R Individual. R Male INDIAN INCOME TAX RETURN ASSESSMENT YEAR. Part A-GEN PART - B. iiii FORM ITR-3
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1 FOM IT- INDIAN INCOME TAX ETUN [For ndvduls/hufs beng prtners n frms nd not rryng out busness or professon under ny propretorshp] (Plese see rule of the Inome-tx ules, 96) (Also see tthed nstrutons) ASSESSMENT YEA 0 - Prt A-GEN GENEAL Frst Nme Mddle Nme Lst Nme PAN NEEAJ SHEKHA ABAPS5040H PESONAL INFOMATION Flt/Door/Blok Nme Of Premses/Buldng/Vllge od/street/post Offe Are/Lolty Dte of Brth (DD/MM/YYYY) Town/Cty/Dstrt Stte Delh Pn ode esdentl/offe Phone wth STD Code ( )- SOUTH AVENUE LANE DELHI Moble (Tk) Indvdul Sttus (n se of Indvdul) 0//968 Sex (In se of Indvdul) (Tk) Employer Ctegory (f n employment) Mle (Tk) HUF Govt PSU Femle Others Eml Address prksh.shh.o@gml.om Inome Tx Wrd/Crle eturn Fled (Tk) [Plese see nstruton no - 7] Before due dte -9() After due dte -9(4) evsed eturn -9 Or In response to note 9(9) 4() 48 5A/5C FILING STATUS If revsed, then enter eept nd Dte of flng orgnl return (DD/MM/YYYY) esdentl Sttus (Tk) Whether ths return s beng fled by representtve ssessee? If yes, plese furnsh followng nformton - () Nme of the representtve esdent Non-esdent (Tk) esdent but Not Ordnrly esdent Yes No (b) Address of the representtve () Permnent Aount Number (PAN) of the representtve PAT - B Prt B-TI Computton of totl nome TOTAL INCOME res (6 of Shedule S) Inome from house property ( of Shedule HP) (enter nl f loss) Profts nd gns from busness or professon (6v of Shedule BP)(enter nl f loss) 4 Cptl gns Short-term Short-term (under seton A) (enter nl, f loss)(a5 of Shedule CG) Short-term (others) (A6 of Shedule CG) Totl Short-term (4 + 4)(enter nl f loss)(a4 of Shedule CG) 4 b Long-term Long-term wth ndexton (B e of Shedule CG) (enter nl f loss) 4b Long-term wthout ndexton (B e of Shedule CG) (enter nl f loss) 4b Totl Long-term (4b + 4b) 4b Totl ptl gns (4 + 4b)(enter nl f 4 s loss) 4 Do not wrte or stmp n ths re (Spe for br ode) For offe use only eept Dte Sel nd sgnture of reevng offl TAXMANN s e-flng of Inome tx eturns & Tx Computton by Dr. Vnod K. Snghn Pge -
2 5 Inome from other soures From soures other thn from ownng re horses ( of Shedule OS) (enter nl f loss) b From ownng re horses (4 of Shedule OS) (enter nl f loss) Totl (5 +5b)(enter nl f 5 s loss) 6 Totl ( ) 7 Losses of urrent yer set off gnst 6 (totl of v, v nd 4v of Shedule CYLA) 8 Blne fter set off urrent yer losses (6-7) (lso totl of olumn 5 of Shedule CYLA) 9 Brought forwrd losses set off gnst 8 (v of Shedule BFLA) 0 Gross totl nome (8-9)(lso x of Shedule BFLA) Dedutons under Chpter VI-A (p of Shedule VIA) Totl nome (0-) Net grulturl nome / ny other nome for rte purpose (4 of Shedule EI) 4 'Aggregte nome' (+) 5 Losses of urrent yer to be rred forwrd (x of Shedule CFL) 5 5b Prt B-TTI Computton of tx lblty on totl nome Tx pyble on totl nome Tx t norml rtes 999 b Tx t spel rtes ( of Shedule SI) b Tx pyble on totl nome ( + b) 999 Eduton Cess, nludng Seondry nd Hgher Eduton Cess on () 898 Gross tx lblty ( + ) 0875 COMPUTATION OF TAX LIABILITY 4 Tx relef Seton 89 b Seton 90 or 90A (olumn 7 of Shedule T) Seton 9 (olumn 7 of shedule T) d Totl (4 + 4b + 4) 5 Net tx lblty ( - 4d) 6 Interest pyble For defult n furnshng the return (Seton 4A) b For defult n pyment of dvne tx (Seton 4B) For deferment of dvne tx (Seton 4C) 4 4b 4 6 6b d d Totl Interest Pyble (6 + 6b + 6) 6d 45 7 Aggregte lblty (5 + 6d) Txes pd Advne Tx (from Shedule IT) 8 TAXES PAID EFUND b d TDS (totl of olumn 5 of Shedule-TDS nd olumn 7 of Shedule-TDS) Self-Assessment Tx (from Shedule IT) Totl Txes Pd (8+8b+8) 9 Amount pyble (Enter f 7 s greter thn 8d, else enter 0) 0 efund (If 8d s greter thn 7) Enter your bnk ount number (mndtory n ll ses) Do you wnt your refund by Gve ddtonl detls of your Bnk Aount MIC Code heque, or deposted dretly nto your bnk ount? Type of Aount 8b (tk s pplble ) Do you hve,- () ny sset (nludng fnnl nterest n ny entty) loted outsde Ind or () sgnng uthorty n ny ount loted outsde Ind? [pplble only n se of resdent] [Ensure Shedule FA s flled up f the nswer s YES] d 9 0 (tk s pplble) Svngs Current Yes No 5707 VEIFICATION I, NEEAJ SHEKHA son/ dughter of LATE SHI CHANDA SHEKHA, holdng permnent ount number ABAPS5040H solemnly delre tht to the best of my knowledge nd belef, the nformton gven n the return nd shedules thereto s orret nd omplete nd tht the mount of totl nome nd other prtulrs shown theren re truly stted nd re n ordne wth the provsons of the Inome-tx At, 96, n respet of nome hrgeble to Inome-tx for the prevous yer relevnt to the Assessment Yer 0-. Ple DELHI Dte //0 Sgn here -> TAXMANN s e-flng of Inome tx eturns & Tx Computton by Dr. Vnod K. Snghn Pge -
3 4 If the return hs been prepred by Tx eturn Preprer (TP) gve further detls below: Identfton of TP Nme of TP Counter Sgnture of TP If TP s enttled for ny rembursement from the Government, mount thereof 5 Shedule S Detls of Inome from ry Nme of Employer GOVT.OF INDIA PAN of employer (optonl) Address of employer Town/Cty Stte Pn ode DELHI Delh 000 SALAIES ry (Exludng ll exempt/ non-exempt llownes, perqustes & proft n leu of slry s they re shown sepertely below) Allownes exempt under seton 0(Not to be nluded n 6 below) Allownes not exempt (refer Form 6 from employer) Vlue of perqustes (refer Form 6 from employer) 4 5 Profts n leu of slry (refer Form 6 from employer) 5 6 Inome hrgeble under the Hed 'res' ( ) Shedule HP Detls of nome from House Property (Plese refer to nstrutons) HOUSE POPETY Address of property Town / Cty Stte PIN Code Is the property o-owned? YES NO (If "YES" plese enter followng detls) Your perentge of shre n the property. S.No Nme of Co-owner(s) PAN of Co-owner (s) (optonl) Perentge Shre n Property (optonl) (Tk) f let out Nme of Tennt PAN of Tennt (optonl) Annul letble vlue/ rent reeved or reevble (hgher f let out for whole of the yer, lower f let out for prt of the yer) b The mount of rent whh nnot be relzed Tx pd to lol uthortes d Totl ( b + ) b d e Blne ( - d) e f 0% of e f g Interest pyble on borrowed ptl g h Totl (f + g) h Inome from house property (e - h) Inome under the hed "Inome from house property" ent of erler yers relzed under seton 5A/AA b Arrers of rent reeved durng the yer under seton 5B fter dedutng 0% b Totl ( + b + ()) Plese nlude the nome of the spefed persons referred to n Shedule SPI whle omputng the nome under ths hed Shedule IF Number of frms n whh you re Prtner. Nme of the Frm Informton regrdng prtnershp frms n whh you re prtner PAN of the Frm Perentge shre n the proft of the frm Amount of shre n the proft Cptl blne on st Mrh n the frm A.N.ENTEPISES AAJFA546L Totl TAXMANN s e-flng of Inome tx eturns & Tx Computton by Dr. Vnod K. Snghn Pge -
4 Shedule BP Detls of nome from frms of whh prtner Frm PAN (From Shedule-IF) ry, bonus, ommsson or remunerton reeved from the frm Interest reeved from the frm on the ptl Totl + Expenses n relton to v Net Inome v-v v v v AAJFA546L Totl Plese nlude the nome of the spefed persons referred to n Shedule SPI whle omputng the nome under ths hed Shedule CG Cptl Gns A Short-term ptl gn From ssets n se of non-resdent to whh frst provso to seton 48 s pplble From ssets n the se of others Full vlue of onsderton b Deduton under seton 48 Cost of quston b Cost of mprovement b Expendture on trnsfer b v Totl ( + + ) bv Blne ( - bv) d Loss, f ny, to be gnored under seton 94(7) or 94(8) (enter postve vlues only) d e Deduton under seton 54B/54D e f Short-term ptl gn ( + d - e) Amount deemed to be short-term ptl gns under seton 54B/54D/54EC/54ED/54G/54GA 4 Totl short-term ptl gn ( + f + A) 5 Short-term ptl gn under seton A nluded n 4 6 Short-term ptl gn other thn referred to n seton A (A4-A5) f A A4 A5 A6 B Long-term ptl gn Asset n se of non-resdent to whh frst provso to seton 48 s pplble Asset n the se of others where provso under seton () not exersed Full vlue of onsderton b Dedutons under seton 48 Cost of quston fter ndexton b Cost of mprovement fter ndexton b Expendture on trnsfer b v Totl (b + b + b) bv Blne ( - bv) d Deduton under seton 54/54B/54D/54EC/54F/54G/54GA d e Net blne ( - d) e Asset n the se of others where provso under seton () s exersed Full vlue of onsderton b Dedutons under seton 48 Cost of quston wthout ndexton b Cost of mprovement wthout ndexton b Expendture on trnsfer b v Totl (b + b + b) bv Blne ( - bv) d Deduton under seton 54/54B/54D/54EC/54F d e Net blne (-d) e TAXMANN s e-flng of Inome tx eturns & Tx Computton by Dr. Vnod K. Snghn Pge - 4
5 4 Amount deemed to be long-term ptl gns under seton 54/54B/54D/54EC/54ED/54F B4 5 Totl long-term ptl gn( + e[(enter e s nl f loss) + e(enter e s nl f loss) + 4]) B5 C Inome hrgeble under the hed "CAPITAL GAINS " (A4 + B5)(enter B5 s nl, f loss) C D Informton bout rul/reept of ptl gn Dte Long-term where provso under seton () s exersed(wthout Indexton)- Code n SI Shedule s, Tx te s 0%;Enter only postve vlue from Item Be of Shedule CG AFTE loss djustment under ths tegory n Shedule CYLA nd BFLA, f ny. Upto 5/9 () 6/9 to 5/ () 6/ to 5/ () 6/ to / (v) Long-term where provso under seton () s NOT exersed(wth Indexton)- Code n SI Shedule s, Tx te s 0%; Enter only postve vlue from Item (B5-Be) of Shedule CG AFTE loss djustment under ths tegory n Short-term under seton A- Code n SI Shedule s A, Tx te s 5%; Enter only postve vlue from Item A7 of Shedule CG AFTE loss djustment under ths tegory n Shedule CYLA nd BFLA, f ny. 4 Short-term OTHES- Txed t Norml rtes; Enter only postve vlue from Item A8 of Shedule CG AFTE loss djustment under ths tegory n Shedule CYLA nd BFLA, f ny. Plese nlude the nome of the spefed persons referred to n Shedule SPI whle omputng the nome under ths hed Shedule OS Inome from Other Soures Inome Dvdends, Gross b Interest, Gross b 5098 entl nome from mhnery, plnts, buldngs d Others, Gross(exludng nome from ownng re horses) d 6890 e Totl ( + b + + d) e f Dedutons under seton 57:- Expenses/ Dedutons f OTHE SOUCES Depreton f Totl f g Blne (e - f) Wnnngs from lotteres, rossword puzzles, res, et. Inome from other soures (other thn from ownng re horses) (g + )(enter g s nl, f loss) g Inome from ownng nd mntnng re horses eepts 4 b Dedutons under seton 57 n relton to (4) 4b Blne (4-4b) 4 5 Inome hrgeble under the hed Inome from other soures ( + 4)(enter 4 s nl f loss nd tke 4 loss fgure to Shedule CYLA) Plese nlude the nome of the spefed persons referred to n Shedule SPI whle omputng the nome under ths hed Shedule CYLA Detls of Inome fter set-off of urrent yers losses TAXMANN s e-flng of Inome tx eturns & Tx Computton by Dr. Vnod K. Snghn Pge - 5
6 CUENT YEA LOSS ADJUSTMENT. v v v Hed/Soure of Inome Loss to be djusted res House Property Busness or professon Short-term ptl gn Long-term ptl gn Other soures (exludng proft from ownng re horses nd wnnngs from lottery) Inome of Current yer (Fll ths olumn only f nome s zero or postve) House property loss of the urrent yer set off Totl loss ( of Shedule-HP) Busness loss Totl loss (6v of Shedule-BP) Other soures loss (other thn loss from re horses) of the urrent yer set off Totl loss ( of Shedule- OS) Current yer's nome remnng fter set off 4 5= v v x Proft from ownng nd mntnng re horses Totl loss set off Loss remnng fter set off Shedule BFLA Detls of Inome fter set-off of Brought Forwrd Losses of erler yers. No Hed/Soure of Inome res Inome fter set off, f ny, of urrent yer's losses s per 4 of shedule CYLA Brought forwrd loss set off Current yer's nome remnng fter set off BOUGHT FOWAD LOSS ADJUSTMENT v v v v v x House Property Busness or professon Short-term ptl gn Long-term ptl gn Other soures (exludng proft from ownng re horses nd wnnngs from lottery) Proft from ownng nd mntnng re horses Totl of brought forwrd loss set off Current yer's nome remnng fter set off Totl ( v + v + v+v) TAXMANN s e-flng of Inome tx eturns & Tx Computton by Dr. Vnod K. Snghn Pge - 6
7 Shedule CFL. Assessment Yer Detls of Losses to be rred forwrd to future yers Dte of Flng (DD/MM/ YYYY) House property loss Busness or professon Short-term ptl loss Long-term ptl loss Other soures loss(from ownng re horses) CAY FOWAD OF LOSS v v v v v x x Totl of erler yer losses Adjustment of bove losses n Shedule BFLA x 0- (Current yer losses) x Totl loss Crred Forwrd to future yers Shedule VI-A Dedutons under Chpter VI-A (Seton) TOTAL DEDUCTIONS 80C G b 80CCC j 80GG 80CCD k 80GGA d 80CCF l 80GGC e 80D m 80QQB f 80DD n 80B g 80DDB o 80U h 80E p Totl dedutons (totl of to o) Shedule 80G Detls of dontons enttled for deduton under seton 80G A Dontons enttled for 00% deduton wthout qulfyng lmt Nme nd ddress of donee PAN of Donee Amount of donton Elgble Amount of donton Totl B Dontons enttled for 50% deduton wthout qulfyng lmt Nme nd ddress of donee PAN of Donee Amount of donton Elgble Amount of donton Totl TAXMANN s e-flng of Inome tx eturns & Tx Computton by Dr. Vnod K. Snghn Pge - 7
8 C Dontons enttled for 00% deduton subjet to qulfyng lmt Nme nd ddress of donee PAN of Donee Amount of donton Elgble Amount of donton Totl D Dontons enttled for 50% deduton subjet to qulfyng lmt Nme nd ddress of donee PAN of Donee Amount of donton Elgble Amount of donton Totl E Totl Dontons (Av + Bv + Cv + Dv) Shedule SPI Inome of Spefed persons (spouse, mnor hld et.) nludble n nome of the ssessee. Nme of person PAN of person (optonl) eltonshp Nture of Inome Amount (s.) Shedule SI Inome hrgeble to Inome-tx t spel rtes IB [Plese see nstruton 9() for seton ode nd rte of tx] SPECIAL ATE. Seton ode Spel te (%) Inome Tx Thereon () () Totl ( to ) Shedule EI Detls of Exempt Inome (Inome not to be nluded n Totl Inome) Interest nome EXEMPT INCOME Dvdend nome Long-term ptl gns on whh Seurtes Trnston Tx s pd 4 Net Agrulture nome /ny other nome for rte purpose 5 Shre n the proft of frm/ AOP et. 6 Others 7 Totl ( ) Shedule IT Detls of Advne Tx nd Self-Assessment Tx Pyments of Inome-tx PAYMENTS. BS Code Dte of Depost (DD/MM/YYYY) Serl Number of Chlln Amount (s.) TAX // Enter the totls of Advne tx nd Self-Assessment tx n 9 & 9 of Prt B-TTI Shedule TDS Detls of Tx Deduted t Soure from ry [As per Form 6 ssued by Employer(s)] TAXMANN s e-flng of Inome tx eturns & Tx Computton by Dr. Vnod K. Snghn Pge - 8
9 SALAY. Tx Deduton Aount Number (TAN) of the Employer Nme of the Employer Inome hrgeble under res Totl Tx deduted 4 5 TDS ON Plese enter totl of olumn 5 of Shedule-TDS nd olumn 7 of Shedule-TDS n 9(b) of Prt B-TTI INCOME TDS ON OTHE Shedule TDS. Tx Deduton Aount Number (TAN) of the Dedutor Detls of Tx Deduted t Soure on Inome [As per Form 6A ssued by Dedutor(s)] Nme of the Dedutor Unque TDS Certfte Number Fnnl Yer n whh TDS s Deduted Totl Tx Deduted Amount out of (6) lmed for ths yer (4) 6 7 DELS445F SPIE TECHPAK PIVATE LIMITED Plese enter totl of olumn 5 of Shedule-TDS nd olumn 7 of Shedule-TDS n 8(b) of Prt B-TTI Shedule T Detls of Tx elef lmed under seton 90 or seton 90A or seton 9 Country Nme Country Code Tx Identfton number of the tx pyer n respetve ountry Inome (n rupees) Tx Pd (n rupees) Totl Tx elef Clmed (n rupees) () () () (4) (6) (7) DETAILS OF TAX ELIEF Plese enter the detls of olumn (7) of Shedule T n 4b or 4 of Prt B - TTI Shedule FA Detls of Foregn Assets A Detls of Foregn Bnk Aounts Country Nme Country Code Nme nd Address of the Bnk Nme mentoned n the ount Pek Blne Durng the Yer (n rupees) () () () (4) (6) B Detls of Fnnl Interest n ny Entty Country Nme Country Code Nture of entty Nme nd Address of the Entty Totl Investment (t ost) (n rupees) () () () (4) TAXMANN s e-flng of Inome tx eturns & Tx Computton by Dr. Vnod K. Snghn Pge - 9
10 C Detls of Immovble Property Country Nme Country Code Address of the Property Totl Investment (t ost) (n rupees) () () () (4) D Detls of ny other Asset Country Nme Country Code Nture of Asset Totl Investment (t ost) (n rupees) () () () (4) E Detls of ount(s) n whh you hve sgnng uthorty nd whh hs not been nluded n A to D bove. Nme of the Insttuton n whh the ount s held Address of the Insttuton Nme mentoned n the ount Pek Blne/Investment durng the yer (n rupees) () () () (4) TAXMANN s e-flng of Inome tx eturns & Tx Computton by Dr. Vnod K. Snghn Pge - 0
11 IT-V ACKNOWLEDGEMENT AY 0- eeved wth thnks from NEEAJ SHEKHA return of nome IT (SAHAJ) 4S(SUGAM) for ssessment yer 0-, hvng the followng prtulrs. A FIST NAME A MIDDLE NAME NEEAJ A LAST NAME SHEKHA A4 PEMANENT ACCOUNT NUMBE ABAPS5040H A5 SEX Mle Femle A8 FLAT/DOO/BUILDING A6 DATE OF BITH 0//968 A7 INCOME TAX WAD/CICLE A9 OAD/STEET A0 AEA/LOCALITY SOUTH AVENUE LANE A TOWN/CITY/DISTICT DELHI A STATE Delh A PIN CODE 00 A4 Fll only one: fled Or n resoponse to note Before due dte-9() After due dte-9(4) evsed eturn-9 4() 48 5A/5C COMPUTATION OF INCOME AND TAX ETUN Whole-upee(`) only. If Showng loss,mrk negtve sgn n brkets t left B Gross Totl nome B ( ) 594 B Dedutons under Chpter VI-A B B Totl Inome B ( ) 490 B4 Current Loss (f ny) B4 ( ) B5 B6 Net tx pyble Interest pyble B5 B B7 Totl tx nd nterest pyble B B8 B9 B0 B B Totl Advne Tx Pd Totl Self Assessment Tx Pd Totl TDS Deduted Totl TCS Deduted Totl Prepd Txes (B8+B9+B0+B) B8 B9 B0 B B B Tx Pyble ( B7-B If B7>B ) B B4 efund ( B-B7 If B>B7 ) B4 For OFFICIAL USE ONLY STAMP ECEIPT NO. HEE SEAL, DATE AND SIGNATUE OF ECEIVING OFFICIAL TAXMANN s e-flng of Inome tx eturns & Tx Computton by Dr. Vnod K. Snghn Pge -
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