Income-tax (Tenth Amendment) Rules, 2015

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....shed in the Gazette of India, Extraordinary, Part-II, Section 3, Sub-section (ii) vide notification number S.O.969(E), dated the 26th March, 1962 and last amended vide notification number S.O.1683 (E), dated 24.06.2015. ============= Document 1TV.LOL FILING STATUS PERSONAL INFORMATION FORM ITR-3 INDIAN INCOME TAX RETURN [For Individuals/HUFs being partners in firms and not carrying out business or profession under any proprietorship] (Please see rule 12 of the Income-tax Rules, 1962) (Also see attached instructions) Assessment Year 2015-16 Part A-GEN GENERAL First name Middle name Flat/Door/Block No Road/Street/Post Office Town/City/District Last name PAN Name of Premises/Building/Village Status (Tick) ☑ Individual Area/locality State Pin code Residential/Office Phone Number with STD code/ Email Address-1 (self) Mobile No. 1 Country Mobile No. 2 ☐ HUF Date of Birth/ Formation-(DD/MM/YYYY) Do you have Aadhaar Number? (in case of individual) Yes No. If Yes, please provide Sex (in case of individual) (Tick) ▼ Female Male Employer Category(if in employment) (Tick) ✓ ☐ Govt. ☐ PSU ☐ Others Income Tax ....

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....OS) (enter nil if loss) b Income chargeable to tax at special rate (1fiv of Schedule OS) 5a 5b с from the activity of owning and maintaining race horses (3c of Schedule OS) (enter nil if loss) 5c d Total (5a5b+5c) (enter nil if loss) 5d 6 7 6 Total (1+2+3+4c+5d) 7 Losses of current year set off against 6 (total of 2xii, 3xii and 4xii of Schedule CYLA) 8 Balance after set off current year losses (6-7) (total of column 5 of Schedule CYLA+5b) 9 Brought forward losses set off against 8 (2xi of Schedule BFLA) 10 Gross Total income (8-9) (3xii of Schedule BFLA +5b) 11 Income chargeable to tax at special rate under section 111A, 112 etc. included in 10 12 Deductions under Chapter VI-A [s of Schedule VIA and limited to (10-11)] 13 Total income (10-12) 8 9 10 11 12 13 14 Income which is included in 13 and chargeable to tax at special rates (total of (i) of schedule SI) 15 Net agricultural income/ any other income for rate purpose (4 of Schedule EI) 14 15 16 Aggregate income (13-14+15) [applicable if (13-14) exceeds maximum amount not chargeable to tax] 17 Losses of current year to be carried forward (total of row xi of Schedule CFL) 16 17 Part B - TTI Co....

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.... (iii) have income from any source outside India? [applicable only in case of a resident] [Ensure Schedule FA is filled up if the answer is Yes] VERIFICATION ☐ No ☐ Yes 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 relevant to the Assessment Year 2015-16. I further declare that the critical assumptions specified in the agreement have been satisfied and all the terms and conditions of the agreement have been complied with. (Applicable, in a case where return is furnished under section 92CD) Place Date Sign here → 17 If the return has been prepared by a Tax Return Preparer (TRP) give further details below: Identification No. of TRP Name of TRP If TRP is entitled for any reimbursement from the Government, amount thereof Counter Signature of TRP 18 19 TAX PAYMENTS A Details o....

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....o be included in 7 below) i Travel concession/assistance received (sec. 10(5) ii Tax paid by employer on non-monetary perquisite (sec. 10(10CC) 2i 2ii iii Allowance to meet expenditure incurred on house rent (sec. 10(13A) iv Other allowances 2iii 2iv 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) 7 Income chargeable under the Head ‘Salaries' (1+3+4+5-6) 5 6 Deduction u/s 16 (Entertainment allowance by Government and tax on employment) 6 7 Pin code Schedule HP Details of Income from House Property (Please refer to instructions) Address of property 1 Town/City State PIN Code 1 Is the property co-owned? ☐ Yes No (if "YES" please enter following details) Your percentage of share in the property Name of Co-owner(s) PAN of Co-owner(s)e Percentage Share in Property I II (Tick) ☑if let out ☐ deemed let out ☐ Name(s) of Tenant (if let out) PAN of Tenant(s) (optional) I II a Annual letable value or rent received or receivable (higher of the two, if let out for whole of the year, lower of the two if let o....

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.... Capital balance on 31st March in the firm ii Expenses in relation to iv Net Income iv - v (iv) (v) (vi) 5 Deduction, if any, for payment of any sum for carrying out an eligible project or scheme as per section 35AC 6 Net Income from Business [4(vi) - 5] NOTEâ–¶ 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 Gains (STCG) (Items 3, 4 and 7 are not applicable for residents) 1 From sale of land or building or both Short-term Capital Gains a i Full value of consideration received/receivable ai ii Value of property as per stamp valuation authority aii iii Full value of consideration adopted as per section 50C for the purpose of Capital Gains (ai or aii) aiii b Deductions under section 48 i Cost of acquisition without indexation bi ii Cost of Improvement without indexation bii iii Expenditure wholly and exclusively in connection with transfer biii iv Total (bi+bii + biii) biv c Balance (aiii- biv) 1c d Deduction under section 54B (Specify details in item D below) e Short-term Capital Gains on Immovable property (1c - 1d)....

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....hs prior to record date and dividend/income/bonus units are received, then loss arising out of sale of such asset to be ignored (Enter positive value only) e STCG on assets other than at A1 or A2 or A3 or A4 above (5c + 5d) 6 Amount deemed to be short term capital gains a Whether any amount of unutilized capital gain on asset transferred during the previous years shown below was deposited in the Capital Gains Accounts Scheme within due date for that year? ☐ Yes No Not applicable. If yes, then provide the details below SI. Previous year Section under which New asset acquired/constructed in which asset deduction claimed in transferred that year Year in which asset Amount utilised out of acquired/constructed Capital Gains account Amount not used for new asset or remained unutilized in Capital gains account (X) 54D/54G/54GA i 2011-12 ii 2012-13 54B b Amount deemed to be short term capital gains, other than at 'a' Total amount deemed to be short term capital gains (Xi + Xii + b) 7 FOR NON-RESIDENTS- STCG included in A1-A6 but not chargeable to tax in India as per DTAA SI. Country Article of DTAA name, code Whether Tax Residency Certificate obtained? ....

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....with foreign exchange adjustment under first proviso to section 48) a LTCG computed without indexation benefit 4a b Deduction under sections 54EC/54F (Specify details in item D below) 4b с LTCG on share or debenture (4a-4b) B4c 5 For NON-RESIDENTS- from sale of, (i) unlisted securities as per sec. 112(1)(c), (ii) bonds or GDR as referred in sec. 115AC, (iii) securities by FII as referred to in sec. 115AD a Full value of consideration 5a b Deductions under section 48 i Cost of acquisition without indexation bi ii Cost of improvement without indexation iii Expenditure wholly and exclusively in connection with transfer bii biii iv Total (bi+bii +biii) biv с Balance (5a-biv) 5c d Deduction under sections 54EC/54F (Specify details in item D below) 5d e Long-term Capital Gains on assets at 5 above in case of NON-REESIDENT (5c – 5d) B5e 6 From sale of foreign exchange asset by NON-RESIDENT INDIAN (If opted under chapter XII-A) a LTCG on sale of specified asset (computed without indexation) 6a b Less deduction under section 115F (Specify details in item D below) 6b с Balance LTCG on sale of specified asset (6a – 6b) B6c LTCG on ....

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....w asset ai ii Date of its acquisition/construction aii dd/mm/yyyy Amount deposited in Capital Gains Accounts iii aiii Scheme before due date b Section under which deduction claimed 1b amount of deduction i Cost of new asset bi ii Date of its acquisition/construction bii dd/mm/yyyy iii Amount deposited in Capital Gains Accounts Scheme before due date biii c Total deduction claimed (1a + 1b) 1c Short term capital loss set off year (Fill this 2 In case of deduction u/s 54GB, furnish PAN of the company E Set-off of current year capital losses with current year capital gains (excluding amounts included in A7 & B9 which is chargeable under DTAA) Gain of current Current year's capital gains remaining after set off Long term capital loss set off SI. Type of Capital Gain column only if computed figure is positive) 15% 30% applicable rate 10% 20% (7= 1-2-3-4-5-6) 1 2 3 4 Loss to be set off (Fill this i (A2e+A3a) A4e row if computed figure is (Ale+A3b+ A5 +46) 5 (B3e+ B5e+B6c) 6 (Ble+B2e+ 7 negative) B4c+B6f+ B7e+B8) ii 15% Short term iii 30% (A2e+A3a) A4e capital gain iv applicable rate (Ale+A3b+A5e+ V 10% Long term (....

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....other sources (other than from owning race horses and amount chargeable to tax at special rate) (1g – hiii) (If negative take the figure to 4i of schedule CYLA) li 2 2 Income from other sources (other than from owning race horses) (1fiv + 1i) (enter li as nil, if negative) 3 Income from the activity of owning and maintaining race horses a Receipts b Deductions under section 57 in relation to (3) За 3b с Balance (3a-3b) (if negative take the figure to 7xi of Schedule CFL) 4 Income under the head "Income from other sources” (2 + 3c) (take 3c as nil if negative) NOTE▸ 3с 4 Please include the income of the specified persons referred to in Schedule SPI while computing the income under this head. i Loss to be set off ii Salaries iii House property Schedule CYLA CURRENT YEAR LOSS ADJUSTMENT Details of Income after Set off of current year losses Sl.No Head/ Source of Income Income of current year (Fill this column only if income is zero or positive) House property loss Business Loss of the current year set off Other sources loss (other than loss from race horses) of the current year set off 1 2 3 4 > (3c of Schedule....

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....3+ ix3+ x3 + xi3) Details of Losses to be carried forward to future years Date of Filing (DD/MM/YYYY) House property loss 1 2 3 4 i 2007-08 ii 2008-09 iii 2009-10 iv 2010-11 V 2011-12 vi 2012-13 vii 2013-14 viii 2014-15 ix Total of earlier year losses Adjustment of above losses X in Schedule BFLA xi 2015-16 (Current year losses) Business or profession loss Short-term capital loss Long-term Capital loss (2ii of schedule BFLA) (2xiii of schedule CYLA) (2iii of schedule xii Total loss carried forward to future years Schedule VI-A Deductions under Chapter VI-A 1 Part B- Deduction in respect of certain payments a 80C b 80CCC 5 6 Current year's income remaining after set off Loss from owning and maintaining race horses 7 BFLA) (3xiii of schedule CYLA) ((2viii+3viii+4viii) of ((5viii+6viii) of item item E of schedule CG) | E of schedule CG) (2x of schedule BFLA) (3c of schedule OS, if-ve) Page S7 3 80CCD(2) (employers contribution) f 80D с 80CCD(1) (assessees contribution) e 80CCG g 80DD i 80E d k 80G m 80GGA h 80DDB j 80EE 180GG n 80GGC 2 Part C, CA and D- Deduction in respect of certain incomes/other deducti....

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....(Ifi of schedule OS) (part of Ifii of schedule OS) in foreign currency) 12 Chargeable under DTAA rate ☐ (part of Ifiii of schedule OS) 13 Schedule EI 1 Interest income EXEMPT INCOME Total Details of Exempt Income (Income not to be included in Total Income) 1 2 Dividend income 3 Long-term capital gains from transactions on which Securities Transaction Tax is paid 4 Gross Agricultural receipts (other than income to be excluded under rule 7A, 7B or 8 of I.T. Rules) i Expenditure incurred on agriculture i 2 3 ii Unabsorbed agricultural loss of previous eight assessment years iii Net Agricultural income for the year (i – ii – iii) (enter nil if loss) 5 Share in the total income of firm/AOP/BOI etc. ii 4 iii 5 6 Others, including exempt income of minor child 7 Total (1+2+3+4+5+6) 6 7 Schedule FSI Sl. Country Taxpayer Code Identification Number 2 Details of Income from outside India and tax relief SI. Head of income (a) i Salary ii House Property Business or iii Profession iv Capital Gains V Other sources Total i Salary ii House Property iii Business or Profession iv Capital Gains V Other sources Total Income fro....

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....st rupees) Income taxable and offered in this return Amount Schedule where offered Item number of schedule owner/ Beneficiary (1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12) (i) (ii) SI No Total C Details of Immovable Property held (including any beneficial interest) at any time during the previous year Country Address of Ownership- Date of Income Nature of Name and the Property Direct/ Beneficial acquisition Investment (at derived from Income code owner/ cost) (in rupees) the property (1) (2) (3) Beneficiary (4) (5) (i) (ii) (6) Income taxable and offered in this return Amount Schedule Item number of where offered schedule (7) (8) (9) (10) (11) Ownership- Date of Total D Details of any other Capital Asset held (including any beneficial interest) at any time during the previous year Country Nature of Income Nature of Name and Asset Direct/ Beneficial acquisition Investment (at derived from Income code owner/ the asset SI No Income taxable and offered in this return Amount Schedule Item number of where offered schedule (1) (2) (i) (ii) cost) (in rupees) Beneficiary (3) (4) (5) (6) (7) (8) (10) (11) SI ....

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.... TDS apportioned in the hands of spouse (i) (ii) (iii) (iv) (v) 1 House Property 2 Business or profession 3 Capital gains 4 Other sources 5 Total Schedule AL DETAILS OF ASSET AND LIABILITY Asset and Liability at the end of the year (other than those included in Part A - BS of the return of the Firm in which partner) (Applicable in a case where total income exceeds Rs. 25 lakh) A Particulars of Asset 1 Immovable Asset a Land b Building 2 Movable Asset 3 B a Financial Asset i Deposits in Bank (including balance in any account) ii Shares and securities iii Insurance policies iv Loans and Advances given v Cash in hand b Jewellery, bullion etc. c Archaeological collections, drawings, painting, sculpture or any work of art d Vehicles, yachts, boats and aircrafts Liability in relation to Assets at A Total Amount (Cost) (Rs.) Page S11 FORM INDIAN INCOME TAX RETURN ITR-4 (For individuals and HUFs having income from a proprietary business or profession) (Please see rule 12 of the Income-tax Rules, 1962) (Also see attached instructions) Assessment Year 2015-16 Part A-GEN GENERAL First name Middle name PERSONAL INFORMATION Flat/Door/Block No ....

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....or signing the tax audit report (3) Membership no. of the auditor (4) Name of the auditor (proprietorship/ firm) (5) Permanent Account Number (PAN) of the proprietorship/ firm (6) Date of report of the audit For Office Use Only ☐ Yes No For Office Use Only Receipt No Date Seal and Signature of receiving official Page 1 APPLICATION OF FUNDS SOURCES OF FUNDS (d) If liable to furnish other audit report, mention the date of furnishing the audit report? (DD/MM/YY) (Please see Instruction 6)) ☐ 92E115JC NATURE OF NATURE OF BUSINESS OR PROFESSION, IF MORE THAN ONE BUSINESS OR PROFESSION BUSINESS INDICATE THE THREE MAIN ACTIVITIES/PRODUCTS Part A-BS Code S.No. [Please see instruction No.7(i)] (i) (ii) (iii) Trade name of the proprietorship, if any Description BALANCE SHEET AS ON 31ST DAY OF MARCH, 2015 OF THE PROPRIETORY BUSINESS OR PROFESSION (fill items below in a case where regular books of accounts are maintained, otherwise fill item 6) 1 Proprietor's fund a Proprietor's capital b Reserves and Surplus a i Revaluation Reserve bi ii Capital Reserve bii iii Statutory Reserve biii iv Any other Reserve biv V Total (bi+bii + biii + b....

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....d balance 4b 4c d Total (4a+4b+4c) 4d 5 5 Total, application of funds (1e + 2c+3e +4d) 6 In a case where regular books of account of business or profession are not maintained - (furnish the following information as on 31st day of March, 2015, in respect of business or profession) a Amount of total sundry debtors b Amount of total sundry creditors c Amount of total stock-in-trade d Amount of the cash balance 6a 6b 6c 6d Page 3 DEBITS TO PROFIT AND LOSS ACCOUNT CREDITS TO PROFIT AND LOSS ACCOUNT Part A-P& L Profit and Loss Account for the financial year 2014-15 (fill items 1 to 52 in a case where regular books of accounts are maintained, otherwise fill item 53) 1 Revenue from operations A Sales/ Gross receipts of business (net of returns and refunds and duty or tax, if any) iSale of goods i ii Sale of services ii Other operating revenues (specify nature and iii amount) a iiia iiib iiic b c Total (iiia + iiib) iv Total (i+ii + iiic) B Duties, taxes and cess received or receivable in respect of goods and services sold or supplied i Union Excise duties ii Service tax iii VAT/ Sales tax iv Any other duty, tax and cess V Total (i+ii + iii + ....

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....5ii + 15iii + 15iv) 16 Workmen and staff welfare expenses 15v 16 17 Entertainment 17 18 Hospitality 19 Conference 20 Sales promotion including publicity (other than advertisement) 21 Advertisement 22 Commission 18 19 20 21 Paid outside India, or paid in India to a non-resident i i other than a company or a foreign company ii To others ii iii Total (i + ii) 22iii 23 Royalty Paid outside India, or paid in India to a non-resident i i other than a company or a foreign company ii To others ii 23iii iii Total (i + ii) 24 Professional/Consultancy fees / Fee for technical services other than a company or a foreign company Paid outside India, or paid in India to a non-resident i ii To others iii Total (i + ii) 25 Hotel, boarding and Lodging i ii 24iii 25 Page 5 PROVISIONS FOR TAX AND APPROPRIATIONS 26 Traveling expenses other than on foreign traveling 27 Foreign travelling expenses 28 Conveyance expenses 29 Telephone expenses 30 Guest House expenses 31 Club expenses 32 Festival celebration expenses 33 Scholarship 34 Gift 35 Donation 36 Rates and taxes, paid or payable to Government or any local body (excluding taxes on income) i Union....

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....rial (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) 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 refunds are admitted as due by the authorities concerned Cescalation claims accepted during the previous year 5b 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 Amounts debited to the profit and loss account, to the extent disallowable under section 36 due |to non-fulfilment of conditions specified in relevant clauses a Premium paid for insurance against risk of dama....

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....tingent nature i Any other amount not allowable under section 37 7d 74 7e A Amounts debited to the profit and loss account, to the extent disallowable under section 40 7f 7g 7h 7i 7j a b C d Amount disallowable under section 40 (a)(i), on account of non-compliance with the provisions of Chapter XVII-B Amount disallowable under section 40(a)(ia) on account of non-compliance with the provisions of Chapter XVII-B Amount disallowable under section 40(a)(iii) on account of non-compliance with the provisions of Chapter XVII-B Amount of tax or rate levied or assessed on the basis of profits [40(a)(ii)] Аа Ab Ac Ad e Amount paid as wealth tax [40(a)(iia)] Ae f Amount paid by way of royalty, license fee, service fee etc. Af as per section 40(a)(iib) Amount of interest, salary, bonus, commission or g remuneration paid to any partner or member [40(b)] Ag h Any other disallowance Ah i Total amount disallowable under section 40(total of Aa to Ah) 8Ai 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 ....

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....2d 13 Amounts deemed to be profits and gains under section 33AB or 33ABA 12e 13 14 15 Amount of income or expenditure of prior period credited or debited to the profit and loss account (net) 15 14 Any amount of profit chargeable to tax under section 41 Part A-QD Quantitative details (optional in a case not liable for audit under section 44AB) (a) In the case of a trading concern QUANTITATIVE DETAILS 1 Opening stock 2 Purchase during the previous year 3 Sales during the previous year 4 Closing stock 5 Shortage/ excess, if any (b) In the case of a manufacturing concern 6 Raw materials a Opening stock b Purchases during the previous year c Consumption during the previous year d Sales during the previous year e Closing stock f Yield finished products g Percentage of yield 1 2 3 4 5 ба 6b 6c 6d 6e 6f 6g 6h Part B - TI h Shortage/excess, if any 7 Finished products/By-products a opening stock b purchase during the previous year e quantity manufactured during the previous year d sales during the previous year e closing stock f shortage/ excess, if any Computation of total income 1 Salaries (7 of Schedule S) 2 Income from house prope....

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....ome which is included in 14 and chargeable to tax at special rates (total of (i) of schedule SI) 16 Net agricultural income/ any other income for rate purpose (4 of Schedule EI) 15 16 17 Aggregate income (14-15+16) [applicable if (14-15) exceeds maximum amount not chargeable to tax] 18 Losses of current year to be carried forward (total of row xi of Schedule CFL) 17 18 Part B - TTI Computation of tax liability on total income 1 a Tax payable on deemed total income under section 115JC (4 of Schedule AMT) b Surcharge on (a) (applicable if 3 of schedule AMT exceeds 1 crore) la 1b c Education Cess, including secondary and higher education cess on (1a+1b) above d Total Tax Payable on deemed total income (1a+1b+1c) 2 Tax payable on total income 1c 1d COMPUTATION OF TAX LIABILITY a Tax at normal rates on 17 of Part B-TI 2a b Tax at special rates (total of (ii) of Schedule-SI) 2b с Rebate on agricultural income [applicable if (14-15) of Part B-TI exceeds maximum amount not chargeable to tax] 2c d Tax Payable on Total Income (2a + 2b - 2c) 2d e Rebate under section 87A (applicable if 14 of Part B-TI does not exceed 5 lakh) f Tax payable after rebate (2d â....

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....hat 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 relevant to the Assessment Year 2015-16. I further declare that the critical assumptions specified in the agreement have been satisfied and all the terms and conditions of the agreement have been complied with. (Applicable, in a case where return is furnished under section 92CD) Place Date Sign here → 16 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... 17 18 TAX PAYMENTS ΙΑ Details of payments of Advance Tax and Self-Assessment Tax SI No BSR Code Date of Deposit (DD/MM/YYYY) ADVANCE/SELF ASSESSMENT TAX (1) (2) (3) Serial Number of Challan (4) Amount (Rs) (5) i ii iii iv NOTE ▶ B Enter the totals....

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....paid by employer on non-monetary perquisite (sec. 10(10CC) 2i 2ii iii Allowance to meet expenditure incurred on house rent (sec. 10(134) iv Other allowances 2iii 2iv 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 Deduction u/s 16 (Entertainment allowance by Government and tax on employment) 7 Income chargeable under the Head ‘Salaries' (1+3+4+5-6) 6 7 Schedule HP Details of Income from House Property (Please refer to instructions) Address of property 1 Town/City State PIN Code 1 Is the property co-owned? ☐ Yes ☐ No (if "YES" please enter following details) Your percentage of share in the property. Name of Co-owner(s) PAN of Co-owner (s) Percentage Share in Property HOUSE PROPERTY 2 II (Tick) if let out ☐ deemed let out ☐ Name(s) of Tenant (if let out) PAN of Tenant(s) (optional) I II a Annual letable value or rent received or receivable (higher of the two, if let out for whole of the year, lower of the two if let out for part of the year) la b The amount of rent which cannot be realized 1b ....

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....ich is referred to in section 4 44AD/44AE/44B/44BB/44BBA/44BBB/44D/44DA/ Chapter-XII-G/ First Schedule of Income-tax Act 5 4 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 с Any other exempt income (specify nature and amount) i ci ii cii 5ciii iii Total (ci + cii) d Total exempt income (5a + 5b+5ciii) 6 Balance (1-2a - 2b - 3a-3b-3c-3d-4-5d) 5d 6 a Salaries 7a 7 Expenses debited to profit and loss account considered under other heads of income b House property 7b c Capital gains 7c d Other sources 7d 8 Expenses debited to profit and loss account which relate to exempt income 8 9 Total (7a7b+ 7c+7d+8) 9 10 Adjusted profit or loss (6+9) 11 Depreciation and amoritisation debited to profit and loss account 10 11 12 Depreciation allowable under Income-tax Act i Depreciation allowable under section 32(1)(ii) and 32(1)(iia) (item 6 of Schedule-DEP) 12i ii Depreciation allowable under section 32(1)(i) 12ii (Make your own computation refer Appendix-IA of IT Rules) iii Total (12i+12ii) 13 Profit or loss after adjustment for depreciation (10 +....

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.... 34iii 34iv 34v 34vi 34vii 34viii 34ix (item 4 of Form 3CE) ix First Schedule of Income-tax Act x Total (34i to 34ix) 34x 35 Net profit or loss from business or profession other than speculative and specified business (33 +34x) 35 Net Profit or loss from business or profession other than speculative business and specified 36 business after applying rule 7A, 7B or 8, if applicable (If rule 7A, 7B or 8 is not applicable, enter same A36 figure as in 35) (If loss take the figure to 2i of item E) B Computation of income from speculative business 37 Net profit or loss from speculative business as per profit or loss account 37 38 Additions in accordance with section 28 to 44DA 38 39 Deductions in accordance with section 28 to 44DA 39 40 Income from speculative business (37 + 38 - 39) (if loss, take the figure to 6xi of schedule CFL) B40 C Computation of income from specified business under section 35AD 41 Net profit or loss from specified business as per profit or loss account 41 42 Additions in accordance with section 28 to 44DA 42 43 Deductions in accordance with section 28 to 44DA (other than deduction under section,- (i) 35AD, (ii) 32 or 35 on which ....

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....her assets (Other than assets on which full capital expenditure is allowable as deduction) Furniture and Intangible DEPRECIATION ON OTHER ASSETS 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 Building fittings 5 10 100 10 (i) (ii) (iii) (iv) Ships assets 25 20 (v) (vi) Page S4 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 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 ....

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....le DOA- 16vi) 6 Total (1h+2d+3+4+5) Deduction under section 35 or 35CCC or 35CCD Schedule ESR SI No Expenditure of the nature referred to in section (1) i 35(1)(i) ii 35(1)(ii) iii 35(1)(iia) iv 35(1)(iii) V 35(1)(iv) vi 35(2AA) vii 35(2AB) viii 35CCC ix 35CCD X Total Amount, if any, debited to profit and loss account (2) 2c 2d 3 4 5 6 Amount of deduction allowable (3) Amount of deduction in excess of the amount debited to profit and loss account (4)=(3)-(2) Schedule CG Capital Gains A Short-term Capital Gains (STCG) (Items 4, 5 and 9 are not applicable for residents) 1 From sale of land or building or both a i Full value of consideration received/receivable ii Value of property as per stamp valuation authority ai aii iii Full value of consideration adopted as per section 50C for the purpose of Capital Gains (ai or aii) aiii b Deductions under section 48 i Cost of acquisition without indexation bi ii Cost of Improvement without indexation bii Short-term Capital Gains iii Expenditure wholly and exclusively in connection with transfer iv Total (bi+bii + biii) biii biv с Balance (aiii- biv) 1c e d Deduction unde....

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.... i Cost of acquisition without indexation ба bi C ii Cost of Improvement without indexation iii Expenditure wholly and exclusively in connection with transfer iv Total (i+ii + iii) Balance (6a-biv) bii biii biv 6c In case of asset (security/unit) loss to be disallowed u/s 94(7) or 94(8)- d for example if asset bought/acquired within 3 months prior to record date and dividend/income/bonus units are received, then loss arising Po 6d бе e out of sale of such asset to be ignored (Enter positive value only) Deduction under section 54D/54G/54GA f STCG on assets other than at A1 or A2 or A3 or A4 or A5 above (6c + 6d) 7 Amount deemed to be short term capital gains a Whether any amount of unutilized capital gain on asset transferred during the previous years shown below was deposited in the Capital Gains Accounts Scheme within due date for that year? SI. Yes No Not applicable. If yes, then provide the details below New asset acquired/constructed Amount utilised out of Capital Gains account in which asset deduction claimed in Year in which asset transferred Previous year Section under which i 2011-12 ii 2012-13 that year 54D/54G/54GA 54B a....

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....ture (3c - 3d) From sale of, (i) listed securities (other than a unit) or zero coupon bonds where proviso under section 4 112(1) is applicable or unit of a Mutual Fund transferred on or before 10-07-2014 (taxable @ 10% without indexation benefit), (ii) GDR of an Indian company referred in sec. 115ACA Ble B2e B3e 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 wholly and exclusively in connection with transfer biii iv Total (bi+bii+biii) biy с Balance (4a-biv) 4c d Deduction under sections 54EC/54F (Specify details in item D below) 4d e Long-term Capital Gains on assets at B4 above (4c - 4d) B4e 5 For NON-RESIDENTS- from sale of shares or debenture of Indian company (to be computed with foreign exchange adjustment under first proviso to section 48) a LTCG computed without indexation benefit 5a b Deduction under sections 54EC/54F (Specify details in item D below) 5b с LTCG on share or debenture (5a-5b) B5c 6 For NON-RESIDENTS- from sale of, (i) unlisted securities as per sec. 112(1)(c), (ii) bonds or GDR as referred in sec....

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....R NON-RESIDENTS- LTCG included in items B1 to B8 but not chargeable to tax in India as per DTAA SI. Country name, code Article of DTAA Whether Tax Residency Certificate obtained? I II Item B1 to B8 above in which included Ble/B2e/B3e/B4e/ B5c/B6e/B7c/B7/B8e/B9 Ble/B2e/B3e/B4e/ B5c/B6e/B7c/B7f/B8e/B9 III Total amount of LTCG not chargeable to tax as per DTAA Amount of LTCG Total long term capital gain chargeable under I.T. Act [Ble +B2e+ B3e +B4e + B5c+ B6e + B7c+B7f| + B8e+ B9-B10] (In case of loss take the figure to 9xi of schedule CFL) C Income chargeable under the head "CAPITAL GAINS" (A10 + B11) (take B1las nil, if loss) D Information about deduction claimed 1 In case of deduction u/s 54/54B/54D/54EC/54F/54G/54GA/115F give following details a Section under which deduction claimed i Cost of new asset la amount of deduction ai ii Date of its acquisition/construction aii dd/mm/yyyy b iii Amount deposited in Capital Gains Accounts Scheme before due date Section under which deduction claimed aiii 1b amount of deduction i Cost of new asset bi ii Date of its acquisition/construction bii dd/mm/yyyy iii Amount deposited in Capital Gains Accounts....

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....n to schedule SI) i Income by way of winnings from lotteries, crossword puzzles, races, games, gambling, betting etc (u/s 115BB) 1fi 1fii ii Any other income chargeable to tax at the rate specified under chapter XII/XII-A iii FOR NON-RESIDENTS- Income chargeable to be taxed under DTAA SI. Country Article Rate of tax Whether TRC name, code of DTAA under DTAA obtained? Corresponding section of the Act which prescribes rate Amount of income I II III Total amount of income chargeable to tax under DTAA iv Income included in ‘1e' chargeable to tax at special rate (1fi +1fii+1 fiii) g Gross amount chargeable to tax at normal applicable rates (1e-1fiv) 1 fiii 1fiv 1g h Deductions under section 57 (other than those relating to income under 1fi, 1fii & fiii for non-residents) i Expenses / Deductions hi ii Depreciation hii iii Total hiii i Income from other sources (other than from owning race horses and amount chargeable to tax at special rate) (1g – hiii) (If negative take the figure to 4i of schedule CYLA) li 2 Income from other sources (other than from owning and maintaining race horses) (1fiv + 1i) (enter li as nil if negative) 2 3 Inc....

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....S ADJUSTMENT Schedule CYLA) 1 2 i Salaries ii House property (5ii of schedule CYLA) (5iii of schedule CYLA) Business (excluding speculation iii income and income from specified business) (B/f house property loss) (B/f business loss, other iv Speculation Income (5iv of schedule CYLA) (5v of schedule CYLA) V Specified Business Income vi Short-term capital gain taxable @ 15% (5vi of schedule CYLA) (5vii of schedule CYLA) vii Short-term capital gain taxable @ 30% (5viii of schedule CYLA) viii Short-term capital gain taxable at applicable rates (5ix of schedule CYLA) ix Long-term capital gain taxable @ 10% (5x of schedule CYLA) x Long term capital gain taxable @ (5xi of schedule CYLA) 20% Other sources income (excluding than speculation or specified business loss) (B/f normal business or speculation loss) (B/f normal business or specified business loss) (B/f short-term capital loss) (B/f short-term capital loss) (B/f short-term capital loss) (B/f short-term or long- term capital loss) (B/f short-term or long- term capital loss) 3 xi profit from owning and maintaining race horses and amount chargeable |to special rate of tax) (5x....

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....king 1) b (item 17 of Annexure A of Form 56F for Undertaking 2) b Undertaking No.2 c Total deduction under section 10A (a+b) Schedule 10AA DEDUCTION U/S 10AA Deduction under section 10AA Deductions in respect of units located in Special Economic Zone SI Undertaking a Undertaking No.1 Assessment year in which unit begins to manufacture/produce/provide services b Undertaking No.2 c Total deduction under section 10AA (a + b) SI Amount of deduction a (item 17 of Annexure A of Form 56F for Undertaking 1) b (item 17 of Annexure A of Form 56F for Undertaking 2) C (4xiii of BFLA) Page S12 DETAILS OF DONATIONS Schedule 80G Ꭰ C Details of donations entitled for deduction under section 80G A Donations entitled for 100% deduction without qualifying limit Name and address of donee PAN of Donee Amount of donation Eligible Amount of donation i ii Total iii B Donations entitled for 50% deduction without qualifying limit PAN of Donee Amount of donation Name and address of donee Eligible Amount of donation i ii iii Total Donations entitled for 100% deduction subject to qualifying limit Name and address of donee i ii iii Total Donatio....

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.... 10CCB of the undertaking) (10(v) of Form 10CCBA of the undertaking) Page S13 TOTAL DEDUC DEDUCTION U/S 80-IC IB(7A)] (10(v) of Form 10CCBA of d2 Undertaking no. 2 the undertaking) el Undertaking no. 1 e Deduction in the case of convention centre [Section 80- IB(7B)] e2 Undertaking no. 2 Deduction in the case of undertaking which begins f1 Undertaking no. 1 (10(v) of Form 10CCBB of the undertaking) (10(v) of Form 10CCBB of the undertaking) (30 of Form 10CCB of the undertaking) f commercial production or refining of mineral oil [Section 80-IB(9)] ₤2 Undertaking no. 2 (30 of Form 10CCB of the undertaking) gl Undertaking no. 1 g Deduction in the case of an undertaking developing and building housing projects [Section 80-IB(10)] (30 of Form 10CCB of the undertaking) g2 Undertaking no. 2 h1 h Deduction in the case of an undertaking operating a cold chain facility [Section 80-IB(11)] Undertaking no. 1 (30 of Form 10CCB of the undertaking) (30 of Form 10CCB of the undertaking) h2 Undertaking no. 2 (30 of Form 10CCB of the undertaking) Deduction in the case of an undertaking engaged in il Undertaking no. 1 i processing, pre....

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....ya dd2 del de2 df1 df Nagaland df2 dg Tripura dg1 dg2 Undertaking no. 1 Undertaking no. 2 (30 of Form 10CCB of the undertaking) | (30 of Form 10CCB of the undertaking) (30 of Form 10CCB of the undertaking) (30 of Form 10CCB of the undertaking) (30 of Form 10CCB of the undertaking) dh Total deduction for undertakings located in North-east (total of dal to dg2) e Total deduction under section 80-IC or 80-IE (a + d +c+dh) Schedule VI-A Deductions under Chapter VI-A 1 Part B- Deduction in respect of certain payments a 80C b b 80CCC dh e Page S14 с 80CCD(1) (assessees e 80CCG g 80DD i 80E k 80G m 80GGC d 80CCD(2) (employers contribution) f 80D h 80DDB j 80EE 180GG Total Deduction under Part B (total of a to m) 2 Part C-Deduction in respect of certain incomes n 80-IA (e of Schedule 80-IA) 0 80-IAB P 80-IB (m of Schedule 80-IB) r 80-ID (item 10(e) of Form 10CCBBA) q 80-IC/80-IE S 80JJA (e of Schedule 80-IC/80-IE) t 80QQB u 80RRB Total Deduction under Part C (total of n to u) 3 Part CA and D- Deduction in respect of other incomes/other deduction v 80TTA w 80U Total Deduction under Part CA and D (total of v to w) 4 Total deduc....

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....n unlisted securities) SPECIAL RATE 1 111A (STCG on shares units on which where STT paid) 3 112 proviso (LTCG on listed securities/ units without indexation) 5 115AC (LTCG for non-resident on bonds/GDR) 15 30 10 (5vi of schedule BFLA) (5vii of schedule BFLA) (part of 5ix of schedule BFLA) 10 (part of 5ix of schedule BFLA) 10 (part of 5ix of schedule BFLA) 6 115ACA (LTCG for an employee of specified company on GDR) 7 115AD (LTCG for FIIs on securities) ☐ 10 (part of 5ix of schedule BFLA) 10 (part of 5ix of schedule BFLA) 8 115E (LTCG for non-resident indian on specified asset) ☐ 10 (part of 5ix of schedule BFLA) 11 9 112 (LTCG on others) 10 115BB (Winnings from lotteries, puzzles, races, games etc.) 115AC (Income of a non-resident from bonds or GDR purchased in foreign currency) 12 115A(b) (Income of a non-resident from Royalty) 13 Chargeable under DTAA rate 20 (5x of schedule BFLA) 30 (Ifi of schedule OS) ㅁ 10 (part of Ifii of schedule OS) 25 (part of 1fii of schedule OS) (part of Ifiii of schedule OS) Total Schedule IF Information regarding partnership firms in which you are partner Detail of firms in which you are par....

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....ndia, on which tax relief was allowed in India, has been refunded/credited by the foreign tax authority during the year? If yes, provide the details below a Amount of tax refunded 4 Yes/No b Assessment year in which tax relief allowed in India NOTE Please refer to the instructions for filling out this schedule. Details of Foreign Assets and Income from any source outside India SI Country DETAILS OF FOREIGN ASSETS No Name and Code Address of holder the Bank name Owner/ Beneficial owner/ Beneficiary Number opening date Schedule FA A Details of Foreign Bank Accounts held (including any beneficial interest) at any time during the previous year Name and Account Status- Account Account Interest Interest taxable and offered in this return Amount Schedule where offered Item number of schedule Peak Balance During the Year (in rupees) accrued in the account (1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12) (i) (ii) B Details of Financial Interest in any Entity held (including any beneficial interest) at any time during the previous year Country Nature of Name and SI Nature of No Name and entity code Address of the Entity Interest....

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....ust Amount If (8) is yes, Income offered in this return Schedule where offered Item number of schedule (1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12) (i) (ii) G Details of any other income derived from any source outside India which is not included in,- (i) items A to F above and, (ii) income under the head business or profession SI Country Name No and code Name and address of the person from whom derived Income derived Nature of income Whether taxable in your hands? Schedule where offered If (6) is yes, Income offered in this return Amount Item number of schedule (1) (2) (3) (4) (5) (6) (7) (8) (9) (i) (ii) NOTE Please refer to instructions for filling out this schedule. In case of an individual, not being an Indian citizen, who is in India on a business, employment or student visa, an asset acquired during any previous year in which he was non-resident is not mandatory to be reported in this schedule if no income is derived from that asset during the current previous year. Schedule 5A Name of the spouse PAN of the spouse Information regarding apportionment of income between spouses governed by Portuguese Civil Code Head....

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....sponse to a notice u/s 139(9)/142(1)/148/153A/153C enter date of such notice, or u/s 92CD enter date of advance pricing agreement / / (d) Residential Status (Tick) ▾ ☐ Resident ☐ Non-Resident (e) Whether any transaction has been made with a person located in a jurisdiction notified u/s 94A of the Act? ☐ Yes ☐ No (f) In the case of non-resident, is there a permanent establishment (PE) in India (Tick) ▼ (g) Whether you are an FII / FPI? Yes/No If yes, please provide SEBI Regn. No. ☐ Yes ☐ No (h) Whether this return is being filed by a representative assessee? (Tick) ☑ If yes, please furnish following information - ☐ Yes No (1) Name of the representative (2) Address of the representative (3) Permanent Account Number (PAN) of the representative a Whether liable to maintain accounts as per section 44AA? (Tick) ▼ ☐ Yes ☐ No b Whether liable for audit under section 44AB? (Tick) ☐ Yes ☐ No C If (b) is Yes, whether the accounts have been audited by an accountant? (Tick) ☑ If Yes, furnish the following information- ☐ Yes No (i) Date of furnishing of the audit report (DD/....

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.... 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+ iiB) iiC aiii iii Total secured loans (ai + iiC) Page 2 APPLICATION OF FUNDS Unsecured loans (including deposits) b i Foreign Currency Loans ii Rupee Loans bi A From Banks iiA B From persons specified in section 40A(2)(b) of the I. T. Act iiB C From others iiC D Total Rupee Loans ( iiA + iiB + iiC) iiD biii iii Total unsecured loans (bi + iiD) с Total Loan Funds (aiii + biii) 2c 3 Deferred tax liability 4 Advances From persons specified in section 40A(2)(b) of the I. T. i Act ii From others iii Total Advances (i + ii) 5 Sources of funds (1c + 2c +3 + 4iii) B Application of funds 1 Fixed assets a Gross: Block b Depreciation cNet Block (a - b) d Capital work-in-progress e Total (1c + 1d) 2 Investments a Long-term investments 3 i ii 4iii 10 5 la 1b 1c 1d le i Investment in property i ii Equity instruments A Listed equities iiA B Unlisted equities iiB C Total iiC iii Preference shares iii iv Government or trust securities iv V Debenture or bonds V vi Mutual funds vi vii Others vii ....

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....nce in Profit and loss account/ accumulated balance с d Total (4a4b+4c) 4c 4d NO ACCOUNT CASE 5 Total, application of funds (1e + 2c+3e +4d) C In a case where regular books of account of business or profession are not maintained, furnish the following information as on 31st day of March, 2015, in respect of business or profession 1 Amount of total sundry debtors 2 Amount of total sundry creditors 3 Amount of total stock-in-trade 4 Amount of the cash balance Part A-P&L C1 C2 C3 C4 5 Profit and Loss Account for the financial year 2014-15 (fill items 1 to 52 in a case where regular books of accounts are maintained, otherwise fill item 53) 1 Revenue from operations A Sales/Gross receipts of business (net of returns and refunds and duty or tax, if any) B i Sale of goods i ii Sale of services ii Other operating revenues (specify nature and iii amount) iiia a b iiib с Total (iiia + iiib) iiic vi Total (i+ii + iiic) Duties, taxes and cess received or receivable in respect of goods and services sold or supplied i Union Excise duties ii Service tax iii VAT/Sales tax iv Any other duty, tax and cess V Total (i + ii + iii + iv) C Total Revenu....

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....Workmen and staff welfare expenses 15v 16 17 Entertainment 18 Hospitality 17 18 19 Conference 20 Sales promotion including publicity (other than advertisement) 21 Advertisement 22 Commission 19 20 21 Paid outside India, or paid in India to a non-resident i i other than a company or a foreign company ii To others iii Total (i + ii) ii 22iii Page 6 23 Royalty Paid outside India, or paid in India to a non-resident i i other than a company or a foreign company ii To others ii iii Total (i + ii) 23iii 24 Professional / Consultancy fees / Fee for technical services Paid outside India, or paid in India to a non-resident i other than a company or a foreign company ii To others iii Total (i + ii) 25 Hotel, boarding and Lodging 26 Traveling expenses other than on foreign traveling 27 Foreign travelling expenses 28 Conveyance expenses 29 Telephone expenses 30 Guest House expenses 31 Club expenses 32 Festival celebration expenses 33 Scholarship i ii 24iii 25 26 27 28 29 30 31 32 33 34 35 34 Gift 35 Donation 36 Rates and taxes, paid or payable to Government or any local body (excluding taxes on income) i Union excise duty 36i ii ....

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....method of accounting employed in the previous year from accounting standards prescribed under section 145A 3 OTHER INFORMATION 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 4d d Effect on the profit or loss because of deviation, if any, from the method of valuation prescribed under section 145A 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 Cescalation claims accepted during the previous year d any other item of income 5b 5c 5d 5e e capital receipt, if any f Total of amounts not credited to profit and loss account (5a+5b+5c+5d+5e) 6....

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....ct, pamphlet or the like, published by a political party [37(2B)] Expenditure by way of penalty or fine for violation of any 7a 7b 7c 7d 75 7e e law for the time being in force g h f Any other penalty or fine Expenditure incurred for any purpose which is an offence or which is prohibited by law 7f 7g Amount of any liability of a contingent nature 7h j Total amount disallowable under section 37 (total of 7a to 7i) 8 i Any other amount not allowable under section 37 A. Amounts debited to the profit and loss account, to the extent disallowable under section 40 Amount disallowable under section 40 (a)(i), on 7i 7j a account of non-compliance with the provisions of Chapter XVII-B Aa Amount disallowable under section 40(a)(ia) on b account of non-compliance with the provisions of Chapter XVII-B Ab Amount disallowable under section 40(a)(iii) on c account of non-compliance with the provisions of Chapter XVII-B Ас d Amount of tax or rate levied or assessed on the basis of profits [40(a)(ii)] Ad e Amount paid as wealth tax [40(a)(iia)] Ae f Amount paid by way of royalty, license fee, service fee Af etc. as per section 40(a)(iib) 8.0 g ....

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

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.... 9 10 Income chargeable to tax at special rate under section 111A, 112 etc. included in 9 10 11 11 Deduction u/s 10A or 10AA (c of Schedule 10A +c of Schedule 10AA) 12 Deductions under Chapter VI-A a Part-B of Chapter VI-A [1 of Schedule VI-A and limited upto (9-10)] b Part-C of Chapter VI-A [2 of Schedule VI-A and limited upto (9-10-2iii)] с Total (12a+12b) [limited upto (9-10)] 13 Total income (9 - 11-12c) 14 Income chargeable to tax at special rates (total of (i) of schedule SI) 12a 12b 12c 13 14 15 Net agricultural income/ any other income for rate purpose (4 of Schedule EI) 15 16 Aggregate income (13 - 14 + 15) [applicable if (13-14) exceeds maximum amount not chargeable to tax] 17 Losses of current year to be carried forward (total of xi of Schedule CFL) 16 17 18 Deemed total income under section 115JC (3 of Schedule AMT) 18 2iv Page 11 BANK ACCOUNT TAXES PAID AND BANK DETAILS COMPUTATION OF TAX LIABILITY Part B - TTI 1 a Computation of tax liability on total income Tax payable on deemed total income under section 115JC (4 of Schedule AMT) b Surcharge on (a) above (applicable if 3 of schedule AMT exceeds 1 crore) c Education Cess, inclu....

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....rest in any entity) located outside India; or (ii) have signing authority in any account located outside India; or (iii) have income from any source outside India? [applicable only in case of a resident] [Ensure Schedule FA is filled up if the answer is Yes] ☐ Yes ☐ No Page 12 B TDS ON INCOME VERIFICATION I, (full name in block letters), holding permanent account number son/ daughter of 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 2015- 16. 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. I further declare that the critical assumptions specified in the agreement have been satisfied and all the terms and conditions of the agreement have been complied with. (Applicable, in a case where return is furnished under section 9....

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.... rent which cannot be realized 1b с Tax paid to local authorities 1c d Total (1b+1c) 1d e Annual value (1a - 1d) le f Annual value of the property owned (own percentage share x 1e) 1f g 30% of 1f 1g h Interest payable on borrowed capital 1h i Total (1g+1h) j Income from house property 1 (lf – li) Address of property 2 Town/City li 1j State PIN Code 2 Is the property co-owned? ☐ Yes ☐ No (if "YES" please enter following details) Assessee's percentage of share in the property Name of Co-owner(s) PAN of Co-owner (s) Percentage Share in Property I II (Tick) if let out deemed let out ☐ Name(s) of Tenant (if let out) PAN of Tenant(s) (optional) I II Annual letable value or rent received or receivable (higher of the two, if let out for whole of 2a ས་ c Tax paid to local authorities d Total (2b+2c) a the year, lower of the two, if let out for part of the year) b The amount of rent which cannot be realized 2b 2c 2d e Annual value (2a - 2d) 2e f Annual value of the property owned (own percentage share x 2e) 2f g 30% of 2f 2g h Interest payable on borrowed capital 2h i Total (2g+2h) j Income from ho....

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.... (7j of PartA-OI) 15 16 Amounts debited to the profit and loss account, to the extent disallowable under section 40 (8Ai of PartA-OI) 16 17 Amounts debited to the profit and loss account, to the extent disallowable under section 40A (9f of PartA-OI) 17 18 Any amount debited to profit and loss account of the previous year but disallowable under section 43B (11g of PartA-OI) 18 19 Interest disallowable under section 23 of the Micro, Small and Medium Enterprises Development Act,2006 19 21 20 Deemed income under section 41 Deemed income under section 32AC/33AB/33ABA/ 35ABB/35AC/40A(3A)/33AC/72A/80HHD/80-IA 22 Deemed income under section 43CA 23 Any other item of addition under section 28 to 44DA 24 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 assessee is a partner) 20 21 22 23 24 25 Total (14+15+ 16 +17 +18+19 +20 +21+22+23+24) 26 Deduction allowable under section 32(1)(iii) Amount of deduction under section 35 or 35CCC or 35CCD in excess of the amount debited to profit and loss account (item 27 x(4) of Schedule ESR) (if amo....

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....hargeable under the head ‘Profits and gains from business or profession' (A36+B40+C46) E Intra head set off of business loss of current year 44 45 C46 D Sl. Type of Business income Income of current year (Fill this column only if figure is zero or positive) Business loss set off (1) Loss to be set off (Fill this row i (2) (A36) only if figure is negative) Income from speculative ii business Income from specified iii (B40) (C46) business iv Total loss set off (ii + iii) Business income remaining after set off (3) = (1) - (2) - V Loss remaining after set off (i – iv) Depreciation on Plant and Machinery (Other than assets on which full capital expenditure is allowable as deduction under any other section) Schedule DPM 1 Block of assets DEPRECI NOI.LV 2 Rate (%) 15 30 Plant and machinery 40 50 60 80 100 ()()()(iv) (v) (vi) (vii) Page S3 DEPRECIATION ON OTHER ASSETS 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+....

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....ck entitled for depreciation @ 40 per cent Schedule DPM - 14 iii) d Block entitled for depreciation @ 50 per cent Schedule DPM - 14 iv) e Block entitled for depreciation @ 60 per cent Schedule DPM - 14 v) f Block entitled for depreciation @ 80 per cent (Schedule DPM - 14 vi) g Block entitled for depreciation @ 100 (Schedule DPM - 14 vii) per cent la 1b 1c 1d le 1f 1g Total depreciation on plant and machinery ( 1a + 1b + 1c + 1d+ le+ 1f +1g) h 2 Building a Block entitled for depreciation @ 5 per cent (Schedule DOA- 14i) 2a b Block entitled for depreciation @ 10 per cent (Schedule 2b DOA-14ii) c Block entitled for depreciation @ 100 per cent (Schedule DOA- 14iii) 1h 2c d Total depreciation on building (total of 2a + 2b + 2c) 23 2d 3 Furniture and fittings (Schedule DOA- 14 iv) 4 4 Intangible assets (Schedule DOA- 14 v) 5 5 Ships (Schedule DOA- 14 vi) Total depreciation (1h+2d+3+4+5) 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) la 9 1g 1h b Block entitled for depreciation @ 30 per cent (Schedule 1b DPM-16ii) c Block entitl....

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.... under section 111A or 115AD(1)(ii) proviso (for FII) a Full value of consideration За b Deductions under section 48 ii Cost of Improvement without indexation iCost of acquisition without indexation bi bii iii Expenditure wholly and exclusively in connection with transfer iv Total (i+ii + iii) biii biv с Balance (3a-biv) 3c d Loss to be disallowed u/s 94(7) or 94(8)- for example if asset bought/acquired within 3 months prior to record date and dividend/income/bonus units are received, then loss arising out of sale of such asset to be ignored (Enter positive value only) 3d e Short-term capital gain on equity share or equity oriented MF (STT paid) (3c +3d) A3e 4 For NON-RESIDENT, not being an FII- from sale of shares or debentures of an Indian company (to be computed with foreign exchange adjustment under first proviso to section 48) a STCG on transactions on which securities transaction tax (STT) is paid A4a b STCG on transactions on which securities transaction tax (STT) is not paid A4b 5 For NON-RESIDENTS- from sale of securities (other than those at A3 above) by an FII as per section 115AD a Full value of consideration 5a b Deductio....

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.... name, code Article of DTAA I II Whether Tax Residency Item No. A1 to A7 above in Certificate obtained? which included Amount of STCG Ale/A2c/A3e/A4a/A4b/A5e/A6f/A7/A8 Ale/A2c/A3e/A4a/A4b/A5e/A6f/A7/A8 III Total amount of STCG not chargeable to tax in India as per DTAA 10 Total Short-term Capital Gain (Ale+ A2c+ A3e+ A4a+ A4b+ A5e+ A6f+A7+A8-A9) B Long-term capital gain (LTCG) (Items 5, 6 & 9 are not applicable for residents) 1 From sale of land or building or both a i Full value of consideration received/receivable ai ii Value of property as per stamp valuation authority aii iii Full value of consideration adopted as per section 50C for the purpose of Capital Gains (ai or aii) aiii b Deductions under section 48 iCost of acquisition with indexation bi ii Cost of Improvement with indexation bii iii Expenditure wholly and exclusively in connection with transfer iv Total (bi+bii + biii) biii biv с Balance (aiii-biv) 1c d Deduction under section 54D/54EC/54G/54GA (Specify details in item D below) 1d e Long-term Capital Gains on Immovable property (1c - 1d) 2 From slump sale a Full value of consideration b Net worth of the under taking or d....

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.... B1 to B6 above are not applicable a Full value of consideration b Deductions under section 48 7a i Cost of acquisition with indexation bi ii Cost of improvement with indexation bii iii Expenditure wholly and exclusively in connection with transfer biii iv Total (bi+bii +biii) biy с Balance (7a-biv) 7c d Deduction under section 54D/54EC/54G/54GA (Specify details in item D below) 7d e Long-term Capital Gains on assets at B7 above (7c-7d) 8 Amount deemed to be long-term capital gains Whether any amount of unutilized capital gain on asset transferred during the previous year shown a below was deposited in the Capital Gains Accounts Scheme within due date for that year? ☐ Yes ☐ No ☐ Not applicable. If yes, then provide the details below SI. Previous year in Section under which which asset transferred i 2011-12 New asset acquired/constructed deduction claimed in that year Year in which asset acquired/constructed Amount utilised out of Capital Gains account 54/54D/54F/54G/54GA Amount not used for new asset or remained unutilized in Capital gains account (X) B7e b Amount deemed to be long-term capital gains, other than at 'a' 9....

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....m capital gains taxable at the rate of 30% Enter value from item 5vi of schedule BFLA, if any. Short-term capital gains taxable at applicable rates Enter value from item 5vii of schedule BFLA, if any. Long-term capital gains taxable at the rate of 10% Enter value from item 5viii of schedule BFLA, if any. 5 Long-term capital gains taxable at the rate of 20% Enter value from item 5ix of schedule BFLA, if any. Upto 15/9 (i) 16/9 to 15/12 16/12 to 15/3 (ii) (iii) 16/3 to 31/3 (iv) 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 la b Interest, Gross 1b с Rental income from machinery, plants, buildings, etc., Gross Others, Gross (excluding income from owning race 1c d horses)Mention the source i Income by way of winnings from lotteries, crossword puzzles etc. 1di ii 1 dii iii 1 diii iv Total (1di + 1dii+ 1diii) e Total (1a 1b + 1c + 1div) 1 div le Page S9 | f Income included in ‘1e' chargeable to tax at special rate (to be taken to schedule SI) i Income by way of winn....

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....ain taxable @ 10% Long term capital gain taxable @ 20% Other sources (excluding profit from owning race horses and amount chargeable to special rate of tax) xi xii Profit from owning and maintaining race horses 1 2 3 (4c of Schedule -HP) (2v of item E of Schedule BP) (4c of Schedule HP) (A36 of Schedule BP) (3ii of item E of Sch. BP) (3iii of item E of Sch. BP) (7ii of item E of schedule CG) (7iii of item E of schedule| CG) (7iv of item E of schedule CG) (7v of item E of schedule CG) (7vi of item E of schedule CG) (li of schedule OS) (3c of schedule OS) xiii Total loss set off (ii+ iii+ iv+ v+ vi+ vii+ viii+ ix+ x+ xi+ xii) xiv Loss remaining after set-off (i - xiii) Schedule BFLA SI. Details of Income after Set off of Brought Forward Losses of earlier years Head/Source of Income Income after set off, if Brought forward loss set Brought forward Brought forward TURWAND LOSS ADIUSTMAR No. any, of current year's off losses as per 5 of depreciation set off Schedule CYLA) allowance under section 35(4) set off Current year's income remaining after set off 1 2 3 4 5 Page S10 (5ii of schedule CYLA) i House property Business ....

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....CG) (2viii+3viii+4viii)|((5viii+6viii)|(3c of schedule of item E of schedule CG) OS, if-ve) Unabsorbed depreciation and allowance under section 35(4) Amount of brought forward unabsorbed Depreciation Amount of depreciation set-off against the current year income (4) Balance carried forward to the next year (5) Allowance under section 35(4) Amount of brought forward unabsorbed allowance (6) Amount of allowance set-off against the current year income (7) Balance Carried forward to the next year (8) depreciation (1) (2) (3) i Current Assessment Year ii iii iv V Total (3xii of BFLA) (4xii of BFLA) Page S11 DETAILS OF DONATIONS Schedule 10A Deduction under section 10A Deduction in respect of units located in Special Economic Zone DEDUCTION U/S 10A SI Undertaking Assessment year in which unit begins to manufacture/produce SI Amount of deduction a Undertaking No.1 b Undertaking No.2 a (item 17 of Annexure A of Form 56F for Undertaking 1) b (item 17 of Annexure A of Form 56F for Undertaking 2) c Total deduction under section 10A (a+b) с Schedule 10AA DEDUCTION U/S 10AA Deduction under section 10AA Deductions in r....

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....no. 2 (item 30 of Form 10CCB of the undertaking) (item 30 of Form 10CCB of the undertaking) (item 30 of Form 10CCB of the undertaking) (item 30 of Form 10CCB of the undertaking) (item 30 of Form 10CCB of the undertaking) (item 30 of Form 10CCB of the undertaking) f Total deductions under section 80-IA (a1 + a2 + b1 + b2+ c1 + c2+ d1 + d2 + el + e2) Schedule 80-IB Deductions under section 80-IB al a Deduction in respect of industrial undertaking located in Jammu & Kashmir [Section 80-IB(4)] Undertaking no. 1 (30 of Form 10CCB of the undertaking) a2 Undertaking no. 2 (30 of Form 10CCB of the undertaking) Deduction in respect of industrial undertaking located in b1 Undertaking no. 1 (30 of Form 10CCB of the undertaking) b industrially backward states specified in Eighth Schedule [Section 80-IB(4)] b2 Undertaking no. 2 c1 Undertaking no. 1 C Deduction in respect of industrial undertaking located in industrially backward districts [Section 80-IB(5)] (30 of Form 10CCB of the undertaking) (30 of Form 10CCB of the undertaking) c2 Undertaking no. 2 d1 d Deduction in the case of multiplex theatre [Section 80- IB(7A)] Undertaking no. 1 d2 U....

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....rtaking no. 2 Undertaking no. 1 (30 of Form 10CCB of the undertaking) (30 of Form 10CCB of the undertaking) (30 of Form 10CCB of the undertaking) b2 Undertaking no. 2 (30 of Form 10CCB of the undertaking) Page S13 f TOTAL DEDUCTIONS c Deduction in respect of undertaking located in Uttaranchal d Deduction in respect of undertaking located in North-East (30 of Form 10CCB of the undertaking) (30 of Form 10CCB of the undertaking) (30 of Form 10CCB of the undertaking) (30 of Form 10CCB of the undertaking) (30 of Form 10CCB of the undertaking) (30 of Form 10CCB of the undertaking) (30 of Form 10CCB of the undertaking) (30 of Form 10CCB of the undertaking) (30 of Form 10CCB of the undertaking) (30 of Form 10CCB of the undertaking) (30 of Form 10CCB of the undertaking) (30 of Form 10CCB of the undertaking) (30 of Form 10CCB of the undertaking) dal da Assam da2 db1 db Arunachal Pradesh db2 dc1 de Manipur dc2 dd1 dd Mizoram dd2 del de Meghalaya de2 df Nagaland df1 df2 dg Tripura dg1 dg2 Undertaking no. 1 Undertaking no. 2 Undertaking no. 1 Undertaking no. 2 Undertaking no. 1 Undertaking no. 2 Undertaking no. 1 Undertaking no. 2 Und....

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....014-15 Gross (B1) Set-off in earlier assessment years (B2) Balance brought forward to the current assessment year (B3) = (B1) - (B2) Current AY (enter 1 - iii 2, if 1>2 else enter 0) Total iv 5 Amount of tax credit under section 115JD utilised during the year [total of item no 4 (C)] 6 Amount of AMT liability available for credit in subsequent assessment years [total of 4 (D)] 5 6 Schedule SI SI No Income chargeable to tax at special rates [Please see instruction Number-7(ii) for section and rate of tax] Section/Description ☑ Special rate (%) Income (i) Tax thereon (ii) SPECIAL RATE 8 9 1 111A (STCG on shares/equity oriented MF on which STT paid) 2 115AD (STCG for FIIs on securities where STT not paid) 3 112 proviso (LTCG on listed securities/ units without indexation) 4 112(1)(c)(ii) (LTCG for non-resident on unlisted securities) 5 115AB (LTCG for non-resident on units referred in section115AB) 6 115AC (LTCG for non-resident on bonds/GDR) 7 115AD (LTCG for FII on securities) 112 (LTCG on others) 115AC (Income of a non-resident from bonds or GDR purchased in foreign currency) 10 115BB (Winnings from lotteries, puzzles, races, games ....

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....country) (c) TAX RELIEF FOR TAX PAID OUTSIDE INDIA (f) Total tax relief available (total of (e) of Schedule FSI in respect of each country) (d) Section under which relief claimed (specify 90, 90A or 91) (e) 2 Total Total Tax relief available in respect of country where DTAA is applicable (section 90/90A) (Part of total of 1(d)) 2 3 Total Tax relief available in respect of country where DTAA is not applicable (section 91) (Part of total of 1(d)) 3 4 a Whether any tax paid outside India, on which tax relief was allowed in India, has been refunded/credited by the foreign tax authority during the year? If yes, provide the details below Amount of tax refunded 4 Yes/No b Assessment year in which tax relief allowed in India NOTE Please refer to the instructions for filling out this schedule. Details of Foreign Assets and Income from any source outside India SI Country Name and Account Status- Account Account No DETAILS OF FOREIGN ASSETS Name and Code Address of holder the Bank name (1) (2) (3) (4) Owner/ Number opening Beneficial date owner/ Beneficiary (5) Schedule FA A Details of Foreign Bank Accounts held (including any beneficial int....

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....s, Income offered in this return Amount Schedule where offered Item number of (9) (10) schedule (11) SI Country Name and No Name and code address of the trust Name and address of trustees Name and address of Settlor F Details of trusts, created under the laws of a country outside India, in which you are a trustee, beneficiary or settlor Name and Date address of since Beneficiaries position held the trust If (8) is yes, Income offered in this return Amount Schedule Item number of where offered schedule Whether income derived is taxable in If (8) is yes, Income derived from your hands? (1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12) (i) (ii) G SI Country Name Name and address of the Income derived Nature of income No and code person from whom derived Details of any other income derived from any source outside India which is not included in,- (i) items A to F above and, (ii) income under the head business or profession If (6) is yes, Income offered in this return Amount Whether taxable in your hands? Schedule where offered Item number of schedule (1) (2) (3) (4) (5) (6) (7) (8) (9) (i) (ii) NOTE Please r....

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....r section 44AB? (Tick) ☑ Yes No (c) If (b) is Yes, whether the accounts have been audited by an accountant? (Tick) ▼ If Yes, furnish the following information below ☐ Yes ☐ No (1) Mention the date of furnishing of audit report (DD/MM/YYYY) (2) Name of the auditor signing the tax audit report (3) Membership no. of the auditor (4) Name of the auditor (proprietorship/ firm) (5) Permanent Account Number (PAN) of the auditor (proprietorship/ firm) (6) Date of audit report (d) If liable to furnish other audit report, mention the date of furnishing the audit report? (DD/MM/YY) (Please see Instruction 5(ii)) Page 1 NATURE OF COMPANY AND ITS BUSINESS KEY PERSONS SHAREHOLDERS INFORMATION BUSINESS ORGANISATION HOLDING STATUS (c) (d) 92E PAN 115JB (a) Nature of company (write 1 if holding company, write 2 if a subsidiary company, write 3 if both, write 4 if any other) (b) If subsidiary company, mention the details of the Holding Company (c) (a) (b) Name of Holding Company Address of Holding Company If holding company, mention the details of the subsidiary companies PAN Name of Subsidiary Company Percentage of Shares held Address of ....

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....Authorised ii Issued, Subscribed and fully Paid up iii Subscribed but not fully paid iv Total (Aii+ Aiii) B Reserves and Surplus Ai Aii Aiii Aiv i Capital Reserve ii Capital Redemption Reserve iii Securities Premium Reserve Bi Bii Biii iv Debenture Redemption Reserve Biv v Revaluation Reserve By vi Share options outstanding amount Bvi Other reserve (specify nature and amount) vii a viia b viib c Total (viia + viib) Bvii Surplus i.e. Balance in profit and loss account (Debit viii Bviii balance to be shown as -ve figure) ix Total (Bi + Bii + Biii + Biv + By + Bvi + Bvii + Bviii) (Debit balance to be shown as -ve figure) Bix 1C 1D C Money received against share warrants D Total Shareholder's fund (Aiv + Bix + 1C) 2 Share application money pending allotment i Pending for less than one year ii Pending for more than one year iii Total (i + ii) 3 Non-current liabilities A Long-term borrowings i Bonds/ debentures i a Foreign currency ia b Rupee ib ic с Total (ia + ib) ii Term loans a Foreign currency iia b Rupee loans 1 From Banks 2 From others 3 Total (b1 + b2) с Total Term loans (iia + b3) b1 b2 b3 iic iii iv i....

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....pairment losses d Net block (ia - ib - ic) ii Intangible assets a Gross block b с Amortization Impairment losses d Net block (iia - iib - iic) iii Capital work-in-progress iv Intangible assets under development v Total Fixed assets (id + iid + iii + iv) B Non-current investments ia ib ic id iia iib iic iid iii iv Av i Investment in property i ii Investments in Equity instruments a Listed equities iia b Unlisted equities с Total (iia + iib) iii Investments in Preference shares iib iic iii iv Investments in Government or trust securities iv v Investments in Debenture or bonds V vi Investments in Mutual funds vi vii Investments in Partnership firms vii viii Others Investments viii ix Total Non-current investments (i + iic + iii + iv +v+ vi + vii + viii) Bix C Deferred tax assets (Net) C D Long-term loans and advances i Capital advances ii Security deposits i ii iii Loans and advances to related parties (see instructions) iii iv Other Loans and advances iv v Total Long-term loans and advances (i + ii + iii + iv) Dv vi Long-term loans and advances included in Dv which is a for the purpose of business or profession b not ....

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....G) F 2G II Page 6 DEBITS TO PROFIT AND LOSS ACCOUNT CREDITS TO PROFIT AND LOSS ACCOUNT Profit and Loss Account for the financial year 2014-15 (fill items 1 to 52 in a case where regular books of accounts are maintained, otherwise fill item 53) Part A-P& L 1 Revenue from operations A Sales/ Gross receipts of business (net of returns and refunds and duty or tax, if any) iSale of products/goods ii Sale of services i ii iii Other operating revenues (specify nature and amount) a iiia b c Total (iiiaiiib) iv Interest (in case of finance company) iiib iiic iv Other financial services (in case of finance V V company vi Total (i+ii + iiic + iv + v) B Duties, taxes and cess received or receivable in respect of goods and services sold or supplied i Union Excise duties ii Service tax iii VAT/ Sales tax iv Any other duty, tax and cess v Total (i+ii + iii + iv) Avi i ii iii iv By 1C C Total Revenue from operations (Avi + Bv) 2 Other income i Interest income (in case of a company, other than a finance company) i ii Dividend income ii iii Profit on sale of fixed assets iii iv Profit on sale of investment being securities chargeable to Se....

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.... Paid outside India, or paid in India to a non-resident i i other than a company or a foreign company ii To others ii iii Total (i + ii) 22iii 23 Royalty Paid outside India, or paid in India to a non-resident i i other than a company or a foreign company ii To others ii iii Total (i + ii) 23iii 24 Professional/Consultancy fees / Fee for technical services Page 8 i Paid outside India, or paid in India to a non-resident other than a company or a foreign company ii To others iii Total (i + ii) 25 Hotel, boarding and Lodging 26 Traveling expenses other than on foreign traveling 27 Foreign traveling expenses 28 Conveyance expenses 29 Telephone expenses 30 Guest House expenses 31 Club expenses 32 Festival celebration expenses ii 24iii 25 26 27 28 29 30 31 32 33 Scholarship 33 34 Gift 35 Donation 34 35 36 Rates and taxes, paid or payable to Government or any local body (excluding taxes on income) i Union excise duty 36i ii Service tax 36ii iii VAT/Sales tax iv Cess 36ii 36iv v Any other rate, tax, duty or cess incl. STT and CTT 36v vi Total rates and taxes paid or payable (36i + 36ii + 36iii + 36iv + 36v) 36vi 37 Audit fee 3....

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....te 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 4d d Effect on the profit or loss because of deviation, if any, from the method of valuation prescribed under section 145A 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 Cescalation claims accepted during the previous year d any other item of income e capital receipt, if any 5b 5c 5d 5e f Total of amounts not credited to profit and loss account (5a+5b+5c+5d+5e) 6 Amounts debited to the profit and loss account, to the extent disallowable under section 36 due to non-fulfilment of condition specified in relevant clauses- a Premium paid for insurance against risk of damage or destruction of stocks or store [36(1)(i)] 6a b....

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....hich is prohibited by law 7g h Expenditure incurred on corporate social responsibility (CSR) 7h i Amount of any liability of a contingent nature 7i j Any other amount not allowable under section 37 7j k Total amount disallowable under section 37 (total of 7a to 7j) 8 A. Amounts debited to the profit and loss account, to the extent disallowable under section 40 Amount disallowable under section 40 (a)(i), on 7k a account of non-compliance with the provisions of Chapter XVII-B Аа Amount disallowable under section 40(a)(ia) on b account of non-compliance with the provisions of Chapter XVII-B Ab Amount disallowable under section 40(a)(iii) on c account of non-compliance with the provisions of Chapter XVII-B Ac Amount of tax or rate levied or assessed on the basis of d Ad profits [40(a)(ii)] e Amount paid as wealth tax [40(a)(iia)] Ae f Amount paid by way of royalty, license fee, service fee etc. as per section 40(a)(iib) Af Amount of interest, salary, bonus, commission or g Ag remuneration paid to any partner or member [40(b)] h Any other disallowance Ah i Total amount disallowable under section 40(total of Aa to Ah) 8Ai B. Any amount di....

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....nion 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) 13 Amounts deemed to be profits and gains under section 33AB or 33ABA or 33AC 14 Any amount of profit chargeable to tax under section 41 15 Amount of income or expenditure of prior period credited or debited to the profit and loss account (net) Part A - QD Quantitative details (optional in a case not liable for audit under section 44AB) (a) In the case of a trading concern 1 Opening stock 2 Purchase during the previous year QUANTITATIVE DETAILS 3 Sales during the previous year 4 Closing stock 5 Shortage/ excess, if any (b) In the case of a manufacturing concern 6 Raw materials a Opening stock b Purchases during the previous year Consumption during the previous year d Sales during the previous year e Closing stock f Yield finished products g Percentage of yield h Shortage/ excess, if any 12e 13 14 15 1 2 3 4 5 ба 6b 6c 6d 6e 6f 6g 6h Page 12 TOTAL INCOME 7 Finished products/By-products a opening stock 7a b purchase during the previous year e quantity manufactured during the previous year ....

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....) [limited upto (9-10)] 12c 13 Total income (9 - 11-12c) 13 14 Income chargeable to tax at special rates (total of (i) of schedule SI) 14 15 Income chargeable to tax at normal rates (13 - 14) 15 16 Net agricultural income(4 of Schedule EI) 16 17 Losses of current year to be carried forward (total of xi of Schedule CFL) 17 18 Deemed total income under section 115JB (7 of Schedule MAT) 18 2iv 1 Page 13 TAXES PAID COMPUTATION OF TAX LIABILITY Part B - TTI Computation of tax liability on total income 1 a Tax Payable on deemed total Income under section 115JB (8 of Schedule MAT) b Surcharge on (a) above la 1b c Education cess, including secondary and higher education cess on (1a+1b) above d Total Tax Payable u/s 115JB (1a+1b+1c) 1c 1d 2 Tax payable on total income a Tax at normal rates on 15 of Part B-TI b Tax at special rates (total of col. (ii) of Schedule-SI) 2a 2b d Tax Payable on Total Income (2a + 2b) e Surcharge on 2d 2d 2e f Education cess, including secondary and higher education cess on (2d+2e) 2f g Gross tax liability (2d+2e+2f) 23 2g 3 4 4 Gross tax payable (higher of 1d and 2g) Credit under section 115JAA of tax paid in earli....

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....r the previous year relevant to the assessment year 2015-16. 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. I further declare that the critical assumptions specified in the agreement have been satisfied and all the terms and conditions of the agreement have been complied with. (Applicable, in a case where return is furnished under section 92CD) Place 15 TAX PAYMENTS Date A Details of payments of Advance Tax and Self-Assessment Tax Sign here → ADVANCE/ SELF ASSESSMENT TAX SI No (1) " iii NOTE BSR Code (2) Date of Deposit (DD/MM/YYYY) Serial Number of Challan Amount (Rs) (3) (4) (5) Enter the totals of Advance tax and Self-Assessment tax in Sl No. 10a & 10d of Part B-TTI Details of Tax Deducted at Source (TDS) on Income [As per Form 16 A or Form 26QB issued by Deductor(s)] Name of the Deductor Unique TDS Certificate Number Unclaimed TDS brought B SI Tax Deduction No Account Number forward (b/f) (TAN) of the TDS of the current fin. year Deductor TDS ON INCOME Fin. Year in which deducted Amount b/f (1) (2) (3) (4) (5) (6) (7) i Amount out of (6)....

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.... receivable (higher of the two, if let out for whole of 2a a the year, lower of the two, if let out for part of the year) b The amount of rent which cannot be realized 2b 2c 2d с Tax paid to local authorities d Total (2b+2c) e Annual value (2a - 2d) 2e f Annual value of the property owned (own percentage share x 2e) 2f g 30% of 2f 2g h Interest payable on borrowed capital 2h i Total (2g+2h) j Income from house property 2 (2e – 2h) 2i 2j 3 Income under the head "Income from house property" a Rent of earlier years realized under section 25A/AA За b Arrears of rent received during the year under section 25B after deducting 30% c Total (1j+2j + 3a + 3b) 3b 3c Schedule BP A From business or profession other than speculative business and specified business 1 Profit before tax as per profit and loss account (item 45 of Part A-P&L) Computation of income from business or profession ད་པ་ཟམཟ་པ་ BUSINESS OR 2a Net profit or loss from speculative business included in 1 (enter -ve sign in case of loss) 2a 2b Net profit or Loss from Specified Business u/s 35AD included in 1 (enter ....

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....under section 28 to 44DA Any other income not included in profit and loss account/any other 24 expense not allowable (including income from salary, commission, bonus and interest from firms in which company is a partner) 24 25 Total (14+15+16 +17 +18+19 +20 +21+22 +23+24) 25 26 Deduction allowable under section 32(1)(iii) 26 27 Amount allowable as deduction under section 32AC 27 28 29 20 Amount of deduction under section 35 or 35CCC or 35CCD in excess of the amount debited to profit and loss account (item x(4) of Schedule ESR) (if amount deductible under section 35 or 35CCC or 35CCD is lower than amount debited to P&L account, it will go to item 24) Any amount disallowed under section 40 in any preceding previous year but allowable during the previous year(8B of PartA-OI) Any amount disallowed under section 43B in any preceding previous 30 year but allowable during the previous year(10g of PartA-OI) 28 29 30 31 Deduction under section 35AC a Amount, if any, debited to profit and loss account 31a Page S2 b Amount allowable as deduction 31b с Excess amount allowable as deduction (30b-30a) 31c 32 Any other amount allowable as deduction 32 33 Tot....

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.... iv) Schedule DPM Depreciation on Plant and Machinery (Other than assets on which full capital expenditure is allowable as deduction under any other section) DEPRECIATION ON PLANT AND MACHINERY Block of assets 2 Rate (%) 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 Plant and machinery 15 30 40 50 60 80 100 (i) (ii) (iii) (iv) (v) (vi) (vii) Page S3 6 Amount on which depreciation at full rate to be allowed (3 + 4-5) (enter 0, if result is negative) 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 n....

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

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....iy 3c 3d e Short-term capital gain on equity share or equity oriented MF (STT paid) (3c +3d) For NON-RESIDENT, not being an FII- from sale of shares or debentures of an Indian company (to be computed with foreign exchange adjustment under first proviso to section 48) a STCG on transactions on which securities transaction tax (STT) is paid b STCG on transactions on which securities transaction tax (STT) is not paid A3e A4a A4b 5 For NON-RESIDENTS- from sale of securities (other than those at A3 above) by an FII as per section 115AD 5a a Full value of consideration b Deductions under section 48 i Cost of acquisition without indexation bi ii Cost of improvement without indexation bii iii Expenditure wholly and exclusively in connection with transfer iv Total (i+ii + iii) biii biv с Balance (5a-biv) 5c d Loss to be disallowed u/s 94(7) or 94(8)- for example if security bought/acquired within 3 months prior to record date and dividend/income/bonus units are received, then loss arising out of sale of such security to be ignored (Enter positive value only) 5d e Short-term capital gain on securities (other than those at A3 above) by an FII (5c +5d) 6 F....

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....ideration adopted as per section 50C for the purpose of Capital Gains (ai or aii) aiii b Deductions under section 48 i Cost of acquisition with indexation bi ii Cost of Improvement with indexation bii iii Expenditure wholly and exclusively in connection with transfer iv Total (bi+bii + biii) biii biv с Balance (aiii-biv) 1c d Deduction under section 54D/54EC/54G/54GA (Specify details in item D below) 1d Long-term Capital Gains e Long-term Capital Gains on Immovable property (1c - 1d) 2 From slump sale a Full value of consideration 2a (5 of Form 3CEA) b Net worth of the under taking or division 2b (6(e) of Form 3CEA) c Balance (2a-2b) d Deduction u/s 54EC 2c 2d e Long term capital gains from slump sale (2c-2d) 3 From sale of bonds or debenture (other than capital indexed bonds issued by Government) a Full value of consideration За A6f A7 A8 A9 A10 Ble B2e b Deductions under section 48 iCost of acquisition without indexation bi ii Cost of improvement without indexation bii iii Expenditure wholly and exclusively in connection with transfer biii iv Total (bibii +biii) biv c Balance (3a - biv) 3c d Deduction under sections ....

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....wn a below was deposited in the Capital Gains Accounts Scheme within due date for that year? ☐ Yes ☐ No ☐ Not applicable. If yes, then provide the details below SI. Previous year in Section under which which asset transferred i 2011-12 New asset acquired/constructed Amount not used for deduction claimed in that year Year in which asset acquired/constructed Amount utilised out of Capital Gains account new asset or remained unutilized in Capital gains account (X) 54/54D/54F/54G/54GA b Amount deemed to be long-term capital gains, other than at 'a' 9 Total amount deemed to be long-term capital gains (Xi + b) FOR NON-RESIDENTS- LTCG included in items B1 to B8 but not chargeable to tax in India as per DTAA Country name, SI. Article of DTAA code Whether Tax Residency Item B1 to B8 above in which Certificate obtained? included Amount of LTCG I II Ble/B2e/B3e/B4c/B5e/B6c/B6f/B7e/B8 Ble/B2e/B3e/B4c/B5e/B6c/B6f/B7e/B8 B7e B8 III Total amount of LTCG not chargeable to tax in India as per DTAA B9 10 Total long term capital gain [B1e +B2e+ B3e +B4e + B5c + B6e + B7e+ B8-B9] (In case of loss take the figure to 9xi of schedule CFL) B10 C....

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.... d Others, Gross (excluding income from owning race horses) Mention the source i Income by way of winnings from lotteries, crossword puzzles etc. 1di ii 1 dii iii iv Total (1di+ 1dii+ 1diii) 1diii 1div Upto 15/9 (i) (ii) 16/9 to 15/12 16/12 to 15/3 16/3 to 31/3 (iii) (iv) e Total (la + 1b + 1c + 1div) le f Income included in ‘1e' chargeable to tax at special rate (to be taken to schedule SI) i Income by way of winnings from lotteries, crossword puzzles, races, games, gambling, betting etc (u/s 115BB) 1fi ii Any other income chargeable to tax at the rate specified under chapter XII/XII-A 1 fii iii FOR NON-RESIDENTS- Income chargeable to be taxed under DTAA Sl. Country Article of Rate of tax Whether TRC Corresponding section of the Amount of name, code DTAA under DTAA obtained? Act which prescribes rate income I II III Total amount of income chargeable to tax under DTAA 1 fiii iv Income included in 'le' chargeable to tax at special rate (1fi +1fii + 1fiii) 1fiv g Gross amount chargeable to tax at normal applicable rates (1e-1fiv) 1g h Deductions under section 57 (other than those relating to income under 1fi, 1fii & 1fiii for non-residen....

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....fter set off, if any, of current year's losses as per 5 of Schedule CYLA) Details of Income after Set off of Brought Forward Losses of earlier years Head/Source of Income Brought forward loss set Brought forward off depreciation set off Brought forward allowance under section 35(4) set off 1 2 3 4 i (5ii of schedule CYLA) BROUGHT FORWARD LOSS ADJUSTMENT House property Business (excluding speculation ii income and income from specified business) iii Speculation Income iv Specified Business Income 2 else enter 0) xi Total MAT Credit MAT Credit Utilised during the Gross (B1) Set-off in earlier years Balance Brought (B2) forward Current Year (C) Balance MAT Credit Carried Forward (D)= (B3) - (C) (B3)=(B2)-(B1) 5 Amount of tax credit under section 115JAA utilised during the year [enter 4(C)ix] 6 Amount of MAT liability available for credit in subsequent assessment years [enter 4(D)ix] 5 6 Schedule- DDT Details of tax on distributed profits of domestic companies and its payment Details of 1st SI (i) Description (ii) dividend (iii) Details of 2nd dividend (iv) Details of 3rd dividend (v) Date of declaration or distribution or p....

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....ouse Property ii Business or Profession iii Capital Gains iv Other sources Total iHouse Property ii Business or Profession iii Capital Gains iv Other sources Total Date 2 (DD/MM/ YYYY) Date 1 (DD/MM/ YYYY) Date 2 (DD/MM/ YYYY) Tax payable on provisions in India Tax relief available in India (e)= (c) or (d) whichever is lower Relevant article of DTAA if relief claimed u/s 90 or 90A (b) (c) (d) (e) (f) NOTE Please refer to the instructions for filling out this schedule. Schedule TR Summary of tax relief claimed for taxes paid outside India 1 Details of Tax relief claimed Country Code (a) Taxpayer Identification Number (b) Total taxes paid outside India (total of (c) of Schedule FSI in respect of each country) (c) Total tax relief available (total of (e) of Schedule FSI in respect of each country) (d) Section under which relief claimed (specify 90, 90A or 91) TAX RELIEF FOR TAX PAID OUTSIDE INDIA Total 2 Total Tax relief available in respect of country where DTAA is applicable (section 90/90A) (Part of total of 1(d)) 2 3 Total Tax relief available in respect of country where DTAA is not applicable (section 91) (Part ....

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....Income Income taxable and offered in this return Amount Schedule Item number of where offered schedule Beneficiary (1) (2) (i) (3) (4) (5) (6) (7) (8) (9) (10) (11) (ii) E Details of account(s) in which you have signing authority held (including any beneficial interest) at any time during the previous year and which has not been included in A to D above. SI Name of the No Institution in Address of Name of the Account the which the account is held Institution account Number holder (1) (2) (3) (4) (5) Peak Balance/ Investment during the year (in rupees) (6) (i) (ii) Whether income accrued is taxable in your hands? (7) If (7) is yes, Income accrued in the account (8) If (7) is yes, Income offered in this return Amount Schedule Item number of where offered schedule (9) (10) (11) SI No Name and code address of the trust address of trustees address of Settlor Date since held (1) (2) (3) (4) (5) (6) (7) F Details of trusts, created under the laws of a country outside India, in which you are a trustee, beneficiary or settlor Country Name and Name and Name and Name and address of Beneficiaries position If (....

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....ling original return (DD/MM/YYYY) (d) If filed, in response to a notice u/s 139(9)/142(1)/148/153A/153C enter date of such notice, or u/s 92CD enter date of advance pricing agreement (e) Residential status? (Tick) Resident ☐ Non-resident (f) Whether this return is being filed by a representative assessee? (Tick) (g) Whether any transaction has been made with a person located in a jurisdiction notified u/s 94A of the Act? ☐ Yes ☐ No (h) In the case of non-resident, is there a permanent establishment (PE) in India (Tick) ▼ ☐ Yes Whether any income included in total income for which for which claim under section 90/90A/91 has been made? ☐ Yes [applicable in the case of resident] [if yes, ensure to fill Schedule FSI and Schedule TR] □ No ☐ No ☐ Yes ☐ No (i) If yes, please furnish following information - (1) Name of the representative (2) Address of the representative (3) Permanent Account Number (PAN) of the representative For Office Use Only For Office Use Only Receipt No. Date Seal and Signature of receiving official Page 1 OTHER DETAILS B A i a whether there is any activity in the nature of trade....

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....t? (if yes, please fill schedule ET) ii If yes, then enter approval number? iii Date of Approval (DD/MM/YYYY) Page 2 STATEMENT OF INCOME AUDI T INFORMATION I i Whether registered under Foreign Contribution (Regulation) Act, 1976 (FCRA)? ☐ Yes ☐ No ii If yes, then enter Registration No. iii Date of Registration (DD/MM/YYYY) a Total amount of contribution received from outside India during the year, if any Rs. iv b Specify the purpose for which the above contribution is received J Whether liable to tax at maximum marginal rate under section 164? K Is this your first return? Are you liable for audit? (Tick) ✓ ☐ Yes ☐ Yes No ☐ Yes No ☐ No, If yes, furnish following information- Section under which you are liable for audit (specify section). Please mention date of audit report. (DD/MM/YY) (see Instruction 6(ii)) 12A a Name of the auditor signing the tax audit report b Membership no. of the auditor с Name of the auditor (proprietorship/ firm) d Permanent Account Number (PAN) of the proprietorship/ firm e Date of audit report f Date of furnishing of the audit report (DD/MM/YYYY). Part B TI STATEMENT OF I....

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....er section 11(3) 10ii iii Income in respect of which exemption under section 11 is not available by virtue of provisions of section 13 a Being anonymous donation at Diii of schedule VC to the extent applied for charitable purpose 10iiia V Total [10i+10ii+10iiia+10iiib+10iv] b Other than (a) above iv Income chargeable under section 12(2) 11 Income chargeable u/s 11(4) [as per item no. E36 of Schedule BP] 10iiib 10iv 10v 11 12 Total (6-8-9viii + 10v +11) 12 13 Amount of income exempt under any clause of section 10, to the extent that is included in 12 above 13 14 Amount eligible for exemption under section 10(21), 10(22B), 10(23A), 10(23B), 10(23C)(iv), ||10(23C)(v), 10(23C)(vi), 10(23C)(via) 14 15 Amount eligible for exemption under section 10(23C)(iiiad), 10(23C)(iiiae), 10(24), 10(46), 10(47) 15 16 Amount eligible for exemption under any clause, other than those at 14 and 15, of section 10 17 Income chargeable under section 11(3) read with section 10(21) 16 17 18 Income claimed/ exempt under section 13A or 13B in case of a Political Party or Electoral Trust (fill Schedule LA or ET) 18 19 Income chargeable to tax (6 – 8 - 9viii + 10v + ....

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....11b+11c) 11d 12 12 Aggregate liability (10 + 11d) 13 Taxes Paid a Advance Tax (from column 5 of 19A) 13a 13b 13c 13d b TDS (total of column 8 of 19B) CTCS (total of column 7 of 19C) d Self-Assessment Tax (from column 5 of 194) e Total Taxes Paid (13a+13b+13c + 13d) 14 Amount payable (Enter if 12 is greater than 13e, else enter 0) 15 Refund(If 13e is greater than 12) (refund, if any, will be directly credited into the bank account) 13e 14 15 16 Details of all Bank Accounts held in India at any time during the previous year (excluding dormant accounts) Total number of savings and current bank accounts held by you at any time during the previous year (excluding dormant accounts). Provide the details below. SI. IFS Code of Name of the Bank the Bank Savings/ Current/ Indicate the account in which you prefer Account Number (the number should be 9 digits or more as per CBS system of the bank) Cash Credit one account ) to get your refund credited, if any (tick i ii 17 Do you at any time during the previous year,- (i) hold, as beneficial owner, beneficiary or otherwise, any asset (including financial interest in any entity) located outside India; or (ii)....

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....current fin. year (3) Fin. Year in which collected (4) Amount b/f (5) (6) ii NOTE Please enter total of column (7) of Schedule-TDS in 13c of Part B-TTI Amount out of (5) or (6) being claimed this Year (only if corresponding income is being offered for tax this year) (7) NOTE: PLEASE FILL SCHEDULES TO THE RETRUN FORM (S1 to S11) AS APPLICABLE Page 6 Amount out of (5) or (6) being carried forward (8) SCHEDULES TO THE RETURN FORM (FILL AS APPLICABLE) Amount accumulated Purpose of accumulation Schedule I Year of accumulation Details of amounts accumulated / set apart within the meaning of section 11(2) Amount applied for (F.Yr.) in the year of accumulation charitable/ religious purposes Amount invested or deposited in the modes specified in section 11(5) Amounts applied for charitable or religious upto the beginning of the previous purpose during the previous year Balance amount available for application Amount deemed to be income (7)=(2) - (4)-(6) within meaning of sub-section (3) of section 11 year (1) (2) (3) (4) (5) (6) (7) (8) Total Schedule J A Statement showing the investment of all funds as on t....

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.... / were trustee(s) / manager(s) during the previous year(s) Name and address PAN Name(s) of the person(s) who has / have made substantial contribution to the trust / institution in terms of section 13(3)(b) C Sl. Name and address PAN 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 contributor is a Hindu undivided family, also the names of the members of the family and their relatives Ꭰ Sl. Name and address PAN Page S2 Schedule LA Political Party 1 Whether books of account were maintained? (tick as applicable POLITICAL PARTY ) 2 Whether record of each voluntary contribution in excess of twenty thousand rupees (including name and address of the person who has made such contribution) were maintained? (tick as applicable ☑) ☐ Yes ■ No ☐ Yes ☐ No 3 Whether the accounts have been audited? (tick as applicable) ☐ Yes No If yes, date of audit (DD/MM/YYYY) 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 submitte....

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....d? ☐ Yes Town/City ☐ No (if "YES" please enter following details) State PIN Code Your percentage of share in the property. Name of Co-owner(s) PAN of Co-owner(s) (optional) Percentage Share in Property I II (Tick) ☑ if let out ☐ deemed let out ☐ Name(s) of Tenant (if let out) PAN of Tenant(s) (optional) I II a Annual letable value or rent received/receivable (higher of the two, if let out for whole of the year, lower of the two, if let out for part of the year) 2a 2b 2c 2d b The amount of rent which cannot be realized cTax paid to local authorities d Total (2b+ 2c) e Annual value (2a - 2d) f 30% of 2f g Interest payable on borrowed capital h Total (2f+2g) i Income from house property 2 (2e - 2h) 3 Income under the head "Income from house property" a Rent of earlier years realized under section 25A/AA 2f 2g 2e 2h 2i За b Arrears of rent received during the year under section 25B after deducting 30% 3b 3c c Total (li + 2i +3a + 3b ) (if negative take the figure to 2i of schedule CYLA) Schedule CG CAPITAL GAINS Capital Gains A Short-term capital gain 1 From assets (shares/units) where section 111A is appli....

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....le f Income included in ‘1e' chargeable to tax at special rate (to be taken to schedule SI) i Income from winnings from lotteries, crossword puzzles, races, games, gambling, betting etc. (u/s 115BB) li ii Any other income under chapter XII/XII-A 1 fii iii Income included in ‘1e' chargeable to tax at special rate (1fi +1fii) 1 fiii g Gross amount chargeable to tax at normal applicable rates (1e-1fiii) 1g h Deductions under section 57 (other than those relating to income under 1fi & 1fii for non-residents) i Expenses / Deductions hi ii Depreciation hii iii Total hiii i Income from other sources (other than from owning race horses and amount chargeable to tax at special rate) (1g – hiii) (If negative take the figure to 4i of schedule CYLA) li 2 Income from other sources (other than from owning race horses) (1fiii + 1i) (enter li as nil, if negative) 2 3 Income from the activity of owning and maintaining race horses a Receipts За b Deductions under section 57 in relation to (3) 3b c Balance (3a - 3b) 4 Income under the head “Income from other sources” (2 + 3c) (take 3c as nil if negative) Schedule- VC Voluntary Cont....

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....tal exempt income c Any other exempt income 6 Balance (1-2-3-4-5d) 5a 5b 5c 5d Expenses debited to profit and loss account 7 7 considered under other heads of income 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 Deemed income under section 33AB/33ABA/35ABB 11 12 Any other item or items of addition under section 28 to 44DA 12 13 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) 13 1 Page S6 14 Total (10+11+12+13) 15 Deduction allowable under section 32(1)(iii) 16 Any other amount allowable as deduction 17 Total (15+16) 18 Income (14-17) 14 15 19 Profits and gains of business or profession deemed to be under - i Section 44AD ii Section 44AE iii Total (19i to 19ii) 19i 19ii 20 Net profit or loss from business or profession other than speculative and specified business (18+ 19iii) 21 Net Profit or loss from business or profession other than speculative business and specified business after applying rule 7A, 7B or....

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....TERNATE TAX Schedule MAT 1 Computation of Minimum Alternate Tax payable under section 115JB Whether the Profit and Loss Account is prepared in accordance with the provisions of Parts II of Schedule VI to the Companies Act, 1956 (If yes, write ‘Y', if no write ‘N') Whether, for the Profit and Loss Account referred to in item 1 above, the same accounting policies, accounting 2 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 ‘Y”, if no write ‘N' 3 Profit after tax as shown in the Profit and Loss Account 4 Additions (if debited in profit and loss account) Income Tax paid or payable or its provision a including the amount of deferred tax and the provision therefor 4a 3 b Reserve (except reserve under section 33AC) 4b c Provisions for unascertained liability 4c d Provisions for losses of subsidiary companies e Dividend paid or proposed 4d 4e Expenditure related to exempt income under sections f 10, 11 or 12 [exempt income excludes income exempt under section 10(38)] g Depreciatio....

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....-A under the heading "C.-Deductions in respect of certain incomes" b Deduction Claimed u/s 10AA 2b c Deduction claimed u/s 35AD as reduced by the amount of depreciation on assets on which such deduction is claimed 2c d Total Adjustment (2a+ 2b+2c) 2d 3 Adjusted Total Income under section 115JC(1) (1+2d) 4 Tax payable under section 115JC [18.5% of (3)] (In the case of Individual, HUF, AOP, BOI, AJP this is applicable if 3 is greater than Rs. 20 lakhs) Schedule AMTC Computation of tax credit under section 115JD 1 Tax under section 115JC in assessment year 2015-16 (1d of Part-B-TTI) 2 Tax under other provisions of the Act in assessment year 2015-16 (5 of Part-B-TTI) 1 2 3 3 4 - 3 Amount of tax against which credit is available [enter (2 – 1) if 2 is greater than 1, otherwise enter 0] 4 Utilisation of AMT credit Available (Sum of AMT credit utilized during the current year is subject to maximum of amount mentioned in 3 above and cannot exceed the sum of AMT Credit Brought Forward) S.No Assessment Year (AY) (A) AMT Credit AMT Credit Utilised during the Current Year (C) Balance AMT Credit Carried Forward (D)= (B3)–(C) Gross (B1) years....

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....redited by the foreign tax authority during the year? If yes, provide the details below a Amount of tax refunded 4 Yes/No b Assessment year in which tax relief allowed in India NOTE â–¶Please refer to the instructions for filling out this schedule. Details of Foreign Assets and Income from any source outside India Schedule FA A Details of Foreign Bank Accounts held (including any beneficial interest) at any time during the previous year DETAILS OF FOREIGN ASSETS SI Country Name and Account Status- Account Account Peak No Name and Code Address of holder Owner/ Number the Bank name Beneficial owner/ Beneficiary opening Balance date During the Year (in rupees) Interest accrued in the account Schedule Interest taxable and offered in this return Amount where offered Item number of schedule (1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12) (ii) B Details of Financial Interest in any Entity held (including any beneficial interest) at any time during the previous year Country Nature of Name and SI Nature of No Name and entity code Address of the Entity Interest- Direct/ Date since held Total Income Nature of Income taxable ....