Is there any change in the company s name? If yes, please furnish the old name issued by MCA

Transcription

1 FORM ITR-6 INDIAN INCOME TAX RETURN [For Compnes other thn ompnes lmng exempton under seton 11] (Plese see rule 12 of the Inome-tx Rules,1962) (Also see tthed nstrutons) Assessment Yer Prt A-GEN Nme GENERAL PAN Is there ny hnge n the ompny s nme? If yes, plese furnsh the old nme Corporte Identty Numer (CIN) ssued y MCA PERSONAL INFORMATION Flt/Door/Blok No Nme of Premses/Buldng/Vllge Dte of norporton (DD/MM/YYYY) / / Rod/Street/Post Offe Are/Lolty Type of ompny (Tk ny one) () Domest Compny () Foregn Compny Town/Cty/Dstrt Stte Country Pn ode/zp ode If pul ompny wrte 6, nd f prte ompny wrte 7 (s defned n seton 3 of The Compny At) Offe Phone Numer wth STD ode/ Mole No. 1 Mole No. 2 Inome Tx Wrd/Crle Eml Address-1 Eml Address-2 () () () Return fled(tk)[plese see nstruton numer-5] On or efore due dte-139(1), After due dte-139(4), Resed Return-139(5) Modfed return-92cd, under seton 119(2)(),Or In response to note 139(9)- Defete, 142(1), 148, 153A, 153C If resed/n response to defete/modfed, then enter Reept No nd Dte of flng orgnl return / / (DD/MM/YYYY) If fled, n response to note u/s 139(9)/142(1)/148/153A/153C enter dte of suh note, or u/s 92CD enter dte of dne prng greement (d) Resdentl Sttus (Tk) Resdent Non-Resdent / / (e) Whether optng for seton 115BA? (Yes/No) (pplle on Domest Compny) FILING STATUS (f) (g) Whether totl turnoer/ gross reepts n the preous yer exeeds 50 rore rupees? (Yes/No) (pplle on Domest Compny) Whether ssessee s resdent of ountry or spefed terrtory wth whh Ind hs n greement referred to n se 90 (1) or Centrl Goernment hs dopted ny greement under se 90A(1)? (h) In the se of non-resdent, s there Permnent Estlshment (PE) n Ind (Tk) Yes No () (j) (k) Whether ssessee s requred to seek regstrton under ny lw for the tme eng n fore reltng to ompnes? Whether the fnnl sttements of the ompny re drwn up n omplne to the Indn Aountng Stndrds spefed n Annexure to the ompnes (Indn Aountng Stndrds) Rules, 2015 (Tk) Yes No Whether ssessee s loted n n Interntonl Fnnl Seres Centre nd deres nome solely n onertle foregn exhnge? (Tk) Yes No (l) Whether the ssessee ompny s under lqudton (Tk) Yes No (m) Whether you re n FII / FPI? Yes/No If yes, plese prode SEBI Regn. No. (n) (o) Whether ny trnston hs een mde wth person loted n jursdton notfed u/s 94A of the At? Yes No Whether ths return s eng fled y representte ssessee? (Tk) Yes No If yes, plese furnsh followng nformton - (1) Nme of the representte ssessee (2) Address of the representte ssessee (3) Permnent Aount Numer (PAN) of the representte ssessee () Whether lle to mntn ounts s per seton 44AA? (Tk) Yes No AUDIT INFORMATION () Whether lle for udt under seton 44AB? (Tk) Yes No () If () s Yes, whether the ounts he een udted y n ountnt? (Tk) Yes No If Yes, furnsh the followng nformton elow (1) Menton the dte of furnshng of udt report (DD/MM/YYYY) (2) Nme of the udtor sgnng the tx udt report Pge 1

2 (3) Memershp No. of the udtor (4) Nme of the udtor (propretorshp/ frm) (5) Propretorshp/frm regstrton numer (6) Permnent Aount Numer (PAN) of the udtor (propretorshp/ frm) (d) (e) (7) Dte of udt report If lle to furnsh other udt report under the Inome-tx At, menton the dte of furnshng the udt report? (DD/MM/YY) (Plese see Instruton 5()) 92E 115JB Menton the At, seton nd dte of furnshng the udt report under ny At other thn the Inome-tx At At nd seton (DD/MM/YY) At nd seton (DD/MM/YY) () Nture of ompny (wrte 1 f holdng ompny, wrte 2 f susdry ompny, wrte 3 f oth, wrte 4 f ny other) HOLDING STATUS () () If susdry ompny, menton the detls of the Holdng Compny PAN Nme of Holdng Compny Address of Holdng Compny Perentge of Shres held If holdng ompny, menton the detls of the susdry ompnes PAN Nme of Susdry Compny Address of Susdry Compny Perentge of Shres held () In se of mlgmtng ompny, menton the detls of mlgmted ompny PAN Nme of Amlgmted Compny Address of Amlgmted Compny BUSINESS ORGANISATION () () (d) In se of mlgmted ompny, menton the detls of mlgmtng ompny PAN Nme of Amlgmtng Compny In se of demerged ompny, menton the detls of resultng ompny PAN Nme of Resultng Compny In se of resultng ompny, menton the detls of demerged ompny PAN Nme of Demerged Compny Address of Amlgmtng Compny Address of Resultng Compny Address of Demerged Compny KEY PERSONS Prtulrs of Mngng Dretor, Dretors, Seretry nd Prnpl offer(s) who he held the offe durng the preous yer S.No. Nme Desgnton Resdentl Address PAN Dretor Identfton Numer (DIN) ssued y MCA, n se of Dretor SHAREHOLDERS INFORMATION OWNERSHIP INFORMATION Prtulrs of persons who were enefl owners of shres holdng not less thn 10% of the otng power t ny tme of the preous yer S.No. Nme nd Address Perentge of shres held PAN (f llotted) In se of unlsted ompny, prtulrs of nturl persons who were the ultmte enefl owners, dretly or ndretly, of shres holdng not less thn 10% of the otng power t ny tme of the preous yer (f lle) S.No. Nme nd Address Perentge of shres held PAN (f llotted) Nture of ompny NATURE OF COMPAN Y AND ITS BUSINESS (Tk) 1 Whether pul setor ompny s defned n seton 2(36A) of the Inome-tx At Yes No 2 Whether ompny owned y the Resere Bnk of Ind Yes No Pge 2

3 3 Whether ompny n whh not less thn forty perent of the shres re held (whether sngly or tken together) y the Goernment or the Resere Bnk of Ind or orporton owned y tht Bnk Yes No 4 Whether nkng ompny s defned n luse () of seton 5 of the Bnkng Regulton At,1949 Yes No 5 6 Whether sheduled Bnk eng nk nluded n the Seond Shedule to the Resere Bnk of Ind At Whether ompny regstered wth Insurne Regultory nd Deelopment Authorty (estlshed under su-seton (1) of seton 3 of the Insurne Regultory nd Deelopment Authorty At, 1999) 7 Whether ompny eng non-nkng Fnnl Insttuton Yes No Nture of usness or professon, f more thn one usness or professon ndte the three mn ttes/ produts S.No. Code [Plese see nstruton No.7()] Desrpton () () () Yes Yes No No I Prt A-BS EQUITY AND LIABILITIES Equty nd Lltes 1 Shreholder s fund A B Shre ptl BALANCE SHEET AS ON 31 ST DAY OF MARCH, 2018 OR AS ON THE DATE OF AMALGAMATION Authorsed A Issued, Susred nd fully Pd up Susred ut not fully pd Totl (A + A) Reseres nd Surplus Cptl Resere B Cptl Redempton Resere Seurtes Premum Resere Deenture Redempton Resere Reluton Resere Shre optons outstndng mount Other resere (spefy nture nd mount) Totl ( + ) A A B B B B B B Surplus.e. Blne n proft nd loss ount (Det lne B to e shown s e fgure) x Totl (B + B + B + B + B + B + B + B) (Det lne to e shown s e fgure) C Money reeed gnst shre wrrnts D Totl Shreholder s fund (A + Bx + 1C) 2 Shre pplton money pendng llotment Pendng for less thn one yer Pendng for more thn one yer Totl ( + ) 2 3 Non-urrent lltes A Long-term orrowngs Bonds/ deentures Foregn urreny Rupee Totl ( + ) Term lons Foregn urreny Rupee lons 1 From Bnks 1 A Bx 1C 1D Pge 3

4 2 From others 2 3 Totl (1 + 2) 3 Totl Term lons ( + 3) Deferred pyment lltes Deposts from relted prtes (see nstrutons) Other deposts Lons nd dnes from relted prtes (see nstrutons) Other lons nd dnes Long term mturtes of fnne lese olgtons x Totl Long term orrowngs ( ) B Deferred tx lltes (net) C Other long-term lltes Trde pyles Others Totl Other long-term lltes ( + ) D Long-term prosons Proson for employee enefts Others Totl ( + ) E Totl Non-urrent lltes (3A + 3B + 3C + 3D) 4 Current lltes A Short-term orrowngs 3A 3B 3C 3D 3E Lons repyle on demnd From Bnks From Non-Bnkng Fnne Compnes From other fnnl nsttutons d From others e Totl Lons repyle on demnd ( d) Deposts from relted prtes (see nstrutons) Lons nd dnes from relted prtes (see nstrutons) Other lons nd dnes Other deposts Totl Short-term orrowngs (e ) B Trde pyles Outstndng for more thn 1 yer Others Totl Trde pyles ( + ) d e 4A 4B C D Other urrent lltes Current mturtes of long-term det Current mturtes of fnne lese olgtons Interest rued ut not due on orrowngs Interest rued nd due on orrowngs Inome reeed n dne Unpd ddends Applton money reeed for llotment of seurtes nd due for refund nd nterest rued Unpd mtured deposts nd nterest rued thereon x Unpd mtured deentures nd nterest rued thereon x Other pyles x Totl Other urrent lltes ( x + x) Short-term prosons x x 4C Pge 4

5 Proson for employee eneft Proson for Inome-tx Proposed Ddend Tx on ddend Other Totl Short-term prosons ( ) E Totl Current lltes (4A + 4B + 4C + 4D) Totl Equty nd lltes (1D E + 4E) 4D 4E I II ASSETS 1 Non-urrent ssets A Fxed ssets Tngle ssets Gross lok Depreton Imprment losses d Net lok ( - ) d Intngle ssets Gross lok Amortzton Imprment losses d Net lok ( - ) d Cptl work-n-progress Intngle ssets under deelopment Totl Fxed ssets (d + d + + ) A B Non-urrent nestments Inestment n property Inestments n Equty nstruments Lsted equtes Unlsted equtes Totl ( + ) Inestments n Preferene shres Inestments n Goernment or trust seurtes Inestments n Deenture or onds Inestments n Mutul funds Inestments n Prtnershp frms Others Inestments x Totl Non-urrent nestments ( ) Bx C Deferred tx ssets (Net) C D Long-term lons nd dnes Cptl dnes Seurty deposts Lons nd dnes to relted prtes (see nstrutons) Other Lons nd dnes Totl Long-term lons nd dnes ( ) D Long-term lons nd dnes nluded n D whh s for the purpose of usness or professon not for the purpose of usness or professon gen to shreholder, eng the enefl owner of shre, or to ny onern or on ehlf/ eneft of suh shreholder s per seton 2(22)(e) of I.T. At E Other non-urrent ssets Pge 5

6 Long-term trde reeles Others Seured, onsdered good Unseured, onsdered good Doutful d Totl Other non-urrent ssets ( + + ) Totl (d + ) Non-urrent ssets nluded n E whh s due from shreholder, eng the enefl owner of shre, or from ny onern or on ehlf/ eneft of suh shreholder s per seton 2(22)(e) of I.T. At F Totl Non-urrent ssets (A + Bx + C + D + E) 2 Current ssets A B C D E Current nestments Inestment n Equty nstruments Lsted equtes Unlsted equtes Totl ( + ) Inestment n Preferene shres Inestment n goernment or trust seurtes Inestment n deentures or onds Inestment n Mutul funds Inestment n prtnershp frms Other nestment Totl Current nestments ( ) Inentores Rw mterls Work-n-progress Fnshed goods Stok-n-trde (n respet of goods qured for trdng) Stores nd spres Loose tools Others Totl Inentores ( ) Trde reeles Outstndng for more thn 6 months Others Totl Trde reeles ( + + ) Csh nd sh equlents Blnes wth Bnks Cheques, drfts n hnd Csh n hnd Others Totl Csh nd sh equlents ( ) D Short-term lons nd dnes Lons nd dnes to relted prtes (see nstrutons) Others Totl Short-term lons nd dnes ( + ) Short-term lons nd dnes nluded n E whh s for the purpose of usness or professon not for the purpose of usness or professon d E 1F A B C E Pge 6

7 gen to shreholder, eng the enefl owner of shre, or to ny onern or on ehlf/ eneft of suh shreholder s per seton 2(22)(e) of I.T. At F Other urrent ssets F G Totl Current ssets (A + B + C + D + E + F) Totl Assets (1F + 2G) 2G II Prt A-BS Ind AS I Equty nd Lltes 1 Equty BALANCE SHEET AS ON 31 ST DAY OF MARCH, 2018 OR AS ON THE DATE OF BUSINESS COMBINATION [pplle for ompny whose fnnl sttements re drwn up n omplne to the Indn Aountng Stndrds spefed n Annexure to the ompnes (Indn Aountng Stndrds) Rules, 2015] A Equty shre ptl Authorsed A Issued, Susred nd fully pd up Susred ut not fully pd Totl (A + A) B Other Equty Other Reseres Cptl Redempton Resere Deenture Redempton Resere Shre Optons Outstndng ount d Other (spefy nture nd mount) e Totl other reseres ( d) Retned ernngs (Det lne of sttement of P&L to e shown s e fgure) Totl (Be + ) (Det lne to e shown s e fgure) C Totl Equty (A + B) 2 Lltes A Non-urrent lltes I Fnnl Lltes Borrowngs Bonds or deentures 1 Foregn urreny 1 2 Rupee 2 3 Totl (1 + 2) 3 Term lons 1 Foregn urreny 1 2 Rupee lons From Bnks From other prtes Totl ( + ) 3 Totl Term lons (1 + 2) 3 Deferred pyment lltes d Deposts e Lons from relted prtes (see nstrutons) f Long term mturtes of fnne lese olgtons f g Llty omponent of ompound fnnl nstruments h Other lons Totl orrowngs ( d + e + f + g + h) j Trde Pyles j k Other fnnl lltes (Other thn those spefed n II under prosons) II Prosons A A d e 2 A B 1C d e g h k Pge 7

8 Proson for employee enefts Others (spefy nture) Totl Prosons III Deferred tx lltes (net) IV Other non-urrent lltes Adnes Others (spefy nture) Totl Other non-urrent lltes Totl Non-Current Lltes (I + Ij + Ik + IIC + III + IV) B Current lltes I Fnnl Lltes Borrowngs Lons repyle on demnd 1 From Bnks 1 2 From Other prtes 2 3 Totl Lons repyle on demnd (1 + 2) 3 Lons from relted prtes Deposts d Other lons (spefy nture) Totl Borrowngs ( d) Trde pyles Other fnnl lltes Current mturtes of long-term det Current mturtes of fnne lese olgtons Interest rued d Unpd ddends e Applton money reeed for llotment of seurtes to the extent refundle nd nterest rued thereon f Unpd mtured deposts nd nterest rued thereon g Unpd mtured deentures nd nterest rued thereon h Others (spefy nture) Totl Other fnnl lltes ( + + +d +e +f +g+ h) Totl Fnnl Lltes (I + I + I) II Other Current lltes III Prosons Reenue reeed n dne Other dnes (spefy nture) Others (spefy nture) d Totl Other urrent lltes ( + + ) Proson for employee enefts Others (spefy nture) Totl prosons ( + ) IV Current Tx Lltes (Net) Totl Current lltes (I + IId + III+ IV) Totl Equty nd lltes (1C + 2A +2B) d d e f g h II III IV 2A I I I I IId III IV 2B I II ASSETS 1 Non-urrent ssets A Property, Plnt nd Equpment Gross lok Depreton Imprment losses Pge 8

9 d Net lok ( - ) B Cptl work-n-progress C Inestment Property Gross lok Depreton Imprment losses d Net lok ( - ) D Goodwll Gross lok Imprment losses Net lok ( ) E Other Intngle Assets Gross lok Amortston Imprment losses d Net lok ( - ) F Intngle ssets under deelopment G Bologl ssets other thn erer plnts Gross lok Imprment losses Net lok ( ) H Fnnl Assets I Inestments Inestments n Equty nstruments Lsted equtes Unlsted equtes Totl ( + ) Inestments n Preferene shres Inestments n Goernment or trust seurtes Inestments n Deenture or onds Inestments n Mutul funds Inestments n Prtnershp frms Others Inestments (spefy nture) Totl non-urrent nestments ( ) II Trde Reeles III Lons IV Seured, onsdered good Unseured, onsdered good Doutful d Totl Trde reeles Seurty deposts Lons to relted prtes (see nstrutons) Other lons (spefy nture) Totl Lons ( + + ) Lons nluded n HIII oe whh s- for the purpose of usness or professon not for the purpose of usness or professon gen to shreholder, eng the enefl owner of shre, or to ny onern or on ehlf/ eneft of suh shreholder s per seton 2(22)(e) of I.T. At Other Fnnl Assets Bnk Deposts wth more thn 12 months mturty Ad B Cd D Ed F G HI HII HIII Pge 9

10 Others Totl of Other Fnnl Assets ( + ) I Deferred Tx Assets (Net) J Other non-urrent Assets Cptl Adnes Adnes other thn ptl dnes Others (spefy nture) Totl non-urrent ssets ( + + ) Non-urrent ssets nluded n J oe whh s due from shreholder, eng the enefl owner of shre, or from ny onern or on ehlf/ eneft of suh shreholder s per seton 2(22)(e) of I.T. At Totl Non-urrent ssets (Ad + B + Cd + D + Ed + F + G + HI + HII + HIII + HIV + I + J) 1 2 Current ssets A B I II Inentores Rw mterls Work-n-progress Fnshed goods Stok-n-trde (n respet of goods qured for trdng) Stores nd spres Loose tools Others Totl Inentores ( ) Fnnl Assets Inestments Inestment n Equty nstruments Lsted equtes Unlsted equtes Totl ( + ) Inestment n Preferene shres Inestment n goernment or trust seurtes Inestment n deentures or onds Inestment n Mutul funds Inestment n prtnershp frms Other Inestments Totl Current nestments ( ) Trde reeles Seured, onsdered good Unseured, onsdered good Doutful Totl Trde reeles ( + + ) II III Csh nd sh equlents Blnes wth Bnks (of the nture of sh nd sh equlents) Cheques, drfts n hnd Csh on hnd Others (spefy nture) Totl Csh nd sh equlents ( ) III IV Bnk Blnes other thn III oe V Lons Seurty Deposts Lons to relted prtes (see nstrutons) Others(spefy nture) HIV I J 2A I IV Pge 10

11 Totl lons ( + + ) V Lons nd dnes nluded n V oe whh s- for the purpose of usness or professon not for the purpose of usness or professon VI Other Fnnl Assets gen to shreholder, eng the enefl owner of shre, or to ny onern or on ehlf/ eneft of suh shreholder s per seton 2(22)(e) of I.T. At Totl Fnnl Assets (I + II + III + IV + V + VI) C Current Tx Assets (Net) 2C D Other urrent ssets Adnes other thn ptl dnes Others(spefy nture) Totl Totl Current ssets (2A + 2B + 2C + 2D) 2 Totl Assets (1 + 2) VI 2B 2D II Prt A-P& L CREDITS TO PROFIT AND LOSS ACCOUNT 1 Reenue from opertons Proft nd Loss Aount for the fnnl yer (fll tems 1 to 52 n se where regulr ooks of ounts re mntned, otherwse fll tem 53) A Sles/ Gross reepts of usness (net of returns nd refunds nd duty or tx, f ny) Sle of produts/goods Sle of seres Other opertng reenues (spefy nture nd mount) Totl ( + ) Interest (n se of fnne ompny) Other fnnl seres (n se of fnne ompny Totl ( ) B Dutes, txes nd ess reeed or reele n respet of goods nd seres sold or suppled Unon Exse dutes Sere tx VAT/ Sles tx Centrl Goods & Sere Tx (CGST) Stte Goods & Seres Tx (SGST) Integrted Goods & Seres Tx (IGST) Unon Terrtory Goods & Seres Tx (UTGST) Any other duty, tx nd ess x Totl ( ) C Totl Reenue from opertons (A + Bx) 2 Other nome Interest nome (n se of ompny, other thn fnne ompny) Ddend nome Proft on sle of fxed ssets Proft on sle of nestment eng seurtes hrgele to Seurtes Trnston Tx (STT) Proft on sle of other nestment Rent Commsson Proft on ount of urreny flututon x Agrulturl nome I I I I I I V I I x A Bx 1C Pge 11

12 DEBITS TO PROFIT AND LOSS ACCOUNT x Any other nome (spefy nture nd mount) Totl (x + x) x Totl of other nome ( x + x) 3 Closng Stok Rw mterl 3 Work-n-progress Fnshed goods Totl ( ) 4 Totl of redts to proft nd loss ount (1C + 2x + 3) 4 5 Openng Stok Rw mterl 5 Work-n-progress Fnshed goods Totl ( ) 6 Purhses (net of refunds nd duty or tx, f ny) 6 7 Dutes nd txes, pd or pyle, n respet of goods nd seres purhsed Custom duty 7 Counter elng duty Spel ddtonl duty Unon exse duty Sere tx VAT/ Sles tx Centrl Goods & Sere Tx (CGST) Stte Goods & Seres Tx (SGST) x Integrted Goods & Seres Tx (IGST) x Unon Terrtory Goods & Seres Tx (UTGST) x Any other tx, pd or pyle 7x Totl ( x+7x+7x) 8 Freght 8 9 Consumpton of stores nd spre prts 9 10 Power nd fuel Rents Reprs to uldng Reprs to plnt, mhnery or furnture Compenston to employees x x x Slres nd wges 14 Bonus Remursement of medl expenses Lee enshment Lee trel enefts Contruton to pproed supernnuton fund Contruton to reognsed prodent fund Contruton to reognsed grtuty fund x Contruton to ny other fund 7x 7x 7x x Any other eneft to employees n respet of whh n 14x expendture hs een nurred x Totl ompenston to employees ( x + 14x) Whether ny ompenston, nluded n 14x, pd to nonresdent x x Yes / No If Yes, mount pd to non-resdents 14x x 2x 3 5 7x 14x Pge 12

13 15 Insurne Medl Insurne 15 Lfe Insurne Keymn s Insurne Other Insurne nludng ftory, offe, r, goods, et. Totl expendture on nsurne ( ) 16 Workmen nd stff welfre expenses Entertnment Hosptlty Conferene Sles promoton nludng pulty (other thn dertsement) Adertsement Commsson Pd outsde Ind, or pd n Ind to non-resdent other thn ompny or foregn ompny To others Totl ( + ) 23 Roylty Pd outsde Ind, or pd n Ind to non-resdent other thn ompny or foregn ompny To others Totl ( + ) 24 Professonl / Consultny fees / Fee for tehnl seres Pd outsde Ind, or pd n Ind to non-resdent other thn ompny or foregn ompny To others Totl ( + ) 25 Hotel, ordng nd Lodgng Trelng expenses other thn on foregn trelng Foregn trelng expenses Coneyne expenses Telephone expenses Guest House expenses Clu expenses Festl elerton expenses Sholrshp Gft Donton Rtes nd txes, pd or pyle to Goernment or ny lol ody (exludng txes on nome) Unon exse duty 36 Sere tx VAT/ Sles tx Cess Centrl Goods & Sere Tx (CGST) Stte Goods & Seres Tx (SGST) Integrted Goods & Seres Tx (IGST) Unon Terrtory Goods & Seres Tx (UTGST) x Any other rte, tx, duty or ess nl. STT nd CTT x Totl rtes nd txes pd or pyle ( x) 37 Audt fee Other expenses (spefy nture nd mount) x x Pge 13

14 PROVISIONS FOR TAX AND APPROPRIATIONS NO ACCOUNT CASE 39 Totl ( + ) Bd dets wrtten off (spefy PAN of the person, f t s lle, for whom Bd Det for mount of Rs. 1 lkh or more s lmed nd mount) Others (more thn Rs. 1 lkh) where PAN s not lle Others (mounts less thn Rs. 1 lkh) Totl Bd Det ( ) 40 Proson for d nd doutful dets Other prosons Proft efore nterest, depreton nd txes [4 ( x + 8 to x to to x )] 43 Interest Pd outsde Ind, or pd n Ind to non-resdent other thn ompny or foregn ompny To others Totl ( + ) 44 Depreton nd mortzton Proft efore txes ( ) Proson for urrent tx Proson for Deferred Tx nd deferred llty Proft fter tx ( ) Blne rought forwrd from preous yer Amount lle for pproprton ( ) Approprtons Trnsfer to reseres nd surplus 51 Proposed ddend/ Interm ddend Tx on ddend/ Tx on ddend for erler yers Approprton towrds Corporte Sol Responslty (CSR) ttes (n se of ompnes oered under seton 135 of 51 Compnes At, 2013) Any other pproprton Totl ( ) 52 Blne rred to lne sheet (50-51) In se where regulr ooks of ount of usness or professon re not mntned, furnsh the followng nformton for preous yer n respet of usness or professon Gross reepts Gross proft Expenses d Net proft d Prt A-P& L Ind AS CREDITS TO PROFIT AND LOSS ACCOUNT 1 Reenue from opertons Proft nd Loss Aount for the fnnl yer (fll tems 1 to 54 n se where regulr ooks of ounts re mntned, otherwse fll tem 55) [pplle for ompny whose fnnl sttements re drwn up n omplne to the Indn Aountng Stndrds spefed n Annexure to the ompnes (Indn Aountng Stndrds) Rules, 2015] A Sles/ Gross reepts of usness (net of returns nd refunds nd duty or tx, f ny) Sle of produts/goods Sle of seres Other opertng reenues (spefy nture nd mount) Totl ( + ) Interest (n se of fnne ompny) Other fnnl seres (n se of fnne ompny Totl ( ) A Pge 14

15 B Dutes, txes nd ess reeed or reele n respet of goods nd seres sold or suppled DEBITS TO PROFIT AND LOSS ACCOUNT Unon Exse dutes Sere tx VAT/ Sles tx Centrl Goods & Sere Tx (CGST) Stte Goods & Seres Tx (SGST) Integrted Goods & Seres Tx (IGST) Unon Terrtory Goods & Seres Tx (UTGST) Any other duty, tx nd ess x Totl ( ) C Totl Reenue from opertons (A + Bx) 2 Other nome Interest nome (n se of ompny, other thn fnne ompny) Ddend nome Proft on sle of fxed ssets Proft on sle of nestment eng seurtes hrgele to Seurtes Trnston Tx (STT) Proft on sle of other nestment Rent Commsson Proft on ount of urreny flututon x Agrulturl nome x Any other nome (spefy nture nd mount) Totl (x + x) x Totl of other nome ( x + x) 3 Closng Stok Rw mterl Work-n-progress Fnshed goods Totl ( ) 4 Totl of redts to proft nd loss ount (1C + 2x + 3) 4 5 Openng Stok Rw mterl Work-n-progress Fnshed goods Totl ( ) 6 Purhses (net of refunds nd duty or tx, f ny) 6 7 Dutes nd txes, pd or pyle, n respet of goods nd seres purhsed Custom duty Counter elng duty Spel ddtonl duty Unon exse duty Sere tx VAT/ Sles tx Centrl Goods & Sere Tx (GST) Stte Goods & Seres Tx (SGST) x Integrted Goods & Seres Tx (IGST) x Unon Terrtory Goods & Seres Tx (UTGST) x Any other tx, pd or pyle x x x x x 7x 7x Bx 1C 2x 3 5 Pge 15

16 x Totl ( x + 7x + 7x) 8 Freght 8 9 Consumpton of stores nd spre prts 9 10 Power nd fuel Rents Reprs to uldng Reprs to plnt, mhnery or furnture Compenston to employees Slres nd wges Bonus Remursement of medl expenses Lee enshment Lee trel enefts Contruton to pproed supernnuton fund Contruton to reognsed prodent fund Contruton to reognsed grtuty fund x Contruton to ny other fund x Any other eneft to employees n respet of whh n 14x expendture hs een nurred x Totl ompenston to employees ( x + 14x) Whether ny ompenston, nluded n 14x, pd to nonresdent x x Yes / No 15 Insurne If Yes, mount pd to non-resdents Medl Insurne Lfe Insurne Keymn s Insurne Other Insurne nludng ftory, offe, r, goods, et. Totl expendture on nsurne ( ) 16 Workmen nd stff welfre expenses Entertnment Hosptlty Conferene Sles promoton nludng pulty (other thn dertsement) Adertsement Commsson Pd outsde Ind, or pd n Ind to non-resdent other thn ompny or foregn ompny To others Totl ( + ) 23 Roylty Pd outsde Ind, or pd n Ind to non-resdent other thn ompny or foregn ompny To others Totl ( + ) 24 Professonl / Consultny fees / Fee for tehnl seres Pd outsde Ind, or pd n Ind to non-resdent other thn ompny or foregn ompny To others Totl ( + ) 25 Hotel, ordng nd Lodgng Trelng expenses other thn on foregn trelng Foregn trelng expenses Coneyne expenses 28 14x x x 14x Pge 16

17 29 Telephone expenses Guest House expenses Clu expenses Festl elerton expenses Sholrshp Gft Donton Rtes nd txes, pd or pyle to Goernment or ny lol ody (exludng txes on nome) Unon exse duty Sere tx VAT/ Sles tx Cess Goods & Sere Tx (GST) Stte Goods & Seres Tx (SGST) Integrted Goods & Seres Tx (IGST) Unon Terrtory Goods & Seres Tx (UTGST) 36 x Any other rte, tx, duty or ess nl. STT nd CTT 36x x Totl rtes nd txes pd or pyle ( x) 36x 37 Audt fee Other expenses (spefy nture nd mount) 39 Totl ( + ) Bd dets wrtten off (spefy PAN of the person, f t s lle, for whom Bd Det for mount of Rs. 1 lkh or more s lmed nd mount) Others (more thn Rs. 1 lkh) where PAN s not lle Others (mounts less thn Rs. 1 lkh) Totl Bd Det ( ) 40 Proson for d nd doutful dets Other prosons Proft efore nterest, depreton nd txes [4 ( x + 8 to x to to x )] 43 Interest Pd outsde Ind, or pd n Ind to non-resdent other thn ompny or foregn ompny To others Totl ( + ) 44 Depreton nd mortzton Proft efore txes ( ) Proson for urrent tx Proson for Deferred Tx nd deferred llty PROVISIONS FOR TAX AND APPROPRIATIONS 48 Proft fter tx ( ) Blne rought forwrd from preous yer Amount lle for pproprton ( ) Approprtons Trnsfer to reseres nd surplus 51 Proposed ddend/ Interm ddend Tx on ddend/ Tx on ddend for erler yers Approprton towrds Corporte Sol Responslty (CSR) ttes (n se of ompnes oered under seton 135 of Compnes At, 2013) Pge 17

18 NO ACCOUNT CASE Any other pproprton Totl ( ) 52 Blne rred to lne sheet (50 51) Other Comprehense Inome A Items tht wll not e relssfed to P&L Chnges n reluton surplus Re-mesurements of the defned eneft plns Equty nstruments through OCI Fr lue Chnges reltng to own redt rsk of fnnl lltes desgnted t FVTPL Shre of Other omprehense nome n ssotes nd jont entures, to the extent not to e lssfed to P&L Others (Spefy nture) Inome tx reltng to tems tht wll not e relssfed to P&L Totl B Items tht wll e relssfed to P&L Exhnge dfferenes n trnsltng the fnnl sttements of foregn operton Det nstruments through OCI The effete porton of gns nd loss on hedgng nstruments n sh flow hedge Shre of OCI n ssotes nd jont entures to the extent to e lssfed nto P&L Others (Spefy nture) Inome tx reltng to tems tht wll e relssfed to P&L Totl 54 Totl Comprehense Inome ( A + 53B) In se where regulr ooks of ount of usness or professon re not mntned, furnsh the followng nformton for preous yer n respet of usness or professon Gross reepts Gross proft Expenses d Net proft A 53B d OTHER INFORMATION Prt A- OI Other Informton (optonl n se not lle for udt under seton 44AB) 1 Method of ountng employed n the preous yer (Tk) merntle sh 2 Is there ny hnge n method of ountng (Tk) Yes No Inrese n the proft or derese n loss euse of deton, f ny, s per Inome Computton 3 Dslosure Stndrds notfed under seton 145(2) [olumn 11() of Shedule ICDS] 3 Derese n the proft or nrese n loss euse of deton, f ny, s per Inome Computton 3 Dslosure Stndrds notfed under seton 145(2) [olumn 11() of Shedule ICDS] 3 4 Method of luton of losng stok employed n the preous yer Rw Mterl (f t ost or mrket rtes whheer s less wrte 1, f t ost wrte 2, f t mrket rte wrte 3) Fnshed goods (f t ost or mrket rtes whheer s less wrte 1, f t ost wrte 2, f t mrket rte wrte 3) Is there ny hnge n stok luton method (Tk) Yes No d Inrese n the proft or derese n loss euse of deton, f ny, from the method of luton spefed under seton 145A e Derese n the proft or nrese n loss euse of deton, f ny, from the method of luton spefed under seton 145A 5 Amounts not redted to the proft nd loss ount, eng - the tems fllng wthn the sope of seton 28 the proform redts, drwks, refund of duty of ustoms or exse or sere tx, or refund of sles tx or lue dded tx, or refund of GST, where suh redts, drwks or refunds re dmtted s due y the uthortes onerned eslton lms epted durng the preous yer d ny other tem of nome e ptl reept, f ny f Totl of mounts not redted to proft nd loss ount ( d+5e) d 5e 4d 4e 5f Pge 18

19 6 Amounts deted to the proft nd loss ount, to the extent dsllowle under seton 36 due to nonfulflment of ondton spefed n relent luses Premum pd for nsurne gnst rsk of dmge or destruton of stoks or store [36(1)()] 6 Premum pd for nsurne on the helth of employees [36(1)()] 6 Any sum pd to n employee s onus or ommsson for seres rendered, where suh sum ws otherwse pyle to hm s 6 profts or ddend [36(1)()] d Any mount of nterest pd n respet of orrowed ptl [36(1)()] 6d e Amount of dsount on zero-oupon ond [36(1)()] f Amount of ontrutons to reognsed prodent fund [36(1)()] 6f g Amount of ontrutons to n pproed supernnuton fund [36(1)()] 6g h Amount of ontruton to penson sheme referred to n seton 80CCD [36(1)()] 6h Amount of ontrutons to n pproed grtuty fund [36(1)()] j Amount of ontrutons to ny other fund k Any sum reeed from employees s ontruton to ny prodent fund or supernnuton fund or ny fund set up under ESI At or ny other fund for the welfre of employees to the extent not redted to the employees ount on or efore the due dte [36(1)()] l Amount of d nd doutful dets [36(1)()] m Proson for d nd doutful dets [36(1)()] n Amount trnsferred to ny spel resere [36(1)()] Expendture for the purposes of promotng fmly plnnng o mongst employees [36(1)(x)] Amount of seurtes trnston pd n respet of trnston n p seurtes f suh nome s not nluded n usness nome [36(1)(x)] q Any other dsllowne r Totl mount dsllowle under seton 36 (totl of 6 to 6q) s Totl numer of employees employed y the ompny (mndtory n se ompny hs reognzed Prodent Fund) deployed n Ind deployed outsde Ind Totl 7 Amounts deted to the proft nd loss ount, to the extent dsllowle under seton 37 Expendture of ptl nture [37(1)] Expendture of personl nture [37(1)] Expendture ld out or expended wholly nd exlusely NOT for the purpose of usness or professon [37(1)] Expendture on dertsement n ny souenr, rohure, trt, d pmphlet or the lke, pulshed y poltl prty [37(2B)] Expendture y wy of penlty or fne for olton of ny lw for the e tme eng n fore f Any other penlty or fne g Expendture nurred for ny purpose whh s n offene or whh s prohted y lw h Expendture nurred on orporte sol responslty (CSR) Amount of ny llty of ontngent nture j Any other mount not llowle under seton 37 k Totl mount dsllowle under seton 37 (totl of 7 to 7j) 8 A. Amounts deted to the proft nd loss ount, to the extent dsllowle under seton 40 Amount dsllowle under seton 40 ()(), on ount of non-omplne wth the prosons of Chpter XVII-B Amount dsllowle under seton 40()() on ount of non-omplne wth the prosons of Chpter XVII-B Amount dsllowle under seton 40()() on ount of non-omplne wth the prosons of Chpter VIII of the Fnne At, 2016 Amount dsllowle under seton 40()() on ount of d non-omplne wth the prosons of Chpter XVII-B e Amount of tx or rte leed or ssessed on the ss of profts [40()()] f Amount pd s welth tx [40()()] 6e 6 6j 6k 6l 6m 6n 6o 6p 6q A A A Ad Ae Af d 7e 7f 7g 7h 7 7j 6r 7k Pge 19

20 B. g Amount pd y wy of roylty, lense fee, sere fee et. s per seton 40()() h Amount of nterest, slry, onus, ommsson or remunerton pd to ny prtner or memer [40()] Any other dsllowne j Totl mount dsllowle under seton 40(totl of A to A ) Any mount dsllowed under seton 40 n ny preedng preous yer ut llowle durng the preous yer 9 Amounts deted to the proft nd loss ount, to the extent dsllowle under seton 40A 10 Amounts pd to persons spefed n seton 40A(2)() Amount pd otherwse thn y ount pyee heque or ount pyee nk drft or use of eletron lerng system through nk ount, dsllowle under seton 40A(3) Proson for pyment of grtuty [40A(7)] d ny sum pd y the ssessee s n employer for settng up or s ontruton to ny fund, trust, ompny, AOP, or BOI or soety or ny other nsttuton [40A(9)] e Any other dsllowne f Totl mount dsllowle under seton 40A Any mount dsllowed under seton 43B n ny preedng preous yer ut llowle durng the preous yer Any sum n the nture of tx, duty, ess or fee under ny lw d e Any sum pyle y wy of ontruton to ny prodent fund or supernnuton fund or grtuty fund or ny other fund for the welfre of employees Any sum pyle to n employee s onus or ommsson for seres rendered Any sum pyle s nterest on ny lon or orrowng from ny pul fnnl nsttuton or Stte fnnl orporton or Stte Industrl nestment orporton Any sum pyle s nterest on ny lon or orrowng from ny sheduled nk or o-operte nk other thn prmry grulturl redt soety or prmry o-operte grulturl nd rurl deelopment nk f Any sum pyle towrds lee enshment g Any sum pyle to the Indn Rlwys for the use of rlwy ssets h Totl mount llowle under seton 43B (totl of 10 to 10g ) 11 Any mount deted to proft nd loss ount of the preous yer ut dsllowle under seton 43B Any sum n the nture of tx, duty, ess or fee under ny lw Any sum pyle y wy of ontruton to ny prodent fund or supernnuton fund or grtuty fund or ny other fund for the welfre of employees Any sum pyle to n employee s onus or ommsson for seres rendered d Any sum pyle s nterest on ny lon or orrowng from ny pul fnnl nsttuton or Stte fnnl orporton or Stte Industrl nestment orporton e Any sum pyle s nterest on ny lon or orrowng from ny sheduled nk or o-operte nk other thn prmry grulturl redt soety or prmry o-operte grulturl nd rurl deelopment nk f Any sum pyle towrds lee enshment Any sum pyle to the Indn Rlwys for the use of rlwy g ssets h Totl mount dsllowle under Seton 43B(totl of 11 to 11g) 12 Amount of redt outstndng n the ounts n respet of Unon Exse Duty Sere tx VAT/sles tx d Centrl Goods & Sere Tx (CGST) e Stte Goods & Seres Tx (SGST) f Integrted Goods & Seres Tx (IGST) g Unon Terrtory Goods & Seres Tx (UTGST) h Any other tx Totl mount outstndng (totl of 12 to 12h) Ag Ah A d 9e d 10e 10f 10g d 11e 11f 11g d 12e 12f 12g 12h Aj 8B 9f 10h 11h 12 Pge 20

21 13 Amounts deemed to e profts nd gns under seton 33AB or 33ABA or 33AC Any mount of proft hrgele to tx under seton Amount of nome or expendture of pror perod redted or deted to the proft nd loss ount (net) 15 Prt A QD Qunttte detls (optonl n se not lle for udt under seton 44AB) () In the se of trdng onern 1 Openng stok 1 2 Purhse durng the preous yer 2 3 Sles durng the preous yer 3 4 Closng stok 4 5 Shortge/ exess, f ny 5 () In the se of mnufturng onern 6 Rw mterls QUANTITATIVE DETAILS Openng stok 6 Purhses durng the preous yer 6 Consumpton durng the preous yer 6 d Sles durng the preous yer 6d e Closng stok f Yeld fnshed produts 6f g Perentge of yeld 6g h Shortge/ exess, f ny 7 Fnshed produts/ By-produts openng stok 7 purhse durng the preous yer 7 quntty mnuftured durng the preous yer 7 d sles durng the preous yer 7d e losng stok 7e f shortge/ exess, f ny 7f 6e 6h Prt A OL Reept nd pyment ount of ompny under lqudton 1 Openng lne Csh n hnd 1 Bnk 1 Totl openng lne 1 Reept nd pyment ount of ompny under lqudton 2 Reepts Interest 2 Ddend 2 Sle of ssets (pls. spefy nture nd mount) d Totl ( + + ) 2d Relston of dues/detors 2 Others (pls. spefy nture nd mount) 2 2 Totl of other reepts ( + ) 2 Totl reepts ( d ) 2 3 Totl of openng lne nd reepts 3 4 Pyments Repyment of seured lon 4 Repyment of unseured lon 4 Pge 21

22 Repyment to redtors 4 Commsson 4 Others (pls. spefy) 4 4 Totl of other pyments (4 + 4) 4 Totl pyments ( ) 4 5 Closng lne Csh n hnd 5 Bnk 5 Totl of losng lne (5 + 5) 5 6 Totl of losng lne nd pyments (4 + 5) 6 Prt B - TI Computton of totl nome 1 Inome from house property (3 of Shedule-HP) (enter nl f loss) 1 2 Profts nd gns from usness or professon Profts nd gns from usness other thn speulte usness nd spefed usness (A39 of Shedule BP) (enter nl f loss) Profts nd gns from speulte usness (B43 of Shedule BP) (enter nl f loss nd tke the fgure to shedule CFL) Profts nd gns from spefed usness ( C49 of Shedule BP)(enter nl f loss nd tke the fgure to shedule CFL) Inome from ptent u/s 115BBF (3d of Shedule BP) Inome from trnsfer of ron redts u/s 115BBG (3e of Shedule BP) TOTAL INCOME Totl ( ) 3 Cptl gns Short term Short-term 15% (7 of tem E of shedule CG) Short-term 30% (7 of tem E of shedule CG) Short-term hrgele t pplle rte (7 of tem E of shedule CG) Totl Short-term ( + + ) Long-term Long-term 10% (7 of tem E of shedule CG) Long-term 20% (7 of tem E of shedule CG) Totl Long-term ( + ) (enter nl f loss) Totl ptl gns (3 + 3) (enter nl f loss) 4 Inome from other soures from soures other thn from ownng nd mntnng re horses nd nome hrgele to tx t spel rte (1k of Shedule OS) (enter nl f loss) Inome hrgele to tx t spel rte (1f of Shedule OS) from ownng nd mntnng re horses (3e of Shedule OS) (enter nl f loss) d Totl ( ) 5 Totl ( d) 5 6 Losses of urrent yer to e set off gnst 5 (totl of 2x, 3x nd 4x of Shedule CYLA) 6 7 Blne fter set off urrent yer losses (5 6) (totl of olumn 5 of shedule CYLA + 4) 7 8 Brought forwrd losses to e set off gnst 7 (totl of 2x, 3x nd 4x of Shedule BFLA) 8 9 Gross Totl nome (7 8) (5x of Shedule BFLA + 4) 9 10 Inome hrgele to tx t spel rte under seton 111A, 112 et. nluded n Deduton u/s 10AA (e of Sh. 10AA) Dedutons under Chpter VI-A Prt-B of Chpter VI-A [1 of Shedule VI-A nd lmted upto (9-10)] Prt-C of Chpter VI-A [2 of Shedule VI-A nd lmted upto (9-10-2)] Totl ( ) [lmted upto (9-10)] d Pge 22

23 13 Totl nome ( ) Inome hrgele to tx t spel rtes (totl of () of shedule SI) Inome hrgele to tx t norml rtes (13-14) Net grulturl nome(4 of Shedule EI) Losses of urrent yer to e rred forwrd (totl of x of Shedule CFL) Deemed totl nome under seton 115JB (9 of Shedule MAT) 18 Prt B - TTI Computton of tx llty on totl nome 1 Tx Pyle on deemed totl Inome under seton 115JB (10 of Shedule MAT) 1 Surhrge on () oe Eduton ess, nludng seondry nd hgher eduton ess on (1+1) oe d Totl Tx Pyle u/s 115JB (1+1+1) 2 Tx pyle on totl nome Tx t norml rtes on 15 of Prt B-TI Tx t spel rtes (totl of ol. () of Shedule-SI) d COMPUTATION OF TAX LIABILITY TAXES PAID Tx Pyle on Totl Inome (2 + 2) d Surhrge 25% of 12() of Shedule SI On [(2d) (12() of Shedule SI)] Totl ( + ) e Eduton ess, nludng seondry nd hgher eduton ess on (2+2d) f Gross tx llty (2+2d+2e) 2f 3 Gross tx pyle (hgher of 1d nd 2f) 3 4 Credt under seton 115JAA of tx pd n erler yers (f 2f s more thn 1d) ( 5 of Shedule MATC) 5 Tx pyle fter redt under seton 115JAA [ (3-4)] 5 6 Tx relef Seton 90/90A(2 of Shedule TR) Seton 91(3 of Shedule TR) Totl (6 + 6) 7 Net tx llty (5 6) (enter zero f negte) 7 8 Interest nd fee pyle Interest for defult n furnshng the return (seton 234A) Interest for defult n pyment of dne tx (seton 234B) Interest for deferment of dne tx (seton 234C) d Fee for defult n furnshng return of nome (seton 234F) e Totl Interest nd Fee Pyle ( d) 9 Aggregte llty (7 + 8e) 9 10 Txes Pd Adne Tx (from olumn 5 of 16A) TDS (totl of olumn 9 of 16B) TCS (totl of olumn 7 of 16C) d Self-Assessment Tx (from olumn 5 of 16A) e Totl Txes Pd ( d) 11 Amount pyle (9-10e) (Enter f 9 s greter thn 10e, else enter 0) d d 2d 2d 2 2d 2e 4 6 8e 10e BANK ACCOUNT 12 Refund (If 10e s greter thn 9) (Refund, f ny, wll e dretly redted nto the nk ount) Detls of ll Bnk Aounts held n Ind t ny tme durng the preous yer (exludng dormnt ounts) (In se of non-resdents, detls of ny one foregn Bnk Aount my e furnshed for the purpose of redt of refund) Sl. IFS Code of the Bnk n se of Bnk Aounts held n Ind (SWIFT Code n se of foregn Bnk Aount) Nme of the Bnk Aount Numer (IBAN n se of foregn Bnk Aounts) Indte the ount n whh you prefer to get your refund redted, f ny (tk one ount ) Pge 23

24 14 Do you t ny tme durng the preous yer,- () hold, s enefl owner, enefry or otherwse, ny sset (nludng fnnl nterest n ny entty) loted outsde Ind; or () he sgnng uthorty n ny ount loted outsde Ind; or () he nome from ny soure outsde Ind? [pplle only n se of resdent] [Ensure Shedule FA s flled up f the nswer s Yes ] Yes No VERIFICATION I, son/ dughter of, solemnly delre tht to the est of my knowledge nd elef, the nformton gen n the return nd the shedules thereto s orret nd omplete s n ordne wth the prosons of the Inome-tx At, I further delre tht I m mkng ths return n my pty s nd I m lso ompetent to mke ths return nd erfy t. I m holdng permnent ount numer (f llotted) (Plese see nstruton). I further delre tht the rtl ssumptons spefed n the greement he een stsfed nd ll the terms nd ondtons of the greement he een ompled wth. (Applle, n se where return s furnshed under seton 92CD) Ple Dte Sgn here A 15 TAX PAYMENTS ADVANCE/ SELF ASSESSMENT TAX Detls of pyments of Adne Tx nd Self-Assessment Tx Sl BSR Code Dte of Depost (DD/MM/YYYY) Serl Numer of Chlln Amount (Rs) No (1) (2) (3) (4) (5) NOTE Enter the totls of Adne tx nd Self-Assessment tx n Sl No. 10 & 10d of Prt B-TTI B Detls of Tx Deduted t Soure (TDS) on Inome [As per Form 16 A ssued or Form 26QB/26QC furnshed y Dedutor(s)] Sl No TAN of the Dedutor/ PAN of the Buyer/ Tennt Nme of the Dedutor/Buyer/ Tennt Unque TDS Certfte Numer Unlmed TDS rought forwrd (/f) TDS of the urrent fn. yer TDS redt out of (7) or (8) eng lmed ths Yer (only f orrespondng nome s eng offered for tx ths yer) TDS redt out of (7) or (8) eng rred forwrd TDS ON INCOME Fn. Yer n whh deduted Amount /f Deduted n own hnds Deduted n the hnds of ny other person s per rule 37BA(2) (f pplle) Clmed n own hnds Clmed n the hnds of ny other person s per rule 37BA(2) (f pplle) (1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) Inome TDS PAN of other person Inome TDS PAN of other person C TCS ON INCOME NOTE Plese enter totl of olumn (8) n 10 of Prt B-TTI Detls of Tx Colleted t Soure (TCS) [As per Form 27D ssued y the Colletor(s)] Sl No Tx Deduton nd Tx Colleton Aount Numer of the Colletor Nme of the Colletor Unlmed TCS rought forwrd (/f) Fn. Yer n whh olleted Amount /f TCS of the urrent fn. yer Amount out of (5) or (6) eng lmed ths Yer (only f orrespondng nome s eng offered for tx ths yer) Amount out of (5) or (6) eng rred forwrd (1) (2) (3) (4) (5) (6) (7) (8) NOTE Plese enter totl of olumn (7) n 10 of Prt B-TTI NOTE: PLEASE FILL SCHEDULES TO THE RETURN FORM (PAGES S1- S21) AS APPLICABLE Pge 24