No.1 1a b Undertaking No.2 1b c Undertaking No.3 1c d Undertaking No.4 1d e Undertaking No.5 1e f Total (1a + 1b+ 1c + 1d + 1e) 1f 2 Deductions in respect of units located in Electronic Hardware Technology Park a Undertaking No.1 2a b Undertaking No.2 2b c Undertaking No.3 2c d Total (2a + 2b+ 2c) 2d 3 Deductions in respect of units located in Free Trade Zone a Undertaking No.1 3a b Undertaking No.2 3b c Undertaking No.3 3c d Total (3a + 3b+ 3c) 3d 4 Deductions in respect of units located in Export Processing Zone a Undertaking No.1 4a b Undertaking No.2 4b c Undertaking No.3 4c d Total (4a + 4b+ 4c) 4d 5 Deductions in respect of units located in Special Economic Zone a Undertaking No.1 5a b Undertaking No.2 5b c Undertaking No.3 5c d Total (5a + 5b+ 5c) 5d 6 Total deduction under section 10A ( 1f + 2d + 3d + 4d + 5d) 6 Schedule 10AA Deduction under section 10AA DEDUCTION U/S 10AA Deductions in respect of units located in Special Economic Zone a Undertaking No.1 a b Undertaking No.2 b c Undertaking No.3 c d Total (a + b + c) d Schedule 10B Deduction under section 10B DEDUCTIONS U/S 10B Deduction in respect of hundred perce....

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....nt Export Oriented units a Undertaking No.1 a b Undertaking No.2 b c Undertaking No.3 c d Undertaking No.4 d e Undertaking No.5 e f Total (a + b + c + d + e) f Schedule 10BA Deduction under section 10BA DEDUCTIONS U/S 10BA Deduction in respect of exports of handmade wooden articles a Undertaking No.1 a b Undertaking No.2 b c Undertaking No.3 c d Undertaking No.4 d e Undertaking No.5 e f Total (a + b + c + d + e) f Schedule 80G Details of donations entitled for deduction under section 80G DETAILS OF DONATIONS A Donations entitled for 100% deduction Name and address of donee Amount of donation i Ai ii Aii iii Aiii iv Aiv v Av vi Total Avi B Donations entitled for 50% deduction where donee not required to be approved under section 80G(5) (vi) Name and address of donee Amount of donation i Bi ii Bii iii Biii iv Biv v Bv vi Total Bvi C Donations entitled for 50% deduction where donee is required to be approved under section 80G(5) (vi) Name and address of donee PANof donee Amount of donation i Ci ii Cii iii Ciii iv Civ v Cv vi Total Cvi D Total donations (Avi + Bvi + Cvi) D Schedule 80-IA Deductions under section 80-IA DEDUCTIONS U/S 80-IA a Deduction in respect of profits of an enterpr....

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....ise referred to in section 80-IA(4)(i) [Infrastructure facility] a b Deduction in respect of profits of an undertaking referred to in section 80-IA(4)(ii) [Telecommunication services] b c Deduction in respect of profits of an undertaking referred to in section 80-IA(4)(iii) [Industrial park and SEZs] c d Deduction in respect of profits of an undertaking referred to in section 80-IA(4)(iv) [Power] d e Deduction in respect of profits of an undertaking referred to in section 80-IA(4)(v) [Revival of power generating plant] and deduction in respect of profits of an undertaking referred to in section 80-IA(4)(vi) [Cross-country natural gas distribution network] e f Total deductions under section 80-IA (a + b + c + d + e ) f Schedule 80-IB Deductions under section 80-IB DEDUCTIONS U/S 80-IB DEDUCTIONS U/S 10A a Deduction in respect of industrial undertaking referred to in section 80-IB(3) [Small-scale industry] a b Deduction in respect of industrial undertaking located in Jammu & Kashmir [Section 80-IB(4)] b c Deduction in respect of industrial undertaking located in industrially backward states specified in Eighth Schedule [Section 80-IB(4)] c d Deduction in respect of industrial underta....

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....king located in industrially backward districts [Section 80-IB(5)] d e Deduction in the case of multiplex theatre [Section 80-IB(7A)] e f Deduction in the case of convention centre [Section 80-IB(7B)] f g Deduction in the case of company carrying on scientific research [Section 80-IB(8A)] g h Deduction in the case of undertaking which begins commercial production or refining of mineral oil [Section 80-IB(9)] h i Deduction in the case of an undertaking developing and building housing projects [Section 80-IB(10)] i j Deduction in the case of an undertaking operating a cold chain facility [Section 80-IB(11)] j k Deduction in the case of an undertaking engaged in processing, preservation and packaging of fruits and vegetables [Section 80-IB(11A)] k l Deduction in the case of an undertaking engaged in integrated business of handling, storage and transportation of foodgrains [Section 80-IB(11A)] l m Deduction in the case of an undertaking engaged in operating and maintaining a rural hospital [Section 80-IB(11B)] m n Total deduction under section 80-IB (Total of a to m) n Schedule 80-IC or 80-IE Deductions under section 80-IC or 80-IE DEDUCTIONS U/S 80-IC /ID/IE 1 Deduction in respect of ....

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....industrial undertaking located in Sikkim 1 2 Deduction in respect of industrial undertaking located in Himachal Pradesh 2 3 Deduction in respect of industrial undertaking located in Uttaranchal 3 4 Deduction in respect of industrial undertaking located in North-East a Assam 4 a b Arunachal Pradesh 4 b c Manipur 4 c d Mizoram 4 d e Meghalaya 4 e f Nagaland 4 f g Tripura 4 g h Total of deduction for undertakings located in North-east (Total of 5 a to 5 g) 4 h 5 Total deduction under section 80-IC or 80-IE (1 + 2 + 3 + 4 h) 5 Schedule VI-A Deductions under Chapter VI-A (Section) TOTAL DEDUCTIONS a 80C k 80GGC b 80CCC l 80IA (f of Schedule 80-IA) c 80CCD m 80IAB d 80CCF n 80IB (n of Schedule 80-IB e 80D o 80IC/ 80-IE (5 of Schedule 80-IC/ 80-IE) f 80DD p 80ID/ 80JJA g 80DDB q 80QQB h 80E r 80RRB i 80G s 80U j 80GG/GGA t Total deductions und er Chapter VI-A (Total of a to s ) t Schedule SPI Income of specified persons(spouse, minor child etc) includable in income of the assessee Sl No Name of person PAN of person (optional) Relationship Nature of Income Amount (Rs) 1 2 Schedule SI Income chargeable to Income tax at special rates IB [Please see instruction Number-9(iii) for section code ....

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....and rate of tax] SPECIAL RATE Sl No Section code Special rate (%) Income i Tax thereon ii Sl No Section code Special rate (%) Income i Tax thereon ii 1 1A 15 6 2 22 10 7 3 21 20 8 4 5BB 30 9 5 10 11 Total (1ii to 10 ii) Schedule IF Information regarding partnership firms in which you are partner FIRMS IN WHICH PARTNER Number of firms in which you are partner Name of the Firm PAN of the firm Percentage Share in the profit of the firm Amount of share in the profit Capital balance on 31 st March in the firm i ii 1 2 3 4 5 6 Total Schedule EI Details of Exempt Income (Income not to be included in Total Income) EXEMPT INCOME 1 Interest income 1 2 Dividend income 2 3 Long-term capital gains on which Securities Transaction Tax is paid 3 4 Net Agriculture income(other than income to be excluded under rule 7, 7A, 7B or 8) 4 5 Share in the profit of firm/AOP etc. 5 6 Others , including exempt income of minor child 6 7 Total (1+2+3+4+5+6) 7 Schedule IT Details of Advance Tax and Self Assessment Tax Payments of Income-tax TAX PAYMENTS Sl No BSR Code Date of Deposit (DD/MM/YYYY) Serial Number of Challan Amount (Rs) i ii iii iv v NOTE â–º Enter the totals of Advance tax and Self Assessment t....

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....ax in Sl No. 11 a & 11d of Part B-TTI Schedule TDS1 Details of Tax Deducted at Source from Salary [As per Form 16 issued by Employer(s)] TDS ON SALARY Sl No Tax Deduction Account Number (TAN) of the Employer Name of the Employer Income chargeable under Salaries Total tax deducted (1) (2) (3) (4) (5) i ii Schedule TDS2 Details of Tax Deducted at Source on Income [As per Form 16 A issued by Deductor (s)] TDS ON OTHER INCOME Sl No Tax Deduction Account Number (TAN) of the Deductor Name of the Deductor Total tax deducted Amount out of (4) claimed during the year (1) (2) (3) (4) (5) I ii NOTE â–º Please enter total of column 7 of Schedule-TDS1 and column 7 of Schedule-TDS2 in 11(b) of PartB -TTI Schedule TCS Details of Tax Collected at Source [As per Form 27D issued by the Collector(s)] TCS ON INCOME Sl No Tax Deduction and Tax Collection Account Number of the Collector Name of the Collector Total tax collected Amount out of (4) claimed during the year (1) (2) (3) (4) (5) i ii NOTE â–º Enter the total of column (7) in Sl No. 11c of Part B-TTI Document 7 FORM ITR-5 INDIAN INCOME TAX RETURN [For firms, AOPs and BOIs] (Please see Rule 12 of the Income-tax Rules,1962) (Also see atta....

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....ched instructions) Assessment Year 2 0 1 1 - 1 2 Part A-GEN GENERAL PERSONAL INFORMATION Name PAN Is there any change in the name? If yes, please furnish the old name Flat/Door/Block No Name Of Premises /Building/ Village Date of formation (DD/MM/YYYY) / / Road/Street/Post Office Area/Locality Status ( firm-1, local authority-2,cooperative bank-3, other cooperative society-4, LLP-5, any other AOP/BOI artificial juridical person-6, ) Town/City/District State Pin code Income Tax Ward/Circle Residential/Office Phone Number with STD code Mobile No. Email Address FILING STATUS Return filed (Tick) [Please see instruction number-7] Before due date - 139(1) After due date -139(4) Revised Return- 139(5) OR In response to notice 142(1) 148 153A/153C If revised, then enter Receipt No and Date of filing original return (DD/MM/YYYY) / / Residential Status (Tick) Resident Non-Resident In the case of non-resident, is there a permanent establishment (PE) in India (Tick) Yes No Whether this return is being filed by a representative assessee? (Tick) Yes No If yes, please furnish following information - (a) Name of the representative (b) Address of the representative ( c) Permanent Account Number (PA....

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....N) of the representative AUDIT INFORMATION Are you liable to maintain accounts as per section 44AA? (Tick) Yes No Are you liable for audit under section 44AB? (Tick) Yes No, If yes, furnish following information- (a) Name of the auditor signing the tax audit report (b) Membership no. of the auditor (c) Name of the auditor (proprietorship/ firm) (d) Permanent Account Number (PAN) of the proprietorship/ firm (e) Date of audit report. For Office Use Only For Office Use Only Receipt No Date Seal and Signature of receiving official PARTNERS/ MEMBERS INFORMATION A. Whether there was any change during the previous year in the partners/members of the firm/AOP/BOI /LLP (Tick) Yes No (Income of societies and cooperative banks give details of Managing Committee) B. Particulars of persons who were partners/ members in the firm/AOP/BOI on 31 st day of March, 20 1 1 S.No. Name and Address Percentage of share (if determinate) PAN NATYURE OF BUSINESS Nature of business or profession, if more than one business or profession indicate the three main activities/ products S.No. Code [Please see instruction No.9(ii)] Description (i) (ii) (iii) Part A-BS Balance Sheet as on 31 st day of March, 20 1 1 (fi....

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....ll items 1 to 5 in a case where regular books of accounts are maintained, otherwise fill item 6) SOURCES OF FUNDS 1 Partners’ / members’ fund a Partners’ / members’ capital a b Reserves and Surplus i Revaluation Reserve bi ii Capital Reserve bii iii Statutory Reserve biii iv Any other Reserve biv v Total (bi + bii + biii + biv) bv c Total partners’/ members’ fund (a + bv) 1c 2 Loan funds a Secured loans i Foreign Currency Loans ai ii Rupee Loans A From Banks iiA B From others iiB C Total ( iiA + i iB) iiC iii Total (ai + iiC) aiii b Unsecured loans (including deposits) i From Banks bi ii From others bii iii Total (bi + bii) biii c Total Loan Funds (aiii + biii) 2c 3 Deferred tax liability 3 4 Sources of funds (1c + 2c +3) 4 APPLICATION OF FUNDS 1 Fixed assets a Gross: Block 1a b Depreciation 1b c Net Block (a – b) 1c d Capital work-in-progress 1d e Total (1c + 1d) 1e 2 Investments a Long-term investments i Government and other Securities - Quoted ai ii Government and other Securities – Unquoted aii iii Total (ai + aii) aiii b Short-term investments i Equity Shares bi ii Preference Shares bii iii Debenture biii iv Total (bi + b....

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....ii + biii) biv c Total investments (aiii + biv) 2c 3 Current assets, loans and advances a Current assets i Inventories A Stores / consumables including packing material iA B Raw materials iB C Stock-in-process iC D Finished Goods/Traded Goods iD E Total (iA + iB + iC + iD) iE ii Sundry Debtors aii iii Cash and Bank Balances A Cash-in-hand iiiA B Balance with banks iiiB C Total (iiiA + iiiB) iiiC iv Other Current Assets aiv v Total current assets (iE +aii + iiiC + aiv) av b Loans and advances i Advances recoverable in cash or in kind or for value to be received bi ii Deposits , loans and advances to corporate and others bii iii Balance with Revenue Authorities biii iv Total (bi + bii + biii) biv c Total (av + bv) 3c d Current liabilities and provisions i Current liabilities A Sundry Creditors iA B Liability for Leased Assets iB C Interest Accrued on above iC D Interest accrued but not due on loans iD E Total (iA + iB + iC + iD) iE ii Provisions A Provision for Income Tax iiA B Provision for Fringe Benefit Tax iiB C Provision for Wealth Tax iiC D Provision for Leave encashment/Superannuation/Gratuity iiD E Other Provisions iiE H Total (iiA + iiB + iiC + iiD + iiE + iiF + iiG) iiF iii....

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.... Total (iE + ii F ) diii e Net current assets (3c – diii) 3e 4 a Miscellaneous expenditure not written off or adjusted 4a b Deferred tax asset 4b c Profit and loss account / accumulated balance 4c d Total (4a + 4b + 4 c ) 4d 5 Total, application of funds (1e + 2c + 3e +4d) 5 NO ACCOUNT CASE 6 In a case where regular books of account of business or profession are not maintained, furnish the following information as on 31 st day of March, 20 1 1 , in respect of business or profession a Amount of total sundry debtors 6a b Amount of total sundry creditors 6b c Amount of total stock-in-trade 6c d Amount of the cash balance 6d Part A-P& L Profit and Loss Account for the year 20 10 - 1 1 (fill items 1 to 51 in a case where regular books of accounts are maintained, otherwise fill item 52) CREDITS TO PROFIT AND LOSS ACCOUNT 1 Sales/ Gross receipts of business or profession (Net of returns and refunds and duty or tax, if any) 1 2 Duties, taxes and cess, received or receivable, in respect of goods and services sold or supplied a Union Excise duties 2a b Service tax 2b c VAT/ Sales tax 2c d Any other duty, tax and cess 2d e Total of duties, taxes and cess, received or receivable(1a+1b+1....

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....c+1d) 2e 3 Other income a Rent 3a b Commission 3b c Dividend 3c d Interest 3d e Profit on sale of fixed assets 3e f Profit on sale of investment being securities chargeable to Securities Transaction Tax (STT) 3f g Profit on sale of other investment 3g h Profit on account of currency fluctuation 3h i Agriculture income 3i j Any other income 3j k Total of other income [(i)to(x)] 3k 4 Closing Stock 4 5 Totals of credits to profit and loss account (1+2e+3k+4) 5 DEBITS TO PROFIT AND LOSS ACCOUNT 6 Opening Stock 6 7 Purchases (net of refunds and duty or tax, if any) 7 8 Duties and taxes, paid or payable, in respect of goods and services purchased a Custom duty 8a b Counter vailing duty 8b c Special additional duty 8c d Union excise duty 8d e Service tax 8e f VAT/ Sales tax 8f g Any other tax, paid or payable 8g h Total (8a+8b+8c+8d+8e+8f +8g ) 8h 9 Freight 9 10 Consumption of stores and spare parts 10 11 Power and fuel 11 12 Rents 12 13 Repairs to building 13 14 Repairs to machinery 14 15 Compensation to employees a Salaries and wages 15a b Bonus 15b c Reimbursement of medical expenses 15c d Leave encashment 15d e Leave travel benefits 15e f Contribution to approved superannuation fund 1....

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....5f g Contribution to recognised provident fund 15g h Contribution to recognised gratuity fund 15h i Contribution to any other fund 15i j Any other benefit to employees in respect of which an expenditure has been incurred 15j k Fringe benefit tax paid or payable 15k l Total compensation to employees (15a+15b+15c+15d+15e+15f+15g+15h+15i+15j+15k) 15l 16 Insurance a Medical Insurance 16a b Life Insurance 16b c Keyman’s Insurance 16c d Other Insurance 16d e Total expenditure on insurance (16a+16b+16c+16d) 16e 17 Workmen and staff welfare expenses 17 18 Entertainment 18 19 Hospitality 19 20 Conference 20 21 Sales promotion including publicity (other than advertisement) 21 22 Advertisement 22 23 Commission 23 24 Hotel , boarding and Lodging 24 25 Traveling expenses including foreign traveling 25 26 Conveyance expenses 26 27 Telephone expenses 27 28 Guest House expenses 28 29 Club expenses 29 30 Festival celebration expenses 30 31 Scholarship 31 32 Gift 32 33 Donation 33 34 Rates and taxes, paid or payable to Government or any local body (excluding taxes on income) a Union excise duty 34a b Service tax 34b c VAT/ Sales tax 34c d Cess 34d e Any other rate, tax, duty or cess including....

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.... STT 34e f Total rates and taxes paid or payable (34a+34b+34c+34d+34e) 34 f 35 Audit fee 35 36 Other expenses 36 37 Bad debts 37 38 Provision for bad and doubtful debts 38 39 Other provisions 39 40 Profit before interest, depreciation and taxes [5 – (6 + 7 + 8h + 9 to 14 + 15 k + 16e + 17 to 33 + 34 f + 35 to 39)] 40 41 Interest 41 42 Depreciation 42 43 Profit before taxes (40-41-42) 43 Provisions for tax and appropriations 44 Provision for current tax 44 45 Provision for Fringe benefit Tax 45 46 Provision for Deferred Tax 46 47 Profit after tax (43 – 44 – 45 – 46) 47 48 Balance brought forward from previous year 48 49 Amount available for appropriation (47 + 48) 49 50 Transferred to reserves and surplus 50 51 Balance carried to balance sheet in partner’s account (49 – 50) 51 NO ACCOUNT CASE 52 In a case where regular books of account of business or profession are not maintained, furnish the following information for previous year 200 8-09 in respect of business or profession a Gross receipts 52a b Gross profit 52b c Expenses 52c d Net profit 52d Part A- OI Other Information (optional in a case not liable for audit under section 44AB) OTHER....

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.... INFORMATION 1 Method of accounting employed in the previous year (Tick) mercantile cash 2 Is there any change in method of accounting (Tick) Yes No 3 Effect on the profit because of deviation, if any, in the method of accounting employed in the previous year from accounting standards prescribed under section 145A 3 4 Method of valuation of closing stock employed in the previous year a Raw Material (if at cost or market rates whichever is less write 1, if at cost write 2, if at market rate write 3) b Finished goods (if at cost or market rates whichever is less write 1, if at cost write 2, if at market rate write 3) c Is there any change in stock valuation method (if Yes write 2, and if No write 2) d Effect on the profit or loss because of deviation, if any, from the method of valuation prescribed under section 145A 4d 5 Amounts not credited to the profit and loss account, being a the items falling within the scope of section 28 5a b the proforma credits, drawbacks, refund of duty of customs or excise or service tax, or refund of sales tax or value added tax, where such credits, drawbacks or refunds are admitted as due by the authorities concerned 5b c escalation claims accepted dur....

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....ing the previous year 5c d Any other item of income 5d e Capital receipt, if any 5e f Total of amounts not credited to profit and loss account (5a+5b+5c+5d+5e) 5f 6 Amounts debited to the profit and loss account, to the extent disallowable under section 36:- a Premium paid for insurance against risk of damage or destruction of stocks or store 6a b Premium paid for insurance on the health of employees 6b c Any sum paid to an employee as bonus or commission for services rendered, where such sum was otherwise payable to him as profits or dividend. 6c d Any amount of interest paid in respect of borrowed capital 6d e Amount of discount on a zero-coupon bond 6e f Amount of contributions to a recognised provident fund 6f g Amount of contributions to an approved superannuation fund 6g h Amount of contributions to an approved gratuity fund 6h i Amount of contributions to any other fund 6i j Amount of bad and doubtful debts 6j k Provision for bad and doubtful debts 6k l Amount transferred to any special reserve 6l m Expenditure for the purposes of promoting family planning amongst employees 6m n Any sum received from employees as contribution to any provident fund or superannuation fund or a....

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....ny fund set up under ESI Act or any other fund for the welfare of employees to the extent credited to the employees account on or before the due date 6n o Any other disallowance 6o p Total amount disallowable under section 36 (total of 6a to 6o) 6p 7 Amounts debited to the profit and loss account, to the extent disallowable under section 37 a Expenditure of personal nature; 7a b Expenditure on advertisement in any souvenir, brochure, tract, pamphlet or the like, published by a political party; 7b c Expenditure by way of penalty or fine for violation of any law for the time being in force; 7c d Any other penalty or fine; 7d e Expenditure incurred for any purpose which is an offence or which is prohibited by law; 7e f Amount of any liability of a contingent nature 7f g Amount of expenditure in relation to income which does not form part of total income 7g h Any other amount not allowable under section 37 7h i Total amount disallowable under section 37(total of 7a to 7h) 7i 8 A. Amounts debited to the profit and loss account, to the extent disallowable under section 40 a Amount disallowable under section 40 (a)(i), 40(a)(ia) and 40(a)(iii) on account of non-compliance with the provisi....

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....ons of Chapter XVII-B Aa b Amount paid as fringe benefit tax Ab c Amount of tax or rate levied or assessed on the basis of profits Ac d Amount paid as wealth tax Ad e Amount of interest, salary, bonus, commission or remuneration paid to any partner or member Ae f Any other disallowance Af g Total amount disallowable under section 40(total of Aa to Af) 8Ag B. Any amount disallowed under section 40 in any preceding previous year but allowable during the previous year 8B 9 Amounts debited to the profit and loss account, to the extent disallowable under section 40A a Amounts paid to persons specified in section 40A(2)(b) 9a b Amount paid otherwise than by account payee cheque or account payee bank draft disallowable under section 40A(3) – 100% disallowance 9b c Provision for payment of gratuity 9c d any sum paid by the assessee as an employer for setting up or as contribution to any fund, trust, company, AOP, or BOI or society or any other institution; 9d e Any other disallowance 9e f Total amount disallowable under section 40A (total of 9a to 9e) 9f 10 Any amount disallowed under section 43B in any preceding previous year but allowable during the previous year a Any sum in the ....

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....nature of tax, duty, cess or fee under any law 10a b Any sum payable by way of contribution to any provident fund or superannuation fund or gratuity fund or any other fund for the welfare of employees 10b c Any sum payable to an employee as bonus or commission for services rendered 10c d Any sum payable as interest on any loan or borrowing from any public financial institution or a State financial corporation or a State Industrial investment corporation 10d e Any sum payable as interest on any loan or borrowing from any scheduled bank 10e f Any sum payable towards leave encashment 10f g Total amount allowable under section 43B (total of 10a to 10f ) 10g 11 Any amount debited to profit and loss account of the previous year but disallowable under section 43B:- a Any sum in the nature of tax, duty, cess or fee under any law 11a b Any sum payable by way of contribution to any provident fund or superannuation fund or gratuity fund or any other fund for the welfare of employees 11b c Any sum payable to an employee as bonus or commission for services rendered 11c d Any sum payable as interest on any loan or borrowing from any public financial institution or a State financial corporation o....

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....r a State Industrial investment corporation 11d e Any sum payable as interest on any loan or borrowing from any scheduled bank 11e f Any sum payable towards leave encashment 11f g Total amount disallowable under Section 43B(total of 11a to 11f ) 11g 12 Amount of credit outstanding in the accounts in respect of a Union Excise Duty 12a b Service tax 12b c VAT/sales tax 12c d Any other tax 12d e Total amount outstanding (total of 12a to 12d) 12e 13 Amounts deemed to be profits and gains under section 33AB or 33ABA or 33AC 13 14 Any amount of profit chargeable to tax under section 41 14 15 Amount of income or expenditure of prior period credited or debited to the profit and loss account (net) 15 Part A – QD Quantitative details (optional in a case not liable for audit under section 44AB) QUANTITIVE DETAILS (a) In the case of a trading concern 1 Opening stock 1 2 Purchase during the previous year 2 3 Sales during the previous year 3 4 Closing stock 4 5 Shortage/ excess, if any 5 (b) In the case of a manufacturing concern 6 Raw materials a Opening stock 6a b Purchases during the previous year 6b c Consumption during the previous year 6c d Sales during the previous year 6d e Closin....

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....g stock 6e f Yield finished products 6f g Percentage of yield 6g h Shortage/ excess, if any 6h 7 Finished products/ By-products a opening stock 7a b purchase during the previous year 7b c quantity manufactured during the previous year 7c d sales during the previous year 7d e closing stock 7e f shortage/ excess, if any 7f Part B - TI Computation of total income TOTAL INCOME 1 Income from house property (4c of Schedule-HP) (enter nil if loss) 1 2 Profits and gains from business or profession i Profit and gains from business other than speculative business (A37 of Schedule-BP) 2i ii Profit and gains from speculative business (B41 of Schedule-BP) (enter nil if loss) 2ii iii Total (2i + 2ii) (enter nil, if loss and carry this figure to loss to Schedule CYLA) 2iii 3 Capital gains a Short term i Short-term (under section 111A) (A7 of Schedule-CG) (enter nil if loss) 3ai ii Short-term (others) (A8 of Schedule-CG) 3aii iii Total short-term (3ai + 3aii) 3aiii b Long-term (B6 of Schedule-CG) (enter nil if loss) 3b c Total capital gains (3aiii + 3b) (take the figure adjusted to Schedule CYLA) 3c 4 Income from other sources a from sources other than from owning race horses (3 of Schedule OS) 4a....

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.... b from owning race horses (4c of Schedule OS) (enter nil if loss) 4b c Total ( 4 a + 4 b) 4c 5 Total (1 + 2c + 3c +4c) 5 6 Losses of current year to be set off against 6 (total of 2vii,3vii and 4vii of Schedule CYLA) 6 7 Balance after set off current year losses (6 – 7) 7 8 Brought forward losses to be set off losses against 6 (total of 2vii, 3vii and 4vii of Schedule BFLA) 8 9 Gross Total income (6 – 7 – 8) (also 5vii of Schedule BFLA) 9 10 Deductions under Chapter VI-A ( k of Schedule VIA) 10 11 Total income (10 – 11) 11 12 Net agricultural income/ any other income for rate purpose (4 of Schedule EI) 12 13 ‘Aggregate income’ (11 + 12) 13 14 Losses of current year to be carried forward (total of xi of Schedule CFL) 14 Part B - TTI Computation of tax liability on total income COMPUTATION OF TAX LIABILITY 1 Tax payable on total income a Tax at normal rates 1a b Tax at special rates (11 of Schedule-SI) 1b 2 Tax Payable on Total Income (1a + 1b) 2 3 Education cess , including secondary and higher education c ess on 2 3 4 Gross tax liability ( 2 + 3 ) 4 5 Tax relief a Section 90 5 a b Section 91 5 b c Total ( 5 a + 5 b) 5 c 6 Net tax liability ....

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....( 4 – 5 c) 6 7 Interest payable a For default in furnishing the return (section 234A) 7 a b For default in payment of advance tax (section 234B) 7 b c For deferment of advance tax (section 234C ) 7 c d Total Interest Payable ( 7 a+ 7 b+ 7 c) 7 d 8 Aggregate liability ( 6 + 7 d) 8 TAXES PAID 9 Taxes Paid a Advance Tax (from Schedule-IT) 9 a b TDS (column7 of Schedule-TDS2) 9 b c TCS (column 7 of Schedule-TCS) 9 c d Self Assessment Tax (from Schedule-IT) 9 d e Total Taxes Paid ( 9 a+ 9b+9c+9 d) 9 e 1 0 Amount payable (Enter if 8 is greater than 9 e, else enter 0) ( 8 – 9 e) 1 0 1 1 Refund (If 9 e is greater than 8 ) 1 1 Schedule BA Please furnish the following information in respect of bank account 1 Enter your bank account number (mandatory in all cases) 2 Do you want your refund by cheque, or deposited directly into your bank account? (tick as applicable ) 3 Give additional details of your bank account MICR Code Type of Account (tick as applicable ) Savings Current VERIFICATION I, _______________________________________________ __(full name in block letters), son/ daughter of ______________________________________ , holding permanent account number ___________________....

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....___ solemnly declare that to the best of my knowledge and belief, the information given in the return and the schedules thereto is correct and complete and that the amount of total income and other particulars shown therein are truly stated and are in accordance with the provisions of the Income-tax Act, 1961, in respect of income chargeable to income-tax for the previous year relevant to the assessment year 20 1 1 -201 2 . I further declare that I am making this return in my capacity as ___________ and I am also competent to make this return and verify it. Place Date Sign here Schedule HP Details of Income from House Property (Please refer instructions) HOUSE PROPERTY 1 Address of property 1 Town/ City State PIN Code (Tick) if let out Name of Tenant PAN of Tenant (optional) a Annual letable value/ rent received or receivable (higher if let out for whole of the year, lower if let out for part of the year) 1a b The amount of rent which cannot be realized 1b c Tax paid to local authorities 1c d Total (1b + 1c) 1d e Balance (1a – 1d) 1e f 30% of 1e 1f g Interest payable on borrowed capital 1g h Total ( 1f + 1g) 1h i Income from house property 1 (1e – 1h) 1i 2 Address of ....

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....property 2 Town/ City State PIN Code (Tick) if let out Name of Tenant PAN of Tenant (optional) a Annual letable value/ rent received or receivable (higher if let out for whole of the year, lower if let out for part of the year) 2a b The amount of rent which cannot be realized 2b c Tax paid to local authorities 2c d Total (2b + 2c) 2d e Balance (2a – 2d) 2e f 30% of 2e 2f g Interest payable on borrowed capital 2g h Total ( 2f + 2g) 2h i Income from house property 2 (2e – 2h) 2i 3 Address of property 3 Town/ City State PIN Code (Tick) if let out Name of Tenant PAN of Tenant (optional) a Annual letable value/ rent received or receivable (higher if let out for whole of the year, lower if let out for part of the year) 3a b The amount of rent which cannot be realized 3b c Tax paid to local authorities 3c d Total (3b + 3c) 3d e Balance (3a – 3d) 3e f 30% of 3e 3f g Interest payable on borrowed capital 3g h Total ( 3f + 3g) 3h i Income from house property 3 (3e – 3h) 3i 4 Income under the head “Income from house property” a Rent of earlier years realized under section 25A/AA 4a b Arrears of rent received during the year under section 25B after deduct....

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....ing 30% 4b c Total (4a + 4b + 1i + 2i + 3i) 4c Schedule BP Computation of income from business or profession INCOME FROM BUSINESS OR PROFESSION A From business or profession other than speculative business 1 Profit before tax as per profit and loss account (item 43 or item 52d of Part A-P&L ) 1 2 Net profit or loss from speculative business included in 1 2 3 Income/ receipts credited to profit and loss account considered under other heads of income 3 4 Profit or loss included in 1, which is referred to in section 44AD/44AE/44AF/44B/44BB/44BBA/44BBB/ 44D/44DA Chapter-XII-G/ First Schedule of Income-tax Act 4 5 Income credited to Profit and Loss account (included in 1)which is exempt a share of income from firm(s) 5a b Share of income from AOP/ BOI 5b c Any other exempt income 5c d Total exempt income 5d 6 Balance (1– 2 – 3 – 4 – 5d) 6 7 Expenses debited to profit and loss account considered under other heads of income 7 8 Expenses debited to profit and loss account which relate to exempt income 8 9 Total (7 + 8) 9 10 Adjusted profit or loss (6+9) 10 11 Depreciation debited to profit and loss account included in 9 11 12 Depreciation allowable under Income-....

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....tax Act i Depreciation allowable under section 32(1)(ii) (column 6 of Schedule-DEP) 12i ii Depreciation allowable under section 32(1)(i) ( Mak e your own computation refer Appendix-IA of IT Rules ) 12ii iii Total (12i + 12ii) 12iii 13 Profit or loss after adjustment for depreciation (10 +11 - 12iii) 13 14 Amounts debited to the profit and loss account, to the extent disallowable under section 36 (6p of Part-OI) 14 15 Amounts debited to the profit and loss account, to the extent disallowable under section 37 (7i of Part-OI) 15 16 Amounts debited to the profit and loss account, to the extent disallowable under section 40 (8A g of Part-OI) 16 17 Amounts debited to the profit and loss account, to the extent disallowable under section 40A ( 9f of Part-OI) 17 18 Any amount debited to profit and loss account of the previous year but disallowable under section 43B (11g of Part-OI) 18 19 Interest disallowable under section 23 of the Micro, Small and Medium Enterprises Development Act,2006 19 20 Deemed income under section 41 20 21 Deemed income under section 33AB/33ABA/35ABB/ 72A/80HHD/80-IA 21 22 Any other item or items of addition under section 28 to 44DA 22 23 Any other income not includ....

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....ed in profit and loss account/any other expense not allowable (including income from salary, commission, bonus and interest from firms in which assessee is a partner) 23 24 Total (14 + 15 + 16 + 17 + 18 + 19 + 20 + 21+22 +23) 24 25 Deduction allowable under section 32(1)(iii) 25 26 Amount of deduction under section 35 in excess of the amount debited to profit and loss account (item vii(4) of Schedule ESR) 26 27 Any amount disallowed under section 40 in any preceding previous year but allowable during the previous year(8Bof Part-OI) 27 28 Any amount disallowed under section 43B in any preceding previous year but allowable during the previous year(10g of Part-OI) 28 29 Deduction under section 35AC a Amount, if any, debited to profit and loss account 29a b Amount allowable as deduction 29b c Excess amount allowable as deduction (29b – 29a) 29c 30 Any other amount allowable as deduction 30 31 Total (25 + 26 + 27+28 +29c +30) 31 32 Income (13 + 24 – 31) 32 33 Profits and gains of business or profession deemed to be under - i Section 44AD 33i ii Section 44AE 33ii iii Section 44AF 33iii iv Section 44B 33iv v Section 44BB 33v vi Section 44BBA 33vi vii Section 44BBB 33vii viii....

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.... Section 44D 33 viii ix Section 44DA 33ix x Chapter-XII-G 33 x xi First Schedule of Income-tax Act 33xi xii Total (33i to 33xi) 33xii 34 Profit or loss before deduction under section 10A/10AA/10B/10BA (32 + 33x) 34 35 Deductions under section- i 10A (6 of Schedule-10A) 35i ii 10AA (d of Schedule-10AA) 35ii iii 10B (f of Schedule-10B) 35iii iv 10BA (f of Schedule-10BA) 35iv v Total (35i + 35ii +35iii + 35iv) 35v 36 Net profit or loss from business or profession other than speculative business (34 – 35v) 36 37 Net Profit or loss from business or profession (same as above in 36 except in case of special business, after applying rule 7A, 7B or 7C ) A37 B Computation of income from speculative business 38 Net profit or loss from speculative business as per profit or loss account 38 39 Additions in accordance with section 28 to 44DA 39 40 Deductions in accordance with section 28 to 44DA 40 41 Profit or loss from speculative business (38+39-40) B41 C Income chargeable under the head ‘Profits and gains’ (A37+B41) C Schedule DPM Depreciation on Plant and Machinery DEPRECIATION ON PLANT AND MACHINERY 1 Block of assets Plant and machinery 2 Rate (%) 15 30 40 50 60 80 100 (....

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....i) (ii) (iii) (iv) (v) (vi) (vii) 3 Written down value on the first day of previous year 4 Additions for a period of 180 days or more in the previous year 5 Consideration or other realization during the previous year out of 3 or 4 6 Amount on which depreciation at full rate to be allowed (3 + 4 -5) (enter 0 , if result is negative) 7 Additions for a period of less than 180 days in the previous year 8 Consideration or other realizations during the year out of 7 9 Amount on which depreciation at half rate to be allowed (7-8) (enter 0 , if result in negative) 10 Depreciation on 6 at full rate 11 Depreciation on 9 at half rate 12 Additional depreciation, if any, on 4 13 Additional depreciation, if any, on 7 14 Total depreciation* (10+11+12+13) 15 Expenditure incurred in connection with transfer of asset/ assets 16 Capital gains/ loss under section 50* (5 + 8 -3-4 -7 -15) (enter negative only if block ceases to exist) 17 Written down value on the last day of previous year* (6+ 9 -14) (enter 0 if result is negative) Schedule DOA Depreciation on other assets DEPRECIATION ON OTHER ASSETS 1 Block of assets Building Furniture and fittings Intangible assets Ships 2 Rate (%) 5 10 100 10 25 20 ....

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....(i) (ii) (iii) (iv) (v) (vi) 3 Written down value on the first day of previous year 4 Additions for a period of 180 days or more in the previous year 5 Consideration or other realization during the previous year out of 3 or 4 6 Amount on which depreciation at full rate to be allowed (3 + 4 -5) (enter 0, if result is negative) 7 Additions for a period of less than 180 days in the previous year 8 Consideration or other realizations during the year out of 7 9 Amount on which depreciation at half rate to be allowed (7-8) (enter 0, if result in negative) 10 Depreciation on 6 at full rate 11 Depreciation on 9 at half rate 12 Additional depreciation, if any, on 4 13 Additional depreciation, if any, on 7 14 Total depreciation* (10+11+12+13) 15 Expenditure incurred in connection with transfer of asset/ assets 16 Capital gains/ loss under section 50 (5 + 8 -3-4 -7 -15) (enter negative only if block ceases to exist) 17 Written down value on the last day of previous year* (6+ 9 -14) (enter 0 if result is negative) Schedule DEP Summary of depreciation on assets SUMMARY OF DEPRECIATION ON ASSETS 1 Plant and machinery a Block entitled for depreciation @ 15 per cent ( Schedule DPM - 14 i) 1a b Blo....

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....ck entitled for depreciation @ 30 per cent ( Schedule DPM - 14 ii) 1b c Block entitled for depreciation @ 40 per cent ( Schedule DPM - 14 iii) 1c d Block entitled for depreciation @ 50 per cent ( Schedule DPM - 14 iv) 1d e Block entitled for depreciation @ 60 per cent ( Schedule DPM - 14 v) 1e f Block entitled for depreciation @ 80 per cent ( Schedule DPM – 14 vi) 1f g Block entitled for depreciation @ 100 per cent ( Schedule DPM - 14 vii) 1g h Total depreciation on plant and machinery ( 1a + 1b + 1c + 1d+ 1e + 1f + 1g ) 1h 2 Building a Block entitled for depreciation @ 5 per cent (Schedule DOA- 14i) 2a b Block entitled for depreciation @ 10 per cent (Schedule DOA- 14ii) 2b c Block entitled for depreciation @ 100 per cent (Schedule DOA- 14iii) 2c d Total depreciation on building (total of 2a + 2b + 2c) 2d 3 Furniture and fittings (Schedule DOA- 14 iv) 3 4 Intangible assets (Schedule DOA- 14 v) 4 5 Ships (Schedule DOA- 14 vi) 5 6 Total depreciation ( 1h+2d+3+4+5) 6 Schedule DCG Deemed Capital Gains on sale of depreciable assets 1 Plant and machinery a Block entitled for depreciation @ 15 per cent (Schedule DPM - 16i) 1a b Block entitled for depreciation @ 30 per cent (Schedul....

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....e DPM – 16ii) 1b c Block entitled for depreciation @ 40 per cent (Schedule DPM - 16iii) 1c d Block entitled for depreciation @ 50 per cent (Schedule DPM - 16iv) 1d e Block entitled for depreciation @ 60 per cent (Schedule DPM – 16v) 1e f Block entitled for depreciation @ 80 per cent (Schedule DPM – 16vi) 1f g Block entitled for depreciation @ 100 per cent (Schedule DPM – 16vii) 1g h Total ( 1a +1b + 1c + 1d + 1e + 1f + 1g) 1h 2 Building a Block entitled for depreciation @ 5 per cent (Schedule DOA- 16i) 2a b Block entitled for depreciation @ 10 per cent (Schedule DOA- 16ii) 2b c Block entitled for depreciation @ 100 per cent (Schedule DOA- 16iii) 2c d Total ( 2a + 2b + 2c) 2d 3 Furniture and fittings ( Schedule DOA- 16iv) 3 4 Intangible assets (Schedule DOA- 16v) 4 5 Ships (Schedule DOA- 16vi) 5 6 Total ( 1h+2d+3+4+5) 6 Schedule ESR Deduction under section 35 Sl No Expenditure of the nature referred to in section (1) Amount, if any, debited to profit and loss account (2) Amount of deduction allowable (3) Amount of deduction in excess of the amount debited to profit and loss account (4) = (3) - (2) i 35(1)(i) ii 35(1)(ii) iii 35(1)(iii) iv 35(1)(iv) v 35(2....

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....AA) vi 35(2AB) vii total Schedule CG Capital Gains CAPITAL GAINS A Short-term capital gain 1 From slump sale a Full value of consideration 1a b Net worth of the under taking or division 1b c Short term capital gains from slump sale (1a – 1b) 1c d Deduc tion under sections 54B/54D 1d e Net short term capital gains from slum sale (1c – 1d) 1e 2 From assets in case of non-resident to which first proviso to section 48 applicable 2 3 From assets in the case of others a Full value of consideration 3a b Deductions under section 48 i Cost of acquisition bi ii Cost of Improvement bii iii Expenditure on transfer biii iv Total ( b i + b ii + bi ii) biv c Balance (3a – biv) 3c d Loss, if any, to be ignored under section 94(7) or 94(8) (enter positive values only ) 3d e Deduc tion under section 54B/54D 3e f Short-term capital gain (3c + 3d – 3e) (enter nil, if loss) 3f 4 Deemed short capital gain on depreciable assets (6 of Schedule-DCG) 4 5 Amount deemed to be short term capital gains under sections 54B/54D/54EC/ 54ED/54G/ 54GA 5 6 Total short term capital gain (1e + 2 + 3 f +4 +5) 6 7 Short term capital gain under section 111A included in 6 7 8 Short term capital g....

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....ain other than referred to in section 111A (6 – 7) A8 B Long term capital gain 1 From slump sale a Full value of consideration 1a b Net worth of the under taking or division 1b c Long term capital gains from slump sale 1c d Deduc tion under sections 54B/54D/54EC/54G/ 54GA 1d e Net long term capital gain from slump sale (1c – 1d) 1e 2 Asset in case of non-resident to which first proviso to section 48 applicable 2 3 Asset in the case of others where proviso under section 112(1) not exercised a Full value of consideration 3a b Deductions under section 48 i Cost of acquisition after indexation bi ii Cost of improvement after indexation bii iii Expenditure on transfer biii iv Total (bi + bii +biii) biv c Balance (3a – biv) 3c d Deduc tion under sections 54B/54D/54EC/54G/ 54GA 3d e Net balance (3c – 3d) 3e 4 Asset in the case of others where proviso under section 112(1) exercised a Full value of consideration 4a b Deductions under section 48 i Cost of acquisition without indexation bi i i Cost of improvement without indexation bii iii Expenditure on transfer biii iv Total (bi + bii +biii) biv c Balance (4a – biv) 4c d Deduction under sections 54B/54D/54....

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....EC/54G/ 54GA 4d e Net balance 4e 5 Amount deemed to be long term capital gains under sections 54B/54D/54EC/54ED/54G/ 54GA 5 6 Total long term capital gain (1e (enter nil if loss) + 2 + 3e (enter nil if loss) + 4e (enter nil if loss) + 5) B6 C Income chargeable under the head “CAPITAL GAINS” ( A6 + B6) (enter B 6 as nil, if loss) C D Information about accrual/receipt of capital gain Date Upto 15/9 (i) i) 16/9 to 15/12 (ii) 16/12 to 15/3 (iii) 16/3 to 31/3 (iv) 1 Long- term where proviso under section 112(1) is exercised (Without Indexation)- Code in SI Schedule is 22, Tax Rate is 10% ; Enter only positive value from Item B4e of Schedule CG AFTER loss adjustment under this category in Schedule CYLA and BFLA, if any. 2 Long- term where proviso under section 112(1) is NOT exercised (With Indexation)- Code in SI Schedule is 21, Tax Rate is 20%; Enter only positive value from Item (B6-B4e) of Schedule CG AFTER loss adjustment under this category in Schedule CYLA and BFLA, if any. 3 Short-term under 111A- Code in SI Schedule is 1A, Tax Rate is 15% ; Enter only positive value from Item A7 of Schedule CG AFTER loss adjustment under this category in Schedule CYLA and BFLA, if any....

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..... 4 Short-term OTHERS- Taxed at normal rates; Enter only positive value from Item A8 of Schedule CG AFTER loss adjustment under this category in Schedule CYLA and BFLA, if any. NOTE ► Please include the income of the specified persons referred to in Schedule SPI while computing the income under this head Schedule OS Income from other sources OTHER SOURCES 1 Income other than from owning race horse(s):- a Dividends, Gross 1a b Interest, Gross 1b c Rental income from machinery, plants, buildings, etc., Gross 1c d Others, Gross 1d e Total (1a + 1b + 1c + 1d) 1e f Deductions under section 57:- i Expenses / Deductions fi ii Depreciation fii iii Total fiii g Balance (1e – fiii) 1g 2 Winnings from lotteries, crossword puzzles, races, etc. 2 3 Income from other sources (other than from owning race horses) (1g + 2) (enter 1g as nil if loss) 3 4 Income from owning and maintaining race horses a Receipts 4a b Deductions under section 57 in relation to (4) 4b c Balance (2a – 2b) 4c 5 Income chargeable under the head “Income from other sources” (3 + 4c) (enter 4c as nil if loss and take 4c loss figure to Schedule CFL) 5 Schedule CYLA Details of Income after set-of....

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....f of current years losses CURRENT YEAR LOSS ADJUSTMENT Sl.No Head/ Source of Income Income of current year (Fill this column only if income is zero or positive) House property loss of the current year set off Business Loss (other than speculation loss) of the current year set off Other sources loss (other than loss from race horses) of the current year set off Current year’s Income remaining after set off Total loss (4c of Schedule –HP) Total loss (A37 of Schedule-BP) Total loss (3 of Schedule-OS) 1 2 3 4 5=1-2-3-4 Loss to be adjusted -> i House property ii Business ( inc lu ding speculation profit) iii Short-term capital gain iv Long term capital gain v Other sources (incl. profit from owning race horses but excluding winnings from lottery) vi Total loss set-off vii Loss remaining after set-off Schedule BFLA Details of Income after Set off of Brought Forward Losses of earlier years BROUGHT FORWARD LOSS ADJUSTMENT Sl. No. Head/ Source of Income Income after set off, if any, of current year’s losses as per 5 of Schedule CYLA) Brought forward loss set off Brought forward depreciation set off Brought forward allowance under section 35(4) set off Current yearâ€....

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....s income remaining after set off 1 2 3 4 5 i House property ii Business (including speculation profit) iii Short-term capital gain iv Long-term capital gain v Other sources ( incl. p rofit from owning race horses but excluding winnings from lottery ) vi Total vii Total (i5 + ii5 + iii5 + iv5+v5) Schedule CFL Details of Losses to be carried forward to future years CARRY FORWARD OF LOSS Sl. No. Assessment Year Date of Filing (DD/MM/YYYY) House property loss Loss from business other than loss from speculative business Loss from speculative business Short-term capital loss Long-term Capital loss Other sources loss (from owning race horses) i 200 3 -0 4 ii 200 4 -0 5 iii 200 5 -0 6 iv 200 6 -0 7 v 200 7 -0 8 vi 200 8 -0 9 vii 200 9 - 10 viii 20 10 - 1 1 ix Total of earlier year losses x Adjustment of above losses in Schedule BFLA xi 20 1 1 - 1 2 (Current year losses) xii Total loss Carried Forward to future years Schedule 10A Deduction under section 10A DEDUCTION U/S 10A 1 Deduction in respect of units located in Software Technology Park a Undertaking No.1 1a b Undertaking No.2 1b c Undertaking No.3 1c d Undertaking No.4 1d e Undertaking No.5 1e f Total (1a + 1b+ 1c + 1d + 1e) 1f 2 De....

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....ductions in respect of units located in Electronic Hardware Technology Park a Undertaking No.1 2a b Undertaking No.2 2b c Undertaking No.3 2c d Total (2a + 2b+ 2c) 2d 3 Deductions in respect of units located in Free Trade Zone a Undertaking No.1 3a b Undertaking No.2 3b c Undertaking No.3 3c d Total (3a + 3b+ 3c) 3d 4 Deductions in respect of units located in Export Processing Zone a Undertaking No.1 4a b Undertaking No.2 4b c Undertaking No.3 4c d Total (4a + 4b+ 4c) 4d 5 Deductions in respect of units located in Special Economic Zone a Undertaking No.1 5a b Undertaking No.2 5b c Undertaking No.3 5c d Total (5a + 5b+ 5c) 5d 6 Total deduction under section 10A ( 1f + 2d + 3d + 4d + 5d) 6 Schedule 10AA Deduction under section 10AA DEDUCTION U/S 10AA Deductions in respect of units located in Special Economic Zone a Undertaking No.1 a b Undertaking No.2 b c Undertaking No.3 c d Total (a + b + c) d Schedule 10B Deduction under section 10B DEDUCTION U/S 10B Deduction in respect of hundred percent Export Oriented units a Undertaking No.1 a b Undertaking No.2 b c Undertaking No.3 c d Undertaking No.4 d e Undertaking No.5 e f Total (a + b + c + d + e) f Schedule 10BA Deduction under sectio....

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....n 10BA DEDUCTION U/S 10BA Deduction in respect of exports of handmade wooden articles a Undertaking No.1 a b Undertaking No.2 b c Undertaking No.3 c d Undertaking No.4 d e Undertaking No.5 e f Total (a + b + c + d + e) f Schedule 80G Details of donations entitled for deduction under section 80G DETAILS OF DONATIONS A Donations entitled for 100% deduction Name and address of donee Amount of donation i Ai ii Aii iii Aiii iv Aiv v Av vi Total Avi B Donations entitled for 50% deduction where donee not required to be approved under section 80G(5) (vi) Name and address of donee Amount of donation i Bi ii Bii iii Biii iv Biv v Bv vi Total Bvi C Donations entitled for 50% deduction where donee is required to be approved under section 80G(5) (vi) Name and address of donee PANof donee Amount of donation i Ci ii Cii iii Ciii iv Civ v Cv vi Total Cvi D Total donations (Avi + Bvi + Cvi) D Schedule 80-IA Deductions under section 80-IA DEDUCTION U/S 80-IA a Deduction in respect of profits of an enterprise referred to in section 80-IA(4)(i) [Infrastructure facility] a b Deduction in respect of profits of an undertaking referred to in section 80-IA(4)(ii) [Telecommunication services] b c Deduction ....

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....in respect of profits of an undertaking referred to in section 80-IA(4)(iii) [Industrial park and SEZs] c d Deduction in respect of profits of an undertaking referred to in section 80-IA(4)(iv) [Power] d e Deduction in respect of profits of an undertaking referred to in section 80-IA(4)(v) [Revival of power generating plant] and deduction in respect of profits of an undertaking referred to in section 80-IA(4)(vi) [Cross-country natural gas distribution network] e f Total deductions under section 80-IA (a + b + c + d + e ) f Schedule 80-IB Deductions under section 80-IB DEDUCTION U/S 80-IB DEDUCTION U/S 10A a Deduction in respect of industrial undertaking referred to in section 80-IB(3) [Small-scale industry] a b Deduction in respect of industrial undertaking located in Jammu & Kashmir [Section 80-IB(4)] b c Deduction in respect of industrial undertaking located in industrially backward states specified in Eighth Schedule [Section 80-IB(4)] c d Deduction in respect of industrial undertaking located in industrially backward districts [Section 80-IB(5)] d e Deduction in the case of multiplex theatre [Section 80-IB(7A)] e f Deduction in the case of convention centre [Section 80-IB(7B)]....

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.... f g Deduction in the case of company carrying on scientific research [Section 80-IB(8A)] g h Deduction in the case of undertaking which begins commercial production or refining of mineral oil [Section 80-IB(9)] h i Deduction in the case of an undertaking developing and building housing projects [Section 80-IB(10)] i j Deduction in the case of an undertaking operating a cold chain facility [Section 80-IB(11)] j k Deduction in the case of an undertaking engaged in processing, preservation and packaging of fruits and vegetables [Section 80-IB(11A)] k l Deduction in the case of an undertaking engaged in integrated business of handling, storage and transportation of foodgrains [Section 80-IB(11A)] l m Deduction in the case of an undertaking engaged in operating and maintaining a rural hospital [Section 80-IB(11B)] m n Total deduction under section 80-IB (Total of a to m) n Schedule 80-IC or 80-IE Deductions under section 80-IC or 80-IE DEDUCTION U/S 80-IC 1 Deduction in respect of industrial undertaking located in Sikkim 1 2 Deduction in respect of industrial undertaking located in Himachal Pradesh 2 3 Deduction in respect of industrial undertaking located in Uttaranchal 3 4 Deduction ....

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....in respect of industrial undertaking located in North-East a Assam 4a b Arunachal Pradesh 4b c Manipur 4c d Mizoram 4d e Meghalaya 4e f Nagaland 4f g Tripura 4g h Total of deduction for undertakings located in North-east (Total of 4a to 4g) 4h 5 Total deduction under section 80-IC or 80-IE (1 + 2 + 3 + 4h) 5 Schedule VI-A Deductions under Chapter VI-A TOTAL DEDUCTIONS a 80G f 80IB (n of Schedule 80-IB b 80GGA g 80IC / 80-IE ( 5 of Schedule 80-I C / 80-IE) c 80GGC h 80-ID/ 80JJA d 80IA (f of Schedule 80-IA) i 80LA e 80IAB j 80P k Total deductions under Chapter VI-A (Total of a to j) k Schedule SI Income chargeable to Income tax at special rates IB [Please see instruction Number-9(iii) for section code and rate of tax] SPECIAL RATE Sl No Section code Special rate (%) Income i Tax thereon ii Sl No Section code Special rate (%) Income i Tax thereon ii 1 1A 15 6 2 22 10 7 3 21 20 8 4 5BB 30 9 5 10 11 Total (1ii to 10 ii) Schedule EI Details of Exempt Income (Income not to be included in Total Income) EXEMPT INCOME 1 Interest income 1 2 Dividend income 2 3 Long-term capital gains on which Securities Transaction Tax is paid 3 4 Net Agriculture income(other than income to be excluded under....

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.... rule 7, 7A, 7B or 8) 4 5 Share in the profit of firm/AOP etc. 5 6 Others 6 7 Total (1+2+3+4+5+6) 7 Schedule IT Details of Advance Tax and Self Assessment Tax Payments of Income-tax TAX PAYMENTS Sl No BSR Code Date of Deposit (DD/MM/YYYY) Serial Number of Challan Amount (Rs) i ii iii NOTE â–º Enter the totals of Advance tax and Self Assessment tax in Sl No. 11a & 11d of PartB-TTI Schedule TDS Details of Tax Deducted at Source on Income [As per Form 16 A issued by Deductor(s)] TDS ON OTHER INCOME Sl No Tax Deduction Account Number (TAN) of the Deductor Name of the Deductor Total tax deducted Amount out of (4) claimed during the year (1) (2) (3) (4) (5) i ii iii NOTE â–º Please enter total of column 7 of Schedule-TDS1 and column 7 of Schedule-TDS2 in 11(b) of PartB-TTI Schedule TCS Details of Tax Collected at Source [As per Form 27D issued by the Collector(s)] TCS ON INCOME Sl No Tax Deduction and Tax Collection Account Number of the Collector Name of the Collector Total tax collected Amount out of (4) claimed during the year (1) (2) (3) (4) (5) i ii NOTE â–º Enter the total of column (7) in Sl No. 11c of PartB-TTI Document 8 FORM ITR-6 INDIAN INCOME TAX RETURN [For Compa....

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....nies other than companies claiming exemption under section 11] (Please see r ule 12 of the Income-tax Rules,1962) (Also see attached instructions) Assessment Year 2 0 1 1 - 1 2 Part A-GEN GENERAL PERSONAL INFORMATION Name PAN Is there any change in the company’s name? If yes, please furnish the old name Flat/Door/Block No Name Of Premises/Building/Village Date of incorporation (DD/MM/YYYY) / / Road/Street/Post Office Area/Locality If a domestic company (Tick) Town/City/District State Pin code If a public company write 6, and if private company write 7 (as defined in section 3 of the Company Act) Office Phone Number with STD code Mobile No. Income Tax Ward/Circle Email Address FILING STATUS Return filed (Tick) [Please see instruction number-7] Before due date - 139(1) After due date -139(4) Revised Return- 139(5) OR In response to notice 142(1) 148 153A/153C If revised, then enter Receipt No and Date of filing original return (DD/MM/YYYY) / / Residential Status (Tick) Resident Non-Resident In the case of non-resident, is there a permanent establishment (PE) in India (Tick) Yes No Whether this return is being filed by a representative assessee? (Tick) Yes No If yes, please fur....

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....nish following information - (a) Name of the representative (b) Address of the representative ( c) Permanent Account Number (PAN) of the representative AUDIT INFORMATION Are you liable to maintain accounts as per section 44AA? (Tick) Yes No Are you liable for audit under section 44AB? (Tick) Yes No, If yes, furnish following information- (a) Name of the auditor signing the tax audit report (b) Membership no. of the auditor (c) Name of the auditor (proprietorship/ firm) (d) Permanent Account Number (PAN) of the proprietorship/ firm (e) Date of audit report. Are you liable to furnish a report under section 92E? (Tick) Yes No For Office Use Only For Office Use Only Receipt No Date Seal and Signature of receiving official HOLDING STATUS Nature of company (write 1 if holding company, write 2 if a subsidiary company, write 3 if both, write 4 if any other) If subsidiary company, mention the name, address and PAN of the holding company If holding company, mention the name, address and PAN of the subsidiary companies BUSINESS ORGANISATION In case of amalgamating company, write the name of amalgamated company In case of amalgamated company, write the name of amalgamating company In the case ....

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....of demerged company, write the name of resulting company In a case of resulting company, write the name of demerged company KEY PERSONS Particulars of Managing Director, Directors, Secretary and Principal officer(s) who have held the office during the previous year S.No. Name Designation Residential Address PAN SHAREHOLDERS INFORMATION Particulars of persons who were beneficial owners of shares holding not less than 10% of the voting power at any time of the previous year S.No. Name and Address Percentage of shares held PAN NATURE OF COMPANY AND ITS BUSINESS Nature of company (Tick) 1 Are you a public sector company as defined in section 2(36A) of the Income-tax Act Act Yes No 2 Are you a company owned by the Reserve Bank of India Yes No 3 Are you a company in which not less than forty percent of the shares are held (whether singly or taken together) by the Government or the Reserve Bank of India or a corporation owned by that Bank Yes No 4 Are you a banking company as defined in clause (c) of section 5 of the Banking Regulation Act,1949 Yes No 5 Are you a scheduled Bank being a bank included in the Second Schedule to the Reserve Bank of India Act Yes No 6 Are you a company registe....

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....red with Insurance Regulatory and Development Authority (established under sub-section (1) of section 3 of the Insurance Regulatory and Development Authority Act, 1999). Yes No 7 Are you a company being a non-banking Financial Institution Yes No Nature of business or profession, if more than one business or profession indicate the three main activities/ products S.No. Code [Please see instruction No.9(ii)] Description (i) (ii) (iii) Part A-BS Balance Sheet as on 31 st day of March, 20 1 1 SOURCES OF FUNDS 1 Shareholder’s fund a Share capital i Authorised ai ii Issued, Subscribed and Paid up : aii iii Share application money aiii iv Total (aii + aiii) aiv b Reserves and Surplus i Revaluation Reserve bi ii Capital Reserve bii iii Capital Redemption Reserve biii iv Securities Premium Account biv v Debentures Redemption reserve bv vi Statutory Reserve bvi vii General Reserve bvii viii Profit and loss account bviii ix Total (bi + bii + biii + biv + bv + bvi + bvii + bviii)) bix c total Shareholders fund (aiv + bix) 1c 2 Loan funds a Secured loans i Debentures ai ii Foreign Currency Loans aii iii Rupee Loans A From Banks iiiA B From others iiiB C Total ( iiiA + iiiB) iiiC iv Total....

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.... (ai + aii + iiiC) aiv b Unsecured loans (including deposits) i Long Term A From Banks iA B From others iB C Total ( iA + iB) iC ii Short Term A From Banks iiA B From others iiB C Total ( iiA + iiB) iiC iii Total (iC + iiC) biii c Total Loan Funds (aiv + biii) 2c 3 Deferred tax liability 3 4 Sources of funds (1c + 2c +3) 4 APPLICATION OF FUNDS 1 Fixed assets a Gross: Block 1a b Depreciation 1b c Net Block (a – b) 1c d Capital work-in-progress 1d e Total (1c + 1d) 1e 2 Investments a Long-term investments i Government and other Securities - Quoted ai ii Government and other Securities – Unquoted aii iii Total (ai + aii) aiii b Short-term investments i Equity Shares bi ii Preference Shares bii iii Debenture biii iv Total (bi + bii + biii) biv c Total investments (aiii + biv) 2c 3 Current assets, loans and advances a Current assets i Inventories A Stores / consumables including packing material iA B Raw materials iB C Stock-in-process iC D Finished Goods/Traded Goods iD E Total (iA + iB + iC + iD) iE ii Sundry Debtors A Over Six Months iiA B Others iiB C Total (iiA + iiB) iiC iii Cash and Bank Balances A Cash-in-hand iiiA B Balance with banks iiiB C Total (iiiA + iiiB) ii....

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....iC iv Other Current Assets aiv v Total current assets (iE + iiC + iiiC + aiv) av b Loans and advances i Loans to subsidiary companies bi ii Advances recoverable in cash or in kind or for value to be received bii iii Deposits , loans and advances to corporate and others biii iv Balance with Revenue Authorities biv v Total (bi + bii + biii + biv) bv c Total (av + bv) 3c d Current liabilities and provisions i Current liabilities A Sundry Creditors iA B Liability for Leased Assets iB C Unpaid Dividend iC D Unpaid Matured debentures iD E Unpaid Call Money iE F Interest Accrued on above iF G Interest accrued but not due on loans iG H Total (iA + iB + iC + iD + iE + iF + iG ) iH ii Provisions A Provision for Income Tax iiA B Provision for Fringe Benefit Tax iiB C Provision for Wealth Tax iiC D Provision for Leave encashment/Superannuation/Gratuity iiD E Other Provisions iiE F Proposed Dividend iiF G Tax on Dividend iiG H Total (iiA + iiB + iiC + iiD + iiE + iiF + iiG) iiH iii Total (iH + iiH) diii e Net current assets (3c – diii) 3e 4 a Miscellaneous expenditure not written off or adjusted 4a b Deferred tax asset 4b c Profit and loss account / accumulated balance 4c d Total (4a + 4....

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....b + 4c) 4d 5 Total, application of funds (1e + 2c + 3e +4d) 5 Part A-P& L Profit and Loss Account for the year 20 10 - 1 1 (fill items 1 to 50 in a case where regular books of accounts are maintained, otherwise fill item 51) CREDITS TO PROFIT AND LOSS ACCOUNT 1 Sales/ Gross receipts of business or profession (Net of returns and refunds and duty or tax, if any) 1 2 Duties, taxes and cess, received or receivable, in respect of goods and services sold or supplied a Union Excise duties 2a b Service tax 2b c VAT/ Sales tax 2c d Any other duty, tax and cess 2d e Total of duties, taxes and cess, received or receivable(2a+2b+2c+2d) 2e 3 Other income a Rent 3a b Commission 3b c Dividend 3c d Interest 3d e Profit on sale of fixed assets 3e f Profit on sale of investment being securities chargeable to Securities Transaction Tax (STT) 3f g Profit on sale of other investment 3g h Profit on account of currency fluctuation 3h i Agriculture income 3i j Any other income 3j k Total of other income [(a)to(j)] 3k 4 Closing Stock 4 5 Totals of credits to profit and loss account (1+2e+3k+4) 5 DEBITS TO PROFIT AND LOSS ACCOUNT 6 Opening Stock 6 7 Purchases (net of refunds and duty or tax, if any) 7 8 Dut....

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....ies and taxes, paid or payable, in respect of goods and services purchased a Custom duty 8a b Counter vailing duty 8b c Special additional duty 8c d Union excise duty 8d e Service tax 8e f VAT/ Sales tax 8f g Any other tax, paid or payable 8g h Total (8a+8b+8c+8d+8e+8f+8g) 8h 9 Freight 9 10 Consumption of stores and spare parts 10 11 Power and fuel 11 12 Rents 12 13 Repairs to building 13 14 Repairs to machinery 14 15 Compensation to employees a Salaries and wages 15a b Bonus 15b c Reimbursement of medical expenses 15c d Leave encashment 15d e Leave travel benefits 15e f Contribution to approved superannuation fund 15f g Contribution to recognised provident fund 15g h Contribution to recognised gratuity fund 15h i Contribution to any other fund 15i j Any other benefit to employees in respect of which an expenditure has been incurred 15j k Fringe benefit tax paid or payable 15k l Total compensation to employees (15a+15b+15c+15d+15e+15f+15g+15h+15i+15j+15k) 15l 16 Insurance a Medical Insurance 16a b Life Insurance 16b c Keyman’s Insurance 16c d Other Insurance including factory, office, car, goods, etc. 16d e Total expenditure on insurance (16a+16b+16c+16d) 16e 17 Workmen and ....

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....staff welfare expenses 17 18 Entertainment 18 19 Hospitality 19 20 Conference 20 21 Sales promotion including publicity (other than advertisement) 21 22 Advertisement 22 23 Commission 23 24 Hotel, boarding and Lodging 24 25 Traveling expenses including foreign traveling 25 26 Conveyance expenses 26 27 Telephone expenses 27 28 Guest House expenses 28 29 Club expenses 29 30 Festival celebration expenses 30 31 Scholarship 31 32 Gift 32 33 Donation 33 34 Rates and taxes, paid or payable to Government or any local body (excluding taxes on income) a Union excise duty 34a b Service tax 34b c VAT/ Sales tax 34c d Cess 34d e Any other rate, tax, duty or cess incl STT 34e f Total rates and taxes paid or payable (34a+34b+34c+34d+34e) 34 f 35 Audit fee 35 36 Other expenses 36 37 Bad debts 37 38 Provision for bad and doubtful debts 38 39 Other provisions 39 40 Profit before interest, depreciation and taxes [5 – (6 + 7 + 8h + 9 to 14 + 15k + 16e + 17 to 33 + 34 f + 35 to 39)] 40 41 Interest 41 42 Depreciation 42 43 Profit before taxes (39-40-41) 43 Provisions for tax and appropriations 44 Provision for current tax 44 45 Provision for Fringe benefit Tax 45 46 Provision for Deferred Tax and....

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.... deferred liability 46 47 Profit after tax (43 – 44 – 45 – 46) 47 48 Balance brought forward from previous year 48 49 Amount available for appropriation (48 + 48) 49 50 Appropriations a Transfer to reserves and surplus 50a b Proposed dividend / Interim dividend 50b c Tax on divide nd/ Tax on dividend for earlier years 50c d A ny other appropriation 50d e Total (50a + 50b + 50c + 50d) 50e 51 Balance carried to balance sheet (49 – 50e) 51 Part A- OI Other Information (optional in a case not liable for audit under section 44AB) OTHER INFORMATION 1 Method of accounting employed in the previous year (Tick) mercantile cash 2 Is there any change in method of accounting (Tick) Yes No 3 Effect on the profit because of deviation, if any, in the method of accounting employed in the previous year from accounting standards prescribed under section 145A 3 4 Method of valuation of closing stock employed in the previous year a Raw Material (if at cost or market rates whichever is less write 1, if at cost write 2, if at market rate write 3) b Finished goods (if at cost or market rates whichever is less write 1, if at cost write 2, if at market rate write 3) c Is there an....

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....y change in stock valuation method (Tick) Yes No d Effect on the profit or loss because of deviation, if any, from the method of valuation prescribed under section 145A 4d 5 Amounts not credited to the profit and loss account, being - a the items falling within the scope of section 28 5a b the proforma credits, drawbacks, refund of duty of customs or excise or service tax, or refund of sales tax or value added tax, where such credits, drawbacks or refunds are admitted as due by the authorities concerned 5b c escalation claims accepted during the previous year 5c d any other item of income 5d e capital receipt, if any 5e f Total of amounts not credited to profit and loss account (5a+5b+5c+5d+5e) 5f 6 Amounts debited to the profit and loss account, to the extent disallowable under section 36:- a Premium paid for insurance against risk of damage or destruction of stocks or store 6a b Premium paid for insurance on the health of employees 6b c Any sum paid to an employee as bonus or commission for services rendered, where such sum was otherwise payable to him as profits or dividend. 6c d Any amount of interest paid in respect of borrowed capital 6d e Amount of discount on a zero-coupon ....

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....bond 6e f Amount of contributions to a recognised provident fund 6f g Amount of contributions to an approved superannuation fund 6g h Amount of contributions to an approved gratuity fund 6h i Amount of contributions to any other fund 6i j Amount of bad and doubtful debts 6j k Provision for bad and doubtful debts 6k l Amount transferred to any special reserve 6l m Expenditure for the purposes of promoting family planning amongst employees 6m n Any sum received from employees as contribution to any provident fund or superannuation fund or any fund set up under ESI Act or any other fund for the welfare of employees to the extent credited to the employees account on or before the due date 6n o Any other disallowance 6o p Total amount disallowable under section 36 (total of 6a to 6o) 6p 7 Amounts debited to the profit and loss account, to the extent disallowable under section 37 a Expenditure of personal nature; 7a b Expenditure on advertisement in any souvenir, brochure, tract, pamphlet or the like, published by a political party; 7b c Expenditure by way of penalty or fine for violation of any law for the time being in force; 7c d Any other penalty or fine; 7d e Expenditure incurred fo....

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....r any purpose which is an offence or which is prohibited by law; 7e f Amount of any liability of a contingent nature 7f g Amount of expenditure in relation to income which does not form part of total income 7g h Any other amount not allowable under section 37 7h i Total amount disallowable under section 37(total of 7a to 7h) 7i 8 A. Amounts debited to the profit and loss account, to the extent disallowable under section 40 a Amount disallowable under section 40 (a)(i), 40(a)(ia) and 40(a)(iii) on account of non-compliance with the provisions of Chapter XVII-B Aa b Amount paid as fringe benefit tax Ab c Amount of tax or rate levied or assessed on the basis of profits Ac d Amount paid as wealth tax Ad e Amount of interest, salary, bonus, commission or remuneration paid to any partner or member Ae f Any other disallowance Af g Total amount disallowable under section 40(total of Aa to Af) 8Ag B. Any amount disallowed under section 40 in any preceding previous year but allowable during the previous year 8B 9 Amounts debited to the profit and loss account, to the extent disallowable under section 40A a Amounts paid to persons specified in section 40A(2)(b) 9a b Amount paid otherwise than....

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.... by account payee cheque or account payee bank draft under section 40(3) – 100% disallowable 9b c Provision for payment of gratuity 9c d any sum paid by the assessee as an employer for setting up or as contribution to any fund, trust, company, AOP, or BOI or society or any other institution; 9d e Any other disallowance 9e f Total amount disallowable under section 40A 9f 10 Any amount disallowed under section 43B in any preceding previous year but allowable during the previous year a Any sum in the nature of tax, duty, cess or fee under any law 10a b Any sum payable by way of contribution to any provident fund or superannuation fund or gratuity fund or any other fund for the welfare of employees 10b c Any sum payable to an employee as bonus or commission for services rendered 10c d Any sum payable as interest on any loan or borrowing from any public financial institution or a State financial corporation or a State Industrial investment corporation 10d e Any sum payable as interest on any loan or borrowing from any scheduled bank 10e f Any sum payable towards leave encashment 10f g Total amount allowable under section 43B (total of 10a to 10f ) 10g 11 Any amount debited to pro....

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....fit and loss account of the previous year but disallowable under section 43B:- a Any sum in the nature of tax, duty, cess or fee under any law 11a b Any sum payable by way of contribution to any provident fund or superannuation fund or gratuity fund or any other fund for the welfare of employees 11b c Any sum payable to an employee as bonus or commission for services rendered 11c d Any sum payable as interest on any loan or borrowing from any public financial institution or a State financial corporation or a State Industrial investment corporation 11d e Any sum payable as interest on any loan or borrowing from any scheduled bank 11e f Any sum payable towards leave encashment 11f g Total amount disallowable under Section 43B(total of 11a to 11f ) 11g 12 Amount of credit outstanding in the accounts in respect of a Union Excise Duty 12a b Service tax 12b c VAT/sales tax 12c d Any other tax 12d e Total amount outstanding (total of 12a to 12d) 12e 13 Amounts deemed to be profits and gains under section 33AB or 33ABA or 33AC 13 14 Any amount of profit chargeable to tax under section 41 14 15 Amount of income or expenditure of prior period credited or debited to the profit and loss accoun....

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....t (net) 15 Part A – QD Quantitative details (optional in a case not liable for audit under section 44AB) QUANTITATY DETAILS (a) In the case of a trading concern 1 Opening stock 1 2 Purchase during the previous year 2 3 Sales during the previous year 3 4 Closing stock 4 5 Shortage/ excess, if any 5 (b) In the case of a manufacturing concern 6 Raw materials a Opening stock 6a b Purchases during the previous year 6b c Consumption during the previous year 6c d Sales during the previous year 6d e Closing stock 6e f Yield finished products 6f g Percentage of yield 6g h Shortage/ excess, if any 6h 7 Finished products/ By-products a opening stock 7a b purchase during the previous year 7b c quantity manufactured during the previous year 7c d sales during the previous year 7d e closing stock 7e f shortage/ excess, if any 7f Part B - TI Computation of total income TOTAL INCOME 1 Income from house property (4c of Schedule-HP) (enter nil if loss) 1 2 Profits and gains from business or profession i Profit and gains from business other than speculative business (A37 of Schedule-BP) 2i ii Profit and gains from speculative business (B41 of Schedule-BP) (enter nil if loss) 2ii iii Total (2i +....

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.... 2ii) 2iii 3 Capital gains a Short term i Short-term (under section 111A) (A7 of Schedule-CG) 3ai ii Short-term (others) (A8 of Schedule-CG) 3aii iii Total short-term (3ai + 3aii) 3aiii b Long-term (B6 of Schedule-CG) (enter nil if loss) 3b c Total capital gains (3aiii + 3b) (take the figure adjusted to Schedule CYLA) 3c 4 Income from other sources a from sources other than from owning race horses (3 of Schedule OS) 4a b from owning race horses (4c of Schedule OS) (enter nil if loss) 4b c Total (a + b) 4c 5 Total (1 + 2c + 3c +4c) 5 6 Losses of current year to be set off against 5 (total of 2vi,3vi and 4vi of Schedule CYLA) 6 7 Balance after set off current year losses (5 – 6) 7 8 Brought forward losses to be set off against 7 (total of 2vi, 3vi and 4vi of Schedule BFLA) 8 9 Gross Total income (7 – 8) (also 5vii of Schedule BFLA) 9 10 Deductions under Chapter VI-A (l of Schedule VIA) 10 11 Total income (9 – 10) 11 12 Net agricultural income/ any other income for rate purpose (4 of Schedule EI) 12 13 ‘Aggregate income’ (11 + 12) 13 14 Losses of current year to be carried forward (total of xi of Schedule CFL) 14 15 Deemed total income under section 1....

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....15JB (6 of Schedule MAT) 15 Part B - TTI Computation of tax liability on total income COMPUTATION OF TAX LIABILITY 1 Tax Payable on deemed total Income under section 115JB (7 of Schedule MAT) 1 2 Tax payable on total income in item 11 of Part B-TI a Tax at normal rates 2a b Tax at special rates (11 of Schedule-SI) 2b c Tax Payable on Total Income in item 11 of Part B-TI (2a + 2b) 2c 3 Gross tax payable (enter higher of 2c and 1) 3 4 Credit under section 115JAA of tax paid in earlier years (if 2c is more than 1 ) ( 7 of Schedule MATC) 4 5 Tax payable after credit under section 115JAA [ (3 – 4)] 5 6 Surcharge on 5 6 7 Education c ess , including secondary and higher education cess on ( 5 + 6 ) 7 8 Gross tax liability ( 5 + 6 + 7 ) 8 9 Tax relief a Section 90 9 a b Section 91 9 b c Total ( 9 a + 9 b) 9 c 1 0 Net tax liability ( 8 – 9 c) 1 0 1 1 Interest payable a For default in furnishing the return (section 234A) 1 1 a b For default in payment of advance tax (section 234B) 1 1 b c For deferment of advance tax (section 234C ) 1 1 c d Total Interest Payable (1 1 a+1 1 b+1 1 c) 1 1 d 1 2 Aggregate liability (1 0 + 1 1 d) 1 2 TAXES PAID 1 3 Taxes Paid a Advance Tax (from Sc....

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....hedule-IT) 1 3 a b TDS (column 7 of Schedule-TDS2) 1 3 b c TCS (column 7 of Schedule-TCS) 1 3 c d Self Assessment Tax (from Schedule-IT) 1 3 d e Total Taxes Paid (1 3 a+1 3 b+1 3 c + 1 3 d) 1 3 e 1 4 Amount payable (Enter if 1 2 is greater than 1 3 e, else enter 0) 1 4 1 5 Refund (If 1 3 e is greater than 1 2 ), also give the bank account details in Schedule-BA 1 5 VERIFICATION I, son/ daughter of , holding permanent account number ___________ _____ _ solemnly declare that to the best of my knowledge and belief, the information given in the return and the schedules thereto is correct and complete and that the amount of total income and other particulars shown therein are truly stated and are in accordance with the provisions of the Income-tax Act, 1961, in respect of income chargeable to income-tax for the previous year relevant to the assessment year 20 1 1 -20 1 2 . I further declare that I am making this return in my capacity as ___________ and I am also competent to make this return and verify it. Place Date Sign here Schedule BA P lease furnish the following information in respect of bank account 1 Enter your bank account number ( mandatory in all cases ) 2 Do you want your re....

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....fund by cheque, or deposited directly into your bank account? (tick as applicable ) 3 Give additional details of your bank account MICR Code Type of Account (tick as applicable ) Savings Current Schedule HP Details of Income from House Property (Please refer instructions) HOUSE PROPERTY 1 Address of property 1 Town/ City State PIN Code (Tick) if let out Name of Tenant PAN of Tenant (optional) a Annual letable value/ rent received or receivable (higher if let out for whole of the year, lower if let out for part of the year) 1a b The amount of rent which cannot be realized 1b c Tax paid to local authorities 1c d Total (1b + 1c) 1d e Balance (1a – 1d) 1e f 30% of 1e 1f g Interest payable on borrowed capital 1g h Total ( 1f + 1g) 1h i Income from house property 1 (1e – 1h) 1i 2 Address of property 2 Town/ City State PIN Code (Tick) if let out Name of Tenant PAN of Tenant (optional) a Annual letable value/ rent received or receivable (higher if let out for whole of the year, lower if let out for part of the year) 2a b The amount of rent which cannot be realized 2b c Tax paid to local authorities 2c d Total (2b + 2c) 2d e Balance (2a – 2d) 2e f 30% of 2e 2f g Interes....

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....t payable on borrowed capital 2g h Total ( 2f + 2g) 2h i Income from house property 2 (2e – 2h) 2i 3 Address of property 3 Town/ City State PIN Code (Tick) if let out Name of Tenant PAN of Tenant (optional) a Annual letable value/ rent received or receivable (higher if let out for whole of the year, lower if let out for part of the year) 3a b The amount of rent which cannot be realized 3b c Tax paid to local authorities 3c d Total (3b + 3c) 3d e Balance (3a – 3d) 3e f 30% of 3e 3f g Interest payable on borrowed capital 3g h Total ( 3f + 3g) 3h i Income from house property 3 (3e – 3h) 3i 4 Income under the head “Income from house property” a Rent of earlier years realized under section 25A/AA 4a b Arrears of rent received during the year under section 25B after deducting 30% 4b c Total (4a + 4b + 1i + 2i + 3i) 4c Schedule BP Computation of income from business or profession INCOME FROM BUSINESS OR PROFESSION A From business or profession other than speculative business 1 Profit before tax as per profit and loss account (item 43 or item 52d of Part A-P&L ) 1 2 a Net profit or loss from speculative business included in 1 (enter –ve sign in case ....

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....of loss) 2 a 2b Net profit or Loss from Specified Business u/s 35AD included in 1 (enter –ve sign in case of loss) 2b 3 Income/ receipts credited to profit and loss account considered under other heads of income 3 4 Profit or loss included in 1, which is referred to in section 44AD/44AE/44AF/44B/44BB/44BBA/44BBB/ 44D/44DA Chapter-XII-G/ First Schedule of Income-tax Act 4 5 Income credited to Profit and Loss account (included in 1) which is exempt a share of income from firm(s) 5a b Share of income from AOP/ BOI 5b c Any other exempt income 5c d Total exempt income 5d 6 Balance (1– 2 a – 2b – 3 – 4 – 5d) 6 7 Expenses debited to profit and loss account considered under other heads of income 7 8 Expenses debited to profit and loss account which relate to exempt income 8 9 Total (7 + 8) 9 10 Adjusted profit or loss (6+9) 10 11 Depreciation debited to profit and loss account included in 10 11 12 Depreciation allowable under Income-tax Act i Depreciation allowable under section 32(1)(ii) (column 6 of Schedule-DEP) 12i ii Depreciation allowable under section 32(1)(i) ( Make your own computation refer Appendix-IA of IT Rules ) 12ii iii Total (12i +....

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.... 12ii) 12iii 13 Profit or loss after adjustment for depreciation (10 +11 – 12iii) 13 14 Amounts debited to the profit and loss account, to the extent disallowable under section 36 (6p of Part-OI) 14 15 Amounts debited to the profit and loss account, to the extent disallowable under section 37 (7i of Part-OI) 15 16 Amounts debited to the profit and loss account, to the extent disallowable under section 40 (8A g of Part-OI) 16 17 Amounts debited to the profit and loss account, to the extent disallowable under section 40A ( 9f of Part-OI) 17 18 Any amount debited to profit and loss account of the previous year but disallowable under section 43B (11g of Part-OI) 18 19 Interest disallowable under section 23 of the Micro, Small and Medium Enterprises Development Act,2006 19 20 Deemed income under section 41 20 21 Deemed income under section 33AB/33ABA/35ABB/ 72A/80HHD/80-IA 21 22 Any other item or items of addition under section 28 to 44DA 22 23 Any other income not included in profit and loss account/any other expense not allowable (including income from salary, commission, bonus and interest from firms in which company is a partner) 23 24 Total (14 + 15 + 16 + 17 + 18 + 19 + 20 ....

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....+ 21+22 +23) 24 25 Deduction allowable under section 32(1)(iii) 25 26 Amount of deduction under section 35 in excess of the amount debited to profit and loss account (item vii(4) of Schedule ESR) (if amount deductible under section 35 is lower than amount debited to P&L account, it will go to item 23) 26 27 Any amount disallowed under section 40 in any preceding previous year but allowable during the previous year(8Bof Part-OI) 27 28 Any amount disallowed under section 43B in any preceding previous year but allowable during the previous year(10g of Part-OI) 28 29 Deduction under section 35AC a Amount, if any, debited to profit and loss account 29a b Amount allowable as deduction 29b c Excess amount allowable as deduction (29b – 29a) 29c 30 Any other amount allowable as deduction 30 3 1 Total (25 + 26 + 27+28 +29c +30) 3 1 32 Income (13 + 24 – 3 1 ) 32 33 Profits and gains of business or profession deemed to be under - i Section 44AD 33i ii Section 44AE 33ii iii Section 44AF 33iii iv Section 44B 33iv v Section 44BB 33v vi Section 44BBA 33vi vii Section 44BBB 33vii viii Section 44D 33 viii ix Section 44DA 33ix x Chapter-XII-G 33 x xi First Schedule of Income-tax Act 33x....

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....i xii Total (33i to 33xi) 33xii 34 Profit or loss before deduction under section 10A/10AA/10B/10BA (32 + 33x) 34 35 Deductions under section- i 10A (6 of Schedule-10A) 35i ii 10AA (d of Schedule-10AA) 35ii iii 10B (f of Schedule-10B) 35iii iv 10BA (f of Schedule-10BA) 35iv v Total (35i + 35ii +35iii + 35iv) 35v 36 Net profit or loss from business or profession other than speculative business (34 – 35v) 36 37 Net Profit or loss from business or profession after applying rule 7A or 7B (same as above in 36 except in case of special business, after applying rule 7A or 7B) A37 B Computation of income from speculative business 38 Net profit or loss from speculative business as per profit or loss account 38 39 Additions in accordance with section 28 to 44DA 39 40 Deductions in accordance with section 28 to 44DA 40 41 Profit or loss from speculative business (38+39-40) B41 C Income chargeable under the head ‘Profits and gains’ (A37+B41) C Schedule DPM Depreciation on Plant and Machinery DEPRECIATION ON PLANT AND MACHINERY 1 Block of assets Plant and machinery 2 Rate (%) 15 30 40 50 60 80 100 (i) (ii) (iii) (iv) (v) (vi) (vii) 3 Written down value on the first day of pre....

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....vious year 4 Additions for a period of 180 days or more in the previous year 5 Consideration or other realization during the previous year out of 3 or 4 6 Amount on which depreciation at full rate to be allowed (3 + 4 -5) (enter 0, if result in negative) 7 Additions for a period of less than 180 days in the previous year 8 Consideration or other realizations during the year out of 7 9 Amount on which depreciation at half rate to be allowed (7 – 8) (enter 0, if result is negative) 10 Depreciation on 6 at full rate 11 Depreciation on 9 at half rate 12 Additional depreciation, if any, on 4 13 Additional depreciation, if any, on 7 14 Total depreciation (10+11+12+13) 15 Expenditure incurred in connection with transfer of asset/ assets 16 Capital gains/ loss under section 50 (5 + 8 -3-4 -7 -15) (enter negative only if block ceases to exist) 17 Written down value on the last day of previous year* (6+ 9 -14) (enter 0 if result is negative) Schedule DOA Depreciation on other assets DEPRECIATION ON OTHER ASSETS 1 Block of assets Building Furniture and fittings Intangible assets Ships 2 Rate (%) 5 10 100 10 25 20 (i) (ii) (iii) (iv) (v) (vi) 3 Written down value on the first day of pre....

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....vious year 4 Additions for a period of 180 days or more in the previous year 5 Consideration or other realization during the previous year out of 3 or 4 6 Amount on which depreciation at full rate to be allowed (3 + 4 -5) (enter 0, if result in negative) 7 Additions for a period of less than 180 days in the previous year 8 Consideration or other realizations during the year out of 7 9 Amount on which depreciation at half rate to be allowed (7-8) (enter 0, if result is negative) 10 Depreciation on 6 at full rate 11 Depreciation on 9 at half rate 12 Additional depreciation, if any, on 4 13 Additional depreciation, if any, on 7 14 Total depreciation (10+11+12+13) 15 Expenditure incurred in connection with transfer of asset/ assets 16 Capital gains/ loss under section 50* (5 + 8 -3-4 -7 -15) (enter negative only if block ceases to exist) 17 Written down value on the last day of previous year* (6+ 9 -14) (enter 0 if result is negative) Schedule DEP Summary of depreciation on assets SUMMARY OF DEPRECIATION ON ASSETS 1 Plant and machinery a Block entitled for depreciation @ 15 per cent ( Schedule DPM - 14 i) 1a b Block entitled for depreciation @ 30 per cent ( Schedule DPM - 14 ii) 1b c B....

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....lock entitled for depreciation @ 40 per cent ( Schedule DPM - 14 iii) 1c d Block entitled for depreciation @ 50 per cent ( Schedule DPM - 14 iv) 1d e Block entitled for depreciation @ 60 per cent ( Schedule DPM - 14 v) 1e f Block entitled for depreciation @ 80 per cent ( Schedule DPM – 14 vi) 1f g Block entitled for depreciation @ 100 per cent ( Schedule DPM - 14 vii) 1g h Total depreciation on plant and machinery ( 1a + 1b + 1c + 1d+ 1e + 1f + 1g ) 1h 2 Building a Block entitled for depreciation @ 5 per cent (Schedule DOA- 14i) 2a b Block entitled for depreciation @ 10 per cent (Schedule DOA- 14ii) 2b c Block entitled for depreciation @ 100 per cent (Schedule DOA- 14iii) 2c d Total depreciation on building (2a+2b+2c) 2d 3 Furniture and fittings( Schedule DOA- 14 iv) 3 4 Intangible assets (Schedule DOA- 14 v) 4 5 Ships (Schedule DOA- 14 vi) 5 6 Total depreciation ( 1h+2d+3+4+5) 6 Schedule DCG Deemed Capital Gains on sale of depreciable assets 1 Plant and machinery a Block entitled for depreciation @ 15 per cent (Schedule DPM - 16i) 1a b Block entitled for depreciation @ 30 per cent (Schedule DPM – 16ii) 1b c Block entitled for depreciation @ 40 per cent (Schedule DPM ....

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....- 16iii) 1c d Block entitled for depreciation @ 50 per cent (Schedule DPM - 16iv) 1d e Block entitled for depreciation @ 60 per cent (Schedule DPM – 16v) 1e f Block entitled for depreciation @ 80 per cent (Schedule DPM – 16vi) 1f g Block entitled for depreciation @ 100 per cent (Schedule DPM – 16vii) 1g h Total ( 1a +1b + 1c + 1d + 1e + 1f + 1g) 1h 2 Building a Block entitled for depreciation @ 5 per cent (Schedule DOA- 16i) 2a b Block entitled for depreciation @ 10 per cent (Schedule DOA- 16ii) 2b c Block entitled for depreciation @ 100 per cent (Schedule DOA- 16iii) 2c d Total ( 2a + 2b + 2c) 2d 3 Furniture and fittings ( Schedule DOA- 16iv) 3 4 Intangible assets (Schedule DOA- 16v) 4 5 Ships (Schedule DOA- 16vi) 5 6 Total ( 1h+2d+3+4+5) 6 Schedule ESR Deduction under section 35 Sl No Expenditure of the nature referred to in section (1) Amount, if any, debited to profit and loss account (2) Amount of deduction allowable (3) Amount of deduction in excess of the amount debited to profit and loss account (4) = (3) - (2) i 35(1)(i) ii 35(1)(ii) iii 35(1)(iii) iv 35(1)(iv) v 35(2AA) vi 35(2AB) vii total Schedule CG Capital Gains CAPITAL GAINS A Short-term capital ....

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....gain 1 From slump sale a Full value of consideration 1a b Net worth of the under taking or division 1b c Short term capital gains from slump sale (1a – 1b) 1c d Deduc tion under sections 54B/54D 1d e Net short term capital gains from slum sale (1c – 1d) 1e 2 From assets in case of non-resident to which first proviso to section 48 applicable 2 3 From assets in the case of others a Full value of consideration 3a b Deductions under section 48 i Cost of acquisition bi ii Cost of Improvement bii iii Expenditure on transfer biii iv Total ( b i + b ii + bi ii) biv c Balance (3a – biv) 3c d Loss, if any, to be ignored under section 94(7) or 94(8) (enter positive values only) e Deduc tion under sections 54B/54D/ 54G/ 54GA 3e f Short-term capital gain (3c – 3d – 3e) 3f 4 Deemed short capital gain on depreciable assets (6 of Schedule-DCG) 4 5 Amount deemed to be short term capital gains under sections 54B/54D/54EC/ 54ED/54G/ 54GA 5 6 Total short term capital gain (1e + 2 + 3 f +4 +5) 6 7 Short term capital gain under section 111A included in 6 7 8 Short-term capital gain other than referred to in section 111A (6-7) 8 B Long term capital gain 1 From slump sal....

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....e a Full value of consideration 1a b Net worth of the under taking or division 1b c Long term capital gains from slump sale 1c d Deduc tion under sections 54B/54D/ 1d e Net long term capital gain from slump sale (1c – 1d) 1e 2 Asset in case of non-resident to which first proviso to section 48 applicable 2 3 Asset in the case of others where proviso under section 112(1) not exercised a Full value of consideration 3a b Deductions under section 48 i Cost of acquisition after indexation bi ii Cost of improvement after indexation bii iii Expenditure on transfer biii iv Total (bi + bii +biii) biv c Balance (3a – biv) 3c d Deduc tion under sections 54B/54D/ 54EC/54G/ 54GA 3d e Net balance (3c – 3d) 3e 4 Asset in the case of others where proviso under section 112(1) exercised a Full value of consideration 4a b Deductions under section 48 i Cost of acquisition without indexation bi ii Cost of improvement without indexation bii iii Expenditure on transfer biii iv Total (bi + bii +biii) biv c Balance (4a – biv) 4c d Deduc tion under sections 54B/54D/ 54EC/54G/ 54GA 4d e Net balance 4e 5 Amount deemed to be long term capital gains under sections 54B/54D/54EC/54ED/54....

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....G/ 54GA 5 6 Total long term capital gain (1e (enter nil if loss) + 2 + 3e (enter nil if loss) + 4e (enter nil if loss) + 5) B6 C Income chargeable under the head “CAPITAL GAINS” (A 6 + B6) (enter B 6 as nil, if loss) C D Information about accrual/receipt of capital gain Date Up to 15/6 (i) 16/6 to 15/9 (ii) i) 16/9 to 15/12 (iii) 16/12 to 15/3 (iv) 16/3 to 31/3 (v) 1 Long- term where proviso under section 112(1) is applicable (Without Indexation)- Code in SI Schedule is 22, Tax Rate is 10% ; Enter only positive value from Item B4c of Schedule CG AFTER loss adjustment under this category in Schedule CYLA and BFLA, if any. 2 Long- term where proviso under section 112(1) is NOT applicable (With Indexation)- Code in SI Schedule is 21, Tax Rate is 20%; Enter only positive value from Item (B6-B4c) of Schedule CG AFTER loss adjustment under this category in Schedule CYLA and BFLA, if any. 3 Short-term under 111A- Code in SI Schedule is 1A, Tax Rate is 15% ; Enter only positive value from Item A7 of Schedule CG AFTER loss adjustment under this category in Schedule CYLA and BFLA, if any. 4 Short-term OTHERS- Taxed at normal rates; Enter only positive value from Item A8 of Schedu....

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....le CG AFTER loss adjustment under this category in Schedule CYLA and BFLA, if any. Schedule OS Income from other sources OTHER SOURCES 1 Income other than from owning race horse(s):- a Dividends, Gross 1a b Interest, Gross 1b c Rental income from machinery, plants, buildings, etc., Gross 1c d Others, Gross 1d e Total (1a + 1b + 1c + 1d) 1e f Deductions under section 57:- i Expenses / Deductions fi ii Depreciation fii iii Total fiii g Balance (1e – fiii) 1g 2 Winnings from lotteries, crossword puzzles, races, etc. 2 3 Income from other sources (other than from owning race horses) (1g + 2) (enter 1g as nil if loss) 3 4 Income from owning and maintaining race horses a Receipts 4a b Deductions under section 57 in relation to (4) 4b c Balance (2a – 2b) 4c 5 Income chargeable under the head “Income from other sources” (3 + 4c) (enter 4c as nil if loss and take 4c loss figure to Schedule CFL) 5 Schedule CYLA Details of Income after set-off of current years losses CURRENT YEAR LOSS ADJUSTMENT Sl.No Head/ Source of Income Income of current year (Fill this column only if income is zero or positive) House property loss of the current year set off Business Loss (other....

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.... than speculation or specified business loss ) of the current year set off Other sources loss ( other than loss from race horses ) of the current year set off Current year’s Income remaining after set off Total loss (4c of Schedule –HP) Total loss (A37 of Schedule-BP) Total loss (3 of Schedule-OS) 1 2 3 4 5=1-2-3-4 Loss to be adjusted i House property ii Business ( in clu ding speculation profit and income from specified business ) i ii Short-term capital gain i v Long term capital gain v Other sources (incl. profit from owning race horses but excluding winnings from lottery) vi Total loss set-off vii Loss remaining after set-off Schedule BFLA Details of Income after Set off of Brought Forward Losses of earlier years BROUGHT FORWARD LOSS ADJUSTMENT Sl. No. Head/ Source of Income Income after set off, if any, of current year’s losses as per 5 of Schedule CYLA) Brought forward loss set off Brought forward depreciation set off Brought forward allowance under section 35(4) set off Current year’s income remaining after set off 1 2 3 4 5 i House property ii Business (including speculation or specified business profit) iii Short-term capital gain i v Long-term ....

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....capital gain v Other sources (incl. profit from owning race horses but excluding winnings from lottery ) vi Total of brought forward loss set off vii Current year’s income remaining after set off Total (i5 + ii5 + iii5 + iv5+v5+vi5) Schedule CFL Details of Losses to be carried forward to future years CARRY FORWARD OF LOSS Sl. No. Assessment Year Date of Filing (DD/MM/YYYY) House property loss Loss from business other than loss from speculative business Loss from speculative business Loss from specified business Short-term capital loss Long-term Capital loss Other sources loss (from owning race horses) i 2003-04 ii 2004-05 iii 2005-06 iv 2006-07 v 2007-08 vi 2008-09 vii 2009-10 viii 2010-11 ix Total of earlier year losses x Adjustment of above losses in Schedule BFLA xi 2011-1 2 (Current year losses) xii Total loss Carried Forward to future years Schedule 10A Deduction under section 10A DEDUCTION U/S 10A 1 Deduction in respect of units located in Software Technology Park a Undertaking No.1 1a b Undertaking No.2 1b c Undertaking No.3 1c d Undertaking No.4 1d e Undertaking No.5 1e f Total (1a + 1b+ 1c + 1d + 1e) 1f 2 Deductions in respect of units located in Electronic Hardware....

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.... Technology Park a Undertaking No.1 2a b Undertaking No.2 2b c Undertaking No.3 2c d Total (2a + 2b+ 2c) 2d 3 Deductions in respect of units located in Free Trade Zone a Undertaking No.1 3a b Undertaking No.2 3b c Undertaking No.3 3c d Total (3a + 3b+ 3c) 3d 4 Deductions in respect of units located in Export Processing Zone a Undertaking No.1 4a b Undertaking No.2 4b c Undertaking No.3 4c d Total (4a + 4b+ 4c) 4d 5 Deductions in respect of units located in Special Economic Zone a Undertaking No.1 5a b Undertaking No.2 5b c Undertaking No.3 5c d Total (5a + 5b+ 5c) 5d 6 Total of ( 1f +2d +3d+ 4d+ 5d) 6 Schedule 10AA Deduction under section 10AA DEDUCTION U/S 10AA Deductions in respect of units located in Special Economic Zone a Undertaking No.1 a b Undertaking No.2 b c Undertaking No.3 c d Total (a + b + c) d Schedule 10B Deduction under section 10B DEDUCTION U/S 10B Deduction in respect of hundred percent Export Oriented units a Undertaking No.1 a b Undertaking No.2 b c Undertaking No.3 c d Undertaking No.4 d e Undertaking No.5 e f Total (a + b + c + d + e) f S chedule 80G Details of donations entitled for deduction under section 80G DETAILS OF DONATIONS A Donations entitled for 10....

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....0% deduction Name and address of donee Amount of donation i Ai ii Aii iii Aiii iv Aiv v Av vi Total Avi B Donations entitled for 50% deduction where donee not required to be approved under section 80G(5) (vi) Name and address of donee Amount of donation i Bi ii Bii iii Biii iv Biv v Bv vi Total Bvi C Donations entitled for 50% deduction where donee is required to be approved under section 80G(5) (vi) Name and address of donee PANof donee Amount of donation i Ci ii Cii iii Ciii iv Civ v Cv vi Total Cvi D Total donations (Avi + Bvi + Cvi) D Schedule 80-IA Deductions under section 80-IA DEDUCTION U/S 80-IA a Deduction in respect of profits of an enterprise referred to in section 80-IA(4)(i) [Infrastructure facility] a b Deduction in respect of profits of an undertaking referred to in section 80-IA(4)(ii) [Telecommunication services] b c Deduction in respect of profits of an undertaking referred to in section 80-IA(4)(iii) [Industrial park and SEZs] c d Deduction in respect of profits of an undertaking referred to in section 80-IA(4)(iv) [Power] d e Deduction in respect of profits of an undertaking referred to in section 80-IA(4)(v) [Revival of power generating plant] and deduction in ....

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....respect of profits of an undertaking referred to in section 80-IA(4)(vi) [Cross-country natural gas distribution network] e f Total deductions under section 80-IA (a + b + c + d + e) f Schedule 80-IB Deductions under section 80-IB DEDUCTION U/S 80-IB a Deduction in respect of industrial undertaking referred to in section 80-IB(3) [Small-scale industry] a b Deduction in respect of industrial undertaking located in Jammu & Kashmir [Section 80-IB(4)] b c Deduction in respect of industrial undertaking located in industrially backward states specified in Eighth Schedule [Section 80-IB(4)] c d Deduction in respect of industrial undertaking located in industrially backward districts [Section 80-IB(5)] d e Deduction in the case of multiplex theatre [Section 80-IB(7A)] e f Deduction in the case of convention centre [Section 80-IB(7B)] f g Deduction in the case of company carrying on scientific research [Section 80-IB(8A)] g h Deduction in the case of undertaking which begins commercial production or refining of mineral oil [Section 80-IB(9)] h i Deduction in the case of an undertaking developing and building housing projects [Section 80-IB(10)] i j Deduction in the case of an undertaking op....

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....erating a cold chain facility [Section 80-IB(11)] j k Deduction in the case of an undertaking engaged in processing, preservation and packaging of fruits and vegetables [Section 80-IB(11A)] k l Deduction in the case of an undertaking engaged in integrated business of handling, storage and transportation of foodgrains [Section 80-IB(11A)] l m Deduction in the case of an undertaking engaged in operating and maintaining a rural hospital [Section 80-IB(11B)] m n Total deduction under section 80-IB (Total of a to m) n Schedule 80-IC or 80-IE Deductions under section 80-IC or 80-IE DEDUCTION U/S 80-IC 1 Deduction in respect of industrial undertaking located in Sikkim 1 2 Deduction in respect of industrial undertaking located in Himachal Pradesh 2 3 Deduction in respect of industrial undertaking located in Uttaranchal 3 4 Deduction in respect of industrial undertaking located in North-East a Assam 4a b Arunachal Pradesh 4b c Manipur 4c d Mizoram 4d e Meghalaya 4e f Nagaland 4f g Tripura 4g h Total of deduction for undertakings located in North-east (Total of 4a to 4g) 4h 5 Total deduction under section 80-IC or 80-IE (1 + 2 + 3 + 4h) 5 Schedule VI-A Deductions under Chapter VI-A TOTAL DED....

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....UCTIONS a 80G g 80IB (n of Schedule 80-IB b 80GGA h 80IC / 80-IE ( 5 of Schedule 80-I C / 80-IE) c 80GGB i 80ID/ 80JJA d 80GGC j 80JJAA e 80IA (f of Schedule 80-IA) k 80LA f 80IAB m Total deductions under Chapter VI-A (Total of a to k) m Schedule SI Income chargeable to Income tax at special rates IB [Please see instruction Number-9(iii) for section code and rate of tax] SPECIAL RATE Sl No Section code Special rate (%) Income i Tax thereon ii Sl No Section code Special rate (%) Income i Tax thereon ii 1 1A 15 6 2 22 10 7 3 21 20 8 4 5BB 30 9 5 10 11 Total (1ii to 10 ii) Schedule EI Details of Exempt Income (Income not to be included in Total Income) EXEMPT INCOME 1 Interest income 1 2 Dividend income 2 3 Long-term capital gains on which Securities Transaction Tax is paid 3 4 Net Agriculture income(other than income to be excluded under rule 7, 7A, 7B or 8) 4 5 Share in the profit of firm/AOP etc. 5 6 Others 6 7 Total (1+2+3+4+5+6) 7 Schedule MAT Computation of Minimum Alternate Tax payable under section 115JB Minimum Alternate Tax 1 Whether the Profit and Loss Account is prepared in accordance with the provisions of Parts II and III of Schedule VI to the Companies Act, 1956 (If yes....

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...., write ‘1’, if no write ‘2’) 2 Whether, for the Profit and Loss Account referred to in item 1 above, the same accounting policies, accounting standards and same method and rates for calculating depreciation have been followed as have been adopted for preparing accounts laid before the company at its annual general body meeting? (If yes, write ‘1’, if no write ‘2’ 3 Profit before tax as shown in the Profit and Loss Account (enter item 42 of PartA-P&L) 3 4 Additions (if debited in profit and loss account) a Income Tax paid or payable or its provision (other than FBT) 4a b Reserve (except reserve under section 33AC) 4b c Provisions for unascertained liability 4c d Provisions for losses of subsidiary companies 4d e Dividend paid or proposed 4e f Expenditure related to exempt income under sections 10, 10AA, 11 or 12 [exempt income excludes income exempt under section 10(38)] 4f g Depreciation attributable to revaluation of assets 4g h Others (including residual unadjusted item s and Provision for diminution in the value of any asset ) 4 h i Total additions (4a+4b+4c+4d+4e+4f+4g+4h) 4 i 5 Deductions a Amount withdrawn from reserve or p....

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....rovisions if credited to Profit and Loss account 5a b Income exempt under sections 10, 10AA, 11 or 12 [exempt income excludes income exempt under section 10(38)] 5b c Amount withdrawn from revaluation reserve and credited to profit and loss account to the extent it does not exceed the amount of depreciation attributable to revaluation of asset 5c d Loss brought forward or unabsorbed depreciation whichever is less 5d e Profit of sick industrial company till net worth is equal to or exceeds accumulated losses 5e f Others (including residual unadjusted items) 5f g Total deductions (5a+5b+5c+5d+5e+ 5f ) 5g 6 Book p rofit under section 115JB (3+ 4 i – 5g) 6 7 Tax payable under section 115JB [10% of (6)] 7 Schedule MATC Computation of tax credit under section 115JAA MAT CREDIT 1 Tax under section 115JB in assessment year 20 10 - 1 1 1 2 Tax under other provisions of the Act in assessment year 20 10 - 1 1 2 3 Amount of MAT liability in respect of assessment year 20 10 - 1 1 available for credit in subsequent assessment years [enter (1 – 2) if 1 is greater than 2, otherwise enter 0] plus brought forward MAT credit for assessment year 200 7 -0 8 200 8 -0 9 and 2009-10 3 4 Tax ....

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....under section 115JB in assessment year 20 1 1 -1 2 4 5 Tax under other provisions of the Act in assessment year 20 1 1 -1 2 5 6 Amount of tax against which credit in respect of 3 is available [enter (5 – 4) if 5 is greater than 4, otherwise enter 0] 6 7 Amount of tax credit under section 115JAA [enter lower of 3 and 6] 7 8 Balance MAT liability in respect of assessment year 2006-07, 200 7 -0 8 , 200 8 -0 9 , 200 9 - 10 and 2010-11 available for credit in subsequent assessment years [enter (3 – 7) if 3 is more than 6, otherwise enter 0] 8 9 Amount of MAT liability in respect of assessment year 20 1 1 -1 2 available for credit in subsequent assessment years [enter (4 – 5) if 4 is greater than 5, otherwise enter 0] 9 Schedule - DDT Details of payment of Dividend Distribution Tax DIVIDEND DISTRIBUTION TAX DI 1 Date of declaration of distribution or payment of any dividend profits of domestic companies 1 2 Rate of dividend, distributed or paid during the previous year a Interim (rate %) 2a b Final (rate %) 2b 3 Amount of any dividend declared, distributed or paid 3 4 Tax payable on dividend declared, distributive or paid a Additional Income-tax payable under section....

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.... 115-O 4a b Surcharge on 4a 4b c Education Cess on (4a + 4b) 4c d Total tax payable (4a + 4b + 4c) 4d 5 Interest payable under section 115P 5 6 Additional income-tax + interest payable (4d + 5) 6 7 Tax and interest paid (Total of v Schedule DDTP) 7 8 Net payable/ refundable (6-7) 8 Schedule IT Details of Advance Tax and Self Assessment Tax Payments of Income-tax TAX PAYMENTS Sl No BSR Code Date of Deposit (DD/MM/YYYY) Serial Number of Challan Amount (Rs) i ii iii iv v vi NOTE â–º Enter the totals of Advance tax and Self Assessment tax in Sl No. 11a & 11d of PartB-TTI Schedule TDS Details of Tax Deducted at Source on Income [As per Form 16 A issued by Deductor(s)] TDS ON INCOME Sl No Tax Deduction Account Number (TAN) of the Deductor Name of the Deductor Total tax deducted Amount out of (4) claimed for this year (1) (2) (3) (4) (5) i ii NOTE â–º Enter the total of column (7) in Sl No. 15b of PartB-TTI Schedule TCS Details of Tax Collected at Source [As per Form 27D issued by the Collector(s)] TCS ON INCOME Sl No Tax Deduction and Tax Collection Account Number of the Collector Name of the Collector Total tax collected Amount out of (4) claimed during the year (1) (2) (3) (4) ....

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....(5) i ii NOTE â–º Enter the total of column (7) in Sl No. 15c of PartB-TTI Schedule DDTP Details of payment of Dividend Distribution Tax TAX PAYMENTS Sl No Name of Bank & Branch BSR Code Date of Deposit (DD/MM/YYYY) Serial Number of Challan Amount (Rs) i ii iii iv v NOTE â–º Enter the total of v in 7 of Schedule DDT Document 9 FORM ITR- 7 INDIAN INCOME TAX RETURN For persons including companies required to furnish return under section 139(4A) or section 139(4B) or section 139( 4C ) or section 139(4D) (Please see Rule 12 of the Income-tax Rules,1962) ( Also see attached instructions) Assessment Year 2 0 1 1 - 1 2 Part A-GEN GENERAL 1. PERMANENT ACCOUNT NUMBER (PAN) 2. NAME (As mentioned in deed of creation/ establishing/ incorporation/ formation) 3. ADDRESS (Flat No./Door/House No., Premises , Road, Locality) Pin Telephone Fax, if any 4. - - Date of formation (DD-MM-YYYY) 5. Status (Please see instructions) 6. e-mail ID: 7. Is there any change in Address? Yes No 8. Number and Date of registration under section 12A/ 12A A - - and 9. If claiming exemption under section 10: (i) Mention the clause(s) and sub-clause(s) - - (ii) Date of notification/ approval, if any - - - - (iii)....

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.... Period of validity To 10. Whether liable to tax at maximum marginal rate under section 164 Yes No 11. Ward/ Circle/ Range - 12. Assessment Year 13. Residential Status (Please see instructions ) 14. If there is change in jurisdiction, state old Ward/ Circle/ Range 15. Section under which this return is being filed (Please see instructions) Return of Income 16. Whether Original or Revised Return If revised, Receipt No. and date of filing original return. - - and 17. Is this your first return? Yes No For Office Use Only For Office Use Only Receipt No Date Seal and Signature of receiving official PART-B (a) Computation of total income 1 8 . Income from house property [ Sch . - (F-1A )] 000 19 . ( i ) Profits and gains of b usiness or profession [Sch. - (F-1B) ] 000 ( ii ) Profits and gains from transactions chargeable to securitie s transaction tax included in (i ) above (Sch .- (B-26(ii) ] 000 2 0 . Capital gains (a) Short-term (under section 111A ) [Sch.- F- 1C (i )] 000 (b) Short-term (others) [Sch.- F- 1C (ii) ] 000 (c) Long -term [Sch.- F- 1C (iii) ] 000 000 2 1 . Income from other sources [ Sch .- F-1D] 000 2 2 . Deemed income under section 11 [ F-4(iv )] 000 2 3 . Total [(1 8 )....

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....+( 19 )+( 20 ) +(21)+(22) ] 2 4 . Less: Exempt income [Sch.- F3(ix ) ] 000 2 5 . Income chargeable under section 11(4) [Sch.- B(3 4 )] 000 2 6 . Total income [( 23 ) – ( 24 ) +( 25 ) ] 000 In words (b) Statement of t axes on total income 2 7 . Net agricultural income [Sch.F-9] 000 2 8 . Tax on total income [Sch.G-6 ] 000 29 . Surcharge , if applicable [Sch.G- 7 ] 000 000 3 0 . Education , including secondary and higher education c ess [Sch.G- 9 ] 3 1 . Tax + Surcharge + Education Cess [Sch.G- 1 0 ] 000 3 2 . Tax deducted/ Collected at source [Sch.G-1 4 B] 000 3 3 . Advance tax paid [Sch.G-1 4 A] 000 3 4 . Self-assessment tax paid [Sch.G-1 4 C] 000 000 3 5 . Balance tax payable [( 3 1 ) – ( 3 2 ) – ( 3 3 ) – (3 4 )] 000 3 6 . Interest payable under section 234A / 234B/ 234C [Sch.G-1 1 ] 3 7 . Tax and interest payable [ Sch.G-1 6 ] 000 38 . Refund due, if any [Sch.G-1 7 ] 000 N umber of documents / statements attached Description In figures In words Description In figures In words a. TDS Certificates f . Applications for exercising options under section 11(1) b. Audit report in Form No. 10 B g . Form 10DB / 10DC c. Audit report in Form No. 10BB h. Income /....

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.... expenditure account and balance sheet d . Audit Report under section 44AB i . Others e . Form No. 10 for exercising options under section 11(2) VERIFICATION I, _________________________________________________(full name in block letters), son/ daughter of ______________________________________ , holding permanent account number _____________________ solemnly declare that to the best of my knowledge and belief, the information given in th is return and the schedules , statements, etc., accompanying it is correct and complete and that the amount of total income / fringe benefits and other particulars shown therein are truly stated and are in accordance with the provisions of the Income-tax Act, 1961, in respect of income chargeable to income-tax for the previous year relevant to the assessment year 20 11 - 1 2 . I further declare that I am making this return in my capacity as ___________ and I am also competent to make this return and verify it. Date: ……………… …………………………… Place: ………………….. Name and Signature SCHEDULE A. Income from house proper....

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....ty In case of more than one house property, compute the income from each property on a separate sheet (to be attached to the return) and mention the aggregate figure against item No. 16 1. 000 000 Number of sheets (in case of more than one property) Sheet No. 2 . A ddress of the property (Flat No./Door/House No., Premises, Road, Locality/ Village, Town/ District, State/ Union t erritory in that order) Pin 3. State whether the above-mentioned property is 000 Self-occupied or Let out or Unoccupied (Please tick as applicable) 4. Built-up area (In square metre) Area of land appurtenant (in square metr e ) Annual let t able value 000 000 000 5. Annual let t able value / Actual rent received or receivable (whichever is higher) 000 6. Less: Deduction claimed under section 23 (a) Taxes actually paid to local authority (b) Unrealised rent (c) ………………… 7. Total of 6 above 000 8. Balance {(5) – (7)] 000 9. Less: Deductions claimed under section 24 (a) 30% of Annual value 000 (b) Interest on capital borrowed 000 10. Total of 9 above 000 11. Balance [(8) – (10)] 000 12. Unrealised rent received in the year under section 25A and / or 25AA 00....

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....0 13. (a) Amount of arrears of rent received in the year under section 25B 0000 (b) Less: Deduction admissible under section 25B (30% of arrear rent received) 000 14. Income chargeable under section 25B [13(a) – 13(b)] 000 15. Balance [(11)+(12)+(14)] 000 16. Total of 15 (in case of more than one property, give total of all sheets) 000 17. Income chargeable under the head “Income from house property” (16) 000 SCHEDULE B: Profits and gains of business or profession (I) G eneral 000 000 1. N ature of business or profession: Manufacturing Trading 000 000 000 000 Manufacturing-cum-trading Service Profession Others 2. Number of branches Attach list with full address(es) ………………………………………………………………………………………………………………………………….. ……………………………………………………………....

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....…………………………………………………………………….. 3. 000 Method of accounting Mercantile Cash 4. Is there any change in method of accounting? Yes No 5. If yes, state the change ………………………………………………………………………………………………………………………………….. ………………………………………………………………………………………………………………………………….. 6. Method of valuation of stock ……………………………………………………………â....

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....¦â€¦â€¦â€¦â€¦â€¦â€¦â€¦â€¦â€¦â€¦â€¦â€¦â€¦ 7 . Is there any change in stock valuation method ? Yes No 8. If yes, state the change: ……………………………………………………………………………………………………… 9 . Are you liable to maintain accounts as per section 44AA ? Yes No 10 . Are you liable to ta x audit under section 44AB(a) / (b) ? Yes No 11. Are you liable to tax audit under section 44AB(c) read with section 44AD/ 44AE? Yes No 1 2 . If answer to ‘Item 10 or 11’ is yes, have you got the accounts audited before the specified date? Yes No 1 3 . If yes, whether audit report is furnished ? Yes No - - If yes, give Receipt No……………… and date of filing the same ( also attach a copy ) (II) Computation of income from business or profession other than speculation business (In case you have more than one business or profession and maintain separate books of account, attach separate sheet(s) gi....

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....ving computation for each such business or profession and show the aggregate figures against various items) 1 4 . Net profit or loss as per consolidated profit and loss account 000 15 . Add: Adjustment on account of change in method of accounting and / or valuation of stock 000 For assessees having income covered under section 44AD / 44AE : - 16. (i) Add / Deduct – profit / loss of business(es) included in item 14 under section indicated below, if answer to any of item 9, 11, 12 or 13 above is ‘No. for s ection 44AD 000 for s ection 44 AE 000 Total 000 (ii) In case you were engaged in the business mentioned in section 44AD: (a) Gross receipts 000 (b) Net profit @ 8% of gross receipt 000 (c) Add: Higher of the amounts mentioned in (i) (a) and (ii)(b) above 000 (iii) In case you owned not more than ten goods carriages and wer e engaged in the business of pl ying, hiring or leasing of such carriages as mentioned in section 44AE: N umber of Vehicles / carriages N umber of months during which owned Deemed profit under section 44AE (a) heavy goods vehicle (b) other goods carriages Total (c) Add: Higher of the amount mentioned in (i)(b) above and the amount determined above a....

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....s deemed profit under section 44AE 000 1 7 . Deduct – Amount of exempt income included in item 14, being: (i) Share of income from fi rm(s) exempt under section 10(2A ) 000 (ii) Share of income from AOP / BOI 000 (iii) Any other income exempt from tax (specify the section) 000 1 8 . Is section 10A / 10B/ 10C applicable ? Yes No If yes, have you opted out by filing declaration prescribed under section 10A(8) / 10B (8) / 10C (6) Yes No If no, furnish the following information Section Year Amount claimed deductible / not includible in total income Deduct: Amount as per item 18 above 000 19 . Add: Incomes specified in section 28(ii) to 28(vi) not included in item 14 000 2 0 . Add: Deemed income not included in item 14 under sections 33AB, 33ABA, 35ABB, etc. (i) Section…………………… Amount……………………… (ii) Section…………………… Amount……………………… (iii) Section…………………… Amount……………………… (iv) Section....

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....…………………… Amount……………………… Total 000 2 1 . Deduct: Allowance under section 35A, 35AB, 35ABB, etc. Section Year No. Installment Amount debited in accounts Amount allowable Total 000 2 2 . Add: Adjustment on account of pro fit includible under section 44 B, 44BB and 44BBA 000 2 3 . Add / deduct: Adjustments in accordance with sections 28 to 44D A , if any, necessary Under s ection Amount ……………………………….. ………………………………….. ……………………………….. ………………………………….. ……………………………….. ………………………………….. Total 000 2 4 . Add / deduct: Adjustment on account of current depreciation debited in books of account, and allowable as per the Act 000 2 5 . Add / deduct: Adjustment....

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.... on account of scientific research expenses under section 35(1)( i v) 000 2 6 . (i) Profits and gains of business or profession other than speculation business 000 (ii) Profits and gains from the transactions chargeable to securities transaction tax included in (i) above 000 ( III ) Computation of income from speculation business 2 7 . Speculation profit / loss 000 2 8 . Add / deduct: Net statutory adjustments 000 29 . Profits and gains from speculation business 000 3 0 . Deduct: Brought forward speculation loss, if any 000 3 1 . Net profits and gains from speculation business 000 3 2 . Income chargeable under the head profits and gains [26(i) + 31] 599 [Negative figure in item 31 not to be considered] (IV ) Computation of income chargeable to tax under section 11(4) 3 3 . Income as shown in the accounts of business undertaking [refer section 11(4)] 000 3 4 . Income chargeable to tax under section 11(4)(32) – (33) 000 SCHEDULE C: Capital Gains Separate sheets may be used and attached to the return in case of more than one short-term / long-term asset. The aggregate figure may be shown against item No. 1 2 A. Short-term Asset B. Long-term Asset 1. 000 000 Number of sheets (in....

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.... case of more than one asset only) 2. Particulars of asset transferred 000 000 3. Date of acquisition (DD-MM-YYYY) - - 000 0000 4. Date of Transfer (DD-MM-YYYY) - - 000 0000 5. Mode of transfer 000 000 6. Full value consideration accrued or received 000 000 7. Deductions under section 48 (i) cost of acquisition 000 000 (ii) cost of improvement 000 000 (iii) expenditure on transfer 0000 000 8. Total of 7 above 000 000 9. Balance [(6) – (8)] 000 000 10. Exemption under section 11(1A) 000 000 11. Balance [(9) – (10)] [Please specify short-term under section 111A / others] 000 000 12. Total of 11 (in case of more than one short / long term asset, give total of all sheets) 000 000 13. Deemed short-term capital gain on depreciable assets (section 50) 000 14. Income chargeable under the head “Capital gains” 000 A. Short t erm [(12)+(13)] B. Long t erm (12) 000 000 C. Short-term under section 111A included in 14A D. Short-term (others) (14A – 14C ) 000 SCHEDULE D . Income from other sources 1. Income other than from owning race horse(s):- 000 Dividends Interest Rental income from machinery, plants, buildings, etc. (d) Voluntary contributions / donations inc....

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....luding donations for the corpus 000 000 000 (e) Others 000 2. Total of 1 above 000 3 . Deductions under section 57:- Depreciation……………………………….. ………………………………………………. ………………………………………………. 4 . Total of 3 above 000 5. Balance [(2) – (4)] 000 6 . (a) Income from owning and maintaining race horses 000 (b) Expenses / Deductions under section 57 000 7 . Balance income from owning and maintaining race horse(s) [ 6 ( a ) – 6 ( b )] 000 8 . Winnings from lotteries, crossword puzzles, races, et c. [see section 115BB] 000 9 . Income chargeable under the head “Income from other sources” [( 5 ) + ( 7 ) + ( 8 )] 000 [Negative figure, if any, in item 7 shall not be considered here] SCHEDULE E : Statement of set off of current year’s losses under section 71 Fill in this schedule only if there is loss from any of the following sources for set-off against income from any other source; els....

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....e, write N.A. 1 . Amount of l oss ar ising from house property [ see item A- 17 ] 0000 2 . Amount of l oss from business (excluding speculation loss) [ see item B-26 ] 0000 3 . 0000 Amount of l oss from other sources (excluding lo ss from race horses) [ see item D-5 ] S.No. Head/ Source of income Income of previous year House property loss of the previous year set off‡ Business loss (other than speculation loss) of the previous year set off‡ Other sources loss (other than loss from owning race horses) of the previous year set off‡ Current year’s income remaining after set off (i) (ii) (iii) (iv) (v) Loss to be adjusted 1. House Property 2. Business (including speculation profit) 3. Short-term capital gain 4. Long-term capital gain 5. Other sources ( in c luding profit from owning race horses but excluding winnings from lottery ) 0000 Under column (i), write only the positive incomes from the heads/ sources of income mentioned in rows (1) to (5) ‡Under columns (ii), (iii) and (iv) write the appropriate amount of loss against the head / source of income with which it is set-off. SCHEDULE F . Statement of Total Income 1. A. Income from house property [Sc....

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....h. A- 1 7 or E.1. ( v ) ] 000 B. As per books of account – Profits and gains of business or profession [Sch. B-33 or E.2. ( v ) ] 000 C. Capital gains (i) Short-term under section 111A [Sch. C.14C] 000 (ii) Short-term (others) [Sch. C.14D] 000 (iii) Long-term [Sch. C.14B] 000 D. Income from other sources [Sch. D.9 or E.5. ( v ) ] 000 2. Total [(A ) to (D) ] , i.e., Gross income 000 3. Deduct: (i) Amount applied to charitable or religious purposes in India during the previous year 000 (ii) Amount deemed to have been applied to charitable or religious purposes in India during the previous year – clause (2) of the Explanation to section 11(1) 0000 (iii) Amount accumulated or set apart / finally set apart for application to charitable or religious purposes to the extent it does not exceed 15 per cent of income derived from property held in trust wholly or in part only for such purposes under 11(1)(a) 000 (iv) Amount eligible for exemption under section 11(1)(c) 000 (v) Amount eligible for exemption under section 11(1)(d) 000 (vi) Amount in addition to the amount referred to in (iii) above accumulated or set apart for specified purposes if all the conditions in section 11(....

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....2) are fulfilled 000 (vii) Income claimed exempt under section 10(…) , specify clause / sub-clause (……………………………………………………..) (……………………………………………………..) 000 (viii) Income claimed/ exempt under section 13A in case of a political party (also fill schedule LA) 000 (ix) Total [(i) to (viii)] 000 4. Add: (i) Income chargeable under section 11(1B) 000 (ii) Income chargeable under section 11(3) 000 (iii) Income in respect of which exemption under section 11 is not available by reason of provisions of section 13 000 (iv) Income chargeable under section 12(2) 000 ( v) Total [(i)+(ii)+(iii) +(iv) ] 000 5. Add: Income from profits and gains of business or profession chargeable to tax under section 11(4) [Sch.B.34] 000 6. Gross t otal income [(2) –(3)+(4)+(5)] 000 7. Deduction under Chapter VIA 000 8. Total income [(6) -(7 )] 000 9. Net Agricultural income for rate purpose 000 10. Income included in items 8 above chargeable at special rates / maximu....

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....m marginal rates Nature of income Section under which chargeable Amount of income Rate of Tax Amount of Tax 11. Total income chargeable at n ormal R ates 000 12. Total income chargeable at s pecial R ates 000 0 13. Anonymous donations to be taxed under section 115BBC @ 30% 000 14 . Total income chargeable at m aximum m arginal r ates 000 SCHEDULE G. Statement of t axes on total income 1. Tax on total income (a) At special rates 000 (b) At normal rates 000 (c) At maximum marginal rate 000 (d) Under section 115BBC 000 2. Tax on total income [1(a)+1(b)+1(c) +1(d) ] 000 3. Tax payable under section 115JB [Sch.J-6] 000 4. Higher of 2 and 3 000 5. Credit under section 115JAA of tax paid in earlier years [Sch.JA-4] 000 6. Tax payable after credit under section 115JAA [(4)-(5)] 000 7 . Surcharge [on ( 6 ) above] 000 8 . Tax + Surcharge [( 6 )+( 7 )] 000 9 . Education , including secondary and higher education c ess [on ( 8 ) above] 000 1 0 . Tax + surcharge + Education cess [( 8 ) + ( 9 )] 000 11 . Add interest for: (a) Late filing of return under section 234A 000 (b) Default in payment of advance tax under section 234B 000 (c) Deferment of advance tax under section 234C 000 12 . Total of ....

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....items 1 1 above 000 13 . To tal tax and interest payable [(1 0 ) + (1 2 )] 000 14 . Prepaid taxes A. Advance tax Name of the Bank Branch BSR Code of Bank Branch (7 Digit) Date of deposit (DDMMYY) Serial No. of challan Amount (Rs.) Date of installment Upto 15/9 000 16/9 to 15/12 000 16/12 to 15/03 000 000 16/03 to 31/03 000 Total Amount B. Tax deducted / collected at source: [Attach certificate(s)]: (a) ……………………………………………. (b) ……………………………………………. (c) ……………………………………………. Total of [(a) to (c)] 000 C. Tax on self-assessment Name of the Bank Branch BSR Code of Bank Branch (7 Digit) Date of deposit (DDMMYY) Serial No. of challan Amount (Rs.) Total self-assessment tax paid 000 D. Other prepaid taxes, if any (Please specify and attach proof) 000 1 5 . Total [1 4 (A) + 1 4 (B) + 1 4 (C) + 1 4 (D)] 000 1 6 . Tax and interest payable [(1 3 ) – (1 5 )] 000 1 7 . Refund due, if any [(1 5 ) ....

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....– (1 3 )] 000 SCHEDULE H. General Information 1. In case of change in address, please furnish new address (tick): A. Residence or B. Office Flat / Door / Block No. Name of Premises / Building / Village Road / Street / Lane / Post Office Area / Locality / Taluka / Sub-Division Town / City / District State / Union t erritory Pin 2. Particulars of Bank Account (Mandatory in Refund cases) Name of the Bank MICR Code (9 digit) Address of Bank Branch Type of Account (Savings/ Current) Account Number ECS (Y/N) 3. Income claimed exempt: Nature of income Amount ( in Rs ) Reasons for claim 4. If claiming exemption under sub-clause (iiiad) or (iiiae) or (vi) or (via) of clause ( 23C ) of section 10, state the amount of aggregate annual receipts 5. State the nature of charitable or religious or educational or philanthropic objects/ activities 6 . Are you assessed to wea lth-tax ? Yes N o (If yes, the wealth tax return should be filed along with this return) SCHEDULE I. Details of amounts accumulated / set apart within the meaning of section 11(2) in the last eleven years, viz., previous years relevant to the current assessment year and the ten preceding assessment years Year of accumulat....

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....ion Amount accumulated Whether invested in accordance with the provisions of section 11(5) Purpose of accumulation Amounts applied during the year Balance amount available for application Amount deemed to be income within meaning of sub-section (3) of section 1 1 SCHEDULE J. Book Profits under section 115 J B 1 . Net profit as shown in the profit and loss account for the relevant previous year – section 115JB(2) 000 2. Adjustments (if any) – vide the first and second proviso to section 115JB(2) 000 3. Adjustments – vide Explanation to section 115JB(2) 000 Nature of item Add Deduct 4. Total adjustments [(2) + (3)] 000 5. Balance book profit [(1) + (4)] 000 6. 15 % of the book profit 000 Schedule – JA: Tax credit under section 115JAA Sl.No. Item Assessment Year 2010 - 1 1 Assessment Year 20 11 - 1 2 (i) (ii) (iii) (iv) 1. Tax under section 115JB 0000 0000 2. Tax under other provisions of the Act 0000 0000 3. Excess tax under 115JB 0000 [1(iii) – 2(iii)] if 1(iii) is more than 2(iii) + brought forward MAT credit for A.Y. 200 7-08 , 2008-09 and 2009 - 10 = 3(v) ] 0000 [1(iv) – 2( iv)] if 1 (iv) is more than 2(iv) 4. Excess tax under other provi....

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....sions of the Act 0000 [2(iv) – 1(iv) if 2(iv) is more than 1(iv) 5. Tax credit under section 115JAA .[Lower of 3(v) and 4(iv)] 0000 SCHEDULE K. Statement showing the investment of all funds of the Trust or Institution as on the last day of the previous year Part A – Details of investment/ deposits made under section 11(5) (may be given in a separate sheet if space is not sufficient) ________________________________________________________________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________ Part B –Investments held at any time during the previous year(s) [ in concern in which persons referred to in section 13(3) have a substantial interest ] Sl. No. Name and address of the concern Where the concern is a company, No. and class of shares Nominal value of the investment Income from the investment Whether the amount in col. 4 exceeds 5 per cent of the capital of the concern during the previou....

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....s year – say Yes / No 1 2 3 4 5 6 Total Part C – Other investments as on the last day of the previous year(s) Sl.No. Name and address of the concern Where the concern is a company, class of shares held No. and nominal value of investment 1 2 3 4 SCHEDULE L. Statement of pa rticulars regarding the Author(s) / Founder (s) / Trustee(s) / Manager(s), etc., of the Trust o r Institution 1. Name(s) of author(s) / founder(s) / and address(es), if alive 2. Date on which the trust was created or institution established or company incorporated 3 . Name(s) of the person(s) who was / were trustee(s) / manager(s) during the previous year(s) 4 . Name(s) of the person(s) who has / have made substantial contribution to the trust / institution in terms of section 13(3)(b) 5 . Name(s) of relative(s) of author(s), founder(s), trustee(s), manager(s), and substantial contributor(s) and where any such author, founder, trustee, manager or substantial contri butor is a Hindu undivided family, also the names of the members of the family and their relatives SCHEDULE LA (In case of a Political Party) 1 . Whether books of account were maintained ? Yes No 2. Whether record of each voluntary contri....

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....bution in excess of twenty thousand rupees (including name and address of the person who has made such contribution) were maintained Yes No 3. Whether the accounts have been audited, if yes date of audit - - Yes No 4. Whether the report under sub-section (3) of section 29C of the Representation of the People Act, 1951 for the financial year has been submitted Yes No<BR> News - Press release - PIB....