itr-4 for assessment year 2011-12, financial year 2010-11
DESCRIPTION
ITR-4 for Assessment Year 2011-12, Financial Year 2010-11TRANSCRIPT
Return filed (Tick) [Please see instruction number-7]
(a)
(b)
(c)
(a)
(b)
(c)
(d)
(e)
For Office Use only For Office Use Only
Receipt No.
Date
Seal and signature of receiving official
Permanent Account Number (PAN) of the proprietorship/ firm
Date of audit report.
Membership no. of the auditor
Name of the auditor (proprietorship/firm)
Permanent account Number (PAN) of the representative
AU
DIT
IN
FO
RM
AT
ION
Are you liable to maintain accounts as per section 44AA? (Tick)
Are you liable for audit under section 44AB? (Tick) If yes, furnish following information-
Name of the auditor signing the tax audit report
If yes, please furnish following information -
Name of the representative
Address of the representative
Residential Status (Tick)
Whether this return is being filed by a representative of assessee? (Tick)
If revised, then enter Receipt No and Date of filing original return (DD/MM/YYYY)
FIL
ING
ST
AT
US
Email Address Income Tax Ward/Circle
Before due date -139(1) After due date -139(4) Revised Return- 139(5)
OR In response to notice
Residential/Office Phone Number with STD code Mobile No. Employer Category (If in employment) (Tick)
Pin code Sex (In case of Individuals) (Tick)
Date of Birth (DD/MM/YYYY) (in case of Individual)
Status (Tick)
PAN
PE
RS
ON
AL
IN
FO
RM
AT
ION
First Name Middle name Last name
Flat/Door/Block No. Name of Premises/Building/Village
Road/Street/Post Office Area/Locality
Town/City/District State
Part A - GEN GENERAL
1 - 1 2F
OR
MITR-4
INDIAN INCOME TAX RETURN Assessment Year[For Individuals and HUFs having income from a proprietory business or
(Please see Rule 12 of Income-tax Rules, 1962) 2 0 1(Also see attached instructions)
Resident Non-Resident Resident but Not Ordinarily Resident
Individual HUF
Yes No
Yes No
Yes No
MaleMale Female
Govt. PSU Others
148 153A / 153C 142 (1)
0B
1 of 21
1
a a
b
i bi
ii bii
iii biii
iv biv
v bv
c 1c
2
a
i ai
ii
A iiA
B iiB
C iiC
iii aiii
b
i bi
ii bii
iii biii
c 2c
3 3
4 4
1
a 1a
b 1b
c 1c
d 1d
e 1e
2
a
i ai
ii aii
iii aiii
b
i bi
ii bii
iii biii
iv biv
c 2c
3
a Current assets
Total investments (aiii + biv)
Current assets, loans and advances
Short-term investments
Equity Shares, including share application money
Preference Shares
Debentures
Long-term investments
Government and other Securities - Quoted
Government and other Securities - Unquoted
Total (ai + aii)
Total (bi + bii + biii)
Total (1c + 1d)
Investments
Net Block (a - b)
Capital work-in-progress
Sources of funds (1c + 2c + 3)
AP
PL
ICA
TIO
N O
F F
UN
DS
Fixed assets
Gross: Block
Depreciation
From Banks
From others
Total (bi + bii)
Total Loan funds (aiii + biii)
Deferred tax liability
From others
Total (iiA + iiB)
Total (ai + iiC)
Unsecured loans (including deposits)
Loan funds
Secured loans
Foreign Currency Loans
Rupee Loans
From Banks
Total (bi + bii + biii + biv)
Total proprietor's funds (a + bv)
Revaluation Reserve
Capital Reserve
Statutory Reserve
Any other Reserve
Part A - BS BALANCE SHEET AS ON 31ST DAY OF MARCH, 2011 OF THE PROPRIETORY BUSINESS (fill items 1 to 5 in a case where regular books of accounts are maintained, other wise fill item 6)
SO
UR
CE
S O
F F
UN
DS
Proprietor's fund
Proprietor's capital
Reserves and Surplus
(iii)
(ii)
(i)
S. No. Code Trade name of theDescription
[Please see instruction No.7(i)] proprietorship, if any
NATURE OF BUSINESS
Nature of business or profession, if more than one business or profession indicate the three main activities / products
2 of 21
i
A iA
B iB
C iC
D iD
E iE
ii aii
iii
2 iiiA
B iiiB
C iiiC
iv aiv
v av
b
i bi
ii bii
iii biii
iv biv
c 3c
d
i
A iA
B iB
C iC
D iD
E iE
ii
A iiA
B iiB
C iiC
D iiD
E iiE
iii diii
e 3e
4 a 4a
b 4b
c 4c
d 4d
5 5
a 6a
b 6b
c 6c
d 6d
2
a 2a
b 2b
c 2c
d 2d
(Net of returns and refunds and duty or tax, if any)
Duties, taxes and cess, received or receivable, in respect of goods and services sold or supplied
Union Excise duties
Service tax
VAT/ Sales tax
CR
ED
ITS
TO
PR
OF
IT
AN
D L
OS
S A
CC
OU
NT
1 Sales/ Gross receipts of business or profession
1
Any other duty, tax and cess
Amount of cash balance
Part A - P&L Profit & Loss Account for the previous year 2009-10 of the proprietory business (fill items 1 to 50 in a case where regular books of accounts are maintained, otherwise fill item 51)
Amount of total sundry creditors
Amount of total stock-in-trade
Total application of funds (1e + 2c + 3e + 4d)
NO
AC
CO
UN
T C
AS
E
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 2011 in respect of business or profession)
Amount of total sundry debtors
Miscellaneous expenditure not written off or adjusted
Deferred tax asset
Profit and loss account/ Accumulated balance
Total (4a + 4b + 4c)
Total (iE + iiE)
Net current assets (3c - diii)
Other Provisions
Total (iiA + iiB + iiC + iiD)
Provisions
Provision for Income Tax
Provision for Wealth Tax
Provision for Leave encashment / Superannuation/Gratuity
Interest accrued but not due on loans
Total (iA + iB + iC + iD)
Current liabilities and provisions
Current liabilities
Sundry Creditors
Liability for Leased Assets
Interest Accrued on above
Total (bi + bii + biii )
Total of current assets, loans and advances (av + biv)
Loans and advances
Advances recoverable in cash or in kind or for value to be received
Deposits, Loans and advances to corporates and others
Balance with Revenue Authorities
Other Current Assets
Total current assets (iE + aii + iiiC + aiv)
Cash and Bank Balances
Cash-in-hand
Balance with banks
Total (iiiA + iiiB)
Total (iA + iB + iC + iD)
Sundry Debtors
Stock-in-process
Finished Goods/Traded Goods
Inventories
Stores/consumables including packing material
Raw materials
3 of 21
e 2e
3
a 3a
b 3b
c 3c
d 3d
e 3e
f 3f
g 3g
h 3h
i 3i
j 3j
k 3k
4 4
5 5
6 6
7 7
8
a 8a
b 8b
c 8c
d 8d
e 8e
f 8f
g 8g
h 8h
9 9
10 10
11 11
12 12
13 13
14 14
15
a 15a
b 15b
c 15c
d 15d
e 15e
f 15f
g 15g
h 15h
i 15i
j 15j
k 15k
16
a 16a
b 16b
c 16c
d 16d
e 16e
17 17
18 18
19 19 Hospitality
Workmen and staff welfare expenses
Entertainment
Medical Insurance
Life Insurance
Keyman's Insurance
Other Insurance
Total expenditure on insurance (16a + 16 b + 16c + 16d)
Total compensation to employees (15a+15b+15c+15d+15e+15f+15g+15h+15i+15j)
Insurance
Contribution to any other fund
Any other benefit to employees in respect of which an expenditure has been incurred
Salaries and wages
Bonus
Reimbursement of medical expenses
Leave encashment
Leave travel benefits
Repairs to machinery
Compensation to employees
Contribution to approved superannuation fund
Contribution to recognised provident fund
Contribution to recognised gratuity fund
Rents
Repairs to building
Consumption of stores and spare parts
Power and fuel
Total (8a + 8b + 8c + 8d + 8e + 8f + 8g)
Freight
Custom duty
Counter vailing duty
Special additional duty
Union excise duty
Service tax
Purchases (net of refunds and duty or tax, if any)
Duties and taxes, paid or payable, in respect of goods and services purchased
VAT/ Sales tax
Any other tax, paid or payable
Total of credits to profit and loss account (1 + 2e + 3k + 4)
Opening Stock
Total of other income (3a to 3j)
Closing Stock
Any other income
Agriculture income
Profit on sale of investment being securities chargeable to Securities Transaction Tax (STT)
Profit on sale of other investment
Profit on sale of fixed assets
Profit on account of currency fluctuation
Dividend
Interest
DE
BIT
S T
O P
RO
FIT
AN
D L
OS
S A
CC
OU
NT
Total of duties, taxes and cess, received or receivable (2a + 2b +2c+ 2d)
Other income
Rent
Commission
4 of 21
20 20
21 21
22 22
23 23
24 24
25 25
26 26
27 27
28 28
29 29
30 30
31 31
32 32
33 33
34
a 34a
b 34b
c 34c
d 34d
e 34e
f 34f
35 35
36 36
37 37
38 38
39 39
40 40
41 41
42 42
43 43
44 44
45 45
46 46
47 47
48 48
49 49
50 50
51
a 51a
b 51b
c 51c
d 51d
1
2
3 3
4
c
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)
Is there any change in stock valuation method (Tick)
OT
HE
R I
NF
OR
MA
TIO
N
Method of accounting employed in the previous year (Tick)
Is there any change in method of accounting (Tick)
Effect on the profit because of deviation, if any, in the method of accounting employed in the previous year from accounting standards prescribed under section 145A Method of valuation of closing stock employed in the previous year
Net profit
Part A-OI Other Information (Optional in a case not liable for audit under section 44AB)
NO
AC
CO
UN
T
CA
SE
In a case where regular books of account of business or profession are not maintained, furnish the following information for previous year 2010-11 in respect of business or profession
Gross receipts
Gross profit
Expenses
Transferred to reserves and surplus
Balance carried to balance sheet in proprietor's account (48 - 49)TA
X P
RO
VIS
ION
S &
A
PP
RO
PR
IAT
ION
S Provision for current tax
Provision for Deferred tax
Profit after tax (43 - 44 - 45)
Balance brought forward from previous year
Amount available for appropriation (46 + 47)
Depreciation
Profit before taxes (40 - 41 - 42)
Profit before interest, depreciation and taxes [5- (6 + 7 + 8h + 9 to 14 + 15k + 16e + 17 to 33 +34f + 35 to 39) Interest
Provision for bad and doubtful debts
Other provisions
Other expenses
Bad debts
Total rates and taxes paid or payable (34a+34b+34c+34d+34e)
Audit fee
Union excise duty
Service tax
VAT/ Sales tax
Cess
Any other rate, tax, duty or cess incl STT Paid
Donation
Rates and taxes, paid or payable to Government or any local body (excluding taxes on income)
Scholarship
Gift
Club expenses
Festival celebration expenses
Telephone expenses
Guest House expenses
Traveling expenses including foreign traveling
Conveyance expenses
Conference
Sales promotion including publicity (other than advertisement)
Advertisement
Commission
Hotel, boarding and lodging
mercantile cash
Yes No
Yes No
5 of 21
d 4d
5
a 5a
b 5b
c 5c
d 5d
e 5e
f 5f
6
a 6a
b 6b
c 6c
d 6d
e 6e
f 6f
g 6g
h 6h
i 6i
j 6j
k 6k
l 6l
m6m
n
6n
o 6o
p 6p
7
a 7a
b 7b
c 7c
d 7d
e 7e
f 7f
g 7g
h 7h
i 7i
8 A
a Aa
b Ab
c Ac
d Ad Amount paid as wealth tax
Total amount disallowable under section 37 (total of 7a to 7h) Amounts debited to the profit and loss account, to the extent disallowable under section 40 Amount disallowable under section 40 (a)(i), 40(a)(ia) and 40(a)(iii) on account of non-compliance with the provisions of Chapter XVII-B Amount paid as fringe benefit tax Amount of tax or rate levied or assessed on the basis of profits
Amount of expenditure in relation to income which does not form part of total income Any other amount not allowable under section 37
Expenditure incurred for any purpose which is an offence or which is prohibited by law; Amount of any liability of a contingent nature
Amounts debited to the profit and loss account, to the extent disallowable under section 37:- Expenditure of personal nature; Expenditure on advertisement in any souvenir, brochure, tract, pamphlet or the like, published by a political party; Expenditure by way of penalty or fine for violation of any law for the time being in force; Any other penalty or fine;
Any other disallowance Total amount disallowable under section 36 (total 6a to 6o)
Expenditure for the purpose of promoting family planning amongst employees
Any sum received from employees as contribution to any provident fund or superannuation fund or any fund set up under ESI Act or any other fund for the welfare of employees to the extent credited to the employees account on or before the due date
Provision for bad and doubtful debts Amount transferred to any special reserve
Amount of contributions to an any other fund Amount of bad and doubtful debts
Amount of contributions to an approved superannuation fund Amount of contributions to an approved gratuity fund
Amount of discount on a zero coupon bond Amount of contributions to a recognised provident fund
Amounts debited to the profit and loss account, to the extent disallowable under section 36:- Premium paid for insurance against risk of damage or destruction of stocks or store Premium paid for insurance on the health of employees Any sum paid to an employee as bonus or commission for services rendered, where such sum was otherwise payable to him as profits or dividend. Any amount of interest paid in respect of borrowed capital
capital receipt, if any Total of amounts not credited to profit and loss account (5a + 5b + 5c + 5d + 5e)
escalation claims accepted during the previous year any other item of income
Effect on the profit or loss because of deviation, if any, from the method of valuation prescribed under section 145A
Amounts not credited to the profit and loss account, being - the items falling within the scope of section 28
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
6 of 21
e Ae
f Af
g 8Ag
B 8B
9
a 9a
b 9b
c 9c
d 9d
e 9e
f 9f
10
a 10a
b 10b
c 10c
d 10d
e 10e
f 10f
g 10g
11
a 11a
b 11b
c 11c
d 11d
e 11e
f 11f
g 11g
12
a 12a
b 12b
c 12c
d 12d
e 12e
13 13
14 14
15 15 Amount of income or expenditure of prior period credited or debited to the profit and loss account (net)
Amount of interest, salary, bonus, commission or remuneration paid to any partner or member
Any other disallowance
Total amount disallowable under section 40 (total of Aa to Af)
Amounts deemed to be profits and gains under section 33AB or 33ABA or 33AC
Any amount of profit chargeable to tax under section 41
Union Excise Duty
Service tax
VAT/sales tax
Any other tax
Total amount outstanding (total of 12a to 12d)
Total amount disallowable under section 43B (Total of 11a to 11f)
Amount of credit outstanding in the accounts in respect of
Any sum in the nature of tax, duty, cess or fee under any law Any sum payable by way of contribution to any provident fund or superannuation fund or gratuity fund or any other fund for the welfare of employees Any sum payable to an employee as bonus or commission for services rendered Any sum payable as interest on any loan or borrowing from any public financial institution or a State financial corporation or a State Industrial investment corporation Any sum payable as interest on any loan or borrowing from any scheduled bank
Any amount debited to profit and loss account of the previous year but disallowable under section 43B:-
Any sum payable towards leave encashement
Any sum payable towards leave encashement
Total amount allowable under section 43B (Total of 10a to 10f)
Any sum payable as interest on any loan or borrowing from any public financial institution or a State financial corporation or a State Industrial investment corporation Any sum payable as interest on any loan or borrowing from any scheduled bank
Any amount disallowed under section 43B in any preceding previous year but allowable during the previous year
Any sum in the nature of tax, duty, cess or fee under any law Any sum payable by way of contribution to any provident fund or superannuation fund or gratuity fund or any other fund for the welfare of employees Any sum payable to an employee as bonus or commission for services rendered
Any amount disallowed under section 40 in any preceding previous year but allowable during the previous year
Amount debited to the profit and loss account, to the extent disallowable under section 40A
Amount paid to persons specified in section 40A(2)(b)
Amount in excess of twenty thousand rupees, paid otherwise than by account payee cheque or account payee bank draft under section 40A(3) - 100% disallowable
Provision for payment of gratuity Any sum paid by the assessee as an employer for setting up or as contribution to any fund, trust, company, AOP, or BOI or society or any other institution; Any other disallowance
Total amount disallowable under section 40A (total of 9a to 9e)
7 of 21
(a)
1 1
2 2
3 3
4 4
5 5
(b)
6
a 6a
b 6b
c 6c
d 6d
e 6e
f 6f
g 6g
h 6h
7
a 7a
b 7b
c 7c
d 7d
e 7e
f 7f
1 1
2 2
3
i 3i
ii 3ii
iii 3iii
4
a
i 4ai
ii 4aii
iii 4aiii
b 4b
c 4c
5
a 5a
b 5b
c 5c
6 6
7 7
8 8
9 9
10 10
11 11
12 12
13 13
14 14
15 15
'Aggregate income' (12 + 13)
Losses of current year to be carried forward (total of xi of Schedule CFL)
Total income (10 - 11)
Net agricultural income/ any other income for rate purpose (4 of Schedule EI)
Gross total income (8 - 9) (also 5vii of Schedule BFLA)
Deductions under Chapter VI-A (t of Schedule VIA)
Balance after set off of current year losses (6 - 7)
Brought forward losses to be set off against 6 (total of 2vii, 3vii and 4vii of Schedule - BFLA)
Total (1 + 2 + 3iii + 4c + 5c)
Losses of current year to be set off against 6 (total of 2vii, 3vii and 4vii of Schedule - CYLA)
From sources other than owning race horses (3 of Schedule -OS) (enter nil if loss) from owning race horses (4c of Schedule OS) (enter nil if loss) Total (5a + 5b)
Total capital gains (4aiii + 4b) (enter nil if 4c is a loss)
Income from other sources
Short term Short term (under section 111A) (A7 of Schedule- CG) (enter nil if loss)
Short term (others) (A8 of Schedule - CG)
Total Short -term (4ai + 4aii)
Long-term (B6 of Schedule-CG) (enter nil if loss)
Total (3i + 3ii) (enter nil if 3iii is a loss)
Capital gains
Profit and gains from business other than speculative business (A37 of Schedule-BP) Profit and gains from speculative business (B41 of Schedule-BP) (enter nil if loss)
Part B - TI Computation of total income
TO
TA
L I
NC
OM
E
Salaries (6 of Schedule S)
Income from house property (4c of Schedule - HP) (enter nil if loss)
Profits or gains from business or profession
closing stock shortage/ excess, if any
purchase during the previous year quantity manufactured during the previous year
Shortage/ excess, if any Finished products/ By-products
Closing stock Yield finished products
Purchases during the previous year Consumption during the previous year
Raw materials Opening stock
Sales during the previous year
Percentage of yield
opening stock
sales during the previous year
Shortage/ excess, if any In the case of a manufacturing concern
Sales during the previous year Closing stock
Part A - QD Quantitative details (Optional in a case not liable for audit under section 44AB)
QU
AN
TIT
AT
IVE
D
ET
AIL
S
In the case of a trading concern Opening stock Purchases during the previous year
8 of 21
a 1a
b 1b
2 2
3 3
4 4
5
a 5a
b 5b
c 5c
d 5d
6 6
7
a 7a
b 7b
c 7c
d 7d
8 8
9
a 9a
b 9b
c 9c
d 9d
e 9e
10 10
11 11
12
13
14
I,
Place
16
18
1 1
2 2
3 3
4 4
5 5
6 6
Profits in lieu of Salary (refer Form 16 from employer)
Income chargeable under the Head 'Salaries' (1 + 3 + 4 + 5)
Allowances not exempt (refer Form 16 from employer)
Value of perquisites (refer Form 16 from employer)
Salary (Excluding all exempt/ non-exempt allowances, perquisites & profit in lieu of salary as they are shown separately below)
Allowances exempt under section 10 (Not to be included in 6 below)
Pin Code
Schedule S Details of Income from Salary
SA
LA
RIE
S
Name of Employer PAN of Employer (Optional)
Address of Employer Town /City State
If TRP is entitled for any reimbursement from the Government, amount thereof . . . . . . . . .
If the return has been prepared by a Tax Return Preparer (TRP) give further details as below: Identification No. of TRP Name of TRP Counter Signature of TRP
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 accordancewith the provisions of the Income-tax Act, 1961, in respect of income chargeable to Income Tax for the previous year relevant to the Assessment Year2011-12
Date Sign here
VERIFICATIONson/daughter of , holding permanent account number
MICR Code Type of Account (tick as applicable)
RE
FU
ND
Refund (if 9e is greater than 8) Enter your bank account number (mandatory in all cases)
Do you want your refund by cheque, or deposited directly into your bank account (tick as applicable)
Give additional details of your bank account
Total Taxes Paid (9a + 9b + 9c + 9d) Amount payable (Enter if 8 is greater than 9e, else enter 0)
TCS (column 7 of Schedule-TCS) Self Assessment Tax (from Schedule-IT)
Aggregate liability (6 + 7d)
TA
XE
S P
AID
Taxes Paid Advance Tax (from Schedule-IT) TDS (Total of column 7 of Schedule TDS1 and column 7 of Schedule-TDS2)
For default in furnishing the return (section 234A) For default in payment of advance tax (section 234B) For deferment of advance tax (section 234C) Total Interest Payable (7a + 7b + 7c)
Net tax liability (4 - 5d) Interest payable
Section 89 Section 90 Section 91 Total (5a + 5b + 5c)
Gross tax liability (2 + 3) Tax relief
Tax payable on Total Income (1a + 1b) Education cess, including secondary and higher education cess on (2)
Part B - TTI Computation of tax liability on total income
CO
MP
UT
AT
ION
OF
TA
X L
IAB
ILIT
Y1
Tax payable on total income Tax at normal rates Tax at special rates (11 of Schedule-SI)
Savings Current
9 of 21
a 1a
b 1b
c 1c
d 1d
e 1e
f 1f
g 1g
h 1h
i 1i
a 2a
b 2b
c 2c
d 2d
e 2e
f 2f
g 2g
h 2h
i 2i
a 3a
b 3b
c 3c
d 3d
e 3e
f 3f
g 3g
h 3h
i 3i
4
a 4a
b 4b
c 4c
A
1 1
2 2
3 3
4 4
5
a 5a
b 5b
Profit or loss included in 1, which is referred to in section 44AD/44AE/44AF/44B/44BB/44BBA/44BBB/44D/44DA Chapter-XII-G/ First Schedule of Income-tax Act Income credited to Profit and Loss account (included in 1) which is exempt
share of income from firm(s) Share of income from AOP/BOI
INC
OM
E F
RO
M B
US
INE
SS
OR
P
RO
FE
SS
ION
From business or profession other than speculative business Profit before tax as per profit and loss account (item 43 or 51d of Part A - P&L) Net profit or loss from speculative business included in 1 Income/ receipts credited to profit and loss account considered under other heads of income
NOTE ► Please include the income of the specified persons referred to in Schedule SPI while computing the income under this head
Schedule BP Computation of income from business or profession
Income under the Head "Income from house property" Rent of earlier years realized under section 25A/AA Arrears of rent received during the year under section 25B after deducting 30% Total (4a + 4b +1i + 2i + 3i)
Total (3f + 3g) Income from house property 3 (3e - 3h)
Balance (3a - 3d) 30% of 3e Interest payable on borrowed capital
Annual Letable value/ rent received or receivable (higher if let out for whole of the year, lower if let out for part of the year)
The amount of rent which cannot be realized Tax paid to local authorities Total (3b + 3c)
(Tick) If let out Name of Tenant PAN of Tenant (Optional)
Income from house property 2 (2e - 2h)
3 Address of property 3 Town/City State Pin Code
30% of 2e Interest payable on borrowed capital
The amount of rent which cannot be realized Tax paid to local authorities Total (2b + 2c)
(Tick) If let out
Annual Letable value/ rent received or receivable (higher if let out for whole of the year, lower if let out for part of the year)
Balance (2a - 2d)
Total (2f + 2g)
Name of Tenant PAN of Tenant (Optional)
Pin Code2
Address of property 2 Town/City State
Total (1f + 1g) Income from house property 1 (1e - 1h)
Balance (1a - 1d) 30% of 1e Interest payable on borrowed capital
Annual Letable value/ rent received or receivable (higher if let out for whole of the year, lower if let out for part of the year)
The amount of rent which cannot be realized Tax paid to local authorities Total (1b + 1c)
(Tick) If let out Name of Tenant PAN of Tenant (Optional)
Schedule HP Details of Income from House Property (Please refer to instructions)
HO
US
E P
RO
PE
RT
Y1
Address of property 1 Town/City State Pin Code
10 of 21
c 5c
d 5d
6 67
7
88
9 9
10 10
11 11
12
i 12i
ii 12ii
iii 12iii
13 13
14 14
15 15
16 16
17 17
18 18
19 19
20 20
21 21
22 22
23
23
24 24
25 25
26 26
27 27
28 28
29
a 29a
b 29b
c 29c
30 30
31 31
32 32
33
i 33i
ii 33ii Section 44AE
Income (13 + 24 - 31)
Profits and gains of business or profession deemed to be under
Section 44AD
Any other amount allowable as deduction
Total (25 + 26 + 27 + 28 + 29c + 30)
Any amount disallowed under section 43B in any preceding previous year but allowable during the previous year (10g of Part-OI) Deduction under section 35AC
Amount, if any debited to profit and loss account Amount allowable as deduction Excess amount allowable as deduction (29b-29a)
Amount of deduction under section 35 in excess of the amount debited to profit and loss account (item vii(4) of Schedule-ESR)Any amount disallowed under section 40 in any preceding previous year but allowable during the previous year (8B of Part-OI)
Total (14 + 15 + 16 + 17 + 18 + 19 + 20 + 21 + 22 + 23) Deduction allowable under section 32(1)(iii)
Any other item or items of addition under section 28 to 44DA Any other income (including income from salary, commission, bonus and interest from firms in which an indivisual/HUF/ Prop. concern is a partner) not included in profit and loss
Deemed income under section 41 Deemed income under section 33AB/33ABA/35ABB/72A/80HHD/80-IA
Any amount debited to profit and loss account of the previous year but disallowable under section 43B (11g of Part-OI) Interest disallowable under section 23 of the Micro, Small and Medium Enterprises Development Act, 2006
Profit or loss after adjustment for depreciation (10 + 11 - 12iii) Amounts debited to the profit and loss account, to the extent disallowable under section 36 (6p of Part-OI) Amounts debited to the profit and loss account, to the extent disallowable under section 37 (7i of Part-OI) Amounts debited to the profit and loss account, to the extent disallowable under section 40 ( 8Ag of Part-OI) Amounts debited to the profit and loss account, to the extent disallowable under section 40A (9f of Part-OI)
Depreciation allowable under Income-tax Act Depreciation allowable under section 32(1)(ii (column 6 of Schedule-DEP) Depreciation allowable under section 32(1)(i) (Make your own computation refer Appendix-1A of IT Rules) Total (12i + 12ii)
Adjusted profit or loss (6 + 9) Depreciation debited to profit and loss account included in 9
Expenses debited to profit and loss account considered under other heads of income Expenses debited to profit and loss account which relate to exempt income Total (7 + 8)
Any other exempt income Total exempt income
Balance (1 - 2 - 3 - 4 - 5d)
11 of 21
ii 33iii
iv 33iv
v 33v
vi 33vi
vii 33vii
viii 33viii
ix 33ix
x 33x
xi 33xi
xii 33xii
34 34
35
i 35i
ii 35ii
iii 35iii
iv 35iv
v 35v
36 36
37 A37
B
38 38
39 39
40 40
41 B41
C C
1
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17 Written down value on the last day of previous year* (6 + 9 -14) (enter 0 if result is negative)
Capital gains/ loss under section 50* (5 + 8 - 3 -4 - 7 -15) (enter negative only if block ceases to exist)
Expenditure incurred in connection with transfer of asset/ assets
Total depreciation* (10 + 11 + 12 + 13)
Additional depreciation, if any, on 7
Additional depreciation, if any, on 4
Depreciation on 9 at half rate
Depreciation on 6 at full rate
Amount on which depreciation at half rate to be allowed (7 - 8) (enter 0, if result is negative)
Consideration or other realization during the year out of 7
Additions for a period of less than 180 days in the previous year
Amount on which depreciation at full rate to be allowed (3 + 4 - 5) (enter 0, if result is negative)
Consideration or other realization during the previous year out of 3 or 4
Additions for a period of 180 days or more in the previous year
(v) (vi) (vii) Written down value on the first day of previous year
(i) (ii) (iii) (iv)50 60 80 100
Schedule DPM Depreciation on Plant and Machinery
DE
PR
EC
IAT
ION
ON
PL
AN
T A
ND
MA
CH
INE
RY
Block of assets Plant and machinery2 Rate (%) 15 30 40
NOTE ► Please include the income of the specified persons referred to in Schedule SPI while computing the income under this head
Computation of income from speculative business Net profit or loss from speculative business as per profit or loss account
Income chargeable under the head 'Profits and gains' (A37 + B41) Profit or loss from speculative business (38 + 39 - 40)
Net profit or loss from business or profession other than speculative business (34 - 35v) Net Profit of loss from business or profession (same as above in 36 except in case of special business, after applying rule 7A, 7B or 7C)
Additions in accordance with section 28 to 44DA Deductions in accordance with sections 28 to 44DA
10A (6 of Schedule-10A)
10AA (d of Schedule-10AA) 10B (f of Schedule-10B) 10BA (f of Schedule-10BA) Total (35i + 35ii + 35iii + 35iv)
Profit or loss before deduction under section 10A/10AA/10B/10BA (32 + 33xii)
Deduction under section-
First Schedule of Income-tax Act
Total (33i to 33xi)
Section 44DA
Chapter-XII-G
Section 44BBB
Section 44D
Section 44BB
Section 44BBA
Section 44AF
Section 44B
12 of 21
1
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
1
a 1a
b 1b
c 1c
d 1d
e 1e
f 1f
g 1g
h 1h
2
a 2a
b 2b
c 2c
d 2d
3 3
4 4
5 5
6 6
Ships (Schedule DOA - 14vi) Total depreciation (1h + 2d + 3 + 4 +5)
Furniture and fittings (Schedule DOA- 14iv) Intangible Assets (Schedule DOA - 14v)
Block entitled for depreciation @ 5 per cent (Schedule DOA - 14i)Block entitled for depreciation @ 10 per cent(Schedule DOA - 14ii) Block entitled for depreciation @ 100 per cent (Schedule DOA - 14iii) Total depreciation on building (total of 2a + 2b + 2c)
Total depreciation on plant and machinery (1a + 1b + 1c + 1d + 1e + 1f + 1g)Building
Block entitled for depreciation @ 80 per cent (Schedule DPM - 14vi) Block entitled for depreciation @ 100 per cent (Schedule DPM - 14vii)
Block entitled for depreciation @ 50 per cent (Schedule DPM - 14iv) Block entitled for depreciation @ 60 per cent (Schedule DPM - 14v)
SU
MM
AR
Y O
F D
EP
RE
CIA
TIO
N O
N A
SS
ET
S
Plant and machinery Block entitled for depreciation @ 15 per cent (Schedule DPM - 14i) Block entitled for depreciation @ 30 per cent (Schedule DPM - 14ii) Block entitled for depreciation @ 40 per cent (Schedule DPM - 14iii)
Schedule DEP Summary of depreciation on assets
Written down value on the last day of previous year* (6 + 9 -14) (enter 0 if result is negative)
Capital gains/ loss under section 50* (5 + 8 - 3 -4 - 7 -15) (enter negative only if block ceases to exist)
Expenditure incurred in connection with transfer of asset/ assets
Total depreciation* (10 + 11 + 12 + 13)
Additional depreciation, if any, on 7
Additional depreciation, if any, on 4
Depreciation on 9 at half rate
Depreciation on 6 at full rate
Amount on which depreciation at half rate to be allowed (7 - 8) (enter 0, if result is negative)
Consideration or other realization during the year out of 7
Additions for a period of less than 180 days in the previous year
Amount on which depreciation at full rate to be allowed (3 + 4 - 5) (enter 0, if result is negative)
Consideration or other realization during the previous year out of 3 or 4
Additions for a period of 180 days or more in the previous year
Written down value on the first day of previous year
10 25 20
(i) (ii) (iii) (iv) (v) (vi)
Rate (%) 5 10 100
Schedule DOA Depreciation on other assets
DE
PR
EC
IAT
ION
ON
OT
HE
R A
SS
ET
S Block of assets
Building Furniture and fittings
Intangible assets Ships
2
13 of 21
1
a 1a
b 1b
c 1c
d 1d
e 1e
f 1f
g 1g
h 1h2
a 2a
b 2b
c 2c
d 2d3 34 45 56 6
iiiiiiivvvivii
A
1
a 1a
b 1b
c 1c
d 1d
e 1e
2 2
3
a 3a
b
i bi
ii bii
iii biii
iv biv
c 3c
d 3d
e 3e
f 3f Deduction under section 54B/54D Short term capital gain (3c - 3d - 3e)
Full value of consideration Deduction under section 48
Cost of acquisition Cost of improvement Expenditure on transfer
From assets in case of non-resident to which first proviso to section 48 is applicable From assets in the case of others
Total (bi + bii + biii) Balance (3a - biv) Loss, if any, to be ignored under section 94(7) or 94(8) (enter positive values only)
Deduction under sections 54B/54D Net short term capital gain from slump sale (1c - 1d)
Net worth of the under-taking or division Short term capital gainss from slump sale
Schedule CG Capital Gains
CA
PIT
AL
GA
INS
Short-term capital gain From slump sale
Full value of consideration
Total35(2AB)35(2AA)35(1)(iv)35(1)(iii)35(1)(ii)
(4) = (3) - (2)35(1)(i)
Schedule ESR Deduction under section 35
Sl. No.
Expenditure of the nature referred to in section
Amount, if any, debited to profit and loss account
Amount of deduction allowable
Amount of deduction in excess of the amount debited to profit and loss account
(1) (2) (3)
Ships (Schedule DOA - 16vi) Total (1h + 2d + 3 + 4 + 5)
Furniture and fittings (Schedule DOA- 16iv) Intangible Assets (Schedule DOA - 16v)
Block entitled for depreciation @ 5 per cent (Schedule DOA - 16i) Block entitled for depreciation @ 10 per cent (Schedule DOA - 16ii) Block entitled for depreciation @ 100 per cent (Schedule DOA - 16iii) Total (2a + 2b + 2c)
Total (1a + 1b + 1c + 1d + 1e + 1f + 1g) Building
Block entitled for depreciation @ 80 per cent (Schedule DPM - 16vi) Block entitled for depreciation @ 100 per cen (Schedule DPM - 16vii)
Block entitled for depreciation @ 50 per cent (Schedule DPM - 16iv) Block entitled for depreciation @ 60 per cent (Schedule DPM - 16v)
Plant and machinery Block entitled for depreciation @ 15 per cent (Schedule DPM - 16i) Block entitled for depreciation @ 30 per cent (Schedule DPM - 16ii) Block entitled for depreciation @ 40 per cent (Schedule DPM - 16iii)
Schedule DCG Deemed Capital Gains on sale of depreciable assets
14 of 21
4 4
5 5
6 6
7 A7
8 A8
B
1
a 1a
b 1b
c 1c
d 1d
e 1e
2 2
3
a 3a
b
i bi
ii bii
iii biii
iv bivc 3c
d 3d
e 3e4
a 4ab
i bi
ii bii
iii biii
iv bivc 3c
d 3d
e 4e5
5
6 B6
C C
D
1
2
3
4
NOTE ► Please include the income of the specified persons referred to in Schedule SPI while computing the income under this head
Short-term OTHERS- Taxed at normal rates; Enter only positive value from Item A8 of Schedule CG AFTER loss adjustment under this category in Schedule CYLA and BFLA, if any.
Short-term under 111A- Code in SI Schedule is 1A, Tax Rate is 15% ; Enter only positive value from Item A7 of Schedule CG AFTER loss adjustment under this category in Schedule CYLA and BFLA, if any.
Long- term where proviso under section 112(1) is NOT exercised (With Indexation)- Code in SI Schedule is 21, Tax Rate is 20%; Enter only positive value from Item (B5-B3e) of Schedule CG AFTER loss adjustment under this category in Schedule CYLA and BFLA, if any.
(iii) (Iv) Long- term where proviso under section 112(1) is exercised (Without Indexation)- Code in SI Schedule is 22, Tax Rate is 10% ; Enter only positive value from Item B3e of Schedule CG AFTER loss adjustment under this category in Schedule CYLA and BFLA, iany.
Information about accrual/receipt of capital gain
DateUpto 15/9 16/9 to 15/12 16/12 to 15/3 16/3 to 31/3
(i) (ii)
Total long term capital gain (1e (enter nil if loss) + 2 + 3e (enter nil if loss) + 4e (enter nil if loss) + 5)
Income chargeable under the Head "CAPITAL GAINS" (A8 + B6) (enter B6 as nil, if loss)
Net balance Amount deemed to be long term capital gains under sections 54/54B/54D/54EC/54ED/54F/54G/54GA
Balance (4a - biv) Deduction under section 54/54B/54D/54EC/54F/54G/54GA
Expenditure on transfer Total (bi + bii + biii)
Assets in the case of others where proviso to section 112(1) exercised Full value of consideration Deductions under section 48
Cost of acquisition without indexation Cost of improvement without indexation
Deduction under section 54/54B/54D/54EC/54F/54G/54GA Net balance (3c - 3d)
Full value of consideration Deductions under section 48
Cost of acquisition after indexation Cost of improvement after indexation Expenditure on transfer
Asset in case of non-resident to which first proviso to section 48 applicable Asset in the case of others where proviso under section 112(1) is not exercised
Total (bi + bii + biii) Balance (3a - biv)
Deductrion under sections 54/54B/54D/54EC/54F/54G/54GA Net long term capital gain from slump sale (1c - 1d)
Long term capital gain From slump sale
Full value of consideration Net worth of the under-taking or division Long term capital gain from slump sale
Short term capital gain under section 111A included in 6 Short term capital gain other than referred to in section 111A (6 - 7)
Deemed short term capital gain on depreciable assets (6 of Schedule - DCG) Amount deemed to be short term capital gains under sections 54B/54D/54EC/54ED/54G/54GA Total short term capital gain (1e + 2 + 3f + 4 + 5)
15 of 21
1a 1ab 1bc 1cd 1de 1ef
i fi
ii fii
iii fiiig 1g
2 2
3 3
4a 4ab 4bc 4c
5 5
iii
iii
iv
v
vi
viiviii
iii
iii
ivv
vi
viiviii Current year's income remaining after set off Total (i5 + ii5 + iii5 + iv5 + v5)
Total of brought forward loss set off
Long-term capital gain
Other sources (profit from owning race horses horses but excluding winnings from lottery)
Short-term capital gain
Business (including speculation profit)
Salaries House property
Current year's incomeremaining after set off
1 2 5 4 5
Brought forward depreciation set off
Brought forward allowance under
section 35(4) set off
Schedule BFLA Details of income after set off of Brought Forward Losses of earlier years
BR
OU
GH
T F
OR
WA
RD
LO
SS
AD
JUS
TM
EN
T
Sl. No.
Head / Source of Income
Income after set off, if any, of current year's
losses as per 5 of schedule-CYLA
Brought forward loss set off
Loss remaining after set off Total loss set off
Long term capital gain
Other sources (incl. profit from owning race horses)
Short-term capital gain
Business (including speculation profit)
Salaries House property
4 5=1-2-3-4 Loss to be adjusted
1 2 3
Current year's incomeremaining after set off
Total loss Total loss Total loss(4c of Schedule-HP) (A37 of Schedule-BP) (3 of Schedule-OS)
Schedule CYLA Details of income after set off of current year losses
CU
RR
EN
T Y
EA
R L
OS
S A
DJU
ST
ME
NT
Sl. No.
Head / Source of Income
Income of current year
(Fill this column only if income is zero or positive)
House property loss of the current year set
off
Business Loss (other than speculation
loss) of the current year set off
Other sources loss (other than loss from race horse(s) of the current year set off
Receipts Deductions under section 57 in relation to (4) Balance (4a - 4b)
Income chargeable under the head "Income from other sources" (3 + 4c) (enter 4c as nil if loss and take 4c loss figure to Schedule CFL)
NOTE ► Please include the income of the specified persons referred to in Schedule SPI while computing the income under this head
Balance (1e - fiii) Winnings from lotteries, crossword puzzles, races etc. Income from other sources (other than from owning race horses) (1g + 2) (enter 1g as nil if loss)
Income from owning and maintaining race horses
Expenses / Deductions Depreciation Total
Total (1a + 1b + 1c + 1d) Deductions under section 57:-
Rental income from machinery, plants, buildings, Others, Gross (excluding income from owning race horses)
Schedule OS Income from other sources
OT
HE
R S
OU
RC
ES
Income other than from owning race horse(s):- Dividends, Gross Interest, Gross
16 of 21
Sl. No.
i 2003-04ii 2004-05iii 2005-06iv 2006-07v 2007-08vi 2008-09viiviii
ix
x
xi
xii
1
a 1a
b 1b
c 1c
d 1d
e 1e
f 1f
2
a 2a
b 2b
c 2c
d 2d
3
a 3a
b 3b
c 3c
d 3d
4
a 4a
b 4b
c 4c
d 4d
5
a 5a
b 5b
c 5c
d 5d
6 6
a ab bc cd d Total (a + b + c)
Schedule 10AA Deduction under section 10AA
DE
DU
CT
ION
U
/S 1
0AA
Deductions in respect of units located in Special Economic Zone Undertaking No. 1 Undertaking No. 2 Undertaking No. 3
Total (5a + 5b + 5c) Total deduction under section 10A (1f + 2d + 3d + 4d + 5d)
Deductions in respect of units located in Special Economic Zone Undertaking No. 1 Undertaking No. 2 Undertaking No. 3
Undertaking No. 1 Undertaking No. 2 Undertaking No. 3 Total (4a + 4b + 4c)
Total (3a + 3b + 3c) Deductions in respect of units located in Export Processing Zone
Deductions in respect of units located in Free Trade Zone Undertaking No. 1 Undertaking No. 2 Undertaking No. 3
Deductions in respect of units located in Electronic Hardware Technology Park
Undertaking No. 1
Undertaking No. 2
Undertaking No. 3
Total (2a + 2b + 2c)
Undertaking No. 5
Total (1a + 1b + 1c + 1d + 1e)
Undertaking No. 3
Undertaking No. 4
Schedule 10A Deduction under section 10A
DE
DU
CT
ION
U/S
10A
Deductions in respect of units located in Software Technology Park
Undertaking No. 1
Undertaking No. 2
Total loss Carried Forward to future years
Total of earlier year losses
Adjustment of above losses in Schedule BFLA (see instruction)
2010-11 (Current year losses)
2010-11 2009-10
Long-term Capital loss
Other sources loss
(from owning race horses)
Schedule CFL Details of losses to be carried forward to future years
CA
RR
IED
FO
RW
AR
D L
OS
S
Assessment year Date of Filing (DD/MM/
YYYY)
House property loss
Loss from business other than loss from speculative business
including unabsorbed depreciation allowance
u/s 35(4)
Loss from speculative business including
unabsorbed depreciation allowance
u/s 35(4)
Short-term capital loss
17 of 21
a a
b b
c c
d d
e e
f f
a a
b b
c c
d d
e e
f f
A
i Ai
ii Aii
iii Aiii
iv Aiv
v Av
vi Avi
B
i Bi
ii Bii
iii Biii
iv Biv
v Bv
vi Bvi
C
i Ci
ii Cii
iii Ciii
iv Civ
v Cv
vi Cvi
D D
aa
bb
cc
dd
e
e
f f Total deduction under section 80-IA (a + b + c + d + e)
Deduction in respect of profits of an undertaking referred to in section 80-IA(4)(iv) [Power] Deduction in respect of profits of an undertaking referred to in section 80-IA(4)(v) [Revival of power generating plant] and deduction in respect of profits of an undertaking referred to in section 80-IA(4)(vi) [Cross-country natural gas distribution network]
Schedule 80-IA Deduction under section 80-IA
DE
DU
CT
ION
U/S
80-
IA
Deduction in respect of profits of an enterprise referred to in section 80-IA(4)(i) [Infrastructure facility] Deduction in respect of profits of an undertaking referred to in section 80-IA(4)(ii) [Telecommunication services] Deduction in respect of profits of an undertaking referred to in section 80-IA(4)(iii) [Industrial park and SEZs]
TotalTotal donations (Avi + Bvi + Cvi)
Donations entitled for 50% deduction where donee is required to be approved under section 80G(5) (vi)
Name and address of donee PAN of donee Amount of donation
Total
Name and address of donee Amount of donation
Total Donations entitled for 50% deduction where donee not required to be approved under section 80G(5) (vi)
Schedule 80G Details of donations entitled for deduction under section 80G
DE
TA
ILS
OF
DO
NA
TIO
NS
Donations entitled for 100% deductionName and address of donee Amount of donation
Undertaking No. 5 Total (a + b + c + d + e)
DE
DU
CT
ION
U/S
10B
A
Deduction in respect of export of handmade wooden articles Undertaking No. 1 Undertaking No. 2 Undertaking No. 3 Undertaking No. 4
Total (a + b + c + d + e)
Schedule 10BA Deduction under section 10BA
Undertaking No. 4 Undertaking No. 5
Schedule 10B Deduction under section 10B
DE
DU
CT
ION
U/S
10B Deduction in respect of hundred percent Export Oriented units
Undertaking No. 1 Undertaking No. 2 Undertaking No. 3
18 of 21
a a
b b
c c
d d
e e
f f
g g
h h
i i
j j
k k
l l
m m
n n
1 1
2 2
3 3
4
a 4a
b 4b
c 4c
ib 4d
e 4e
f 4f
g 4g
h 4h
5 5
a
b
c
d
e
f
g
h
i
j
t tTotal deductions under Chapter VI-A(total of a to r)
TO
TA
L D
ED
UC
TIO
NS
80C k
80GG/GGA 80G s 80U
q 80QQB 80E r 80RRB 80DDB
80IC/ 80-IE (5 of Schedule 80-IC/ 80-IE)
80DD p 80ID/ 80JJA
80D o
80IAB
80CCF n 80IB (n of Schedule 80-IB)
m
80GGC
80CCC l 80IA (f of Schedule 80-IA)
80CCD
Total deduction under section 80-IC or 80-IE (1 + 2 + 3 + 4h)
Schedule VI-A Deductions under chapter VI-A (Section)
Tripura Total of deduction for undertakings located in North-east (Total of 4a to 4g)
Meghalaya Nagaland
Deduction in respect of industrial undertaking located in North East Assam Arunachal Pradesh Manipur Mizoram
Schedule 80-IC or 80-IE Deduction under section 80-IC or 80-IE
DE
DU
CT
ION
U/S
80-
IC
Deduction in respect of industrial undertaking located in Sikkim Deduction in respect of industrial undertaking located in Himachal Pradesh Deduction in respect of industrial undertaking located in Uttranchal
Deduction in the case of an undertaking engaged in operating and maintaining a rural hospital [Section 80-IB (11B)]
Total deduction under section 80-IB (Total of a to m)
Deduction in the case of an undertaking engaged in processing, packaging and preservation of fruits and vegetables [Section 80-IB (11A)]Deduction in the case of an undertaking engaged in integrated business of handling storage and transportation of food grains [Section 80-IB (11A)]
Deduction in the case of an undertaking developing and building housing projects [Section 80-IB (10)] Deduction in the case of an undertaking operating a cold chain facility [Section 80-IB (11)]
Deduction in the case of company carrying on scientific research [Section80-IB (8A)] Deduction in the case of an undertaking which begins commercial production of refining of mineral oil [Section 80-IB (9)]
Deduction in the case of multiplex theatre [Section 80-IB(7A)]Deduction in the case of convention centre [Section 80-IB(7B)]
DE
DU
CT
ION
U/S
80-
IB
Deduction in respect of industrial undertaking referred to in section 80-IB (3) [Small-scale industry] Deduction in respect of industrial undertaking located in Jammu & Kashmir [Section 80-IB (4)] Deduction in respect of industrial undertaking located in industrially backward states specified in Eighth Schedule [Section 80-IB (4)] Deduction in respect of industrial undertaking located in industrially backward districts [Section 80-IB (5)]
Schedule 80-IB Deduction under section 80-IB
19 of 21
Sl. No.
1
2
Sl Sl
No. No.
1 6
2 7
3 8
4 9
5 10
11
1
2
3
4
5
6
1 1
2 2
3 3
4 4
5 5
6 6
7 7
NOTE ► Enter the total of Advance Tax and Self Assessment tax in Sl. No. 11 a and 11d of Part B-TTI
v
iv
iii
ii
Schedule IT Details of Advance Tax and Self Assessment Tax Payments of Income tax
TA
X P
AY
ME
NT
S
Sl. No. BSR Code Date of Deposit (DD/MM/YYYY)
Serial Number of Challan Amount (Rs.)
i
Others, including exempt income of minor child
Total (1 + 2 + 3 + 4 + 5 + 6)
EX
EM
PT
IN
CO
ME
Interest Income
Dividend Income
Long-term capital gains on which Securities Transaction Tax is paid
Net agricultural income (other than income to be excluded under rule 7, 7A, 7B or 8)
Share in the profit of firm/AOP etc.
Total
Schedule EI Details of Exempt Income (Income not to be included in Total Income)
Capital balance on 31st March in the firm
i ii
Schedule IF Information regarding partnership firms in which you are partner
FIR
MS
IN
WH
ICH
PA
RT
NE
R
Number of firms in which you are partnerName of the Firm PAN of the firm Percentage
Share in the profit of the firm
Amount of share in the profit
Total (1ii to 10ii)
5BB 30%
23 20%
22 10%
1A 15%
Special rate (%)
Income Tax thereon
Code i ii Code i ii
Schedule SI Income chargeable to income tax at special rates IB (Please see instruction No. 9(iii) for section code and rate of tax)
SP
EC
IAL
RA
TE
Section Special rate (%)
Income Tax thereon Section
Schedule SPI Income of specified person (spouse, minor child etc.) includable in income of the assessee
Name of person PAN of person (optional) Relationship Nature of Income Amount (Rs.)
20 of 21
(1)
NOTE ► Enter the total of column 7 in Sl. No. 11(c) of Part B-TTI
ii
i
(2) (3) (4) (5)
Schedule TCS Details of Tax Collected at Source [As per Form 27D issued by Collector(s)]
TD
S O
N I
NC
OM
E
Sl No. Tax Deduction Account Number
(TAN)of the Collector
Name of the Collector Total tax collected Amount out of (4) claimed for this year
(1)
NOTE ► Please enter the total of column 7 of Schedule TDS1 and column 7 of schedule-TDS2 in 11(b) Part B-TTI
ii
Total tax deducted Amount out of (4) claimed for this year
(2) (3) (4) (5)
TD
S O
N O
TH
ER
IN
CO
ME
Sl No. Tax Deduction Account Number
(TAN)of the Deductor
Name of the Deductor
i
iii
Schedule TDS2 Details of Tax Deducted at Source on Income [As per Form 16 A issued by Deductor(s)]
ii
(3) (4) (5)
i
Schedule TDS1 Details of Tax Deducted at Source from Salary [As per Form 16 issued by Employer(s)]
TD
S O
N S
AL
AR
YSl No. Tax Deduction
Account Number (TAN)
of the Employer
Name of the Employer Income chargeable under Salaries Total tax deducted
(1) (2)
21 of 21