10/5/2019 ITR-3 Form

INDIAN INCOME TAX RETURN

[For individuals and HUFs having income from profits and gains of business or profession]
(Please see rule 12 of the Income-tax Rules,1962)

1. All amounts are in Indian Rupees.

2. A calendar is provided for selecting the date field (format DD/MM/YYYY)
3. All greyed out fields are either auto-filled or non-editable.
4. In ITR wherever information is captured in tables

Adding new Row : Click ADD button to insert a new row and then enter values in the field provided. Make sure you provide information in all mandatory colu
Deleting Row : Select the row to delete from the list and click DELETE button
Remove unnecessary blank rows from the table by selecting the row and clicking on DELETE button.

5. Please enter only the value wherever the information is needed in percentage i.e. % sign not required.
6. Please verify the Return before submitting or saving the final XML.

Part A-GEN- Personal Information

First name SATYA Middle name

Last name * JAISWAL PAN *
Date of
01/05/1966 Status *
Birth/Formation(DD/MM/YYYY) *
ADDRESS
Flat/Door/Block No * PATEL CHAURAHA Town/City/District *
Name Of Premises/Building/Village Road/Street/Post Office
Area/Locality* SARAI AKIL State*
Country* INDIA Pin Code *
Zip Code * No Zip Code false
Residential/Office Phone Number with STD code
Do not prefix STD code with '0'
91
Mobile No. 1* Mobile No. 2
9889406826
Email Address-1 (self)* [email protected] Email Address-2
Aadhaar Number Aadhaar Enrolment Id
(Please enter the Aadhaar Number. 565324316319 [Note: If Aadhaar Number is not yet allotted, then Aadhaar Enrolment Id is required. All the digits in enrolment ID &
Applicable to Individual only.) continuously. For example Enrolment ID: 1234/12345/12345 & Date/Time of enrollment: 01/12/2016 11:50:22 to be

Filing Status

Filed u/s * 139(1)-On or before due date (or) Filed in response to notice u/s
If revised/defective/modified enter Receipt No Date of filing original return (DD/M
If filed, in response to a notice u/s 139(9)/142(1)/148/153A/153C or order u/s 119(2)(b), enter date of such notice/order, or if filed u/s 92CD
enter date of advance pricing agreement
You were in India for 182 days or m
(i) Please specify the jurisdiction(s
S.No. Jurisdiction(s) of residen
Residential Status in India * RES - Resident 1 Select

(ii) In case you are a Citizen of Ind

Total period of stay in India during
year (in days)
Do you want to claim the benefit u/s 115H (Applicable to Resident)? No
Are you governed by Portuguese Civil Code as per section 5A? (If “YES” please fill Schedule 5A) * No

Other Details

Whether this return is being filed by a representative assessee? If yes, please furnish following information -* No
Capacity of representative
Name of the representative assessee Address of the representative assessee P
Select
Whether you were a Director in a company at any time during the Previous year? If yes, please furnish following information -* No
Sl. No. Name of company Type of Company PAN Whether its shares are listed or unlisted Direct
1 Select Select
Whether you are Partner in a firm? -* No
Sl. No. Name of Firm
1
Whether you have held unlisted equity shares at any time during the previous year? If yes, please furnish following information in
No
respect of equity shares -*
Sl. Name of Type of
PANOpening balance Shares acquired during the year
No. company company
No. of Cost of No. of Date of subscription Face value Issue price per share (in case Purchase price per share (in case of purchase
shares acquisition shares / purchase per share of fresh issue) from existing shareholder)
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10)
1 Select

In case of non-resident, is there a permanent establishment (PE) in India? Select

Whether assessee is located in an International Financial Services Centre and derives income solely in convertible foreign exchange??
No
*

AUDIT INFORMATION

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(a) Are you liable to maintain accounts as per section 44AA? Yes
(b) Are you liable for audit under section 44AB? Yes
(c) If (b) is Yes, whether the accounts have been audited by an accountant? Yes
If yes, furnish the following information below
(i) Date of furnishing of the audit report (DD/MM/YYYY) 30/06/2019
(ii) Name of the auditor signing the tax audit report SRINATH CHAURASIA
(iii) Membership no. of the auditor 538680
(iv) Name of the auditor (proprietorship/ firm) SRINATH CHAURASIA
(v) Proprietorship/firm registration number 0024068C
(vi) Permanent Account Number (PAN) of the proprietorship/ firm ALFPC0277M
(vii) Date of audit report 30/06/2019
(d.i) Are you liable for Audit u/s 92E?
No Date of audit report (DD/
(d.ii) If liable to furnish other audit report, mention the date of furnishing the audit report? (DD/MM/YY) (Please see Instruction 6))
Sl. No. Section Code Date (DD/MM/YYYY)
1 Select
(e) If liable to audit under any Act other than the Income-tax Act, mention the Act, section and date of furnishing the audit report?
Sl. No. Act Description Section Date (DD/MM/YYYY)
1 Select

Nature of business/profession, if more than one business/profession indicate the three main activities/Products (OTHER THAN THOSE DECLARING INCO

S.NO Code-Sub Sector* Trade name of the proprietorship, if any Trade name of the proprietorship, if any
1 09028-Retail sale of other products n.e.c PALIWAL TRADERS

Part A-BS - BALANCE SHEET AS ON 31ST DAY OF MARCH, 2019 OF THE PROPRIETORY BUSINESS OR PROFESSION(fill items below in a case w
fill item 6)

Sources of Funds

Proprietor's fund
a. Proprietor's capital
Reserves and Surplus
i Revaluation Reserve bi
1 ii Capital Reserve bii
b.
iii Statutory Reserve biii
iv Any other Reserve biv
v Total (bi+bii+biii+biv)
c. Total proprietor’s fund (a + bv)
Loan funds
Secured loans
i Foreign Currency Loans ai
Rupee Loans
a. A.From Banks iiA
ii
B.From Others iiB
2 C.Total(iiA + iiB) iiC
iii Total(ai + iiC)
Unsecured loans (including deposits)
i From Banks bi
b.
ii From others bii
iii Total(bi+bii)
c. Total Loan Funds(aiii + biii)
3 Deferred tax liability
4 Sources of funds(1c + 2c +3)

Application of Funds

Fixed assets
a Gross: Block
b Depreciation
1
c Net Block(1a-1b)
d Capital work in progress
e Total(1c + 1d)
2 Investments
a Long-term investments
i Government and other Securities - Quoted
ii Government and other Securities – Unquoted

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iii Total(ai + aii)
Short-term investments
i Equity Shares,including share application money
b ii Preference Shares
iii Debentures
iv Total(bi+bii+biii)
c Total investments(aiii + biv)
Current assets, loans and advances
Current assets
Inventories
A.Stores/consumables including packing material
B.Raw materials
i
C.Stock-in-process
D.Finished Goods/Traded Goods
E.Total(iA + iB + iC + iD)
a
ii Sundry Debtors
Cash and Bank Balances
A.Cash-in-hand
iii
B.Balance with banks
C.Total(iiiA + iiiB)
iv Other Current Assets
v Total current assets(iE +aii + iiiC + aiv)
Loans and advances
i Advances recoverable in cash or in kind or for value to be received
3 b ii Deposits,loans and advances to corporates and others
iii Balance with Revenue Authorities
iv Total(bi + bii + biii)
c Total of current assets, loans and advances (av + biv)
Current liabilities and provisions
Current liabilities
A.Sundry Creditors
B.Liability for Leased Assets
i
C.Interest Accrued on above
D.Interest accrued but not due on loans
E.Total(iA +iB +iC+iD)
d
Provisions
A.Provision for Income Tax
ii B.Provision for Leave encashment/Superannuation/ Gratuity
C.Other Provisions
D.Total(iiA + iiB + iiC)
iii Total(iE + iiD)
e Net current assets(3c – diii)
a.Miscellaneous expenditure not written off or adjusted
b.Deferred tax asset
4
c.Profit and loss account/ Accumulated balance
d.Total(4a + 4b + 4c)
5 Total, application of funds (1e + 2c + 3e +4d)

No Accounts Case

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, 2019, in respect of busine
a.Amount of total sundry debtors
6 b.Amount of total sundry creditors
c.Amount of total stock-in-trade
d.Amount of the cash balance

Part A-Manufacturing Account- Manufacturing Account for the financial year 2018-19 (fill items 1 to 3 in a case where regular books of accounts are mainta

1 Opening Inventory
(i) Opening stock of raw-material
A (ii) Opening stock of Work in progress
(iii) Total (i + ii)
B Purchases (net of refunds and duty or tax, if any)

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C Direct wages
Direct expenses
(i) Carriage inward
D
(ii) Power and fuel
(iii) Other direct expenses
Factory Overheads
(i) Indirect wages
(ii) Factory rent and rates
(iii) Factory Insurance
E
(iv) Factory fuel and power
(v) Factory general expenses
(vi) Depreciation of factory machinery
(vii) Total (i+ii+iii+iv+v+vi)
F Total of Debits to Manufacturing Account (Aiii+B+C+D+Evii)
2 Closing Stock
(i) Raw material
(ii) Work-in-progress
Total (2i +2ii)
3 Cost of Goods Produced – transferred to Trading Account (1F-2)

Part A-Trading Account -Trading Account for the financial year 2018-19 (fill items 4 to 12 in a case where regular books of accounts are maintained, otherw

4 Revenue from operations

Sales/ Gross receipts of business (net of returns and refunds and duty or tax, if any)
(i) Sale of goods
(ii) Sale of services
Other operating revenues (specify nature and amount)
A S. No. Nature of Income Amount
(iii)
1
Total
(iv) Total(i+ii+iiic)
B Gross receipts from Profession
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 Central Goods & Service Tax (CGST)
C
v State Goods & Services Tax (SGST)
vi Integrated Goods & Services Tax (IGST)
vii Union Territory Goods & Services Tax (UTGST)
viii Any other duty, tax and cess
ix Total (i + ii + iii + iv +v+ vi+vii+viii)
D Total Revenue from operations (Aiv + B +Cix)
5 Closing Stock of Finished Stocks
6 Total of credits to Trading Account (4D + 5 )
7 Opening Stock of Finished Goods
8 Purchases (net of refunds and duty or tax, if any)
9 Direct Expenses
(i) Carriage inward
(ii) Power and fuel
Other direct expenses
S. No. Nature of Income Amount
(iii)
1 UNLOADING CHARGES 36430
Total
10Duties and taxes, paid or payable, in respect of goods and services purchased
i Custom duty
ii Counter veiling duty
iii Special additional duty
iv Union excise duty
v Service Tax
vi VAT/ Sales tax
vii Central Goods & Service Tax (CGST)
viii State Goods & Services Tax (SGST)
ix Integrated Goods & Services Tax (IGST)
x Union Territory Goods & Services Tax (UTGST)
xi Any other tax, paid or payable
xii Total (10i + 10ii + 10iii + 10iv + 10v + 10vi + 10vii + 10viii + 10ix + 10x+10xi)
11 Cost of goods produced – Transferred from Manufacturing Account
12Gross Profit from Business/Profession - transferred to Profit and Loss account (6-7-8-9-10xii-11)

Part A-P & L- Profit and Loss Account for the financial year 2018-19 (fill items 13 to 60 in a case where regular books of accounts are maintained, otherwise

CREDITS TO PROFIT AND LOSS ACCOUNT

13 Gross profit transferred from Trading Account
14 Other income
i Rent
ii Commission
iii Dividend income
iv Interest income
v Profit on sale of fixed assets
vi Profit on sale of investment being securities chargeable to Securities Transaction Tax (STT)
vii Profit on sale of other investment
viii Gain (Loss) on account of foreign exchange fluctuation u/s 43AA
ix Profit on conversion of inventory into capital asset u/s 28(via) (Fair Market Value of inventory as on the date of conversion)
x Agricultural income

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xi Any other income (specify nature and amount)
Sl.No Nature Amount
1 CLAIM
Total
xii Total of other income (i + ii + iii + iv + v + vi + vii + viii + ix + x + xi)
15 Total of credits to profit and loss account (13+14xii)
16 Freight outward
17 Consumption of stores and spare parts
18 Power and fuel
19 Rents
20 Repairs to building
21 Repairs to machinery
22 Compensation to employees
i Salaries and wages
ii Bonus
iii Reimbursement of medical expenses
iv Leave encashment
v Leave travel benefits
vi Contribution to approved superannuation fund
vii Contribution to recognised provident fund
viii Contribution to recognised gratuity fund
ix Contribution to any other fund
x Any other benefit to employees in respect of which an expenditure has been incurred
xi Total compensation to employees (22i + 22ii + 22iii + 22iv + 22v + 22vi + 22vii + 22viii +22ix + 22x)
xii Whether any compensation, included in 22xi, paid to non-residents
If Yes, amount paid to non-residents
23 Insurance
i Medical Insurance
ii Life Insurance
iii Keyman's Insurance
iv Other Insurance including factory, office, car, goods,etc.
v Total expenditure on insurance (23i + 23ii + 23iii + 23iv)
24 Workmen and staff welfare expenses
25 Entertainment
26 Hospitality
27 Conference
28 Sales promotion including publicity (other than advertisement)
29 Advertisement
30 Commission
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)
31 Royalty
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)
32 Professional / Consultancy fees / Fee for technical services
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)
33 Hotel , boarding and Lodging
34 Traveling expenses other than on foreign traveling
35 Foreign travelling expenses
36 Conveyance expenses
37 Telephone expenses
38 Guest House expenses
39 Club expenses
40 Festival celebration expenses
41 Scholarship
42 Gift
43 Donation
44 Rates and taxes, paid or payable to Government or any local body (excluding taxes on income)
i Union excise duty
ii Service tax
iii VAT/ Sales tax
iv Cess
v Central Goods & Service Tax (CGST)
vi State Goods & Services Tax (SGST)
vii Integrated Goods & Services Tax (IGST)
viii Union Territory Goods & Services Tax (UTGST)
ix Any other rate, tax, duty or cess including STT and CTT
x Total rates and taxes paid or payable (44i + 44ii + 44iii + 44iv + 44v + 44vi + 44vii + 44viii + 44ix)
45 Audit fee
46 Other expenses (specify nature and amount)
Sl.No Nature
1 ACCOUNTING CHARGES
2 BANK CHARGES AND INTEREST
3 SHOP EXPENSES
Total
47 Bad debts(specify PAN of the person, if available, for whom Bad Debt for amount of Rs. 1 lakh or more is claimed and amount)
Sl.No (i) PAN Amount
1
ii Others (more than Rs. 1 lakh) where PAN is not available (provide name and complete address)
Sl.No NameFlat/ Door/ Block No.Name of Premises / Building / Village Road/ Street/Post office Area/ Locality Town/ City/ DistrictState Country PIN CodeZIP CodeAmo
1 SelectSelect

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iii Others (amounts less than Rs. 1 lakh)
iv Total Bad Debt (47i (All PAN) + 47ii + 47iii)
48 Provision for bad and doubtful debts
49 Other provisions
50 Profit before interest, depreciation and taxes [15 – (16 to 21 + 22xi + 23v + 24 to 29 + 30iii + 31iii + 32iii + 33 to 43 + 44x + 45 + 46 + 47iv + 48 + 49)]
51 Interest
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)
52 Depreciation and amortisation
53 Net Profit before taxes (50 - 51iii - 52 )
PROVISIONS FOR TAX AND APPROPRIATIONS
54 Provision for current tax
55 Provision for Deferred Tax
56 Profit after tax ( 53 - 54 - 55)
57 Balance brought forward from previous year
58 Amount available for appropriation (56 + 57)
59 Transferred to reserves and surplus
60 Balance carried to balance sheet in proprietor’s account (58 –59)
61 COMPUTATION OF PRESUMPTIVE BUSINESS INCOME UNDER SECTION 44AD
Sl.No Name of the Business Business Code
1 Select
i Gross turnover/Gross receipts (ia+ib)
a 'Through a/c payee cheque or a/c payee bank draft or bank electronic clearing system received before specified date
b Any other mode
ii Presumptive income under section 44AD(iia+iib)
a 6% of 61(i)(a), or the amount claimed to have been earned, whichever is higher
b 8% of 61(i)(b), or the amount claimed to have been earned, whichever is higher
Note: If income is less than the above percentage of Gross Receipts/Turnover, it is mandatory to maintain books of accounts and have a tax audit under 44AB
62 COMPUTATION OF PRESUMPTIVE INCOME FROM PROFESSIONS UNDER SECTION 44ADA
Sl.No Name of the Business Business Code
1 Select
i Gross Receipts
ii Presumptive Income under section 44ADA (50% of 62i, or the amount claimed to have been earned, whichever is higher)
Note: If income is less than 50% of Gross Receipts, it is mandatory to maintain books of accounts and have a tax audit under 44AB
63 COMPUTATION OF PRESUMPTIVE INCOME FROM GOODS CARRIAGES UNDER SECTION 44AE
Sl.No Name of the Business Business Code
1 Select
Tonnage Capacity of Number of months for which goods
Registration No. Whether Presumptive income u/s 44AE for the goods carriage (Comp
Sl.No(i) goods carriage(in carriage was owned / leased / hired by
of goods carriage owned/leased/hired exceeds 12MT, or else @ Rs.7500 per month) or the amount
MT) assessee
1 Select
Total
ii Total presumptive income from goods carriage u/s 44AE [total of column (5) of table at Point 63i
Note:If the profits are lower than prescribed under S.44AE or the number of goods carriage owned / leased / hired at any time during the year exceeds 10, then , it is mandatory t
64 IF REGULAR BOOKS OF ACCOUNT OF BUSINESS OR PROFESSION ARE NOT MAINTAINED, furnish the following information for previous year 2018-19 in res
(i) For assessee carrying on Business
a Gross turnover/Gross receipts (a1+a2)
Through a/c payee cheque or a/c payee ban
1
clearing system received before specified d
2 Any other mode
b Gross profit
c Expenses
d Net profit
(ii) For assessee carrying on Profession
a Gross receipts (a1 + a2)
Through a/c payee cheque or a/c payee ban
1
clearing system received before specified d
2 Any other mode
b Gross profit
c Expenses
d Net profit
iii Total Profit (64(i)d + 64(ii)d)
i Turnover from speculative activity
ii Gross Profit
65
iii Expenditure, if any
iv Net Income From Speculative Activity (65ii-65iii)

Part A : OI Other Information (mandatory if liable for audit under section 44AB, for other fill, if applicable).

1 Method of accounting employed in the previous year

2 Is there any change in method of accounting
3 a Increase in the profit or decrease in loss because of deviation, if any, as per Income Computation Disclosure Standards notified under section 145(2) [column 11a(iii) of Sche
b Decrease in the profit or increase in loss because of deviation, if any, as per Income Computation Disclosure Standards notified under section 145(2) [column 11b(iii) of Sch
4 Method of valuation of closing stock employed in the previous year(Optional for Professionals)
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
d Increase in the profit or decrease in loss because of deviation, if any, from the method of valuation specified under section 145A
e Decrease in the profit or increase in loss because of deviation, if any, from the method of valuation specified under section 145A
5 Amounts not credited to the profit and loss account, being
a 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 GST, or refund of sales tax or value added tax, where such credits, drawbac
b
concerned
c Escalation claims accepted during the previous year
d Any other item of income

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e Capital receipt, if any
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 conditions specified in relevant clauses
a Premium paid for insurance against risk of damage or destruction of stocks or store[36(1)(i)]
b Premium paid for insurance on the health of employees[36(1)(ib)]
c Any sum paid to an employee as bonus or commission for services rendered, where such sum was otherwise payable to him as profits or dividend [36(1)(ii)]
d Any amount of interest paid in respect of borrowed capital[36(1)(iii)]
e Amount of discount on a zero-coupon bond[36(1)(iiia)]
f Amount of contributions to a recognised provident fund[36(1)(iv)]
g Amount of contributions to an approved superannuation fund[36(1)(iv)]
h Amount of contribution to a pension scheme referred to in section 80CCD [36(1)(iva)]
i Amount of contributions to an approved gratuity fund[36(1)(v)]
j Amount of contributions to any other fund
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 emplo
k
account on or before the due date [36(1)(va)]
l Amount of bad and doubtful debts[36(1)(vii)]
mProvision for bad and doubtful debts[36(1)(viia)]
n Amount transferred to any special reserve[36(1)(viii)]
o Expenditure for the purposes of promoting family planning amongst employees[36(1)(ix)]
p Amount of securities transaction paid in respect of transaction in securities if such income is not included in business income [36(1)(xv)]
q Marked to market loss or other expected loss as computed in accordance with the ICDS notified u/s 145(2) [36(1)(xviii)]
r Any other disallowance
s Total amount disallowable under section 36 (total of 6a to 6r)
7 Amounts debited to the profit and loss account, to the extent disallowable under section 37
a Expenditure of capital nature [37(1)]
b Expenditure of personal nature [37(1)]
c Expenditure laid out or expended wholly and exclusively NOT for the purpose of business or profession [37(1)]
d Expenditure on advertisement in any souvenir, brochure, tract, pamphlet or the like, published by a political party[37(2B)]
e Expenditure by way of penalty or fine for violation of any law for the time being in force
f Any other penalty or fine
g Expenditure incurred for any purpose which is an offence or which is prohibited by law
h Amount of any liability of a contingent nature
i Any other amount not allowable under section 37
j Total amount disallowable under section 37(total of 7a to 7i)
8 A Amounts debited to the profit and loss account, to the extent disallowable under section 40
a Amount disallowable under section 40 (a)(i) on account of non-compliance with provisions of Chapter XVII-B
b Amount disallowable under section 40(a)(ia) on account of non-compliance with the provisions of Chapter XVII-B
c Amount disallowable under section 40(a)(ib), on account of non-compliance with the provisions of Chapter VIII of the Finance Act, 2016
d Amount disallowable under section 40(a)(iii) on account of non-compliance with the provisions of Chapter XVII-B
e Amount of tax or rate levied or assessed on the basis of profits[40(a)(ii)]
f Amount paid as wealth tax[40(a)(iia)]
g Amount paid by way of royalty, license fee, service fee etc. as per section 40(a)(iib)
h Amount of interest, salary, bonus, commission or remuneration paid to any partner or member[40(b)]
i Any other disallowance
j Total amount disallowable under section 40(total of Aa to Ai)
8 B Any amount disallowed under section 40 in any preceding previous year but allowable during the previous year
9 Amounts debited to the profit and loss account, to the extent disallowable under section 40A
a Amounts paid to persons specified in section 40A(2)(b)
b Amount paid otherwise than by account payee cheque or account payee bank draft or use of electronic clearing system through a bank account, disallowable under section 4
c Provision for payment of gratuity[40A(7)]
d Any sum paid by the assessee as an employer for setting up or as contribution to any fund, trust, company, AOP, or BOI or society or any other institution[40A(9)]
e Any other disallowance
f Total amount disallowable under section 40A (total of 9a to 9e)
10Any amount disallowed under section 43B in any preceding previous year but allowable during the previous year
a Any sum in the nature of tax, duty, cess or fee under any law
b Any sum payable by way of contribution to any provident fund or superannuation fund or gratuity fund or any other fund for the welfare of employees
c Any sum payable to an employee as bonus or commission for services rendered
d Any sum payable as interest on any loan or borrowing from any public financial institution or a State financial corporation or a State Industrial investment corporation
any sum payable by the assessee as interest on any loan or borrowing from a scheduled bank or a co-operative bank other than a primary agricultural credit society or a prim
e
bank
f Any sum payable towards leave encashment
g Any sum payable to the Indian Railways for the use of railway assets
h Total amount allowable under section 43B (total of 10a to 10g)
11 Any amount debited to profit and loss account of the previous year but disallowable under section 43B
a Any sum in the nature of tax, duty, cess or fee under any law
b Any sum payable by way of contribution to any provident fund or superannuation fund or gratuity fund or any other fund for the welfare of employees
c Any sum payable to an employee as bonus or commission for services rendered
d Any sum payable as interest on any loan or borrowing from any public financial institution or a State financial corporation or a State Industrial investment corporation
any sum payable by the assessee as interest on any loan or borrowing from a scheduled bank or a co-operative bank other than a primary agricultural credit society or a prim
e
bank
f Any sum payable towards leave encashment
g Any sum payable to the Indian Railways for the use of railway assets
h Total amount disallowable under Section 43B(total of 11a to 11g)
12Amount of credit outstanding in the accounts in respect of
a Union Excise Duty
b Service tax
c VAT/sales tax
d Central Goods & Service Tax (CGST)
e State Goods & Services Tax (SGST)
f Integrated Goods & Services Tax (IGST)
g Union Territory Goods & Services Tax (UTGST)
h Any other tax
i Total amount outstanding (total of 12a to 12h)
Amounts deemed to be profits and gains under section 33AB or 33ABA
13 i Section 33AB
ii Section 33ABA
14Any amount of profit chargeable to tax under section 41

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15Amount of income or expenditure of prior period credited or debited to the profit and loss account (net)
16Amount of Expenditure disallowed u/s 14A

Part A-QD - Quantitative details (optional in a case not liable for audit under section 44AB)

(a) In the case of a trading concern

Item Name* Unit* Opening stock * Purchase during the previous year * Sales during the previous year*
1 Select

(b) In the case of a manufacturing concern - Raw Materials

Item Unit of Opening stock Purchase during the previous year Consumption during the previous Sales during the previous Closing Yie
Name* measure* * * year year* stock* Pro
1 Select

(c) In the case of a manufacturing concern - Finished products/ By-products

Item Name* Unit* Opening stock* Purchases during the previous year * Quantity manufactured during the previous year Sales during the previo
1 Select

Details of Income from Salary

Name of Employer Nature of employment

Address of Employer
State Select Pincode
1 Gross Salary (1a + 1b + 1c)
Detail of 1a Salary as per section 17(1)
Employer
S. No. Nature of salary Description Amount
1
1 Select

1b Value of perquisites as per section 17(2)

S. No. Nature of perquisites Description Amount
1 Select

1c Profit in lieu of salary as per section 17(3)

S. No. Nature of Profit in lieu of Salary Description Amount
1 Select

2 Total Gross Salary (from all employers)

3 Less : Allowances to the extent exempt u/s 10 (Ensure that it is included in salary income u/s 17(1)/17(2)/17(3))
S. No. Nature of Exempt Allowance Description Amount
1 Select

4 Net Salary (2 – 3)
5 Deduction u/s 16 (5a + 5b + 5c)
5a Standard deduction u/s 16(ia)
5b Entertainment allowance u/s 16(ii)
5c Professional tax u/s 16(iii)
6 Income chargeable under the Head ‘Salaries’ (4-5)

Details of Income from House Property

1 Address of property 1
Town/ City
State Selec
Country Selec
Pincode
Zip Code
Owner of the Property Selec
Is the property co-owned? * (if "YES" please enter following details) Selec
Your percentage of share in the Property(%) %0.0
S. No. Name of other Co-owner(s) PAN of other Co-owner (s) Percentage share of other co-owner(s) in property
1 %
Type Of House Property Selec
S. No. Name(s) of Tenant (if let out) PAN of Tenant(s) (if available) PAN / TAN of Tenant(s) (if TDS credit is claimed)
1

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(a) Gross rent received or receivable or letable value 1a
(b) The amount of rent which cannot be realized 1b
(c) Tax paid to local authorities 1c
(d) Total (1b + 1c) 1d 0
(e) Annual value (1a – 1d) (nil, if self-occupied etc. as per section 23(2)of the Act) 1e
(f) Annual value of the property owned (own percentage share x 1e) 1f
(g) 30% of 1f 1g 0
(h) Interest payable on borrowed capital 1h
(i) Total (1g + 1h) 1i
(j) Arrears/Unrealized Rent received during the year Less 30% 1j
(k) Income from house property 1 (1f - 1i + 1j) 1k
2 Pass through income if any 2
3 Income under the head “Income from house property” (1k + 2k + 3) (if negative take the figure to 2i of schedule CYLA) 3
Please include the income of the specified persons referred to in Schedule SPI and Pass through income referred to in schedule PTI while computing the income under this
Note: Furnishing PAN of tenant is mandatory, if tax is deducted under section 194-IB.
Furnishing TAN of tenant is mandatory, if tax is deducted under section 194-I.

Schedule BP - Computation of income from business or profession

AFrom business or profession other than speculative business and specified business
1 Profit before tax as per profit and loss account (item 53 ,61(ii), 62(ii), 63(ii), 64(iii) and 65(iv) of P&L )
2a Net profit or loss from speculative business included in 1 (enter -ve sign in case of loss) [Sl.no 65iv of Schedule P&L]
2b Net profit or Loss from Specified Business u/s 35AD included in 1 (enter -ve sign in case of loss)
3 Income/ receipts credited to profit and loss account considered under other heads of income/chargeable u/s 115BBF/ chargeable u/s 115BBG
a Salaries
b House property
c Capital gains
d Other sources
e u/s 115BBF
f u/s 115BBG
4a Profit or loss included in 1, which is referred to in section 44AD/44ADA/44AE/44B/44BB/44BBA/44DA
i 44AD
ii 44ADA
iii 44AE
iv 44B
v 44BB
vi 44BBA
vii 44DA
4b Profit from activities covered under rule 7, 7A, 7B(1), 7B(1A) and 8
i Profit from activities covered under rule 7
ii Profit from activities covered under rule 7A
iii Profit from activities covered under rule 7B(1)
iv Profit from activities covered under rule 7B(1A)
v Profit from activities covered under rule 8
5 Income credited to Profit and Loss account (included in 1)which is exempt
a Share of income from firm(s)
b Share of income from AOP/ BOI
c Any other exempt income
SI.No. Nature Amount
1
Total 5c 0
d Total exempt income (5a + 5b + 5c)
6 Balance (1- 2a - 2b - 3a -3b - 3c - 3d -3e -3f - 4a - 4b - 5d)
7 Expenses debited to profit and loss account considered under other heads of income/related to income chargeable u/s 115BBF or u/s 115BBG
a Salaries
b House property
c Capital gains
d Other sources
e u/s 115BBF
f u/s 115BBG
8a Expenses debited to profit and loss account which relate to exempt income
8b Expenses debited to profit and loss account which relate to exempt income and disallowed u/s 14A (16 of Part A-OI)
9 Total (7a + 7b + 7c + 7d + 7e + 7f + 8a + 8b)
10 Adjusted profit or loss (6+9)
11 Depreciation and amoritisation debited to profit and loss account
Depreciation allowable under Income-tax Act
i Depreciation allowable under section 32(1)(ii) and 32(1)(iia) (item 6 of Schedule-DEP)
12
ii Depreciation allowable under section 32(1)(i) (Make your own computation refer Appendix-IA of IT Rules)
iii Total (12i + 12ii)
13 Profit or loss after adjustment for depreciation (10 +11 - 12iii)
14 Amounts debited to the profit and loss account, to the extent disallowable under section 36 (6s of PartA-OI)
15 Amounts debited to the profit and loss account, to the extent disallowable under section 37 (7j of PartA-OI)
16 Amounts debited to the profit and loss account, to the extent disallowable under section 40 (8Aj of PartA-OI)
17 Amounts debited to the profit and loss account, to the extent disallowable under section 40A (9f of PartA-OI)
18 Any amount debited to profit and loss account of the previous year but disallowable under section 43B (11h of PartA-OI)
19 Interest disallowable under section 23 of the Micro, Small and Medium Enterprises Development Act,2006
20 Deemed income under section 41
21 Deemed income under section 32AD/33AB/33ABA/35ABA/35ABB/40A(3A)/72A/80HHD/80-IA
i Section 32AD
ii Section 33AB
iii Section 33ABA
iv Section 35ABA
v Section 35ABB
vi Section 40A(3A)
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vii Section 72A
viii Section 80HHD
ix Section 80-IA
22 Deemed income under section 43CA
23 Any other item or items of addition under section 28 to 44DA
Any other expense not allowable / any other income not included in profit and loss account (including income from salary, commission, bonus and interest from firms in
24
individual/HUF/prop. concern is a partner)
(a) Salary
(b) Bonus
(c) Commission
(d) Interest
(e) Others
25 Increase in profit or decrease in loss on account of ICDS adjustments and deviation in method of valuation of stock (Column 3a + 4d of Part-A-OI)
26 Total (14 + 15 + 16 + 17 + 18 + 19 + 20 + 21 + 22 + 23 + 24 + 25)
27 Deduction allowable under section 32(1)(iii)
28 Deduction allowable under section 32AD
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 deductibl
29
35 or 35CCC or 35CCD is lower than amount debited to P&L account, it will go to item 24)
30 Any amount disallowed under section 40 in any preceding previous year but allowable during the previous year(8B of PartA-OI)
31 Any amount disallowed under section 43B in any preceding previous year but allowable during the previous year(10 h of PartA-OI)
32 Any other amount allowable as deduction
33 Decrease in profit or increase in loss on account of ICDS adjustments and deviation in method of valuation of stock (Column 3b + 4e of Part-A -OI)
34 Total (27+28+29+30+31+32+33)
35 Income (13+26-34)
Profits and gains of business or profession deemed to be under -
i Section 44AD (61(ii) of schedule P&L)
ii Section 44ADA (62(ii) of schedule P&L)
iii Section 44AE (63(ii) of schedule P&L)
36 iv Section 44B
v Section 44BB
vi Section 44BBA
vii Section 44DA
viii Total (36i to 36vii)
37 Net profit or loss from business or profession other than speculative business and specified business (35 + 36viii)
Net Profit or loss from business or profession other than speculative business and specified business, after applying rule 7A, 7B or 8), if applicable (If rule 7A, 7B or 8 is
38
37) (If loss take the figure to 2i of item E)(38a+ 38b + 38c + 38d + 38e + 38f)
a Chargeable income under Rule 7
b Deemed chargeable Income under Rule 7A
c Deemed chargeable Income under Rule 7B(1)
d Deemed chargeable Income under Rule 7B(1A)
e Deemed chargeable Income under Rule 8
f Income other than Rule7, 7A, 7B & 8 (Item No. 37)
39 Balance of income deemed to be from Agriculture, after applying Rule 7, 7A, 7B(1), 7B(1A) and Rule 8 for aggregation of income purposes as per Finance Act.
B Computation of income from speculative business
40 Net profit or loss from speculative business as per profit or loss account(Item No.2a)
41 Additions in accordance with section 28 to 44DA
42 Deductions in accordance with section 28 to 44DA
43 Income from speculative business (40 + 41 - 42)(if loss, take the figure to 6xi of schedule CFL)
C Computation of income from specified business under section 35AD
44 Net profit or loss from specified business as per profit or loss account
45 Additions in accordance with section 28 to 44DA
46 Deductions in accordance with section 28 to 44DA (other than deduction under section,- (i) 35AD, (ii) 32 or 35 on which deduction u/s 35AD is claimed)
47 Profit or loss from specified business (44+45-46)
48 Deductions in accordance with section 35AD(1)
49 Income from Specified Business (47 – 48) (if loss, take the figure to 7xi of schedule CFL)
50 S.No. Relevant clause of sub-section (5) of section 35AD which covers the specified business (to be selected from drop down menu)
1 Select
DIncome chargeable under the head ‘Profits and gains from business or profession’ (A38+B43+C49)
E Intra head set off of business loss of current year

SI Type of Business income

i Loss to be set off (Fill this row only if figure is negative)

ii Income from speculative business
iii Income from specified business
iv Total loss set off (ii + iii)
v Loss remaining after set off (i – iv)
Note:Please include the income of the specified persons referred to in Schedule SPI while computing the income under this head

Schedule DPM - Depreciation on Plant and Machinery(Other than assets on which full capital expenditure is allowable as deduction under any other section

1 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
6 Amount on which depreciation at full rate to be allowed(3 + 4 -5) (enter 0, if result in negative)
7 Additions for a period of less than 180 days in the previous year

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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 Additional depreciation relating to immediately preceding year' on asset put to use for less than 180 days
15 Total depreciation (10+11+12+13+14)
16 Depreciation disallowed under section 38(2) of the I.T. Act (out of column 15)
17 Net aggregate depreciation (15-16)
18 Proportionate aggregate depreciation allowable in the event of succession, amalgamation, demerger etc. (out of column 17)
19 Expenditure incurred in connection with transfer of asset/ assets
20 Capital gains/ loss under section 50(5 + 8 -3 - 4 -7 -19) (enter negative only if block ceases to exist)
21 Written down value on the last day of previous year (6+ 9 -15) (enter 0 if result is negative)

Schedule DOA - Depreciation on other assets (Other than assets on which full capital expenditure is allowable as deduction)

1 Block of assets Land Building (not inc

Nil 5 10
2 Rate (%)
(i) (ii) (iii)
3 Written down value on the first day of previous year 1800000 0
4 Additions for a period of 180 days or more in the previous year 0
5 Consideration or other realization during the previous year out of 3 or 4 0
6 Amount on which depreciation at full rate to be allowed(3 + 4 -5) (enter 0, if result in negative) 0
7 Additions for a period of less than 180 days in the previous year 0
8 Consideration or other realizations during the year out of 7 0
9 Amount on which depreciation at half rate to be allowed (7 -8)(enter 0, if result is negative) 0
10 Depreciation on 6 at full rate 0
11 Depreciation on 9 at half rate 0
12 Total depreciation (10+11) 0
13 Depreciation disallowed under section 38(2) of the I.T. Act (out of column 12) 0
14 Net aggregate depreciation (12-13) 0
15 Proportionate aggregate depreciation allowable in the event of succession, amalgamation, demerger etc. (out of column 14)
16 Expenditure incurred in connection with transfer of asset/ assets
17 Capital gains/ loss under section 50(5 + 8 -3-4 -7 -16) (enter negative only if block ceases to exist)
18 Written down value on the last day of previous year (6+ 9 -12) (enter 0 if result is negative) 1800000 0

Schedule DEP - Summary of depreciation on assets(Other than assets on which full capital expenditure is allowable as deduction under any other section)

1 Plant and machinery

Block entitled for depreciation @ 15 per cent
a
( Schedule DPM -17i or 18i as applicable)
Block entitled for depreciation @ 30 per cent
b
( ( Schedule DPM - 17ii or 18ii as applicable)
Block entitled for depreciation @ 40 per cent
c
( ( Schedule DPM - 17iii or 18iii as applicable)
d Total depreciation on plant and machinery ( 1a + 1b + 1c)
2 Building (not including land)
Block entitled for depreciation @ 5 per cent
a
(Schedule DOA- 14ii or 15ii as applicable)
Block entitled for depreciation @ 10 per cent
b
(Schedule DOA- 14iii or 15iii as applicable)
Block entitled for depreciation @ 40 per cent
c
(Schedule DOA- 14iv or 15iv as applicable)
d Total depreciation on building (total of 2a + 2b + 2c)
3 Furniture and fittings(Schedule DOA- 14v or 15v as applicable)
4 Intangible assets (Schedule DOA- 14vi or 15vi as applicable)
5 Ships (Schedule DOA- 14vii or 15vii as applicable)
6 Total depreciation ( 1d+2d+3+4+5)

Schedule DCG - Deemed Capital Gains on sale of depreciable assets

1 Plant and machinery

Block entitled for depreciation @ 15 per cent
a
(Schedule DPM - 20i)
Block entitled for depreciation @ 30 per cent
b
(Schedule DPM - 20ii)
Block entitled for depreciation @ 40 per cent
c
(Schedule DPM - 20iii)
d Total ( 1a +1b + 1c )
2 Building (not including land)
Block entitled for depreciation @ 5 per cent
a
(Schedule DOA- 17ii)
Block entitled for depreciation @ 10 per cent
b
(Schedule DOA- 17iii)
c Block entitled for depreciation @ 40 per cent

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(Schedule DOA- 17iv)
d Total (2a+2b+2c)
3 Furniture and fittings ( Schedule DOA- 17v)
4 Intangible assets (Schedule DOA- 17vi)
5 Ships (Schedule DOA- 17vii)
6 Total ( 1d+2d+3+4+5)

Schedule ESR Expenditure on Scientific Research ( Deduction under section 35 or 35CCC or 35CCD)

Expenditure of the nature referred to in section Amount, if any, debited to profit and loss account Amount of deduction allowable Amount of deduction
Sl No
(1) (2) (3) (4) = (3) - (2)
i 35(1)(i) 0 0
ii 35(1)(ii) 0 0
iii 35(1)(iia) 0 0
iv 35(1)(iii) 0 0
v 35(1)(iv) 0 0
vi 35(2AA) 0 0
vii 35(2AB) 0 0
viii 35 CCC 0 0
ix 35 CCD 0 0
x Total 0 0
Note: In case any deduction is claimed under sections 35(1)(ii) or 35(1)(iia) or 35(1)(iii) or 35(2AA), please provide the details as per Schedule RA

Schedule CG - Capital Gains

A Short-term capital gain (STCG) (Sub-items 4 and 5 are not applicable for residents)

1 From sale of land or building or both (fill up details separately for each property)
i Full value of consideration received/receivable
a ii Value of property as per stamp valuation authority
iii Full value of consideration adopted as per section 50C for the purpose of Capital Gains [in case (aii) does not exceed 1.05 times (ai), take this figure as (ai), or else t
Deductions under section 48
i Cost of acquisition without indexation
b ii Cost of Improvement without indexation
iii Expenditure wholly and exclusively in connection with transfer
iv Total (bi + bii + biii)
c Balance (aiii – biv)
1
d Deduction under section 54B/54D/54G/54GA (Specify details in item D below)
S. No. Section Amount
1 Select
Total 1d 0

e Short-term Capital Gains on Immovable property (1c - 1d)

In case of transfer of immovable property, please furnish - the following details (see note)
f S.No. Name of Buyer(s) PAN of Buyer(s) Percentage share Amount Address of Prop
1

Note 1: Furnishing of PAN is mandatory, if the tax is deduced under section 194-IA.
Note 2: In case of more than one buyer, please indicate the respective percentage share and amount.
From slump sale
a Full value of consideration
2
b Net worth of the under taking or division
c Short term capital gains from slump sale(2a-2b)

From sale of equity share or unit of equity oriented Mutual Fund (MF) or unit of a business trust on which STT is paid under section Select
a Full value of consideration
b Deductions under section 48
i Cost of acquisition without indexation
ii Cost of Improvement without indexation
3 1 iii Expenditure wholly and exclusively in connection with transfer
iv Total (i + ii + iii)
c Balance (3a - biv)
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
d
ignored (Enter positive value only)
e Short-term capital gain on equity share or equity oriented MF (STT paid) (3c +3d)

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 sec

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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
For NON-RESIDENTS- from sale of securities (other than those at A3 above) by an FII as per section 115AD
In case securities sold include shares of a company other than quoted shares, enter the following details
a Full value of consideration received/receivable in respect of unquoted shares
i b Fair market value of unquoted shares determined in the prescribed manner
a
c Full value of consideration in respect of unquoted shares adopted as per section 50CA for the purpose of Capital Gains (higher of a or b)
ii Full value of consideration in respect of securities other than unquoted shares
iii Total (ic + ii)
Deductions under section 48
5
i Cost of acquisition without indexation
b ii Cost of Improvement without indexation
iii Expenditure wholly and exclusively in connection with transfer
iv Total (i + ii + iii)
c Balance (5aiii - biv)
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
d
of such security to be ignored (Enter positive value only)
e Short-term capital gain on sale of securities (other than those at A3 above) by an FII (5c +5d)
From sale of assets other than at A1 or A2 or A3 or A4 or A5 above
In case assets sold include shares of a company other than quoted shares, enter the following details
a Full value of consideration received/receivable in respect of unquoted shares
i b Fair market value of unquoted shares determined in the prescribed manner
a
c Full value of consideration in respect of unquoted shares adopted as per section 50CA for the purpose of Capital Gains (higher of a or b)
ii Full value of consideration in respect of assets other than unquoted shares
iii Total (ic + ii)
b Deductions under section 48
i Cost of acquisition without indexation

6 ii Cost of Improvement without indexation

iii Expenditure wholly and exclusively in connection with transfer
iv Total (i + ii + iii)
c Balance (6aiii - biv)
In case of asset (security/unit) 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/bon
d
then loss arising out of sale of such asset to be ignored (Enter positive value only)
e Deemed short term capital gains on depreciable assets (6 of schedule- DCG)
f Deduction under section 54D/54G/54GA
S. No. Section Amount
1 Select
Total 6f 0

g STCG on assets other than at A1 or A2 or A3 or A4 or A5 above (6c + 6d + 6e - 6f)

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 du
New asset acquired/constructed
Previous year in which asset Section under which deduction claimed in Amoun
Sl.No. Year in which asset Amount utilised out of Capital Gains
7 transferred that year accoun
acquired/constructed account
1 Select Select Select

b Amount deemed to be short term capital gains u/s 54B/54D/54G/54GA, other than at 'a'
Total amount deemed to be short term capital gains (Xi + Xii + b)
8 Pass Through Income in the nature of Short Term Capital Gain, (Fill up schedule PTI)
a Pass Through Income in the nature of Short Term Capital Gain, chargeable @ 15%
b Pass Through Income in the nature of Short Term Capital Gain, chargeable @ 30%
c Pass Through Income in the nature of Short Term Capital Gain, chargeable at applicable rates
Amount of STCG included in A1-A8 but not chargeable to tax or chargeable at special rates in India as per DTAA

Amount of Item No. A1 to A8 above in Country name, Rate as per Treaty (enter NIL, if not Whether Tax Residency
Sl.No. Article of DTAA Se
income which included code chargeable) Certificate obtained?
(1) (5) (8
(2) (3) (4) (6) (7)
9
1 Select Select Select

Total amount of STCG not chargeable to tax as per DTAA

Total amount of STCG chargeable to tax at special rates in India as per DTAA
10 Total short term capital gain (A1e+ A2c+ A3e+ A4a+ A4b+ A5e+ A6g + A7 +A8 - A9a)
B Long-term capital gain (LTCG) (Sub-items 6, 7, 8 & 9 are not applicable for residents)
1 1 From sale of land or building or both

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a i Full value of consideration received/receivable
ii Value of property as per stamp valuation authority
iii Full value of consideration adopted as per section 50C for the purpose of Capital Gains [in case (aii) does not exceed 1.05 times (ai), take this figure as (ai), or else t
b Deductions under section 48
i Cost of acquisition with indexation
ii Cost of Improvement with indexation
iii Expenditure wholly and exclusively in connection with transfer
iv Total (bi + bii + biii)
c Balance (aiii – biv)
d Deduction under section 54/54B/54D/54EC/54EE/54F/54G/54GA/54GB (Specify details in item D below)
S. No. Section Amount
1 Select
Total 1d 0

e Long-term Capital Gains on Immovable property (1c - 1d)

In case of transfer of immovable property, please furnish - the following details (see note)
f S.No. Name of Buyer(s) PAN of Buyer(s) Percentage share Amount Address of Prop
1

Note 1: Furnishing of PAN is mandatory, if the tax is deduced under section 194-IA.
Note 2: In case of more than one buyer, please indicate the respective percentage share and amount.
From slump sale
a Full value of consideration
2
b Net worth of the under taking or division
c Balance(2a-2b)
d Deduction u/s 54EC/54EE/54F (Specify details in item D below)
S. No. Section Amount
1 Select
Total 2d 0

e Long term capital gains from slump sale (2c-2d)

From sale of bonds or debenture (other than capital indexed bonds issued by Government)
a Full value of consideration
b Deductions under section 48
i Cost of acquisition without indexation
ii Cost of improvement without indexation
iii Expenditure on transfer
3 iv Total (bi + bii +biii)
c Balance (3a – biv)
d Deduction under sections 54EE/54F (Specify details in item D below)
S. No. Section Amount
1 Select
Total 3d 0

e LTCG on bonds or debenture (3c – 3d))

From sale of, Select

a Full value of consideration
b Deductions under section 48
i Cost of acquisition without indexation
ii Cost of improvement without indexation
iii Expenditure wholly and exclusively in connection with transfer
4 1 iv Total (bi + bii +biii)
c Balance (4a - biv)
d Deduction under sections 54EE/54F (Specify details in item D below)
S. No. Section Amount
1 Select
Total 4d 0

e Long-term Capital Gains on assets at B4 above (4c – 4d)

5 From sale of equity share in a company or unit of equity oriented fund or unit of a business trust on which STT is paid under section 112A
a Full value of consideration
b Deductions under section 48
ia Cost of acquisition without indexation (higher of iA and iB)
ia A Cost of acquisition
ia B If the long term capital asset was acquired before 01.02.2018, lower of B1 and B2
ia B1 Fair Market Value of capital asset as per section 55(2)(ac)
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ia B2 Full value of consideration

bii Cost of improvement without indexation

biii Expenditure wholly and exclusively in connection with transfer
biv Total (bi + bii + biii)
c Balance (5a – biv)
d Less: LTCG after threshold limit as per section 112A (5c – Rs. 1 lakh) (This exemption shall be considered in schedule SI)
e Deduction under sections 54EE/54F (Specify details in item D below)
S. No. Section Amount
1 Select
Total 5e 0

f Long-term Capital Gains on assets at B5 above (5c – 5e)

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
b Deduction under sections 54EE/54F (Specify details in item D below)
6
S. No. Section Amount
1 Select
Total 6b 0

c LTCG on share or debenture (6a – 6b)

For NON-RESIDENTS- from sale of, Select

In case securities sold include shares of a company other than quoted shares, enter the following details
a Full value of consideration received/receivable in respect of unquoted shares
i b Fair market value of unquoted shares determined in the prescribed manner
a
c Full value of consideration in respect of unquoted shares adopted as per section 50CA for the purpose of Capital Gains (higher of a or b)
ii Full value of consideration in respect of assets other than unquoted shares
iii Total (ic + ii)
Deductions under section 48
1 i Cost of acquisition without indexation
7
b ii Cost of improvement without indexation
iii Expenditure wholly and exclusively in connection with transfer
iv Total (bi + bii +biii)
c Balance (7aiii – biv)
d Deduction under sections 54EE/54F (Specify details in item D below)
S. No. Section Amount
1 Select
Total 7d 0

e Long-term Capital Gains on assets at 7 above in case of NON-RESIDENT (7c – 7d)

For NON-RESIDENTS - From sale of equity share in a company or unit of equity oriented fund or unit of a business trust on which STT is paid under section 112A
a Full value of consideration
Deductions under section 48
ia Cost of acquisition without indexation (higher of iA and iB)
ia A Cost of acquisition
ia B If the long term capital asset was acquired before 01.02.2018, lower of B1 and B2

ia B1 Fair Market Value of capital asset as per section 55(2)(ac)

b

ia B2 Full value of consideration

8
bii Cost of improvement without indexation
biii Expenditure wholly and exclusively in connection with transfer
biv Total (bi + bii + biii)
c Balance (8a – biv)
d Less: LTCG after threshold limit as per section 112A (8c – Rs. 1 lakh) (This exemption shall be considered in schedule SI)
e Deduction under sections 54EE/54F (Specify details in item D below)
S. No. Section Amount
1 Select
Total 8e 0

f Long-term Capital Gains on assets at B4 above (8c – 8e)

9 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)
b Less deduction under section 115F (Specify details in item D below)
c Balance LTCG on sale of specified asset (9a – 9b)
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d LTCG on sale of asset, other than specified asset (computed without indexation)
e Less deduction under section 115F (Specify details in item D below)
f Balance LTCG on sale of asset, other than specified asset (9d – 9e)
From sale of assets where B1 to B9 above are not applicable
In case assets sold include shares of a company other than quoted shares, enter the following details
a Full value of consideration received/receivable in respect of unquoted shares
i b Fair market value of unquoted shares determined in the prescribed manner
a
c Full value of consideration in respect of unquoted shares adopted as per section 50CA for the purpose of Capital Gains (higher of a or b)
ii Full value of consideration in respect of assets other than unquoted shares
iii Total (ic + ii)
b Deductions under section 48
i Cost of acquisition with indexation
10
ii Cost of improvement with indexation
iii Expenditure wholly and exclusively in connection with transfer
iv Total (bi + bii +biii)
c Balance (10aiii - biv)
d Deduction under sections 54D/54EE/54F/54G/54GA (Specify details in item D below)
S. No. Section Amount
1 Select
Total 10d 0

e Long-term Capital Gains on assets at B10 above (10c-10d)

Amount deemed to be long-term capital gains
a Whether any amount of unutilized capital gain on asset transferred during the previous year shown below was deposited in the Capital Gains Accounts Scheme within due
New asset acquired/constructed
Previous year in which asset Section under which deduction claimed in Amoun
Sl.No. Year in which asset Amount utilised out of Capital Gains
11 transferred that year accoun
acquired/constructed account
1 Select Select Select

b Amount deemed to be long-term capital gains, other than at 'a'

Total amount deemed to be long-term capital gains (aXi + aXii + b)
12 Pass Through Income in the nature of Long Term Capital Gain,(Fill up schedule PTI) (B12a + B12b)
a Pass Through Income in the nature of Long Term Capital Gain, chargeable @ 10%
b Pass Through Income in the nature of Long Term Capital Gain, chargeable @ 20%
Amount of LTCG included in B1- B12 but not chargeable to tax or chargeable at special rates in India as per DTAA (to be taken to schedule SI)
Amount of Item No. B1 to B11 above in Country name, Rate as per Treaty (enter NIL, if not Whether Tax Residency
Sl.No. Article of DTAA Se
income which included code chargeable) Certificate obtained?
(1) (5) (8
13 (2) (3) (4) (6) (7)
1 Select Select Select

Total amount of LTCG not chargeable to tax as per DTAA

Total amount of LTCG chargeable to tax at special rates as per DTAA
14 Total long term capital gain [B1e +B2e+ B3e +B4e + B5f + B6c + B7e + B8f + B9c+ B9f + B10e + B11 + B12 - B13a] (In case of loss take the figure to 9xi of schedule CF
C Income chargeable under the head “CAPITAL GAINS” (A9 + B14) (take B14 as nil, if loss)
D Information about deduction claimed against Capital gains
1 In case of deduction u/s 54/54B/54D/54EC/54EE/54F/54G/54GA/115F give following details
a Deduction claimed u/s 54
S. No. Date of transfer of original asset Cost of new residential house Date of purchase/construction of new residential house Amount deposited in Capital Gains Accounts S
1

b Deduction claimed u/s 54B

S. No. Date of transfer of original asset Cost of new agricultural land Date of purchase of new agricultural land Amount deposited in Capital Gains Accounts Scheme before
1

c Deduction claimed u/s 54D

S. Date of acquisition of original Cost of purchase/ construction of new land or building for industrial Date of purchase of new land or Amount deposited in Capita
No. asset undertaking building before due date
1

d Deduction claimed u/s 54EC

S. No. Date of transfer of original asset Amount invested in specified/notified bonds (not exceeding fifty lakh rupees) Date of investment Amount of deduction claimed
1

e Deduction claimed u/s 54EE

S. No. Date of transfer of original asset Amount invested in specified asset Date of investment Amount of deduction claimed
1

f Deduction claimed u/s 54F

S. No. Date of transfer of original asset Cost of new residential house Date of purchase/construction of new residential house Amount deposited in Capital Gains Accounts S
1
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g Deduction claimed u/s 54G

S. Date of transfer of original asset Cost and expenses incurred for purchase or Date of purchase/construction of new asset in an area Amount deposited
No. from urban area construction of new asset other than urban area Scheme before du
1

h Deduction claimed u/s 54GA

S. Date of transfer of original asset from Cost and expenses incurred for purchase or construction Date of purchase/construction of new Amount deposited in Cap
No. urban area of new asset asset in SEZ before due date
1

i Deduction claimed u/s 115F (for Non-Resident Indians)

S. No. Date of transfer of original foreign exchange asset Amount invested in new specified asset or savings certificate Date of investment Amount of deduction claimed
1

j Total deduction claimed ) (1a + 1b + 1c + 1d + 1e + 1f + 1g + 1h + 1i)

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 A8a & B12a which is chargeable under DTAA)
Short term capital loss Long term capit
Capital Gain of current year (Fill this column only if
computed figure is positive) applicable DTAA
Sl.No Type of Capital Gain 15% 30% 10% 20%
rate rate
1 2 3 4 5 6 7
Loss to be set off (Fill this row if figure
i 0 0 0 0 0
computed is negative)
ii 15% 0 0 0 0
iii 30% 0 0 0 0
Short term capital gain
iv applicable rate 0 0 0 0
v DTAA rates 0 0 0 0
vi 10% 0 0 0 0 0
vii Long term capital gain 20% 0 0 0 0 0 0
viii DTAA rates 0 0 0 0 0 0
ix Total loss set off (ii + iii + iv + v + vi + vii) 0 0 0 0 0
x Loss remaining after set off (i – viii) 0 0 0 0 0
F Information about accrual/receipt of capital gain
Upto 16/6 to 16/9 to 16/12 to 16/3 t
Type of Capital gain / Date 15/6 15/9 15/12 15/3 31/3
(i) (ii) (iii) (iv) (v)
Short-term capital gains taxable at the rate of 15%
1 0 0 0 0
Enter value from item 5vi of schedule BFLA, if any.
Short-term capital gains taxable at the rate of 30%
2 0 0 0 0
Enter value from item 5vii of schedule BFLA, if any.
Short-term capital gains taxable at applicable rates
3 0 0 0 0
Enter value from item 5viii of schedule BFLA, if any.
Short-term capital gains taxable at DTAA rates
4 0 0 0 0
Enter value from item 5ix of schedule BFLA, if any.
Long- term capital gains taxable at the rate of 10%
5 0 0 0 0
Enter value from item 5x of schedule BFLA, if any.
Long- term capital gains taxable at the rate of 20%
6 0 0 0 0
Enter value from item 5xi of schedule BFLA, if any.
Long term capital gains taxable @ DTAA rates
7 0 0 0 0
Enter value from item 5xii of schedule BFLA, if any.
Note:Please include the income of the specified persons referred to in Schedule SPI while computing the income under this head

From sale of equity share in a company or unit of equity oriented fund or unit of a business trust on which STT is paid under section 112A

Cost of Cost of
Total Sale Cost of Full value of
acquisition If the long term capital Total Fair Market improvement
Value acquisition- Fair Market Consideration
without asset was acquired before Value of capital asset without
Name of Sale-price (4*5) Item Item 5 (b) Value per - item 5 (b)(i)
Sl. ISIN No. of indexation 01.02.2018, lower of B1 as per section 55(2) indexation -
the per 5 (a) of (i)(A) of share/unit as (B)(2) of
No. Code Shares/Units Item 5 (b)(i) of and B2 -Lower of 11 & 12- (ac)- (4*10) - item 5 item 5 (b)(ii)
Share/Unit Share/Unit LTCG LTCG on 31st LTCG
LTCG item 5 (b)(i)(B) of LTCG (b)(i)(B)(1) of LTCG LTCG
Schedule Schedule of January,2018 Schedule of
Schedule of Schedule of ITR3 Schedule of ITR3 Schedule of
of ITR3 ITR3 ITR3
ITR3 ITR3
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12) (13)
1
Total of each column

For NON-RESIDENTS - From sale of equity share in a company or unit of equity oriented fund or unit of a business trust on which STT is paid under sectio

Sl. ISIN Name of No. of Sale-price Total Sale Cost of Cost of If the long term capital Fair Market Total Fair Market Full value of Cost of
No. Code the Shares/Units per Value acquisition acquisition- asset was acquired before Value per Value of capital asset Consideration improvement
Share/Unit Share/Unit (4*5) Item without Item 8 (b) 01.02.2018, lower of B1 share/unit as as per section 55(2) - item 8 (b)(i) without
8 (a) of indexation (i)(A) of and B2 -Lower of 11 & 12- (ac)- (4*10) - item 8 (B)(2) of indexation -

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LTCG Item 8 (b)(i) of LTCG item 8 (b)(i)(B) of LTCG on 31st (b)(i)(B)(1) of LTCG LTCG item 8 (b)(ii)
Schedule LTCG Schedule of Schedule of ITR3 January,2018 Schedule of ITR3 Schedule of LTCG
of ITR3 Schedule of ITR3 ITR3 Schedule of
ITR3 ITR3
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12) (13)
1
Total of each column

Income from other sources

1 Gross income chargeable to tax at normal applicable rates (1a+ 1b+ 1c+ 1d + 1e)
a Dividend (Excluding taxable at special Rates) Gross
b Interest, Gross (bi + bii + biii + biv + bv)
bi From Savings Bank
bii From Deposit (Bank/ Post Office/ Co-operative)
biii From Income Tax Refund
biv In the nature of Pass through income
bv Others
c Rental income from machinery, plants, buildings, etc., Gross
d Income of the nature referred to in section 56(2)(x) which is chargeable to tax (di + dii + diii + div + dv)
di Aggregate value of sum of money received without consideration
dii In case immovable property is received without consideration, stamp duty value of property
diii In case immovable property is received for inadequate consideration, stamp duty value of property in excess of such consideration
div In case any other property is received without consideration, fair market value of property
dv In case any other property is received for inadequate consideration, fair market value of property in excess of such consideration
1e Any other income (please specify nature)
Nature Amount
Family pension
1
Total
2 Income chargeable at special rates (2a+ 2b+ 2c+ 2d + 2e + 2f related to sl.no.1)
S. No. Nature Income
a Winnings from lotteries, crossword puzzles etc. chargeable u/s 115BB 0
b Income chargeable u/s 115BBE (bi + bii + biii + biv+ bv + bvi) 0
i Cash credits u/s 68 0
ii Unexplained investments u/s 69 0
iii Unexplained money etc. u/s 69A 0
iv Undisclosed investments etc. u/s 69B 0
v Unexplained expenditurte etc. u/s 69C 0
vi Amount borrowed or repaid on hundi u/s 69D 0
c Accumulated balance of recognised provident fund taxable u/s 111
Sl.No. Assessment Year Income Benefit Tax Benefit
(1) (2) (3) (4)
1 Select

Total 0 0

d Any other income chargeable at special rate (total of di to dxviii) dxix) 0

1 Select

e Pass through income in the nature of income from other sources chargeable at special rates 0
1 Select
f Amount included in 1 and 2 above, which is chargeable at special rates in India as per DTAA (total of column (2) of table below)
Rate as per Treaty
Amount of Item No.1 and 2 in which Country Name & Whether Tax Residency Certificate Se
Sl.No. Article of DTAA (enter NIL, if not
income included Code obtained? A
(1) (5) chargeable)
(2) (3) (4) (7) (8
(6)
1 Select Select Select Se
3 Deductions under section 57:- (other than those relating to income chargeable at special rates under 2a, 2b & 2d)
ai Expenses / deductions (in case of other than family pension)
aii Deduction u/s 57(iia) (in case of family pension only)
b Depreciation
c Total
4 Amounts not deductible u/s 58
5 Profits chargeable to tax u/s 59
6 Net Income from other sources chargeable at normal applicable rates (1 – 3 + 4 + 5) (If negative take the figure to 3xi of schedule CYLA)
7 Income from other sources (other than from owning race horses)(2+6) (enter 6 as nil, if negative)
8 Income from the activity of owning and maintaining race horses
a Receipts
b Deductions under section 57 in relation to receipts at 8a only
c Amounts not deductible u/s 58
d Profits chargeable to tax u/s 59
e Balance (8a - 8b + 8c + 8d)) (if negative take the figure to 10xii of Schedule CFL)
9 Income under the head “Income from other sources” (7+8e) (take 8e as nil if negative)
Note :Please include the income of the specified persons referred to in Schedule SPI while computing the income under this head
10 Information about accrual/receipt of income from Other Sources
Upto 15/6 From 16/6 to 15/9 From 1
S. No.
(i) (ii) (iii)

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1 Dividend Income u/s 115BBDA 0 0
2 Income by way of winnings from lotteries, crossword puzzles, races, games, gambling, betting etc. referred to in section 2(24)(ix) 0 0

Schedule CYLA - Details of Income after set-off of current years losses

Business Loss (other than

Income of current year (Fill this House property loss of
speculation loss) of the current year
column only if income is zero or the current year set off fr
set off
Sl.No Head/ Source of Income positive)
4 of Schedule – HP 2v of item E of Schedule BP
1 2 3
i Loss to be set off -> 0 0
ii Salaries 0 0
iii House property 0 0
Income from Business (excluding speculation profit
iv 682189 0
and income from specified business) or profession
v Speculative Income 0 0
vi Specified Business Income 0 0
vii Short-term capital gain taxable @ 15% 0 0 0
viii Short-term capital gain taxable @ 30% 0 0 0
ix Short-term capital gain taxable at applicable rates 0 0 0
Short-term capital gain taxable at Special Rates in
x 0 0 0
India as per DTAA
xi Long term capital gain taxable @ 10% 0 0 0
xii Long term capital gain taxable @ 20% 0 0 0
Long term capital gains taxable at Special Rates in
xiii 0 0 0
India as per DTAA
Net Income from Other sources chargeable at Normal
xiv 32738 0 0
Applicable rates
xv Profit from owning and maintaining race horses 0 0 0
Income from other sources taxable at special rates in
xvi 0 0 0
India as per DTAA
xvii Total loss set-off 0 0
xviii Loss remaining after set-off (i - xvii) 0 0

Schedule BFLA - Details of Income after Set off of Brought Forward Losses of earlier years

Income after set off, if any, of current year’s losses as Brought forward Brought forward Broug
Sl.No Head/ Source of Income per 5 of Schedule CYLA) loss set off depreciation set off sectio
1 2 3 4
i Salaries 0
ii House property 0 0 0
Business (excluding speculation income and income
iii 682189 0
from specified business)
iv Speculation Income 0 0 0
v Specified Business Income 0 0 0
vi Short-term capital gain taxable at 15% 0 0 0
vii Short-term capital gain taxable at 30% 0 0 0
viii Short-term capital gain taxable at applicable rates 0 0 0
Short-term capital gain taxable at Special Rates in
ix 0 0 0
India as per DTAA
x Long term capital gain taxable at 10% 0 0 0
xi Long term capital gain taxable at 20% 0 0 0
Long term capital gains taxable at Special Rates in
xii 0 0 0
India as per DTAA
Net Income from Other sources chargeable at Normal
xiii 32738 0
Applicable rates
xiv Profit from owning and maintaining race horses 0 0 0
Income from other sources income taxable at special
xv 0 0
rates in India as per DTAA
xvi Total of brought forward loss set off (2ii + 2iii + 2iv + 2v + 2vi + 2vii + 2viii + 2ix + 2x + 2xi + 2xii + 2xiv) 0 0
xvii Current year's income remaining after set off Total (5i + 5ii + 5iii + 5iv+ 5v + 5vi + 5vii + 5viii + 5ix + 5x + 5xi +5xii + 5xiii+ 5xiv + 5xv))

Schedule CFL - Details of Losses to be carried forward to future years

House Loss from

Date of Filing Loss from business other than loss from speculative Loss from
Sl.No Assessment Year property speculative
(DD/MM/YYYY) business and specified business specified business
loss Business

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1 2 3 4 5 6 7
i 2010-11
ii 2011-12
iii 2012-13
iv 2013-14
v 2014-15
vi 2015-16
vii 2016-17
viii 2017-18
ix 2018-19
x Total of earlier year losses b/f 0 0 0 0
Adjustment of above losses in
xi 0 0 0 0
Schedule BFLA
2019-20 (Current year losses to
xii 0 0 0 0
be carried forward)
Total loss Carried Forward to
xiii 0 0 0 0
future years

Schedule UD - Unabsorbed depreciation and allowance under section 35(4)

Depreciation All
Assessment
Sl.No Year Amount of brought forward Amount of depreciation set-off against the Balance Carried forward to Amount of brought forward Amo
(1) (2) unabsorbed depreciation current year income the next year unabsorbed allowance curre
(3) (4) (5) (6) (7)
1 2019-20
2 0

Total 0

Schedule ICDS - Effect of Income Computation Disclosure Standards on profit

Sl.No. ICDS
(i) (ii)
I Accounting Policies
II Valuation of Inventories (other than the effect of change in method of valuation u/s 145A, if the same is separately reported at col. 4d or 4e of Part A-OI)
III Construction Contracts
IV Revenue Recognition
V Tangible Fixed Assets
VI Changes in Foreign Exchange Rates
VII Government Grants
VIII Securities (other than the effect of change in method of valuation u/s 145A, if the same is separately reported at col. 4d or 4e of Part A-OI)
IX Borrowing Costs
X Provisions, Contingent Liabilities and Contingent Assets
11(a) Total effect of ICDS adjustments on profit (I+II+III+IV+V+VI+VII+VIII+IX+X) (if positive)
11 (b) Total effect of ICDS adjustments on profit (I+II+III+IV+V+VI+VII+VIII+IX+X) (if negative)

Schedule 10AA - Deduction under Section 10AA

Deduction in respect of units located in Special Economic Zone

Sl.No. Undertaking Assessment year in which unit begins to manufacture/produce
1 Undertaking No.1 Select

Total deduction under section 10AA (a+b)

Schedule 80G - Details of donation entitled for deduction under Section 80G

A. Donations entitled for 100% deduction without qualifying limit

Amount of donation *
S No. Name of donee * Address Detail * City or Town or District * State Code * PinCode * PAN of Donee *
Donation in cash Donation in other m
1 Select
Total A

B.Donations entitled for 50% deduction without qualifying limit

Amount of donation *
S No. Name of donee * Address Detail * City or Town or District * State Code * PinCode * PAN of Donee *
Donation in cash Donation in other m
1 Select
Total B

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C. Donations entitled for 100% deduction subject to qualifying limit

Amount of donation *
S No. Name of donee * Address Detail * City or Town or District * State Code * PinCode * PAN of Donee *
Donation in cash Donation in other
1 Select
Total C

D. Donations entitled for 50% deduction subject to qualifying limit

Amount of donation *
S No. Name of donee * Address Detail * City or Town or District * State Code * PinCode * PAN of Donee *
Donation in cash Donation in other m
1 Select
Total D

E.Donation in cash(A + B + C + D)
F.Donation in other mode(A + B + C + D)
G.Total Amount of Donations (A+ B + C + D)
H.Total eligible amount of donations (A+ B + C+ D)

Schedule-RA Details of donations to research associations etc. [deduction under sections 35(1)(ii) or 35(1)(iia) or 35(1)(iii) or 35(2AA)]

Amount of donation *
S No. Name of donee * Address Detail * City or Town or District * State Code * PinCode * PAN of Donee *
Donation in cash Donation in other m
1 Select
Total A 0

Schedule 80 - Deductions under Section 80-IA

Deduction in respect of profits of an undertaking referred to in section 80-IA(4)(ii) [Telecommunication services]

a
1 Undertaking No.1
Deduction in respect of profits of an undertaking referred to in section 80-IA(4)(iii) [Industrial park and SEZs]
b
1 Undertaking No.1
Deduction in respect of profits of an undertaking referred to in section 80-IA(4)(iv) [Power]
c
1 Undertaking No.1
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 ref
d distribution network]
1 Undertaking No.1
e Total deductions under section 80-IA (a+b+c+d)

Sch 80- IB Deductions under Section 80-IB

Deduction in respect of industrial undertaking located in Jammu & Kashmir [Section 80-IB(4)]
a
1 Undertaking No.1
Deduction in respect of industrial undertaking located in industrially backward states specified in Eighth Schedule [Section 80-IB(4)]
b
1 Undertaking No.1
Deduction in respect of industrial undertaking located in industrially backward districts [Section 80-IB(5)]
c
1 Undertaking No.1
Deduction in the case of multiplex theatre [Section 80-IB(7A)]
d
1 Undertaking No.1
Deduction in the case of convention centre [Section 80-IB(7B)]
e
1 Undertaking No.1
Deduction in the case of undertaking which begins commercial production or refining of mineral oil [Section 80-IB(9)]
f
1 Undertaking No.1
Deduction in the case of an undertaking developing and building housing projects [Section 80-IB(10)]
g
1 Undertaking No.1
Deduction in the case of an undertaking operating a cold chain facility [Section 80-IB(11)]
h
1 Undertaking No.1
Deduction in the case of an undertaking engaged in processing, preservation and packaging of fruits, vegetables, meat, meat products, poultry, marine or dairy products [Sectio
i
1 Undertaking No.1
Deduction in the case of an undertaking engaged in integrated business of handling, storage and transportation of foodgrains [Section 80-IB(11A)]
j
1 Undertaking No.1
Deduction in the case of an undertaking engaged in operating and maintaining a rural hospital [Section 80-IB(11B)]
k
1 Undertaking No.1
Deduction in the case of an undertaking engaged in operating and maintaining a hospital in any area, other than excluded area [Section 80-IB(11C)]
l
1 Undertaking No.1
m Total deduction under section 80-IB (Total of a1 to l2)

Sch 80-IC or 80-IE Deductions under section 80-IC or 80-IE

Deduction in respect of undertaking located in Sikkim

a
1 Undertaking No.1
Deduction in respect of undertaking located in Himachal Pradesh
b
1 Undertaking No.1

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c Deduction in respect of undertaking located in Uttarakhand
1 Undertaking No.1
d Deduction in respect of undertaking located in North-East
Assam
da
1 Undertaking No.1
Arunachal Pradesh
db
1 Undertaking No.1
Manipur
dc
1 Undertaking No.1
Mizoram
dd
1 Undertaking No.1
Meghalaya
de
1 Undertaking No.1
Nagaland
df
1 Undertaking No.1
Tripura
dg
1 Undertaking No.1
dh Total of deduction for undertakings located in North-east (Total of da to dg)
e Total deduction under section 80-IC or 80-IE (a + b + c + dh)

Schedule VI-A - Deductions under Chapter VI-A

Part B- Deduction in respect of certain payments

a
80C - Life insurance premia, deferred annuity, contributions to provident fund, subscription to certain equity shares or debentures, etc.
b
80CCC - Payment in respect Pension Fund
c
80CCD(1) - Contribution to pension scheme of Central Government
d
80CCD(1B) - Contribution to pension scheme of Central Government
e
80CCD(2) - Contribution to pension scheme of Central Government by the Employer
f
80CCG - Investment made under an equity savings scheme
80D
1 (A) Health Insurance Premium
g
(B) Medical expenditure
(C) Preventive health check-up
h 80DD - Maintenance including medical treatment of a dependant who is a person with disability
i 80DDB - Medical treatment of specified disease
j 80E - Interest on loan taken for higher education
k 80EE - Interest on loan taken for residential house property
l 80 G - Donations to certain funds, charitable institutions, etc (Please fill 80G Schedule. This field is auto-populated from schedule.)
m 80GG - Rent paid
n 80GGC - Donation to Political party
Total Deduction under Part B (total of a to n)
Part C- Deduction in respect of certain incomes

o 80IA (e of Schedule 80-IA)

p 80-IAB
q 80IB (m of Schedule 80-IB)
r 80-IBA
2
s 80IC / 80IE (e of Schedule 80-IC/ 80-IE)
t 80JJA
u 80JJAA
v 80QQB
w 80RRB
Total Deduction under Part C (total of o to w)
Part CA and D- Deduction in respect of other incomes/other deduction

3 x 80TTA - Interest on saving bank Accounts in case of other than Resident senior citizens
y 80TTB - Interest on deposits in case of Resident senior citizens
z 80U
Total Deduction under Part CA and D (total of x to z)
4 Total deductions under Chapter VI-A (1+2+3)

Schedule AMT - Computation of Alternate Minimum Tax payable under section 115JC

1 Total Income as per item 14 of PART-B-TI*

2 Adjustment as per section 115JC(2)
2a Deduction claimed under any section included in Chapter VI-A under the heading “C.—Deductions in respect of certain incomes”
2b Deduction claimed u/s 10AA
2c Deduction claimed u/s 35AD as reduced by the amount of depreciation on assets on which such deduction is claimed
2d Total Adjustment (2a+ 2b+ 2c)
3 Adjusted Total Income under section 115JC(1) (1+2d)
4 Tax payable under section 115JC [18.5% or 9% of (3), as 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 2019-20 (1d of Part-B-TTI)

2 Tax under other provisions of the Act in assessment year 2019-20 (2i of Part-B-TTI)

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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

AMT Credit Utilised during t

S.No Assessment Year(A) AMT Credit
Assessment Year(C)
Gross Set-off in earlier assessment Balance brought forward to the current assessment year
(B1) years (B2) (B3)=(B1)-(B2)
i 2013-14 0
ii 2014-15 0
iii 2015-16 0
iv 2016-17 0
v 2017-18 0
vi 2018-19 0
Current AY (enter 1 - 2, if 1>2
vii 0
else enter 0)
viii Total 0 0 0

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)]

Schedule SPI - Income of specified persons (spouse, minor child etc.) includable in income of the assessee as per section 64

S.No. Name of person* PAN of person (optional) Relationship* Amount (₹) * Head of
1 Select

Schedule SI - Income chargeable to Income tax at special rates

Sl.No. Section/Description * Special rate (%)* Inc

1 111 - Tax on accumulated balance of recognised PF 1

2 111A (STCG on equity share or equity oriented fund chargeable to STT) 15
3 112 (LTCG on others) 20
4 112 proviso (LTCG on listed securities/ units without indexation) 10
5 112(1)(c)(iii)(LTCG on transfer of unlisted securities in the case of non-residents) 10
6 112A - LTCG on equity shares/units of equity oriented fund/units of business trust on which STT is paid 10
115BB (Winnings from lotteries, crosswords puzzles, races including horse races, card games and other games of any sort or gambling or
7 30
betting of any form or nature whatsoever)
8 115AD(1)(ii) -STCG (other than on equity share or equity oriented mutual fund referred to in section 111A) by an FII 30
9 115AD(1)(iii)Proviso-Securities referred in section 112A read with section 115AD 10
10 115BBF -Tax on income from patent(a) Income under head business or profession 10
11 115BBG-Tax on Transfer of carbon credits(a) Income under head business or profession 10
12 STCG Chargeable under DTAA rates 1
13 LTCG Chargeable under DTAA rates 1
14 Other source income chargeable under DTAA rates 1
Total

Schedule IF - Information regarding partnership firms in which you are partner

Number of firms in which you are partner

Name of the PAN of the Whether the firm is liable for audit? Whether section 92E is applicable to firm? Percentage share in profit of the A
Sl.No.
firm * firm * (Yes/No) * (Yes/No) * firm * p
1 Select Select

Total

Schedule EI - Details of Exempt Income (Income not to be included in total income or not chargeable to tax)

1 Interest income
2 Dividend income from domestic company (amount not exceeding Rs. 10 lakh)
3 i Gross Agricultural receipts (other than income to be excluded under rule 7A, 7B or 8 of I.T. Rules)
ii Expenditure incurred on agriculture
iiiUnabsorbed agricultural loss of previous eight assessment years
iv Net Agricultural income for the year (i – ii – iii) (enter nil if loss)
v In case the net agricultural income for the year exceeds Rs.5 lakh, please furnish the following details
Name of district along with pin code in which agricultural land is located
Sl.No. Measurement of agricultural land in Acre Whether the agricultural land is owned or held on
Name of district Pin code
1 Select
4 Others exempt income, (including exempt income of minor child) (please specify)

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S. No. Nature of Income Amount
1 Select
Total
Income not chargeable to tax as per DTAA
S. No. Amount of Income Nature of Income Country name & code Article of DTAA Head of Income Whether TRC obtained
5
1 Select Select Select
Total Income from DTAA not chargeable to tax
6 Pass through income not chargeable to tax (Schedule PTI)
7 Total (1 + 2 + 3(iv) + 4 + 5 + 6)

Pass Through Income details from business trust or investment fund as per section 115UA, 115UB

Sl.No. Name of business trust/ investment fund PAN of the business trust/ investment fund Sl.No. Head of income Amo
i House property
ii Capital Gains
a Short Term
b Long Term
1 iii Other Sources
iv Income claimed to be exempt
a u/s 10(23FBB)
b u/s
c u/s
Note: Please refer to the instructions for filling out this schedule

Schedule FSI - Details of Income from outside India and tax relief

Income from outside India(included Tax paid Tax payable on such income under normal Tax relief availab
Country Taxpayer Head of Income
Sl.No. Sl.No. in PART B-TI) outside India provisions in India whichever is low
Code Identification number
(a) (b) (c) (d) (e)
i Salary
ii House Property
Business or
iii
1 Select Profession
iv Capital Gains
v Other Sources
Total 0 0 0
Note: Please refer to the instructions for filling out this schedule

Schedule TR - Summary of tax relief claimed for taxes paid outside India

Details of Tax Relief claimed

Taxpayer Identification Total taxes paid outside India (total of (c) of Schedule FSI in respect of Total tax relief available(total of (e) of Schedule FS
Country Code
Sl.No. Number each country) each country
1
(a) (b) (c) (d)
1 0
Total 0
2 Total Tax relief available in respect of country where DTAA is applicable (section 90/90A) (Part of total of 1(d))
3 Total Tax relief available in respect of country where DTAA is not applicable (section 91) (Part of total of 1(d))
4 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 detail
4a Amount of tax refunded
4bAssessment year in which tax relief allowed in India
Note:Please refer to the instructions for filling out this schedule.

Schedule FA - Details of Foreign Assets and Income from any source outside India

A1 Details of Foreign Depository Accounts held (including any beneficial interest) at any time during the relevant accounting period)
Name of the financial Address of the financial Account Account Peak Balance During the Ye
Sl No Country Code and Name ZIP Code Status
institution institution Number opening date Period (in rupees)
(1) (2) (5) (7)
(3) (4) (6) (8) (9)
1 Select Select
A2 Details of Foreign Custodial Accounts held (including any beneficial interest) at any time during the relevant accounting period

Name of the financial Address of the financial Account Account opening Peak Balance Duri
Sl No Country Code and Name ZIP Code Status
institution institution Number date Period
(1) (2) (5) (7)
(3) (4) (6) (8) (9)

1 Select Select
A3 Details of Foreign Equity and Debt Interest held (including any beneficial interest) in any entity at any time during the relevant accounting period
Date of Initial value Peak value of Total gr
Sl
Country Code and Name Name of entity Address of entity ZIP Code Nature of entity acquiring the of the investment during Closing balance with res
No
(2) (3) (4) (5) (6) interest investment the period (10) period
(1)
(7) (8) (9) (11) (₹)
1 Select
A4 Details of Foreign Cash Value Insurance Contract or Annuity Contract held (including any beneficial interest) at any time during the relevant accounting period
Name of financial institution in which insurance Address of financial The cash value or surrender value of
Sl No Country Code and Name ZIP Code Date of contract
contract held institution the contract
(1) (2) (5) (5)
(3) (4) (6)
1 Select
B Details of Financial Interest in any Entity held (including any beneficial interest) at any time during the relevant accounting period
Total
Sl Country Code Name of Nature of Income accrued from Nature of
Zip Code Nature of entity Address of the Entity Date since held Investment (at
No and Name the Entity Interest such Interest Income
2(b) (3) 4(b) (6) cost)
(1) 2(a) 4(a) (5) (8) (₹) (9)
(7) (₹)
1 Select Select

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C Details of Immovable Property held (including any beneficial interest) at any time during the relevant accounting period
Country Code and Date of Total Investment (at Income derived from the
Sl No Zip Code Address of the Property Ownership Nature of Incom
Name acquisition cost) property
(1) 2(b) (3) (4) (8)
2(a) (5) (6) (₹) (7) (₹)
1 Select Select
D Details of any other Capital Asset held (including any beneficial interest) at any time during the relevant accounting period
Country Code and Date of Total Investment (at Income derived from the
Sl No Zip Code Nature of Asset Ownership Nature of Income
Name acquisition cost) asset
(1) 2(b) (3) (4) (8)
2(a) (5) (6) (₹) (7) (₹)
1 Select Select
E Details of account(s) in which you have signing authority held (including any beneficial interest) at any time during the relevant accounting period and which has not been

Name of the Institution in which Address of the Country Code Zip Name of the Account Peak Balance/Investment Whether income accrued is If
Sl No
the account is held Institution and Name Code account holder Number during the year taxable in your hands? in
(1)
(2) 3(a) 3(b) 3(c) (4) (5) (6) (₹) (7) (8

1 Select Select
F Details of trusts, created under the laws of a country outside India, in which you are a trustee, beneficiary or settlor

Sl Name of Address of Name of Address of Name of Address of Name of Address of Date since Whether income derived
Country Code and Name Zip Code
No the trust the trust trustees trustees Settlor Settlor Beneficiaries Beneficiaries position held taxable in your hands?
2(a) 2(b)
(1) 3 3(a) 4 4(a) 5 5(a) 6 6(a) (7) (8)

1 Select Select
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 professio
Name of the person from whom Address of the person from whom Income Nature of Whether taxable in
Sl No Country Code and Name Zip Code
derived derived derived income hands?
(1) 2(a) 2(b)
3(a) 3(b) (4) (5) (6)
1 Select Select
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
Note:
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 - Information regarding apportionment of receipts between spouses governed by Portuguese Civil Code

Name of the spouse*

PAN of the spouse*
Heads of Income Receipts received under the head Amount apportioned in the hands of the spouse Amount of TDS deducted on income a
(i) (ii) (iii) (iv)
1 House Property*
2 Business or profession*
3 Capital gains*
4 Other sources*
5 Total 0 0

Asset and Liability at the end of the year (other than those included in Part A- BS) (applicable in a case where total income exceeds Rs.50 lakh)

A Do you own any immovable asset ?

Details of immovable asset
Address
Description
S.No. (2)
(1)
Flat/ Door/ Block No. Name of Premises / Building / Village Road/ Street/Post office Area/ Locality Town/ City/ District S
1 S
B Details of movable asset
Sl.no Description
(i) Jewellery, bullion etc.
(ii) Archaeological collections, drawings, painting, sculpture or any work of art
(iii) Vehicles, yachts, boats and aircrafts
Financial asset
(a) Bank (including all deposits)
(b) Shares and securities
(iv)
(c) Insurance policies
(d) Loans and advances given
(e) Cash in hand
C Do you have any Interest held in the assets of a firm or association of persons (AOP) as a partner or member thereof ?
Address of the firm(s)/ AOP(s)
Name of the firm(s)/ PA
(2)
S.No. AOP(s) A
Flat/ Door/ Block Name of Premises / Building / Road/ Street/Post Area/ Town/ City/ Zip
(1) State Country Pincode (3
No. Village office Locality District Code
1 SelectSelect
D Liability in relation to Assets at (A+B+C)

Schedule-GST INFORMATION REGARDING TURNOVER/GROSS RECEIPT REPORTED FOR GST

S No. GSTIN No(s). * Annual value of outward supplies as per the GST return(s) filed *
1
Note: Please furnish the information above for each GSTIN No. separately

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Part B-TI - Computation of total income

1 Salaries (6 of Schedule S)
2 Income from house property (3 of Schedule-HP) (enter nil if loss)
3 Profits and gains from business or profession
i Profit and gains from business other than speculative business and specified business (A38 of Schedule BP) (enter nil if loss)
ii Profit and gains from speculative business (B43 of Schedule BP) (enter nil if loss and take the figure to schedule CFL)
iii Profit and gains from specified business (C49 of Schedule BP) (enter nil if loss and take the figure to schedule CFL)
iv Income chargeable to tax at special rates (3e & 3f of Schedule BP)
v Total (3i + 3ii + 3iii + 3iv) (enter nil if 3v is a loss)
4 Capital gains
a Short term
i Short-term chargeable @ 15% (point 9(ii) of table E of Sch CG)
ii Short-term chargeable @ 30% (point 9(iii) of table E of Sch CG)
iii Short-term chargeable at applicable rate (point 9(iv) of table E of Sch CG)
iv STCG chargeable at special rates as per DTAA (9v of item E of Schedule CG)
v Total short-term (ai+aii+aiii+aiv)
b Long term
i Long-term chargeable @ 10% (point 9(vi) of table E of Sch CG)
ii Long-term chargeable @ 20% (point 9(vii) of table E of Sch CG)
iii LTCG chargeable at special rates as per DTAA (9viii of item E of Schedule CG)
iv Total Long-term (bi + bii + biii) (enter nil if loss)
c Total capital gains (4av + 4biv) (enter nil if loss)
5 Income from other sources
a Net Income from Other sources chargeable to tax at Normal Applicable rates ( 6 of Schedule OS) (enter nil if loss)
b Income chargeable to tax at special rate (2 of Schedule OS)
c Income from the activity of owning & maintaining race horses (8e of Schedule OS)(enter nil if loss)
d Total (5a + 5b + 5c) (enter nil if loss)
6 Total of Head Wise Income(1 + 2 +3v + 4c + 5d)
7 Losses of current year to be set off against 6 (total of 2xvii, 3xvii and 4xvii of Schedule CYLA)
8 Balance after set off current year losses (6 - 7) (total of column 5 of Schedule CYLA+5b +3iv)
9 Brought forward losses to be set off against 8 (total of 2xvi, 3xvi and 4xvi of Schedule BFLA)
10 Gross Total income (8 - 9) ( 5xvii of Schedule BFLA + 5b + 3iv )
11 Income chargeable to tax at special rate under section 111A, 112, 112A etc. included in 10
Deductions under Chapter VI-A
a Part-B, CA and D of Chapter VI-A [(1 + 3) of Schedule VI-A and limited upto (10-11)]
12
b Part-C of Chapter VI-A [(2 of Schedule VI-A and limited upto (10-11-3iii)]
c Total (12a +12b) [limited upto (10-11)]
13 Deduction u/s 10AA (c of Sch. 10AA)
14 Total income (10 - 12 - 13c)
15 Income which is included in 14 and chargeable to tax at special rates (total of (i) of schedule SI)
16 Net agricultural income for rate purpose (3 of Schedule EI)
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 xii of Schedule CFL)
19 Deemed income under section 115JC (3 of Schedule AMT)

Part B-TTI - Computation of tax liability on total income

a Tax payable on deemed total income under section 115JC (4 of Schedule AMT)
b Surcharge on (a) (if applicable)
1
c Health and Education Cess , on (1a+1b) above
d Total Tax Payable on deemed total income (1a+1b+1c)
Tax payable on total income
a Tax at normal rates on 17 of Part B-TI
b Tax at special rates (total of col (ii) of Schedule-SI)
c Rebate on agricultural income [applicable if (14-15) of Part B-TI exceeds maximum amount not chargeable to tax]
d Tax Payable on Total Income (2a + 2b – 2c)
e Rebate under section 87A
2 f Tax Payable after rebate (2d-2e)
Surcharge
(i)25% of 16(ii) of schedule SI
g
(ii) On [(2f) – (16(ii) of Schedule SI)]
(iii) Total (i + ii)
h Health and Education Cess, on (2f+2giii )
i Gross tax liability (2f+2giii+2h)
3 Gross tax payable (higher of 1d and 2i)
4 Credit under section 115JD of tax paid in earlier years (applicable if 2i is more than 1d) (5 of Schedule AMTC)
5 Tax payable after credit under section 115JD (3-4)
Tax relief
a Section 89 (Please ensure to submit Form 10E to claim this relief)
6 b Section 90/ 90A ( 2 of Schedule TR)
c Section 91 ( 3 of Schedule TR)
d Total (6a + 6b + 6c)
7 Net tax liability (5 – 6d)(enter zero if negative)
Interest and fee payable
a Interest for default in furnishing the return (section 234A)
b Interest for default in payment of advance tax (section 234B)
8
c Interest for deferment of advance tax (section 234C)
d Fee for default in furnishing return of income (section 234F)
e Total Interest and Fee Payable (8a+8b+8c+8d)
9 Aggregate liability (7 + 8e)
10 Taxes Paid
a Advance Tax (from column 5 of 17A) 10a
b TDS (total of column 5 of 18B and column 9 of 18C1 and column 9 of 18C2) 10b
c TCS (total of column 7 of 17D) 10c
d Self Assessment Tax (from column 5 of 17A) 10d

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e Total Taxes Paid (10a+10b+10c+10d)
11 Amount payable (Enter if 9 is greater than 10e, else enter 0)

Refund

12 Refund (If 10e is greater than 9) (Refund, if any, will be directly credited into the bank account)

Bank account details

13 Do you have a bank account in India (Non-residents claiming refund with no bank account in India may select NO) ?*
a)Details of all Bank Accounts held in India at any time during the previous year (excluding dormant accounts)
S.No. IFS Code of the bank Name of the Bank Account Number (the number should be 9 digits or more as per CBS system of the bank) Indicate
1 BARB0SARAIA BANK OF BARODA 567050001328 true
Note: Minimum one account should be selected for refund credit.
In case of Refund, multiple accounts are selected for refund credit, then refund will be credited to one of the account decided by CPC after processing the return
b) Non-residents, who are claiming income-tax refund and not having bank account in India may, at their option, furnish the details of one foreign bank account
S.No. SWIFT Code Name of the Bank
1
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
14
(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 ]*
15. If the return has been prepared by a Tax Return Preparer (TRP) give further details below:
Identification No. of TRP: Name of TRP :
16. If TRP is entitled for any reimbursement from the Government, amount thereof

18A - IT. Details of payments of Advance Tax and Self-Assessment Tax

Sl.No. BSR Code* Date of Deposit (DD/MM/YYYY)* Serial number of challan*

(1) (2) (3) (4)
1

Total
Note: Enter the totals of Advance tax and Self-Assessment tax in Sl No. 10a & 10d of Part B-TTI

TDS1

18B - Details of Tax Deducted at Source from Salary [As per Form 16 issued by Employer(s)]

Sl.No. Tax Deduction Account Number (TAN)

Name of the Employer (3)* Income chargeable under Salaries (4)*
(1) of the Employer (2)*
1

Total
Note: Please enter total of column 5 in 10b of Part B-TTI

TDS2

18C(1) - Details of Tax Deducted at Source on Income [As per FORM 16A issued by Deductor(s)]

TDS credit TDS credit out of (6) or (7) or (8) being

relating to Unclaimed TDS brought TDS of the current financial Year (TDS
Tax (only if corresponding income is being o
Self/Other forward (b/f) deducted during the FY 2018-19)*
PAN Of Other Deduction year)
Person[Spouse
Person(If TDS Account
Sl.No. as per section
credit related to Number Fin. Deducted in the hands of
5A/Other
other person)* (TAN) of the Year in Deducted in spouse as per section 5A or claimed in own Claimed in the hands o
person as per Amount b/f
Deductor* which own hands* any other person as per rule hands* 5A or any other person
Rule
deducted 37BA(2) (if applicable)
37BA(2)] *
(8) (1
(1) (2) (3) (4) (5) (6) (7) (9)
Income TDS Income TD

1 Self JBPB00003D Select 3274 3274

Total
Note: Please enter total column 9 of above in 10b of Part B-TTI

TDS3

18C(2) - Details of Tax Deducted at Source (TDS) on Income [As per Form 16B/16C furnished by Deductor(s)]

Sl.No. TDS credit PAN Of Other PAN of the TDS credit out of (6) or (7) or (8) being
Unclaimed TDS brought TDS of the current financial Year (TDS
relating to Person(If TDS buyer/Tenant* (only if corresponding income is being
forward (b/f) deducted during the FY 2018-19)*
Self/Other Credit related year)
Person[Spouse
Financial Amount b/f Deducted in Deducted in the hands of claimed in own Claimed in the hands o

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as per section to other year in own hands* spouse as per section 5A or hands* section 5A or any othe
5A/Other person)* which any other person as per rule 37BA(2)
person as per TDS is 37BA(2) (if applicable)
Rule deducted
37BA(2)]*
(8) (1
(1) (2) (3) (4) (5) (6) (7) (9)
Income TDS Income T
1 Select Select

Total
Note: Please enter total of column 5 of TDS1 and column 9 of TDS2 and column 9 of TDS3 in 10(b) of Part B-TTI

TCS

18D - Details of Tax Collected at Source (TCS) [As per Form 27D issued by the Collector(s)]

Tax Deduction
and Tax Unclaimed TCS brought forward (b/f)
Collection
Sl.No. Name of the Collector* TCS of the current fin. Year
Account
Number of the Financial year in which Collected Amount b/f
Collector*
(1) (2) (3) (4) (5) (6)
1 Select

Total
Note: Please enter total of column (7) of TCS in 10c of Part B-TTI

Verification

I,
SATYA DEO JAISWAL
* son/ daughter of
AMRIT LAL JAISWAL
* 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 is in accordance with th
I am making returns in my capacity as
Self
* and I am also competent to make this return and verify it. I am holding permanent account number
AILPJ9950H
Date* 05/10/2019
1. Submission date is the system date of e-Filing portal of Income Tax Department. The same is available in the Acknowledgement/ITR-V generated after submission of
Note: 2. Verification Date is the date of e-Verification at e-Filing portal of Income Tax Department or the date of receipt of ITR-V at CPC, Bengaluru. The same will be availab
Verification, it is available in Acknowledgement.

Deduction u/s 80TTA shall be allowed from Interest from Saving Bank under Income from Other Sources

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