In the Income-tax rules, 1962 (hereinafter referred to as the principal rules), in rule 12,(a) in sub-rule (1),(I)

Transcription

1 I N COM E TAX -COPY OFN OTI FI CATI ON N O. 6 / 0 8 D t e d r d Apr l, 0 8 In exercse of the powers conferred y secton 9 red wth secton 95 of the Income-tx Act, 96 ( of 96), the Centrl Bord of Drect Txes herey mkes the followng rules further to mend the Income-tx Rules, 96, nmely:. () These rules my e clled the I ncom e - t x ( Se cond Am e ndm e nt ) Rule s, 0 8. () They shll e deemed to hve come nto force wth effect from the st dy of Aprl, 08.. In the Income-tx rules, 96 (herenfter referred to s the prncpl rules), n rule,() n su-rule (),(I) for the fgures 07, the fgures 08 shll e susttuted; (II) n cluse (),() for the words n ndvdul, the words n ndvdul who s resdent other thn not ordnrly resdent nd shll e susttuted; () n su-cluse (), fter the words rought forwrd loss, the words or loss to e crred forwrd shll e nserted; () n the provso, for tem (I), the followng shll e susttuted, nmely: (I) hs ssets (ncludng fnncl nterest n ny entty) locted outsde Ind; (IA) hs sgnng uthorty n ny ccount locted outsde Ind; (IB) hs ncome from ny source outsde Ind; (IC) hs ncome to e pportoned n ccordnce wth provsons of secton 5A; ; (III) n cluse (c), for the words derved from propretory, the words under the hed shll e susttuted; (IV) n cluse (d), for the words dervng ncome from propretory, the words hvng ncome under the hed shll e susttuted; () n su-rule (5), for the fgures 06, the fgures 07 shll e susttuted.. In the prncpl rules, n Appendx II, for Forms Forms Shj (ITR-), Form ITR-, Form ITR-, Form Sugm (ITR-), Form ITR-5, Form ITR-6, Form ITR-7 nd Form ITR-V, the followng Forms shll e respectvely susttuted, nmely:-

2 FORM ITR- SAHAJ INDIAN INCOME TAX RETURN Assessment Yer [For ndvduls eng resdent other thn not ordnrly resdent hvng Income from Slres, one house property, other sources (Interest etc.) nd hvng totl ncome upto Rs.50 lkh] (Refer nstructons for elglty) 08-9 PART A GENERAL INFORMATION Nme Adhr Numer ( dgt)/adhr Enrolment Id (8 dgt) (If elgle for PAN Adhr) Address: Flt/Door/Block. Offce Mole. Eml Address Are/loclty Nme of Premses/Buldng/Vllge Town/Cty/Dstrct Stte Country Return fled (Tck)[Plese see nstructon- ] On or efore due dte- u/s9(), Belted- u/s 9(), Revsed - u/s 9(5), u/s 9()(), or n response to notce u/s 9(9)-Defectve, (), 8, 5A/5C If revsed/defectve, then enter Recept. nd Dte of flng orgnl return (DD/MM/YYYY) If fled n response to notce u/s 9(9)/()/8/5A/5C, enter dte of such notce / Are you governed y Portuguese Cvl Code s per secton 5A? Tck) SALARY / PENSION HOUSE PROPERTY B B B Pn code Employer, f ny Govt. PSU Others / / / (If YES fll PAN of the Spouse) PART B GROSS TOTAL INCOME B Rod/Street/Post Whole- Rupee( ) only Slry (excludng ll llownces, perqustes nd proft n leu of slry) Allownces not exempt Vlue of perqustes v Proft n leu of slry v Deductons u/s 6 v Income chrgele under the hed Slres ( v v) Tck pplcle opton Self Occuped Let Out Gross rent receved/ recevle/ letle vlue Tx pd to locl uthortes Annul Vlue ( ) v 0% of Annul Vlue v Interest pyle on orrowed cptl v Income chrgele under the hed House Property ( v v) Income from Other Sources Gross Totl Income (B+B+B) (If loss, put the fgure n negtve) v v B If let out, furnsh detls elow v v B ( ) B B( ) PART C DEDUCTIONS AND TAXABLE TOTAL INCOME (Refer nstructons for Deducton lmt s per Income-tx Act) 80C Any Other (Plese specfy secton) Totl deductons 80D 80G C 80TTA Totl Income (B-C) C PART D COMPUTATION OF TAX PAYABLE D D D7 D0 D D Tx pyle on totl Cess, on D Interest u/s A Fee u/s F Totl Txes Pd D5 D8 D D D Rete u/s 87A Tx fter Rete Totl Tx nd D6 Relef u/s 89() D9 Interest u/s B Interest u/s C Totl Tx, Fee nd Interest (D5+D7+D8+D9+D0 D6) D Amount pyle Refund (D-D) (f Exempt Income: For reportng 0 (8) 0() (D-D) (f D>D) Others Pls. specfy Agrculturl Income PART E OTHER INFORMATION D5 Sl. I II Detls of ll Bnk Accounts held n Ind t ny tme durng the prevous yer (excludng dormnt ccounts) (tck one ccount IFS Code of the Bnk Nme of the Bnk Account Numer for refund) Schedule-IT Detls of Advnce Tx nd Self-Assessment Tx pyments BSR Code Col () Dte of Depost (DD/MM/YYYY) Col () Serl Numer of Chlln Col () Tx pd Col () R R Schedule-TDS Detls of TDS/TCS [As per Form 6/6A/7D ssued or Form 6QC furnshed y Deductor(s)/ Employer(s)/ Collector(s)] T T TAN of deductor/ PAN of the Tennt Nme of the Deductor/ Collector/Tennt Col () Col () Amount whch s suject to tx deducton /collecton Col () Yer of tx deducton/ collecton Tx Deducted/ collected Amount out of (5) clmed ths Yer Col () Col (5) Col (6)

3 VERIFICATION Stmp Recept., Sel, Dte & Sgn of Recevng Offcl I, son/ dughter of solemnly declre tht to the est of my knowledge nd elef, the nformton gven n the return s correct nd complete nd s n ccordnce wth the provsons of the Income-tx Act, 96. I further declre tht I m mkng ths return n my cpcty s nd I m lso competent to mke ths return nd verfy t. I m holdng permnent ccount numer (f llotted) (Plese see nstructon). Dte: If the return hs een prepred y Tx Return Preprer (TRP) gve further detls elow: Identfcton. of TRP Nme of TRP If TRP s enttled for ny remursement from the Government, mount thereof Sgn: Counter Sgnture of TRP

4 Assessment Yer FORM INDIAN INCOME TAX RETURN [For Indvduls nd HUFs not hvng ncome from profts nd gns of usness or professon] ITR- (Plese see Rule of the Income-tx Rules, 96) (Also see ttched nstructons) Prt A-GEN GENERAL Frst nme Mddle nme Flt/Door/Block. PERSONAL INFORMATION Lst nme PAN Nme of Premses/Buldng/Vllge Sttus (Tck) Indvdul HUF Rod/Street/Post Offce Dte of Brth/ Formton (DD/MM/YYYY) Are/loclty Adhr Numer ( dgt)/ Adhr Enrolment Id (8 dgt) (f elgle for Adhr) Town/Cty/Dstrct Stte Pn code/zp code Employer Ctegory(f n employment) (Tck) Govt. PSU Others Country Resdentl/Offce Phone Numer wth STD code/ Mole. Mole. Eml Address- (self) Income Tx Wrd/Crcle Eml Address- Return fled (Tck)[Plese see nstructon numer-7] On or efore due dte-9(), After due dte-9(), Revsed Return- 9(5), Modfed return- 9CD, under secton 9()(), or In response to notce 9(9)-Defectve, (), 8, 5A/5C If revsed/defectve/modfed, then enter Recept. () / / nd Dte of flng orgnl return (DD/MM/YYYY) If fled, n response to notce u/s 9(9)/()/8/5A/5C enter dte of such notce, or u/s 9CD enter dte of / / (c) dvnce prcng greement (d) Resdentl Sttus Tck pplcle opton Do you wnt to clm the eneft under secton 5H? Resdent (pplcle n cse of resdent) n-resdent Resdent ut t Ordnrly Resdent FILING STATUS () (e) Whether ny trnscton hs een mde wth person locted n jursdcton notfed u/s 9A of the Act? (f) Are you governed y Portuguese Cvl Code s per secton 5A? Tck) (g) Whether ths return s eng fled y representtve ssessee? (Tck) If yes, plese furnsh followng nformton () Nme of the representtve () Address of the representtve () Permnent Account Numer (PAN) of the representtve (If YES plese fll Schedule 5A) PART-B Prt B - TI Computton of totl ncome Slres (6 of Schedule S) Income from house property ( of Schedule HP) (enter nl f loss) TOTAL INCOME Cptl gns Short term Short-term 5% (7 of tem E of schedule CG) Short-term 0% (7 of tem E of schedule CG) Short-term chrgele t pplcle rte (7v of tem E of schedule CG) v Totl Short-term ( + + ) v Do not wrte or stmp n ths re (Spce for r code) For Offce Use Only Recept. Dte Sel nd Sgnture of recevng offcl

5 Long-term Long-term 0% (7v of tem E of schedule CG) Long-term 0% (7v of tem E of schedule CG) Totl Long-term ( + ) (enter nl f loss) c Totl cptl gns (v + ) (enter nl f loss) c Income from other sources from sources other thn from ownng rce horses nd ncome chrgele to tx t specl rte (k of Schedule OS) (enter nl f loss) Income chrgele to tx t specl rte (fv of Schedule OS) c from the ctvty of ownng nd mntnng rce horses ( e of Schedule OS) (enter nl f loss) d Totl ( + + c) (enter nl f loss) d 5 Totl (++c+d) 5 6 Losses of current yer set off gnst 5 (totl of x nd x of Schedule CYLA) 6 7 Blnce fter set off current yer losses ( 5-6) (totl of column of Schedule CYLA+) 7 8 Brought forwrd losses set off gnst 7 (x of Schedule BFLA) 8 9 Gross Totl ncome ( 7-8) (x of Schedule BFLA +) 9 0 Income chrgele to tx t specl rte under secton A, etc. ncluded n 9 0 Deductons under Chpter VI-A [ t of Schedule VIA nd lmted to ( 9-0)] Totl ncome ( 9 - ) Income whch s ncluded n nd chrgele to tx t specl rtes (totl of () of schedule SI) Net grculturl ncome/ ny other ncome for rte purpose ( of Schedule EI) 5 Aggregte ncome ( -+) [pplcle f ( -) exceeds mxmum mount not chrgele to tx] 5 6 Losses of current yer to e crred forwrd (totl of row x of Schedule CFL) 6 Prt B -TTI Computton of tx llty on totl ncome Tx pyle on totl ncome Tx t norml rtes on 5 of Prt B-TI COMPUTATION OF TAX LIABILITY c Tx t specl rtes (totl of col. () of Schedule SI) c Rete on grculturl ncome [pplcle f (-) of Prt B-TI exceeds mxmum mount not chrgele to tx] d Tx Pyle on Totl Income ( + c) c d Rete under secton 87A Tx pyle fter rete (d - ) Surchrge 5% of () of Schedule SI On [() (() of Schedule SI)] Totl + 5 Educton cess, ncludng secondry nd hgher educton cess on ( + ) 6 Gross tx llty ( + + 5) 7 Tx relef Secton 89 Secton 90/ 90A ( of Schedule TR) c Secton 9 ( of Schedule TR) 7 7 7c d Totl ( c) Interest for defult n pyment of dvnce tx (secton B) 7d c Interest for deferment of dvnce tx (secton C) 9c d Fee for defult n furnshng return of ncome (secton F) 9d e Totl Interest nd Fee Pyle (9+9+9c+9d) 0 Aggregte llty (8 + 9e) Net tx llty (6 7d) (enter zero f negtve) 9 Interest nd fee pyle Interest for defult n furnshng the return (secton A) 9e 0 Pge 8

6 TAXES PAID Txes Pd Advnce Tx (from column 5 of 9A) TDS (totl of column 5 of 9B nd column 9 of 9C) c TCS (totl of column 5 of 9D) c d Self-Assessment Tx (from column 5 of 9A) d e Totl Txes Pd (++c+d) e Amount pyle (Enter f 0 s greter thn e, else enter 0) Refund (If e s greter thn 0) (Refund, f ny, wll e drectly credted nto the nk ccount) BANK ACCOUNT Detls of ll Bnk Accounts held n Ind t ny tme durng the prevous yer (excludng dormnt ccounts) (In cse of non-resdents, detls of ny one foregn Bnk Account my e furnshed for the purpose of credt of refund) Sl. IFS Code of the Bnk n cse of Bnk Nme of the Bnk Account Numer Indcte the ccount n whch you Accounts held n Ind (SWIFT Code n (IBAN n cse of foregn Bnk prefer to get your refund credted, f cse of foregn Bnk Account) ny (tck one ccount ) Accounts) 5 Do you t ny tme durng the prevous yer, () hold, s enefcl owner, enefcry or otherwse, ny sset (ncludng fnncl nterest n ny entty) locted outsde Ind; or () hve sgnng uthorty n ny ccount locted outsde Ind; or () hve ncome from ny source outsde Ind? [pplcle only n cse of resdent] [Ensure Schedule FA s flled up f the nswer s ] VERIFICATION I, son/ dughter of, solemnly declre tht to the est of my knowledge nd elef, the nformton gven n the return nd schedules thereto s correct nd complete nd s n ccordnce wth the provsons of the Income-tx Act, 96. I further declre tht I m mkng return n my cpcty s nd I m lso competent to mke ths return nd verfy t. I m holdng permnent ccount numer (f llotted) (Plese see nstructon) I further declre tht the crtcl ssumptons specfed n the greement hve een stsfed nd ll the terms nd condtons of the greement hve een compled wth. (Applcle n cse where return s furnshed under secton 9CD) Plce Dte Sgn here 6 If the return hs een prepred y Tx Return Preprer (TRP) gve further detls elow: Identfcton. of TRP Nme of TRP Counter Sgnture of TRP If TRP s enttled for ny remursement from the Government, mount thereof 8 TAX PAYMENTS A Detls of pyments of Advnce Tx nd Self-Assessment Tx ADVANCE/ SELF ASSESSMENT TAX Sl () Dte of Depost (DD/MM/YYYY) Serl Numer of Chlln Amount (Rs) () () () (5) v Enter the totls of Advnce tx nd Self-Assessment tx n Sl. & d of Prt B-TTI Detls of Tx Deducted t Source from Slry [As per Form 6 ssued y Employer(s)] TDS ON SALARY Sl () I Tx Deducton Account Numer (TAN) of the Employer () Nme of the Employer Income chrgele under Slres Totl tx deducted () () (5) II NOTE Plese enter totl of column 5 n of Prt B-TTI Detls of Tx Deducted t Source (TDS) on Income [As per Form 6 A ssued or Form 6QB/6QC furnshed y Deductor(s)] TDS ON OTHER INCOME C BSR Code NOTE B 7 Sl TAN of the Nme of the Unque Unclmed TDS Deductor/ Deductor/ TDS rought forwrd PAN of the Buyer/Tennt Certfcte (/f) Buyer/ Numer Tennt TDS of the current fn. Yer TDS credt out of (7) or (8) eng TDS credt clmed ths Yer (only f out of (7) or (8) eng correspondng ncome s eng offered for tx ths yer) crred forwrd

7 () () () () Fn. Yer n whch deducted Amount /f (5) (6) Deducted Deducted n the hnds of spouse Clmed Clmed n the hnds of n own s per secton 5A or ny other n own spouse s per secton 5A or hnds person s per rule 7BA() (f hnds ny other person s per pplcle) rule 7BA() (f pplcle) (7) (8) Income TDS (9) PAN of spouse/ other person (0) Income TDS () PAN of spouse/ other person NOTE Plese enter totl of column 9 n of Prt B-TTI Detls of Tx Collected t Source (TCS) [As per Form 7D ssued y the Collector(s)] D Sl TCS () Tx Deducton nd Collecton Account Numer of the Collector Nme of the Collector Tx Collected Amount out of () eng clmed () () () (5) Amount out of () eng clmed n the hnds of spouse, f secton 5A s pplcle (6) I I NOTE Plese enter totl of column (5) n c of Prt B-TTI NOTE: PLEASE FILL SCHEDULES TO THE RETURN FORM (PAGES S S) AS APPLICABLE Pge 85

8 SCHEDULES TO THE RETURN FORM (FILL AS APPLICABLE) Schedule S Detls of Income from Slry PAN of Employer (f vlle) Nme of Employer Address of employer Stte Pn code Slry (Excludng ll exempt/ non-exempt llownces, perqustes & proft n leu of slry s they re shown seprtely elow) SALARIES Town/Cty Allownces not exempt (refer Form 6 from employer) Vlue of perqustes (refer Form 6 from employer) Profts n leu of slry (refer Form 6 from employer) 5 Deducton u/s 6 (Entertnment llownce y Government nd tx on employment) 5 6 Income chrgele under the Hed Slres (+++-5) 6 7 Allownces exempt under secton 0 (t to e ncluded n 6 ove) Trvel concesson/ssstnce receved [(sec. 0(5)] Tx pd y employer on non-monetry perquste [(sec. 0(0CC)] Allownce to meet expendture ncurred on house rent [(sec. 0(A)] v Other llownces Schedule HP v Detls of Income from House Property (Plese refer to nstructons) Address of property Town/ Cty Stte PIN Code Is the property co-owned? (f YES plese enter followng detls) Your percentge of shre n the property Nme of Co-owner(s) PAN of Co-owner(s)e Percentge Shre n Property I II HOUSE PROPERTY [Tck the pplcle opton] PAN of Tennt(s) (f vlle) Nme(s) of Tennt (f let out) Let out I Self-occuped II Deemed let out Annul letle vlue or rent receved or recevle (hgher of the two, f let out for whole of the yer, lower of the two f let out for prt of the yer) The mount of rent whch cnnot e relzed c Tx pd to locl uthortes c d Totl ( + c) d e Annul vlue ( d) (nl, f self -occuped etc. s per secton ()of the Act) e f Annul vlue of the property owned (own percentge shre x e) f g 0% of f g h Interest pyle on orrowed cptl h Totl (g + h) j Income from house property (f ) j Town/ Cty Address of property Is the property co-owned? Your percentge of shre n the property. (f YES plese enter followng detls) Stte PIN Code

9 Nme of Co-owner(s) PAN of Co-owner(s) Percentge Shre n Property Nme(s) of Tennt (f let out) I PAN of Tennt(s) (f vlle) I II [Tck the pplcle opton] Let out Self-occuped Deemed let out II Annul letle vlue or rent receved/ recevle (hgher of the two, f let out for whole of the yer, lower of the two, f let out for prt of the yer) The mount of rent whch cnnot e relzed c Tx pd to locl uthortes c d Totl ( + c) d e Annul vlue ( d) e f Annul vlue of the property owned (own percentge shre x e) g 0% of f g h Interest pyle on orrowed cptl h f Totl (g + h) j Income from house property (f ) j Income under the hed Income from house property Unrelzed rent nd Arrers of rent receved durng the yer under secton 5A fter deductng 0% Totl (j + j + ) (f negtve tke the fgure to of schedule CYLA) NOTE Plese nclude the ncome of the specfed persons referred to n Schedule SPI whle computng the ncome under ths hed Schedule CG Cptl Gns A Short-term Cptl Gns (STCG) (Su-tems nd re not pplcle for resdents) From sle of lnd or uldng or oth Full vlue of consderton receved/recevle Vlue of property s per stmp vluton uthorty Full vlue of consderton dopted s per secton 50C for the purpose of Cptl Gns ( or ) Deductons under secton 8 Short-term Cptl Gns Cost of cquston wthout ndexton Cost of Improvement wthout ndexton Expendture wholly nd exclusvely n connecton wth trnsfer v Totl ( + + ) v c Blnce ( v) c d Deducton under secton 5B (Specfy detls n tem D elow) e Short-term Cptl Gns on Immovle property (c - d) d Ae From sle of equty shre or unt of equty orented Mutul Fund (MF) or unt of usness trust on whch STT s pd under secton A or 5AD()() provso (for FII) Full vlue of consderton Deductons under secton 8 Cost of cquston wthout ndexton Cost of Improvement wthout ndexton Expendture wholly nd exclusvely n connecton wth trnsfer v Totl ( + + ) v c Blnce ( v) c Loss to e dsllowed u/s 9(7) or 9(8)- for exmple f sset ought/cqured wthn months pror to record dte nd dvdend/ncome/onus unts re d d receved, then loss rsng out of sle of such sset to e gnored (Enter postve vlue only) e Short-term cptl gn on equty shre or equty orented MF (STT pd) (c +d) For NON-RESIDENT, not eng n FII- from sle of shres or deentures of n Indn compny (to e computed wth foregn exchnge djustment under frst provso to secton 8) STCG on trnsctons on whch securtes trnscton tx (STT) s pd STCG on trnsctons on whch securtes trnscton tx (STT) s not pd For NON-RESIDENT- from sle of securtes (other thn those t A) y n FII s per secton 5AD In cse securtes sold nclude shres of compny other thn quoted shres, enter the followng detls Ae A A

10 Full vlue of consderton receved/recevle n respect of unquoted shres Fr mrket vlue of unquoted shres determned n the prescred mnner c Full vlue of consderton n respect of unquoted shres dopted s per secton 50CA for the purpose of Cptl Gns (hgher of or ) c Full vlue of consderton n respect of securtes other thn unquoted shres Totl (c + ) Deductons under secton 8 Cost of cquston wthout ndexton Cost of mprovement wthout ndexton Expendture wholly nd exclusvely n connecton wth trnsfer v Totl ( + + ) v c Blnce ( v) c Loss to e dsllowed u/s 9(7) or 9(8)- for exmple f securty ought/cqured wthn months pror to record dte nd dvdend/ncome/onus unts re d receved, then loss rsng out of sle of such securty to e gnored (Enter postve vlue only) d e Short-term cptl gn on sle of securtes y n FII (other thn those t A) (c +d) Ae 5 From sle of ssets other thn t A or A or A or A ove In cse ssets sold nclude shres of compny other thn quoted shres, enter the followng detls Full vlue of consderton receved/recevle n respect of unquoted shres Fr mrket vlue of unquoted shres determned n the prescred mnner c Full vlue of consderton n respect of unquoted shres dopted s per c secton 50CA for the purpose of Cptl Gns (hgher of or ) Full vlue of consderton n respect of ssets other thn unquoted shres Totl (c + ) Deductons under secton 8 Cost of cquston wthout ndexton Cost of Improvement wthout ndexton Expendture wholly nd exclusvely n connecton wth trnsfer v Totl ( + + ) v c Blnce (5 v) 5c d In cse of sset (securty/unt) loss to e dsllowed u/s 9(7) or 9(8)- for exmple f sset ought/cqured wthn months pror to record dte nd dvdend/ncome/onus unts re receved, then loss rsng out of sle of such sset to e gnored (Enter postve vlue only) e STCG on ssets other thn t A or A or A or A ove (5c + 5d) 5d A5e 6 Amount deemed to e short term cptl gns Whether ny mount of unutlzed cptl gn on sset trnsferred durng the prevous yers shown elow ws deposted n the Cptl Gns Accounts Scheme wthn due dte for tht yer? t pplcle. If yes, then provde the detls elow Sl. Prevous yer Secton under whch New sset cqured/constructed Amount not used for n whch sset deducton clmed n Yer n whch sset Amount utlsed out of new sset or remned trnsferred tht yer cqured/constructed Cptl Gns ccount unutlzed n Cptl gns ccount (X) B Amount deemed to e short term cptl gns, other thn t Totl mount deemed to e short term cptl gns (X + ) A6 Amount of STCG ncluded n A-A6 ut not chrgele to tx or chrgele t specl rtes n Ind s per 7 DTAA Item. A Sl. Amount of to A6 ove. ncome n whch ncluded () () () Country nme & Code Rte s per Whether TRC Artcle of Trety otned DTAA (enter NIL, f not (Y/N) Secton of Rte s per Applcle rte I.T. Act I.T. Act [lower of (6) or (9)] chrgele) () (5) (6) (7) (8) (9) (0) I II Totl mount of STCG not chrgele to tx n Ind s per DTAA A7 Totl mount of STCG chrgele t specl rtes n Ind s per DTAA A7 8 Totl Short-term Cptl Gn (Ae+ Ae+ A+ A+ Ae+ A5e+A6-A7) B Long-term cptl gn (LTCG) (Su-tems, 5 & 6 re not pplcle for resdents) From sle of lnd or uldng or oth A8

11 Full vlue of consderton receved/recevle Vlue of property s per stmp vluton uthorty Full vlue of consderton dopted s per secton 50C for the purpose of Cptl Gns ( or ) Deductons under secton 8 Cost of cquston wth ndexton Cost of Improvement wth ndexton Expendture wholly nd exclusvely n connecton wth trnsfer v Totl ( + + ) v c Blnce ( v) Deducton under secton 5/5B/5EC/5EE/5F/5GB (Specfy detls n tem D d elow) e Long-term Cptl Gns on Immovle property (c - d) c d Be From sle of onds or deenture (other thn cptl ndexed onds ssued y Government) Full vlue of consderton Deductons under secton 8 Cost of cquston wthout ndexton Cost of mprovement wthout ndexton Expendture wholly nd exclusvely n connecton wth trnsfer v Totl ( + +) v c Blnce ( v) c d Deducton under sectons 5EC/5EE/5F (Specfy detls n tem D elow) d Long-term Cptl Gns e LTCG on onds or deenture (c d) From sle of, () lsted securtes (other thn unt) or zero coupon onds where provso under secton () s pplcle () GDR of n Indn compny referred n sec. 5ACA Full vlue of consderton Deductons under secton 8 Cost of cquston wthout ndexton v c d e Cost of mprovement wthout ndexton Expendture wholly nd exclusvely n connecton wth trnsfer Totl ( + +) Be v Blnce ( v) c Deducton under sectons 5EC/5EE/5F (Specfy detls n tem D elow) d Long-term Cptl Gns on ssets t B ove (c d) Be For NON-RESIDENTS- from sle of shres or deenture of Indn compny (to e computed wth foregn exchnge djustment under frst provso to secton 8) LTCG computed wthout ndexton eneft Deducton under sectons 5EC/5EE/5F (Specfy detls n tem D elow) c LTCG on shre or deenture (-) For NON-RESIDENTS- from sle of, () unlsted securtes s per sec. ()(c), () onds or GDR s referred 5 n sec. 5AC, () securtes y FII s referred to n sec. 5AD In cse securtes sold nclude shres of compny other thn quoted shres, enter the followng detls Full vlue of consderton receved/recevle n respect of unquoted shres Fr mrket vlue of unquoted shres determned n the prescred mnner c Full vlue of consderton n respect of unquoted shres dopted s c per secton 50CA for the purpose of Cptl Gns (hgher of or ) Full vlue of consderton n respect of securtes other thn unquoted shres Totl (c + ) Deductons under secton 8 Cost of cquston wthout ndexton Cost of mprovement wthout ndexton Expendture wholly nd exclusvely n connecton wth trnsfer v Totl ( + +) v c Blnce (5 v) 5c d Deducton under sectons 5EC/5EE/5F (Specfy detls n tem D elow) 5d e Long-term Cptl Gns on ssets t 5 ove n cse of NON-REESIDENT (5c 5d) 6 From sle of foregn exchnge sset y NON-RESIDENT INDIAN (If opted under chpter XII-A) 6 LTCG on sle of specfed sset (computed wthout ndexton) Less deducton under secton 5F (Specfy detls n tem D elow) Bc 6 B5e

12 c Blnce LTCG on sle of specfed sset (6 6) LTCG on sle of sset, other thn specfed sset (computed wthout ndexton) Less deducton under secton 5F (Specfy detls n tem D elow) d e B6c 6d 6e f Blnce LTCG on sle of sset, other thn specfed sset (6d 6e) 7 From sle of ssets where B to B6 ove re not pplcle B6f In cse ssets sold nclude shres of compny other thn quoted shres, enter the followng detls Full vlue of consderton receved/recevle n respect of unquoted shres Fr mrket vlue of unquoted shres determned n the prescred mnner c Full vlue of consderton n respect of unquoted shres dopted s per c secton 50CA for the purpose of Cptl Gns (hgher of or ) Full vlue of consderton n respect of ssets other thn unquoted shres Totl (c + ) c Deductons under secton 8 Cost of cquston wth ndexton Cost of mprovement wth ndexton Expendture wholly nd exclusvely n connecton wth trnsfer v Totl ( + +) v Blnce (7 v) 7c d Deducton under sectons 5EC/5EE/5F (Specfy detls n tem D elow) e Long-term Cptl Gns on ssets t B7 ove (7c-7d) 8 Amount deemed to e long-term cptl gns 7d B7e Whether ny mount of unutlzed cptl gn on sset trnsferred durng the prevous yer shown elow ws deposted n the Cptl Gns Accounts Scheme wthn due dte for tht yer? Sl. Prevous yer n Secton under whch New sset cqured/constructed Amount not used for whch sset deducton clmed n Yer n whch sset Amount utlsed new sset or remned trnsferred tht yer unutlzed n Cptl cqured/constructed out of Cptl gns ccount (X) Gns ccount 0-5 5/5F/ 5GB B Amount deemed to e long-term cptl gns, other thn t Totl mount deemed to e long-term cptl gns (X + X + ) 9 B8 Amount of LTCG ncluded n B- B8 ut not chrgele to tx or chrgele t specl rtes n Ind s per DTAA Sl.. Amount of ncome Item. B to B8 ove n whch ncluded Country nme & Code Artcle of DTAA () () () () (5) Rte s per Trety (enter NIL, f not chrgele) Whether TRC otned (Y/N) (6) (7) Secton of Rte s per Applcle rte I.T. Act I.T. Act [lower of (6) or (9)] (8) (9) (0) I II Totl mount of LTCG not chrgele to tx s per DTAA Totl mount of LTCG chrgele t specl rtes s per DTAA 0 Totl long term cptl gn chrgele under I.T. Act [Be +Be +Be + Bc + B5e +B6c+ B6f+ B7e+ B8 - B9] (In cse of loss tke the fgure to 5x of schedule CFL) C Income chrgele under the hed CAPITAL GAINS (A8 + B0) (tke B0 s nl, f loss) (If C s negtve, tke the fgure to x of schedule CFL nd f t s postve, tke the fgure to respectve row n tem E) D Informton out deducton clmed gnst Cptl Gns In cse of deducton u/s 5/5B/5EC/5EE/5F/5GB/5F gve followng detls Deducton clmed u/s 5 Dte of trnsfer of orgnl sset Cost of new resdentl house Dte of purchse/constructon of new resdentl house v Amount deposted n Cptl Gns Accounts Scheme efore due dte v Amount of deducton clmed Deducton clmed u/s 5B Dte of trnsfer of orgnl sset v Cost of new grculturl lnd Dte of purchse of new grculturl lnd dd/mm/yyyy dd/mm/yyyy v dd/mm/yyyy dd/mm/yyyy B9 B9 B0 C

13 c v Amount deposted n Cptl Gns Accounts Scheme efore v due dte v Amount of deducton clmed v Deducton clmed u/s 5EC Dte of trnsfer of orgnl sset c c Dte of nvestment v Amount of deducton clmed c cv dd/mm/yyyy d d d dv dd/mm/yyyy d Deducton clmed u/s 5EE v e f g dd/mm/yyyy Amount nvested n specfed/notfed onds (not exceedng ffty lkh rupees) Dte of trnsfer of orgnl sset Amount nvested n specfed sset Dte of nvestment Amount of deducton clmed dd/mm/yyyy Deducton clmed u/s 5F Dte of trnsfer of orgnl sset e Cost of new resdentl house e Dte of purchse/constructon of new resdentl house e dd/mm/yyyy dd/mm/yyyy v Amount deposted n Cptl Gns Accounts Scheme efore ev due dte v Amount of deducton clmed ev Deducton clmed u/s 5GB Dte of trnsfer of orgnl resdentl property f PAN of the elgle compny Amount utlsed for suscrpton of equty shres of elgle compny f f v Dte of suscrpton of shres fv dd/mm/yyyy dd/mm/yyyy v Cost of new plnt nd mchnery purchsed y the elgle fv compny v Dte of purchse of plnt nd mchnery fv v Amount deposted n Cptl Gns Accounts Scheme efore fv due dte v Amount of deducton clmed fv Deducton clmed u/s 5F (for n-resdent Indns) Dte of trnsfer of orgnl foregn exchnge sset g Amount nvested n new specfed sset or svngs certfcte Dte of nvestment v Amount of deducton clmed h Totl deducton clmed ( + + c + d + e + f + g) dd/mm/yyyy dd/mm/yyyy g g gv h dd/mm/yyyy E Set-off of current yer cptl losses wth current yer cptl gns (excludng mounts ncluded n A7 & B9 whch s chrgele under DTAA) Sl. Type of Cptl Gn Gn of current yer (Fll ths column only f computed fgure s postve) Loss to e set off (Fll ths row f computed fgure s negtve) Short term cptl gn v v Long term cptl gn v 5% (Ae+A) Ae pplcle rte (Ae+A+A5e+ A6) (Be+ B5e+B6c) Long term cptl loss set off 5% 0% 5 6 Ae (Ae+A+A5e +A6) (Be+ B5e+B6c) (Be+Be+ Bc+ B6f+ B7e+B8) (Ae+A) 0% 0% Short term cptl loss set off pplcle rte 0% 0% Current yer s cptl gns remnng fter set off (7= ) 7 0% (Be+Be+Bc+ B6f+ B7e+B8) v Totl loss set off ( + + v + v + v) v Loss remnng fter set off ( v) F Informton out ccrul/recept of cptl gn Type of Cptl gn / Dte Short-term cptl gns txle t the rte of 5% Enter vlue from tem of schedule BFLA, f ny. Upto 5/6 () 6/6 to 5/9 () 6/9 to 5/ () 6/ to 5/ (v) 6/ to / (v)

14 Short-term cptl gns txle t the rte of 0% Enter vlue from tem v of schedule BFLA, f ny. Short-term cptl gns txle t pplcle rtes Enter vlue from tem v of schedule BFLA, f ny. Long- term cptl gns txle t the rte of 0% Enter vlue from tem v of schedule BFLA, f ny. 5 Long- term cptl gns txle t the rte of 0% Enter vlue from tem v of schedule BFLA, f ny. NOTE Plese nclude the ncome of the specfed persons referred to n Schedule SPI whle computng the ncome under ths hed

15 Schedule OS Income from other sources Income Dvdends, Gross Interest, Gross c Rentl ncome from mchnery, plnts, uldngs, etc., Gross d Others, Gross (excludng ncome from ownng rce horses) Menton the nture Wnnngs from lotteres, crossword puzzles etc. OTHER SOURCES c d c d e f Csh credts u/s 68 Unexplned nvestments u/s 69 Unexplned money etc. u/s 69A Undsclosed nvestments etc. u/s 69B Unexplned expendture etc. u/s 69C Amount orrowed or repd on hund u/s 69D Totl ( + + c + d + e + f) Income of the nture referred to n secton 56()(x) whch s chrgele to tx Aggregte vlue of sum of money receved wthout consderton In cse mmovle property s receved wthout consderton, stmp duty vlue of property In cse mmovle property s receved for c ndequte consderton, stmp duty vlue of property n excess of such consderton d In cse ny other property s receved wthout consderton, fr mrket vlue of property In cse ny other property s receved for ndequte e consderton, fr mrket vlue of property n excess of such consderton Totl (+ + c +d + e) d d v dv dv v Totl (d + d+ d + dv) e Totl ( + + c + dv) f Income ncluded n e chrgele to tx t specl rte (to e tken to schedule SI) Income y wy of wnnngs from lotteres, crossword puzzles, rces, gmes, gmlng, ettng etc. (u/s v v v 5BB) Dvdend Income from domestc compny tht exceeds Rs.0 Lkh (u/s 5BBDA) Deemed Income chrgele to tx u/s 5BBE Income from ptent chrgele u/s 5BBF Income from trnsfer of cron credts u/s 5BBG Any other ncome chrgele to tx t the rte specfed under Chpter XII/XII-A e f f f fv fv fv v Income chrgele t specl rtes under DTAA Sl.. Amount of ncome Nture of ncome Country nme Artcle of & Code DTAA Rte s per Trety Whether TRC Secton of Rte s per Applcle rte otned I.T. Act I.T. Act [lower of (6) or (enter NIL, f not (Y/N) (9)] chrgele) () () () () (5) (6) (7) I II III Totl mount of ncome chrgele t specl rtes under DTAA (8) (9) (0) v Income ncluded n e chrgele to tx t specl rte (f +f + f+fv+fv+fv +fv ) g Gross mount chrgele to tx t norml pplcle rtes (e-fv) h Deductons under secton 57 (other thn those reltng to ncome under f, f, f, fv, fv, fv & fv for non-resdents) Expenses / Deductons fv fv g h h Deprecton h Totl Amounts not deductle u/s 58 j Profts chrgele to tx u/s 59 k Income from other sources (other thn from ownng rce horses nd mount chrgele to tx t specl rte) (g h + + j) (If negtve tke the fgure to x of schedule CYLA) Income from other sources (other thn from ownng rce horses) (fv + k) (enter k s nl, f negtve) Income from the ctvty of ownng nd mntnng rce horses Recepts Deductons under secton 57 n relton to () j k

16 c Amounts not deductle u/s 58 c d Profts chrgele to tx u/s 59 d e Blnce ( + c + d) (f negtve tke the fgure to 6x of Schedule CFL) e Income under the hed Income from other sources ( + e) (tke e s nl f negtve) NOTE Plese nclude the ncome of the specfed persons referred to n Schedule SPI whle computng the ncome under ths hed. Schedule CYLA Sl. Detls of Income fter Set off of current yer losses Hed/ Source of Income Income of current yer (Fll House property loss of the Other sources loss (other Current yer s ths column only f ncome current yer set off thn loss from rce Income remnng s zero or postve) horses) of the current yer fter set off set off CURRENT YEAR LOSS ADJUSTMENT Loss to e set off Slres House property v Short-term cptl gn 5% v Short-term cptl gn 0% v Short-term cptl gn txle t pplcle rtes v Long term cptl gn 0% (7v of tem E of schedule CG) v Long term cptl gn 0% (7v of tem E of schedule CG) x BROUGHT FORWARD LOSS ADJUSTMENT (k of Schedule-OS) (7 of tem E of schedule CG) (7v of tem E of schedule CG) (k of schedule OS) (e of schedule OS) x Loss remnng fter set-off ( - x) Detls of Income fter Set off of Brought Forwrd Losses of erler yers Hed/ Source of Income Income fter set off, f ny, of current yer s losses s per of Schedule CYLA) Brought forwrd loss set off Current yer s ncome remnng fter set off Slres ( of schedule CYLA) House property ( of schedule CYLA) (B/f house property loss) (vof schedule CYLA) (B/f short-term cptl loss) (vof schedule CYLA) (B/f short-term cptl loss) (vof schedule CYLA) (B/f short-term cptl loss) (vof schedule CYLA) (B/f short-term or long-term cptl loss) (v of schedule CYLA) (B/f short-term or long-term cptl loss) Short-term cptl gn 5% v Short-term cptl gn 0% v v Short-term cptl gn txle pplcle rtes Long-term cptl gn 0% t v Long term cptl gn 0% Other sources (excludng proft from v ownng rce horses nd wnnngs from lottery, gme etc.) Proft from ownng nd mntnng rce x horses (xof schedule CYLA) (xof schedule CYLA) (B/f loss from horse rces) x Totl of rought forwrd loss set off ( + + v + v+v+v+x) x Current yer s ncome remnng fter set off Totl ( v + v+ v+ v + v+ x) Schedule CFL CARRY FORWARD OF LOSS ( of Schedule HP) ( of Schedule HP) Totl loss set off ( + + v + v + v + v + v + x + x) Sl =-- (7 of tem E of schedule CG) x Schedule BFLA (6 of Schedule S) Other sources (excludng proft from ownng rce horses nd mount chrgele to specl rte of tx) Proft from ownng nd mntnng rce horses x Detls of Losses to e crred forwrd to future yers Assessment Yer Dte of Flng (DD/MM/YYYY) House property loss Short-term cptl loss Long-term Cptl loss 5 Loss from ownng nd mntnng rce horses 6

17 v 0- v 0-5 v 05-6 v 06-7 v 07-8 x Totl of erler yer losses x Adjustment of ove losses n Schedule BFLA x 08-9 (Current yer losses) ( of schedule BFLA) (x of schedule CYLA) (x of schedule BFLA) ((v+v+v) of tem E ((5v+6v)of tem E (e of schedule OS, f of schedule CG) of schedule CG) ve) Totl loss crred forwrd to x future yers Schedule VI-A Deductons under Chpter VI-A TOTAL DEDUCTIONS Prt B- Deducton n respect of certn pyments 80C 80CCC c 80CCD() d 80CCD(B) e 80CCD() f 80CCG g 80D h 80DD j 80E k 80EE l 80G m 80GG n 80GGA 80DDB o 80GGC Prt C, CA nd D- Deducton n respect of certn ncomes/other deducton p 80QQB q 80RRB r 80TTA s t Totl deductons under Chpter VI-A (Totl of to s) Schedule 80G 80U t Detls of dontons enttled for deducton under secton 80G Dontons enttled for 00% deducton wthout qulfyng A lmt Nme nd ddress of donee PAN of Donee Amount of donton Elgle Amount of donton PAN of Donee Amount of donton Elgle Amount of donton PAN of Donee Amount of donton Elgle Amount of donton DETAILS OF DONATIONS Totl B Dontons enttled for 50% deducton wthout qulfyng lmt Nme nd ddress of donee Totl Dontons enttled for 00% deducton suject to qulfyng C lmt Nme nd ddress of donee Totl Dontons enttled for 50% deducton suject to qulfyng D lmt

18 Nme nd ddress of donee PAN of Donee Elgle Amount of donton Amount of donton Totl E Totl dontons (A + B + C + D) Schedule SPI Sl Income of specfed persons (spouse, mnor chld etc.) ncludle n ncome of the ssessee (ncome of the mnor chld, n excess of Rs.,500 per chld, to e ncluded) Nme of person PAN of person (optonl) Reltonshp Nture of Income Amount (Rs) Schedule SI Income chrgele to tx t specl rtes (plese see nstructons. 9 for rte of tx) SPECIAL RATE Sl Secton A (STCG on shres unts on whch STT pd) 5AD (STCG for FIIs on securtes where STT not pd) Specl rte (%) 5 Income ( of schedule BFLA) 0 Tx thereon provso (LTCG on lsted securtes/ unts wthout ndexton) ()(c)() (LTCG for non-resdent on unlsted securtes) 0 (v of schedule BFLA) (prt of v of schedule BFLA) 0 (prt of v of schedule BFLA) 5 5AC (LTCG for non-resdent on onds/gdr) 6 5ACA (LTCG for n employee of specfed compny on GDR) 0 (prt of v of schedule BFLA) 0 (prt of v of schedule BFLA) 7 5AD (LTCG for FIIs on securtes) 8 5E (LTCG for non-resdent ndn on specfed sset) 9 (LTCG on others) 0 0 (prt of v of schedule BFLA) (prt of v of schedule BFLA) 0 (v of schedule BFLA) 0 5BB (Wnnngs from lotteres, puzzles, rces, gmes etc.) 5BBDA (Dvdend ncome from domestc compny exceedng Rs.0 lkh) 0 0 (f of schedule OS) 5BBE (Income under secton 68, 69, 69A, 69B, 69C or 69D) 5BBF (Tx on ncome from ptent) 60 (f of schedule OS) 0 (fv of schedule OS) 5BBG (Tx on ncome from trnsfer of cron credts) 5AC (Income of non-resdent from onds or GDR purchsed n foregn 5 currency) Chrgele under DTAA rte 6 0 (fv of schedule OS) 0 (prt of fv of schedule OS) (f of schedule OS) (prt of fv of schedule OS + A7 nd B9 of schedule CG) Totl EXEMPT INCOME Schedule EI Interest ncome Dvdend ncome from domestc compny (mount not exceedng Rs. 0 lkh) Long-term cptl gns from trnsctons on whch Securtes Trnscton Tx s pd Gross Agrculturl recepts (other thn ncome to e excluded under rule 7A, 7B or 8 of I.T. Rules) Expendture ncurred on grculture Unsored grculturl loss of prevous eght ssessment yers v Net Agrculturl ncome for the yer ( ) (enter nl f loss) 5 Others, ncludng exempt ncome of mnor chld 5 6 Totl (++++5) 6 Schedule PTI Sl. PASS THROUGH INCOME Detls of Exempt Income (Income not to e ncluded n Totl Income). Pss Through Income detls from usness trust or nvestment fund s per secton 5UA, 5UB Nme of usness trust/ PAN of the usness trust/ Sl. Hed of ncome Amount of ncome nvestment fund nvestment fund House property Cptl Gns Short term Long term Other Sources v Income clmed to e exempt u/s 0(FBB) u/s.. c u/s TDS on such mount, f ny

19 . v House property Cptl Gns Short term Long term Other Sources Income clmed to e exempt u/s 0(FBB) u/s.. c u/s Plese refer to the nstructons for fllng out ths schedule. NOTE Schedule FSI Sl. Country Code Detls of Income from outsde Ind nd tx relef Txpyer Identfcton Numer Sl. Hed of ncome Income from outsde Tx pd Ind outsde Ind (ncluded n PART B-TI) () () (c) Tx pyle on such Tx relef vlle Relevnt rtcle of ncome under n Ind DTAA f relef norml provsons n (e)= (c) or (d) clmed u/s 90 or Ind whchever s lower 90A (d) (e) (f) Slry House Property Busness or Professon v Cptl Gns v Other sources Totl Slry House Property Busness or Professon v Cptl Gns v Other sources Totl NOTE Plese refer to the nstructons for fllng out ths schedule. Schedule TR Summry of tx relef clmed for txes pd outsde Ind Summry of Tx relef clmed Country Code Txpyer Identfcton Totl txes pd outsde Ind Numer (totl of (c) of Schedule FSI n respect of ech country) () () (c) Totl tx relef vlle (totl of (e) of Schedule FSI n respect of ech country) Tx Relef Clmed under secton (specfy 90, 90A or 9) (d) (e) Totl Totl Tx relef vlle n respect of country where DTAA s pplcle (secton 90/90A) (Prt of totl of (d)) Totl Tx relef vlle n respect of country where DTAA s not pplcle (secton 9) (Prt of totl of (d)) Whether ny tx pd outsde Ind, on whch tx relef ws llowed n Ind, hs een refunded/credted y the foregn tx uthorty durng the yer? If yes, provde the detls elow Amount of tx refunded NOTE DETAILS OF FOREIGN ASSETS A Assessment yer n whch tx relef llowed n Ind Plese refer to the nstructons for fllng out ths schedule. Schedule FA Sl / Detls of Foregn Assets nd Income from ny source outsde Ind Detls of Foregn Bnk Accounts held (ncludng ny enefcl nterest) t ny tme durng the prevous yer Country Nme nd Code Nme nd Address of the Bnk Account holder nme SttusOwner/ Benefcl owner/ Benefcry Account Numer Account openng dte Pek Blnce Interest ccrued Durng the n the ccount Yer (n rupees) Interest txle nd offered n ths return Amount Schedule Item numer of where offered schedule

20 () () () () (5) (6) (7) (8) (9) (0) () () () () B Detls of Fnncl Interest n ny Entty held (ncludng ny enefcl nterest) t ny tme durng the prevous yer Sl Country Nture of Nme nd Nture of Dte snce Totl Income Nture of Interestheld Investment ccrued from Income Drect/ (t cost) (n such Interest Income txle nd offered n ths return Benefcl rupees) owner/ Benefcry Nme nd Amount Schedule where Item numer of entty Address of offered schedule code the Entty () () () () (5) (6) (7) (8) (9) (0) () () () () C Detls of Immovle Property held (ncludng ny enefcl nterest) t ny tme durng the prevous yer Sl Country Address of OwnershpDte of Totl Investment Income Nture of Income txle nd offered n ths return Nme nd the Property Drect/ Benefcl cquston derved from Income (t cost) (n Amount Schedule where Item numer of code owner/ Benefcry the property rupees) offered schedule () () () () (5) (6) (7) (8) (9) (0) () () () D Detls of ny other Cptl Asset held (ncludng ny enefcl nterest) t ny tme durng the prevous yer Sl Country Nture of OwnershpDte of Totl Investment Income Nture of Income txle nd offered n ths return Nme nd Asset Drect/ Benefcl cquston derved from Income (t cost) (n Amount Schedule Item numer of owner/ Benefcry code the sset rupees) where offered schedule () () () () (5) (6) (7) (8) (9) (0) () () () E Detls of ccount(s) n whch you hve sgnng uthorty held (ncludng ny enefcl nterest) t ny tme durng the prevous yer nd whch hs not een ncluded n A to D ove. Sl Nme of the Address of Nme of the Account Pek Blnce/ Whether ncome If (7) s yes, If (7) s yes, Income offered n ths return Insttuton n the ccount Numer Investment ccrued s Income Amount Schedule where Item numer of whch the ccount Insttuton holder durng the yer txle n your ccrued n offered schedule s held hnds? the ccount (n rupees) () () () () (5) (6) (7) (8) (9) (0) () () () F Detls of trusts, creted under the lws of country outsde Ind, n whch you re trustee, enefcry or settlor Sl Country Nme nd Nme nd Nme nd Nme nd Dte snce Whether If (8) s yes, If (8) s yes, Income offered n ths return Nme nd ddress of ddress of ddress of ddress of poston ncome derved Income Amount Schedule Item numer of code the trust trustees Settlor Benefcres held s txle n derved from where offered schedule your hnds? the trust () () () () (5) (6) (7) (8) (9) (0) () () () () Detls of ny other ncome derved from ny source outsde Ind whch s not ncluded n,- () tems A to F ove nd, () ncome under the hed usness or professon If (6) s yes, Income offered n ths return Sl Country Nme Nme nd ddress of the Whether txle n Income derved Nture of ncome Amount Schedule Item numer of nd code person from whom derved your hnds? where offered schedule G () () () () (5) (6) (7) (8) (9) () () NOTE Plese refer to nstructons for fllng out ths schedule. In cse of n ndvdul, not eng n Indn ctzen, who s n Ind on usness, employment or student vs, n sset cqured durng ny prevous yer n whch he ws non-resdent s not mndtory to e reported n ths schedule f no ncome s derved from tht sset durng the current prevous yer.

21 Schedule 5A Informton regrdng pportonment of ncome etween spouses governed y Portuguese Cvl Code Nme of the spouse PAN of the spouse Heds of Income Income receved under Amount pportoned n the hnds of the hed the spouse () House Property Busness Cptl gns Other sources 5 Totl () () Amount of TDS deducted on ncome t () TDS pportoned n the hnds of spouse (v) (v) or Schedule AL Asset nd Llty t the end of the yer (pplcle n cse where totl ncome exceeds Rs.50 lkh) A Detls of mmovle sset DETAILS OF ASSETS AND LIABILITIES Sl.. () Descrpton Address Amount (cost) n Rs. () () () () () B Detls of movle sset Sl.. () () Jewellery, ullon etc. Descrpton Amount (cost) n Rs. () () () Archeologcl collectons, drwngs, pntng, sculpture or ny work of rt () Vehcles, ychts, ots nd rcrfts (v) Fnncl sset () Bnk (ncludng ll deposts) () Shres nd securtes (c) Insurnce polces (d) Lons nd dvnces gven (e) Csh n hnd C Llty n relton to Assets t (A + B) NOTE Plese refer to nstructons for fllng out ths schedule. Amount (cost) n Rs.

22 FORM INDIAN INCOME TAX RETURN ITR (Plese see rule of the Income-tx Rules,96) (Also see ttched nstructons) Prt A-GEN Frst nme PERSONAL INFORMATION Assessment Yer (For ndvduls nd HUFs hvng ncome from profts nd gns of usness or professon) GENERAL Mddle nme Lst nme PAN Flt/Door/Block Nme Of Premses/Buldng/Vllge Rod/Street/Post Offce Dte of Brth/Formton (DD/MM/YYYY) Are/loclty Adhr Numer ( dgt)/ Adhr Enrolme nt Id (8 dgt) (f elgle for Adhr) Town/Cty/Dstrct Stte Sttus (Tck) Indvdul Pn code/zp code HUF Employer Ctegory (f n employment) (Tck) Govt. PSU Others Country Resdentl/Offce Phone Numer wth STD code / Mole. Mole. Eml Address- (self) Income Tx Wrd/Crcle Eml Address- Return fled (Tck)[Plese see nstructon numer-7] On or Before due dte -9() After due dte -9() Revsed ReturnModfed return- 9CD under secton 9()(), or In response to notce 9(9)-Defectve () 8 5A/5C If revsed/defectve/modfed, then enter Recept. / / () nd Dte of flng orgnl return (DD/MM/YYYY) If fled, n response to notce u/s 9(9)/()/8/5A/5C enter dte of such notce, or u/s 9CD enter dte (c) / / of dvnce prcng greement (d) Resdentl Sttus Do you wnt to clm the eneft under secton Tck pplcle opton 5H? (pplcle n cse of resdent) Resdent n-resdent Resdent ut t Ordnrly Resdent FILING STATUS () 9(5), (e) (f) Whether ny trnscton hs een mde wth person locted n jursdcton notfed u/s 9A of the Act? Are you governed y Portuguese Cvl Code s per secton 5A? Tck) (g) Whether ths return s eng fled y representtve ssessee? (Tck) (If YES plese fll Schedule 5A) If yes, furnsh followng nformton - () Nme of the representtve () Address of the representtve () Permnent Account Numer (PAN) of the representtve (h) In cse of non-resdent, s there permnent estlshment (PE) n Ind? (Tck) AUDIT INFORMATION () Are you lle to mntn ccounts s per secton AA? () Are you lle for udt under secton AB? (Tck) (Tck) (c) If () s, whether the ccounts hve een udted y n ccountnt? (Tck) If, furnsh the followng nformton elow () Dte of furnshng of the udt report (DD/MM/YYYY) / / () Nme of the udtor sgnng the tx udt report () () (5) (6) Memershp. of the udtor Nme of the udtor (propretorshp/ frm) Propretorshp/frm regstrton numer Permnent Account Numer (PAN) of the propretorshp/ frm For Offce Use Only For Offce Use Only

23 Recept. Dte Sel nd Sgnture of recevng offcl (7) Dte of report of the udt (d) If lle to furnsh other udt report, menton the dte of furnshng the udt report? (DD/MM/YY) (Plese see Instructon 6)) 9E 5JC NATURE OF BUSINESS NATURE OF BUSINESS OR PROFESSION, IF MORE THAN ONE BUSINESS OR PROFESSION INDICATE THE THREE MAIN ACTIVITIES/ PRODUCTS Code [Plese see nstructon.7()] S.. Trde nme of the propretorshp, f ny Descrpton () () () BALANCE SHEET AS ON ST DAY OF MARCH, 08 OF THE PROPRIETORY BUSINESS OR PROFESSION (fll tems elow n cse where regulr ooks of ccounts re mntned, otherwse fll tem 6) Prt A-BS Propretor s fund Propretor s cptl Reserves nd Surplus Revluton Reserve Cptl Reserve Sttutory Reserve v Any other Reserve v v Totl ( v) SOURCES OF FUNDS v c c Totl propretor s fund ( + v) Lon funds Secured lons Foregn Currency Lons Rupee Lons A From Bnks A B From others B C Totl ( A + B) C Totl ( + C) Unsecured lons (ncludng deposts) From Bnks From others Totl ( + ) c APPLICATION OF FUNDS c Totl Lon Funds ( + ) Deferred tx llty Sources of funds (c + c +) Fxed ssets Gross: Block Deprecton c Net Block ( ) c d Cptl work-n-progress d e Totl (c + d) e Pge 0

24 Investments Long-term nvestments Government nd other Securtes - Quoted Government nd other Securtes Unquoted Totl ( + ) Short-term nvestments Equty Shres, ncludng shre pplcton money Preference Shres Deentures v Totl ( + + ) v c Totl nvestments ( + v) c Current ssets, lons nd dvnces Current ssets Inventores A Stores/consumles ncludng pckng mterl A B Rw mterls B C Stock-n-process C D Fnshed Goods/Trded Goods D E E Totl (A + B + C + D) Sundry Detors Csh nd Bnk Blnces A Csh-n-hnd A B Blnce wth nks B C Totl (A + B) C v Other Current Assets v v Totl current ssets (E + + C + v) v Lons nd dvnces Advnces recoverle n csh or n knd or for vlue to e receved Deposts, lons nd dvnces to corportes nd others Blnce wth Revenue Authortes v Totl ( + + ) v c c Totl of current ssets, lons nd dvnces (v + v) d Current lltes nd provsons Current lltes A Sundry Credtors A B Llty for Lesed Assets B C Interest Accrued on ove C D Interest ccrued ut not due on lons D E E Totl (A + B + C + D) Provsons A Provson for Income Tx Provson for Leve B encshment/supernnuton/grtuty C Other Provsons A B C D D Totl (A + B + C) d Totl (E + D) e e Net current ssets (c d) Mscellneous expendture not wrtten off or djusted Deferred tx sset c Proft nd loss ccount/ Accumulted lnce c

25 d NO ACCOUNT CASE d Totl ( + + c) 5 Totl, pplcton of funds (e + c + e +d) 6 In cse where regulr ooks of ccount of usness or professon re not mntned - (furnsh the followng nformton s on st dy of Mrch, 08, n respect of usness or professon) c d 6 Amount of totl sundry detors Amount of totl sundry credtors Amount of totl stock-n-trde Amount of the csh lnce Prt A-P& L 5 6 6c 6d Proft nd Loss Account for the fnncl yer 07-8 (fll tems to 5 n cse where regulr ooks of ccounts re mntned, otherwse fll tem 5) Revenue from opertons A Sles/ Gross recepts of usness (net of returns nd refunds nd duty or tx, f ny) Sle of goods Sle of servces Other opertng revenues (specfy nture nd mount) c Totl ( + ) c Av v Totl ( + + c) B B Gross recepts from Professon C Dutes, txes nd cess receved or recevle n respect of goods nd servces sold or suppled CREDITS TO PROFIT AND LOSS ACCOUNT Unon Excse dutes Servce tx VAT/ Sles tx v Centrl Goods & Servce Tx (CGST) v v Stte Goods & Servces Tx (SGST) v v Integrted Goods & Servces Tx (IGST) v v Unon Te rrtory Goods & Servces Tx (UTGST) v v Any other duty, tx nd cess v x Totl ( v +v+ v+v+v) Cx D Totl Revenue from opertons (Av + B +Cx) D Other ncome Rent Commsson Dvdend ncome v Interest ncome v v Proft on sle of fxed ssets Proft on sle of nvestment eng securtes chrgele to v v Securtes Trnscton Tx (STT) v Proft on sle of other nvestment v v v Proft on ccount of currency fluctuton v x Agrculturl ncome x x Any other ncome (specfy nture nd mount) x x c Totl (x + x) xc x Totl of other ncome ( v + v + v + v + v + x + xc) x Closng Stock Rw mterl Work-n-progress Pge 0