If subsdary company, menton the name, address and PAN of the holdng company If holdng company, menton the name, address and PAN of the subsdary compan

Transcription

1 FORM ITR-6 INDIAN INCOME TAX RETURN [For Companes other than companes clamng exempton under secton 11] (Please see rule 12 of the Income-tax Rules,1962) Assessment Year (Also see attached nstructons) Part A-GEN Name GENERAL PAN Is there any change n the company s name? If yes, please furnsh the old name PERSONAL INFORMATION FILING STATUS AUDIT INFORMATION Flat/Door/Block No Name Of Premses/Buldng/Vllage Date of ncorporaton (DD/MM/YYYY) / / Road/Street/Post Offce Area/Localty If a domestc company (Tck) Town/Cty/Dstrct State Pn code If a publc company wrte 6, and f prvate company wrte 7 (as defned n secton 3 of the Company Act) Offce Phone Number wth STD code Moble No. Income Tax Ward/Crcle Emal Address Return fled (Tck)[Please see nstructon number-7] Before due date -139(1) After due date -139(4) Revsed Return- 139(5) OR In response to notce 142(1) A/153C If revsed, then enter Recept No and Date of flng orgnal return (DD/MM/YYYY) Resdental Status (Tck) Resdent Non-Resdent In the case of non-resdent, s there a permanent establshment (PE) n Inda (Tck) Yes No Whether ths return s beng fled by a representatve assessee? (Tck) Yes No If yes, please furnsh followng nformaton - (a) (b) Name of the representatve Address of the representatve ( c) Permanent Account Number (PAN) of the representatve Are you lable to mantan accounts as per secton 44AA? (Tck) Yes No / / Are you lable for audt under secton 44AB? (Tck) Yes No, If yes, furnsh followng nformaton- (a) (b) (c) (d) (e) Name of the audtor sgnng the tax audt report Membershp no. of the audtor Name of the audtor (propretorshp/ frm) Permanent Account Number (PAN) of the propretorshp/ frm Date of audt report. Are you lable to furnsh a report under secton 92E? (Tck) Yes No For Offce Use Only For Offce Use Only Recept No Date Seal and Sgnature of recevng offcal H O L Nature of company (wrte 1 f holdng company, wrte 2 f a subsdary company, wrte 3 f both, wrte 4 f any other)

2 If subsdary company, menton the name, address and PAN of the holdng company If holdng company, menton the name, address and PAN of the subsdary companes In case of amalgamatng company, wrte the name of amalgamated company BUSINESS ORGANISATION KEY PERSONS SHAREHOLDERS INFORMATION In case of amalgamated company, wrte the name of amalgamatng company In the case of demerged company, wrte the name of resultng company In a case of resultng company, wrte the name of demerged company Partculars of Managng Drector, Drectors, Secretary and Prncpal offcer(s) who have held the offce durng the prevous year S.No. Name Desgnaton Resdental Address PAN Partculars of persons who were benefcal owners of shares holdng not less than 10% of the votng power at any tme of the prevous year S.No. Name and Address Percentage of shares held PAN NATURE OF COMPANY AND ITS BUSINESS Nature of company Are you a publc sector company as defned n secton 2(36A) of the Income-tax Act Act 1 Are you a company owned by the Reserve Bank of Inda Are you a company n whch not less than forty percent of the shares are held (whether sngly or taken together) by the Government or the Reserve Bank of Inda or a corporaton owned by that Bank Yes Yes Yes (Tck) No No No Are you a bankng company as defned n clause (c) of secton 5 of the Bankng Regulaton Act,1949 Yes No

3 5 6 Are you a scheduled Bank beng a bank ncluded n the Second Schedule to the Reserve Bank of Inda Act Yes No Are you a company regstered wth Insurance Regulatory and Development Authorty (establshed under sub-secton (1) of secton 3 of the Insurance Regulatory and Development Authorty Act, 1999). Yes No 7 Are you a company beng a non-bankng Fnancal Insttuton Yes No Nature of busness or professon, f more than one busness or professon ndcate the three man actvtes/ products S.No. () Code [Please see nstructon No.9()] Descrpton () () Part A-BS BALANCE SHEET AS ON 31 ST DAY OF MARCH, Shareholder s fund a Share captal SOURCES OF FUNDS Authorsed a Issued, Subscrbed and Pad up : a Share applcaton money v Total (a + a) b Reserves and Surplus Revaluaton Reserve b Captal Reserve Captal Redempton Reserve v Securtes Premum Account v Debentures Redempton reserve v Statutory Reserve v General Reserve v Proft and loss account x Total (b + b + b + bv + bv + bv + bv + bv)) c total Shareholders fund (av + bx) 2 Loan funds a Secured loans Debentures a a b b bv bv bv bv bv Foregn Currency Loans a Rupee Loans A From Banks B From others C Total ( A + B) v Total (a + a + C) b Unsecured loans (ncludng deposts) Long Term A From Banks B From others C Total ( A + B) Short Term A From Banks B From others C Total ( A + B) Total (C + C) c Total Loan Funds (av + b) A B C A B C A B C av bx 1c av b 2c

4 APPLICATION OF FUNDS 3 Deferred tax lablty 3 4 Sources of funds (1c + 2c +3) 4 1 Fxed assets a Gross: Block b Deprecaton c Net Block (a b) d Captal work-n-progress e Total (1c + 1d) 2 Investments a Long-term nvestments Government and other Securtes - Quoted a Government and other Securtes Unquoted Total (a + a) b Short-term nvestments Equty Shares b Preference Shares Debenture v Total (b + b + b) c Total nvestments (a + bv) 3 Current assets, loans and advances a Current assets Inventores Stores/consumables ncludng packng A materal B Raw materals C Stock-n-process D Fnshed Goods/Traded Goods E Total (A + B + C + D) Sundry Debtors A Over Sx Months B Others C Total (A + B) Cash and Bank Balances A Cash-n-hand B Balance wth banks C Total (A + B) v Other Current Assets v Total current assets (E + C + C + av) av b Loans and advances 1a 1b 1c 1d a b b A B C D A B A B Loans to subsdary companes b Advances recoverable n cash or n knd or for value to be receved b Deposts, loans and advances to corporate and others b v Balance wth Revenue Authortes bv v Total (b + b + b + bv) c Total (av + bv) d Current labltes and provsons Current labltes A Sundry Credtors B Lablty for Leased Assets C Unpad Dvdend D Unpad Matured debentures E Unpad Call Money F Interest Accrued on above G Interest accrued but not due on loans A B C D E F G 1e a bv 2c E C C av bv 3c

5 H Total (A + B + C + D + E + F + G ) Provsons A Provson for Income Tax B Provson for Frnge Beneft Tax C Provson for Wealth Tax Provson for Leave D encashment/superannuaton/gratuty E Other Provsons F Proposed Dvdend G Tax on Dvdend H Total (A + B + C + D + E + F + G) Total (H + H) e Net current assets (3c d) 4 a Mscellaneous expendture not wrtten off or adjusted 4a b Deferred tax asset c Proft and loss account/ accumulated balance d Total (4a + 4b + 4c) 5 Total, applcaton of funds (1e + 2c + 3e +4d) 5 Proft and Loss Account for the year Part A-P& L (fll tems 1 to 50 n a case where regular books of accounts are mantaned, otherwse fll tem 51) Sales/ Gross recepts of busness or professon 1 1 (Net of returns and refunds and duty or tax, f any) 2 Dutes, taxes and cess, receved or recevable, n respect of goods and servces sold or suppled CREDITS TO PROFIT AND LOSS ACCOUNT a Unon Excse dutes b Servce tax c VAT/ Sales tax d Any other duty, tax and cess e Total of dutes, taxes and cess, receved or recevable(2a+2b+2c+2d) 3 Other ncome a Rent b Commsson c Dvdend d Interest e Proft on sale of fxed assets Proft on sale of nvestment beng securtes chargeable f to Securtes Transacton Tax (STT) g Proft on sale of other nvestment h Proft on account of currency fluctuaton A B C D E F G 4b 4c 2a 2b 2c 2d 3a 3b 3c 3d 3e 3f 3g 3h Agrculture ncome 3 j Any other ncome k Total of other ncome [(a)to(j)] 4 Closng Stock 4 5 Totals of credts to proft and loss account (1+2e+3k+4) 5 3j H H d 3e 4d 2e 3k DEBITS TO PROFIT AND LOSS ACCOUNT 6 Openng Stock 6 7 Purchases (net of refunds and duty or tax, f any) 7 8 Dutes and taxes, pad or payable, n respect of goods and servces purchased a Custom duty 8a b Counter valng duty 8b c Specal addtonal duty 8c d Unon excse duty 8d e Servce tax 8e f VAT/ Sales tax 8f g Any other tax, pad or payable 8g h Total (8a+8b+8c+8d+8e+8f+8g) 8h

6 9 Freght 9 10 Consumpton of stores and spare parts Power and fuel Rents Repars to buldng Repars to machnery Compensaton to employees a Salares and wages b Bonus c Rembursement of medcal expenses d Leave encashment e Leave travel benefts f Contrbuton to approved superannuaton fund g Contrbuton to recognsed provdent fund h Contrbuton to recognsed gratuty fund Contrbuton to any other fund 15 Any other beneft to employees n respect of whch an j expendture has been ncurred k Frnge beneft tax pad or payable l Total compensaton to employees (15a+15b+15c+15d+15e+15f+15g+15h+15+15j+15k) 15l 16 Insurance a Medcal Insurance b Lfe Insurance c Keyman s Insurance Other Insurance ncludng factory, offce, car, goods, d etc. e Total expendture on nsurance (16a+16b+16c+16d) 17 Workmen and staff welfare expenses Entertanment Hosptalty Conference Sales promoton ncludng publcty (other than advertsement) Advertsement Commsson Hotel, boardng and Lodgng Travelng expenses ncludng foregn travelng Conveyance expenses Telephone expenses 27 15a 15b 15c 15d 15e 15f 15g 15h 15j 15k 16a 16b 16c 16d 28 Guest House expenses Club expenses Festval celebraton expenses Scholarshp Gft Donaton Rates and taxes, pad or payable to Government or any local body (excludng taxes on ncome) a Unon excse duty 34a b Servce tax c VAT/ Sales tax d Cess e Any other rate, tax, duty or cess ncl STT f Total rates and taxes pad or payable (34a+34b+34c+34d+34e) 35 Audt fee Other expenses Bad debts Provson for bad and doubtful debts 38 34b 34c 34d 34e 16e 34f

7 PROVISIONS FOR TAX AND APPROPRIATIONS 39 Other provsons Part A- OI OTHER INFORMATION Proft before nterest, deprecaton and taxes [5 ( h + 9 to k + 16e + 17 to f + 35 to 39)] 41 Interest Deprecaton Proft before taxes ( ) Provson for current tax Provson for Frnge beneft Tax Provson for Deferred Tax and deferred lablty Proft after tax ( ) Balance brought forward from prevous year Amount avalable for appropraton ( ) Appropratons a Transfer to reserves and surplus b Proposed dvdend/ Interm dvdend c Tax on dvdend/ Tax on dvdend for earler years d Any other appropraton e Total (50a + 50b + 50c + 50d) 51 Balance carred to balance sheet (49 50e) 51 Other Informaton (optonal n a case not lable for audt under secton 44AB) 1 Method of accountng employed n the prevous year (Tck) mercantle cash 2 Is there any change n method of accountng (Tck) Yes No 3 Effect on the proft because of devaton, f any, n the method of accountng employed n the prevous year from accountng standards prescrbed under secton 145A 4 Method of valuaton of closng stock employed n the prevous year a Raw Materal (f at cost or market rates whchever s less wrte 1, f at cost wrte 2, f at market rate wrte 3) b Fnshed goods (f at cost or market rates whchever s less wrte 1, f at cost wrte 2, f at market rate wrte 3) c Is there any change n stock valuaton method (Tck) Yes No d Effect on the proft or loss because of devaton, f any, from the method of valuaton prescrbed under secton 145A 5 Amounts not credted to the proft and loss account, beng - a the tems fallng wthn the scope of secton 28 b the proforma credts, drawbacks, refund of duty of customs or excse or servce tax, or refund of sales tax or value added tax, where such credts, drawbacks or refunds are admtted as due by the authortes concerned c escalaton clams accepted durng the prevous year d any other tem of ncome e captal recept, f any 5a 5b 5c 50a 50b 50c 50d f Total of amounts not credted to proft and loss account (5a+5b+5c+5d+5e) 6 Amounts debted to the proft and loss account, to the extent dsallowable under secton 36:- a Premum pad for nsurance aganst rsk of damage or destructon of stocks or store b Premum pad for nsurance on the health of employees c Any sum pad to an employee as bonus or commsson for servces rendered, where such sum was otherwse payable to hm as profts or dvdend. d Any amount of nterest pad n respect of borrowed captal e Amount of dscount on a zero-coupon bond f Amount of contrbutons to a recognsed provdent fund g Amount of contrbutons to an approved superannuaton fund h Amount of contrbutons to an approved gratuty fund Amount of contrbutons to any other fund 5d 5e 6a 6b 6c 6d 6e 6f 6g 6h e 3 4d 5f

8 j Amount of bad and doubtful debts k Provson for bad and doubtful debts l Amount transferred to any specal reserve m Expendture for the purposes of promotng famly plannng amongst employees n Any sum receved from employees as contrbuton to any provdent fund or superannuaton fund or any fund set up under ESI Act or any other fund for the welfare of employees to the extent credted to the employees account on or before the due date o Any other dsallowance p Total amount dsallowable under secton 36 (total of 6a to 6o) 7 Amounts debted to the proft and loss account, to the extent dsallowable under secton 37 a Expendture of personal nature; 7a b Expendture on advertsement n any souvenr, brochure, tract, pamphlet or the lke, publshed by a poltcal party; 7b c Expendture by way of penalty or fne for volaton of 7c any law for the tme beng n force; d Any other penalty or fne; 7d e Expendture ncurred for any purpose whch s an offence or whch s prohbted by law; 7e f Amount of any lablty of a contngent nature 7f g Amount of expendture n relaton to ncome whch does not form part of total ncome 7g h Any other amount not allowable under secton 37 7h Total amount dsallowable under secton 37(total of 7a to 7h) 7 8 A. Amounts debted to the proft and loss account, to the extent dsallowable under secton 40 a Amount dsallowable under secton 40 (a)(), 40(a)(a) and 40(a)() on account of noncomplance wth the provsons of Chapter XVII-B Aa b Amount pad as frnge beneft tax Ab Amount of tax or rate leved or assessed on the c bass of profts d Amount pad as wealth tax e 6j 6k 6l 6m Amount of nterest, salary, bonus, commsson or remuneraton pad to any partner or member Ae f Any other dsallowance Af g Total amount dsallowable under secton 40(total of Aa to Af) Any amount dsallowed under secton 40 n any precedng prevous year but allowable B. durng the prevous year 9 Amounts debted to the proft and loss account, to the extent dsallowable under secton 40A a Amounts pad to persons specfed n secton 40A(2)(b) b Amount pad otherwse than by account payee cheque or account payee bank draft under secton 40(3) 100% dsallowable c Provson for payment of gratuty 6n 6o Ac Ad 9a 9b d any sum pad by the assessee as an employer for settng up or as contrbuton to any fund, trust, company, AOP, or BOI or socety or any other nsttuton; e Any other dsallowance f Total amount dsallowable under secton 40A 10 Any amount dsallowed under secton 43B n any precedng prevous year but allowable durng the prevous year a Any sum n the nature of tax, duty, cess or fee under 10a any law b Any sum payable by way of contrbuton to any provdent fund or superannuaton fund or gratuty 10b fund or any other fund for the welfare of employees c Any sum payable to an employee as bonus or 10c commsson for servces rendered d Any sum payable as nterest on any loan or borrowng from any publc fnancal nsttuton or a 10d State fnancal corporaton or a State Industral nvestment corporaton e Any sum payable as nterest on any loan or 10e borrowng from any scheduled bank 9c 9d 9e 6p 8Ag 8B 9f

9 f Any sum payable towards leave encashment 10f g Total amount allowable under secton 43B (total of 10a to 10f) 11 Any amount debted to proft and loss account of the prevous year but dsallowable under secton 43B:- a Any sum n the nature of tax, duty, cess or fee under 11a any law b Any sum payable by way of contrbuton to any provdent fund or superannuaton fund or gratuty 11b fund or any other fund for the welfare of employees c Any sum payable to an employee as bonus or 11c commsson for servces rendered d Any sum payable as nterest on any loan or borrowng from any publc fnancal nsttuton or a 11d State fnancal corporaton or a State Industral nvestment corporaton e Any sum payable as nterest on any loan or 11e borrowng from any scheduled bank f Any sum payable towards leave encashment 11f g Total amount dsallowable under Secton 43B(total of 11a to 11f) 12 Amount of credt outstandng n the accounts n respect of a Unon Excse Duty b Servce tax c VAT/sales tax d Any other tax e Total amount outstandng (total of 12a to 12d) 13 Amounts deemed to be profts and gans under secton 33AB or 33ABA or 33AC Any amount of proft chargeable to tax under secton Amount of ncome or expendture of pror perod credted or debted to the proft and loss account (net) Part A QD QUANTITATY DETAILS Quanttatve detals (optonal n a case not lable for audt under secton 44AB) (a) In the case of a tradng concern 1 Openng stock 1 2 Purchase durng the prevous year 2 3 Sales durng the prevous year 3 4 Closng stock 4 5 Shortage/ excess, f any 5 (b) In the case of a manufacturng concern 6 Raw materals a Openng stock 12a 12b 12c 12d b Purchases durng the prevous year c Consumpton durng the prevous year d Sales durng the prevous year e Closng stock f Yeld fnshed products 6f g Percentage of yeld h Shortage/ excess, f any 7 Fnshed products/ By-products a openng stock b purchase durng the prevous year c quantty manufactured durng the prevous year d sales durng the prevous year e closng stock f shortage/ excess, f any 7f 10g 11g 12e 15 6a 6b 6c 6d 6e 6g 6h 7a 7b 7c 7d 7e Part B - TI TOT AL Computaton of total ncome 1 Income from house property (4c of Schedule-HP) (enter nl f loss) 1 2 Profts and gans from busness or professon

10 Proft and gans from busness other than speculatve busness (A37 of Schedule-BP) Proft and gans from speculatve busness (B41 of Schedule-BP) (enter nl f loss) Total (2 + 2) 3 Captal gans a Short term Short-term (under secton 111A) (A7 of Schedule- 3a CG) Short-term (others) (A8 of Schedule-CG) 3a Total short-term (3a + 3a) b Long-term (B6 of Schedule-CG) (enter nl f loss) 2 2 3a c Total captal gans (3a + 3b) (take the fgure adjusted to Schedule CYLA) 4 Income from other sources a from sources other than from ownng race horses (3 4a of Schedule OS) b from ownng race horses (4c of Schedule OS) (enter nl 4b f loss) c Total (a + b) 5 Total (1 + 2c + 3c +4c) 5 6 Losses of current year to be set off aganst 5 (total of 2v,3v and 4v of Schedule CYLA) 6 7 Balance after set off current year losses (5 6) 7 8 Brought forward losses to be set off aganst 7 (total of 2v, 3v and 4v of Schedule BFLA) 8 9 Gross Total ncome (7 8) (also 5v of Schedule BFLA) 9 10 Deductons under Chapter VI-A (l of Schedule VIA) Total ncome (9 10) Net agrcultural ncome/ any other ncome for rate purpose (4 of Schedule EI) Aggregate ncome ( ) Losses of current year to be carred forward (total of x of Schedule CFL) Deemed total ncome under secton 115JB (6 of Schedule MAT) 15 Part B - TTI COMPUTATION OF TAX LIABILITY TAXES PAID Computaton of tax lablty on total ncome 1 Tax Payable on deemed total Income under secton 115JB (7 of Schedule MAT) 1 2 Tax payable on total ncome n tem 11 of Part B-TI a Tax at normal rates b Tax at specal rates (11 of Schedule-SI) c Tax Payable on Total Income n tem 11 of Part B-TI (2a + 2b) 3 Gross tax payable (enter hgher of 2c and 1) 3 4 Credt under secton 115JAA of tax pad n earler years (f 2c s more than 1) 4 ( 7 of Schedule MATC) 5 Tax payable after credt under secton 115JAA [ (3 4)] 5 3b 2a 2b 6 Surcharge on Educaton cess, ncludng secondary and hgher educaton cess on (5+6) 7 8 Gross tax lablty (5+6+ 7) 8 9 Tax relef a Secton 90 b Secton 91 c Total (9a + 9b) 10 Net tax lablty (8 9c) Interest payable a For default n furnshng the return (secton 234A) b For default n payment of advance tax (secton 234B) c For deferment of advance tax (secton 234C) d Total Interest Payable (11a+11b+11c) 12 Aggregate lablty ( d) Taxes Pad a Advance Tax (from Schedule-IT) b TDS (column 7 of Schedule-TDS2) 9a 9b 11a 11b 11c 13a 13b 2 3c 4c 2c 9c 11d

11 c TCS (column 7 of Schedule-TCS) 13c d Self Assessment Tax (from Schedule-IT) 13d e Total Taxes Pad (13a+13b+13c + 13d) 13e 14 Amount payable (Enter f 12 s greater than 13e, else enter 0) Refund(If 13e s greater than 12), also gve the bank account detals n Schedule-BA 15 VERIFICATION I, son/ daughter of, holdng permanent account number solemnly declare that to the best of my knowledge and belef, the nformaton gven n the return and the schedules thereto s correct and complete and that the amount of total ncome and other partculars shown theren are truly stated and are n accordance wth the provsons of the Income-tax Act, 1961, n respect of ncome chargeable to ncome-tax for the prevous year relevant to the assessment year I further declare that I am makng ths return n my capacty as and I am also competent to make ths return and verfy t. Place Date Sgn here Schedule BA Please furnsh the followng nformaton n respect of bank account 1 Enter your bank account number (mandatory n all cases) 2 Do you want your refund by cheque, or deposted drectly nto your bank account? (tck as applcable ) 3 Gve addtonal detals of your bank account MICR Code Type of Account (tck as applcable ) Savngs Current Schedule HP Detals of Income from House Property (Please refer nstructons) Address of property 1 Town/ Cty State PIN Code 1 HOUSE PROPERTY 2 3 (Tck) f let out Name of Tenant PAN of Tenant (optonal) a Annual letable value/ rent receved or recevable (hgher f let out for whole of the year, lower 1a f let out for part of the year) b The amount of rent whch cannot be realzed 1b c Tax pad to local authortes 1c d Total (1b + 1c) 1d e Balance (1a 1d) 1e f 30% of 1e 1f g Interest payable on borrowed captal 1g h Total (1f + 1g) 1h Income from house property 1 (1e 1h) 1 Address of property 2 Town/ Cty State (Tck) f let out Name of Tenant PAN of Tenant (optonal) PIN Code a Annual letable value/ rent receved or recevable (hgher f let out for whole of the year, lower 2a f let out for part of the year) b The amount of rent whch cannot be realzed 2b c Tax pad to local authortes 2c d Total (2b + 2c) 2d e Balance (2a 2d) 2e f 30% of 2e 2f g Interest payable on borrowed captal 2g h Total (2f + 2g) 2h Income from house property 2 (2e 2h) 2 Address of property 3 Town/ Cty State PIN Code (Tck) f let out Name of Tenant PAN of Tenant (optonal)

12 a Annual letable value/ rent receved or recevable (hgher f let out for whole of the year, lower 3a f let out for part of the year) b The amount of rent whch cannot be realzed 3b c Tax pad to local authortes 3c d Total (3b + 3c) 3d e Balance (3a 3d) 3e f 30% of 3e 3f g Interest payable on borrowed captal 3g h Total (3f + 3g) 3h Income from house property 3 (3e 3h) 3 4 Income under the head Income from house property a Rent of earler years realzed under secton 25A/AA 4a b Arrears of rent receved durng the year under secton 25B after deductng 30% 4b c Total (4a + 4b ) 4c Schedule BP Computaton of ncome from busness or professon A From busness or professon other than speculatve busness 1 Proft before tax as per proft and loss account (tem 43 or tem 52d of Part A-P&L ) 1 2a Net proft or loss from speculatve busness ncluded 2a n 1 (enter ve sgn n case of loss) 2b Net proft or Loss from Specfed Busness u/s 35AD 2b ncluded n 1 (enter ve sgn n case of loss) INCOME FROM BUSINESS OR PROFESSION 3 Income/ recepts credted to proft and loss account 3 consdered under other heads of ncome 4 Proft or loss ncluded n 1, whch s referred to n 4 secton 44AD/44AE/44AF/44B/44BB/44BBA/44BBB/ 44D/44DA Chapter-XII-G/ Frst Schedule of Incometax Act 5 Income credted to Proft and Loss account (ncluded n 1) whch s exempt a share of ncome from frm(s) 5a b Share of ncome from AOP/ BOI 5b c Any other exempt ncome 5c d Total exempt ncome 5d 6 Balance (1 2a 2b 3 4 5d) 6 7 Expenses debted to proft and loss account 7 consdered under other heads of ncome 8 Expenses debted to proft and loss account whch 8 relate to exempt ncome 9 Total (7 + 8) 9 10 Adjusted proft or loss (6+9) Deprecaton debted to proft and loss account ncluded n Deprecaton allowable under Income-tax Act Deprecaton allowable under secton 32(1)() (column 6 of Schedule-DEP) 12 Deprecaton allowable under secton 32(1)() 12 (Make your own computaton refer Appendx-IA of IT Rules) Total ( ) Proft or loss after adjustment for deprecaton ( ) Amounts debted to the proft and loss account, to the 14 extent dsallowable under secton 36 (6p of Part-OI) 15 Amounts debted to the proft and loss account, to the 15 extent dsallowable under secton 37 (7 of Part-OI) 16 Amounts debted to the proft and loss account, to the 16 extent dsallowable under secton 40 (8Ag of Part-OI) 17 Amounts debted to the proft and loss account, to the 17 extent dsallowable under secton 40A (9f of Part-OI) 18 Any amount debted to proft and loss account of the 18 prevous year but dsallowable under secton 43B (11g of Part-OI) 19 Interest dsallowable under secton 23 of the Mcro, 19 Small and Medum Enterprses Development Act, Deemed ncome under secton Deemed ncome under secton 33AB/33ABA/35ABB/ 72A/80HHD/80-IA 21

13 22 Any other tem or tems of addton under secton to 44DA 23 Any other ncome not ncluded n proft and loss 23 account/any other expense not allowable (ncludng ncome from salary, commsson, bonus and nterest from frms n whch company s a partner) 24 Total ( ) Deducton allowable under secton 32(1)() Amount of deducton under secton 35 n excess of the 26 amount debted to proft and loss account (tem v(4) of Schedule ESR) (f amount deductble under secton 35 s lower than amount debted to P&L account, t wll go to tem 23) 27 Any amount dsallowed under secton 40 n any 27 precedng prevous year but allowable durng the prevous year(8bof Part-OI) 28 Any amount dsallowed under secton 43B n any 28 precedng prevous year but allowable durng the prevous year(10g of Part-OI) 29 Deducton under secton 35AC a Amount, f any, debted to proft and loss 29a account b Amount allowable as deducton 29b c Excess amount allowable as deducton (29b 29a) 29c 30 Any other amount allowable as deducton 31 Total ( c +30) Income ( ) Profts and gans of busness or professon deemed to be under - Secton 44AD 33 Secton 44AE Secton 44AF v Secton 44B v Secton 44BB v Secton 44BBA v Secton 44BBB v 33v 33v 33v v Secton 44D 33 v x Secton 44DA 33x x Chapter-XII-G x Frst Schedule of Income-tax Act x Total (33 to 33x) 34 Proft or loss before deducton under secton 10A/10AA/10B/10BA ( x) Deductons under secton- 33 x 33x 10A (6 of Schedule-10A) 35 10AA (d of Schedule-10AA) 10B (f of Schedule-10B) v 10BA (f of Schedule-10BA) v Total ( v) 36 Net proft or loss from busness or professon other than speculatve busness (34 35v) Net Proft or loss from busness or professon after applyng rule 7A or 7B (same as above A37 n 36 except n case of specal busness, after applyng rule 7A or 7B) B Computaton of ncome from speculatve busness 38 Net proft or loss from speculatve busness as per proft or loss account Addtons n accordance wth secton 28 to 44DA Deductons n accordance wth secton 28 to 44DA Proft or loss from speculatve busness ( ) B v C Income chargeable under the head Profts and gans (A37+B41) 30 33x 35v C Schedule DPM Deprecaton on Plant and Machnery 1 Block of assets Plant and machnery DEPREC IATION 2 Rate (%) () () () (v) (v) (v) (v)

14 3 Wrtten down value on the frst day of prevous year 4 Addtons for a perod of 180 days or more n the prevous year 5 Consderaton or other realzaton durng the prevous year out of 3 or 4 6 Amount on whch deprecaton at full rate to be allowed ( ) (enter 0, f result n negatve) 7 Addtons for a perod of less than 180 days n the prevous year 8 Consderaton or other realzatons durng the year out of 7 9 Amount on whch deprecaton at half rate to be allowed (7 8) (enter 0, f result s negatve) 10 Deprecaton on 6 at full rate 11 Deprecaton on 9 at half rate 12 Addtonal deprecaton, f any, on 4 13 Addtonal deprecaton, f any, on 7 14 Total deprecaton ( ) 15 Expendture ncurred n connecton wth transfer of asset/ assets 16 Captal gans/ loss under secton 50 ( ) (enter negatve only f block ceases to exst) 17 Wrtten down value on the last day of prevous year* ( ) (enter 0 f result s negatve) Schedule DOA Deprecaton on other assets 1 Block of assets Buldng Furnture and fttngs Intangble assets Shps 2 Rate (%) DEPRECIATION ON OTHER ASSETS 3 Wrtten down value on the frst day of prevous year 4 Addtons for a perod of 180 days or more n the prevous year 5 Consderaton or other realzaton durng the prevous year out of 3 or 4 6 Amount on whch deprecaton at full rate to be allowed ( ) (enter 0, f result n negatve) 7 Addtons for a perod of less than 180 days n the prevous year 8 Consderaton or other realzatons durng the year out of 7 9 Amount on whch deprecaton at half rate to be allowed (7-8) (enter 0, f result s negatve) 10 Deprecaton on 6 at full rate 11 Deprecaton on 9 at half rate 12 Addtonal deprecaton, f any, on 4 13 Addtonal deprecaton, f any, on 7 14 Total deprecaton ( ) 15 Expendture ncurred n connecton wth transfer of asset/ assets 16 Captal gans/ loss under secton 50* ( ) (enter negatve only f block ceases to exst) 17 Wrtten down value on the last day of prevous year* ( ) (enter 0 f result s negatve) () () () (v) (v) (v) Schedule DEP Summary of deprecaton on assets 1 Plant and machnery SUM MAR a Block enttled for 15 per cent ( Schedule DPM - 14 ) 1a

15 b Block enttled for 30 per cent 1b ( Schedule DPM - 14 ) c Block enttled for 40 per cent 1c ( Schedule DPM - 14 ) d Block enttled for 50 per cent 1d ( Schedule DPM - 14 v) e Block enttled for 60 per cent 1e ( Schedule DPM - 14 v) f Block enttled for 80 per cent 1f ( Schedule DPM 14 v) g Block enttled for 100 per cent 1g ( Schedule DPM - 14 v) h Total deprecaton on plant and machnery ( 1a + 1b + 1c + 1d+ 1e + 1f + 1g ) 1h 2 Buldng a Block enttled for 5 per cent 2a (Schedule DOA- 14) b Block enttled for 10 per cent (Schedule 2b DOA- 14) c Block enttled for 100 per cent 2c (Schedule DOA- 14) d Total deprecaton on buldng (2a+2b+2c) 2d 3 Furnture and fttngs(schedule DOA- 14 v) 3 4 Intangble assets (Schedule DOA- 14 v) 4 5 Shps (Schedule DOA- 14 v) 5 6 Total deprecaton ( 1h+2d+3+4+5) 6 Schedule DCG Deemed Captal Gans on sale of deprecable assets 1 Plant and machnery a Block enttled for 15 per cent 1a (Schedule DPM - 16) b Block enttled for 30 per cent (Schedule 1b DPM 16) c Block enttled for 40 per cent(schedule 1c DPM - 16) d Block enttled for 50 per cent 1d (Schedule DPM - 16v) e Block enttled for 60 per cent 1e (Schedule DPM 16v) f Block enttled for 80 per cent (Schedule 1f DPM 16v) g Block enttled for 100 per cent 1g (Schedule DPM 16v) h Total ( 1a +1b + 1c + 1d + 1e + 1f + 1g) 1h 2 Buldng a Block enttled for 5 per cent 2a (Schedule DOA- 16) b Block enttled for 10 per cent (Schedule 2b DOA- 16) c Block enttled for 100 per cent 2c (Schedule DOA- 16) d Total ( 2a + 2b + 2c) 3 Furnture and fttngs ( Schedule DOA- 16v) 3 4 Intangble assets (Schedule DOA- 16v) 4 5 Shps (Schedule DOA- 16v) 5 6 Total ( 1h+2d+3+4+5) 6 2d Schedule ESR Deducton under secton 35 Sl No v v v v Expendture of the nature referred to n secton (1) 35(1)() 35(1)() 35(1)() 35(1)(v) 35(2AA) 35(2AB) total Amount, f any, debted to proft and loss account (2) Amount of deducton allowable (3) Amount of deducton n excess of the amount debted to proft and loss account (4) = (3) - (2)

16 Schedule CG Captal Gans A Short-term captal gan 1 From slump sale CAPITAL GAINS a Full value of consderaton 1a b Net worth of the under takng or 1b dvson c Short term captal gans from slump 1c sale d Deducton under sectons 54B/54D 1d e Net short term captal gans from slum sale (1c 1d) 1e 2 From assets n case of non-resdent to whch frst provso to secton 48 applcable 2 3 From assets n the case of others a Full value of consderaton 3a b Deductons under secton 48 Cost of acquston b Cost of Improvement b Expendture on transfer b v Total ( b + b + b) bv c Balance (3a bv) 3c d Loss, f any, to be gnored under secton 94(7) or 94(8) (enter postve values only) e Deducton under sectons 54B/54D/ 3e 54G/ 54GA f Short-term captal gan (3c 3d 3e) 3f 4 Deemed short captal gan on deprecable assets (6 of Schedule-DCG) 4 5 Amount deemed to be short term captal gans under sectons 54B/54D/54EC/ 5 54ED/54G/ 54GA 6 Total short term captal gan (1e f +4 +5) 6 7 Short term captal gan under secton 111A ncluded n Short-term captal gan other than referred to n secton 111A (6-7) 8 B Long term captal gan 1 From slump sale a Full value of consderaton b Net worth of the under takng or dvson c Long term captal gans from slump sale d Deducton under sectons 54B/54D/ e Net long term captal gan from slump sale (1c 1d) 1e 2 Asset n case of non-resdent to whch frst provso to secton 48 applcable 2 3 Asset n the case of others where provso under secton 112(1) not exercsed a Full value of consderaton 3a b Deductons under secton 48 Cost of acquston after ndexaton b Cost of mprovement after b ndexaton Expendture on transfer b v Total (b + b +b) bv c Balance (3a bv) 3c d Deducton under sectons 54B/54D/ 3d 54EC/54G/ 54GA e Net balance (3c 3d) 4 Asset n the case of others where provso under secton 112(1) exercsed a Full value of consderaton 4a b Deductons under secton 48 Cost of acquston wthout b ndexaton Cost of mprovement wthout b ndexaton Expendture on transfer b v Total (b + b +b) bv c Balance (4a bv) 4c d Deducton under sectons 54B/54D/ 4d 54EC/54G/ 54GA 1a 1b 1c 1d 3e

17 e Net balance 5 Amount deemed to be long term captal gans under sectons 54B/54D/54EC/54ED/54G/ 54GA 6 Total long term captal gan (1e (enter nl f loss) e (enter nl f loss) + 4e (enter nl f loss) + 5) C Income chargeable under the head CAPITAL GAINS (A6 + B6) (enter B6 as nl, f loss) D Informaton about accrual/recept of captal gan Date Up to 15/6 16/6 to 15/9 () () 1 Long- term where provso under secton 112(1) s applcable (Wthout Indexaton)- Code n SI Schedule s 22, Tax Rate s 10% ; Enter only postve value from Item B4c of Schedule CG AFTER loss adjustment under ths category n Schedule CYLA and BFLA, f any. Schedule OS OTHER SOURCES 2 Long- term where provso under secton 112(1) s NOT applcable (Wth Indexaton)- Code n SI Schedule s 21, Tax Rate s 20%; Enter only postve value from Item (B6-B4c) of Schedule CG AFTER loss adjustment under ths category n Schedule CYLA and BFLA, f any. 3 Short-term under 111A- Code n SI Schedule s 1A, Tax Rate s 15% ; Enter only postve value from Item A7 of Schedule CG AFTER loss adjustment under ths category n Schedule CYLA and BFLA, f any. 4 Short-term OTHERS- Taxed at normal rates; Enter only postve value from Item A8 of Schedule CG AFTER loss adjustment under ths category n Schedule CYLA and BFLA, f any. Income from other sources 1 Income other than from ownng race horse(s):- a Dvdends, Gross b Interest, Gross Rental ncome from machnery, plants, buldngs, c etc., Gross d Others, Gross e Total (1a + 1b + 1c + 1d) f Deductons under secton 57:- Expenses/ Deductons Deprecaton Total g Balance (1e f) 1a 1b 1c 1d f f f 4e 5 B6 C 16/9 to 15/12 () 2 Wnnngs from lotteres, crossword puzzles, races, etc. 2 3 Income from other sources (other than from ownng race horses) (1g + 2) (enter 1g as nl f loss) 3 4 Income from ownng and mantanng race horses a Recepts 4a b Deductons under secton 57 n relaton to (4) 4b c Balance (2a 2b) 4c 5 Income chargeable under the head Income from other sources (3 + 4c) (enter 4c as nl f loss and take 4c loss fgure to Schedule CFL) 5 1e 1g 16/12 to 15/3 (v) 16/3 to 31/3 (v) Schedule CYLA CURRENT YEAR LOSS Head/ Source of Income ADJUSTMENTSl.No Detals of Income after set-off of current years losses Income of current year (Fll ths column only f ncome s zero or postve) House property loss of the current year set off Busness Loss (other than speculaton or specfed busness loss) of the current year set off Total loss (A37 of Schedule-BP) Other sources loss (other than loss from race horses) of the current year set off Current year s Income remanng after set off Total loss Total loss (4c of Schedule HP) (3 of Schedule-OS) =

18 Loss to be adjusted v v v v House property Busness (ncludng speculaton proft and ncome from specfed busness) Short-term captal gan Long term captal gan Other sources (ncl. proft from ownng race horses but excludng wnnngs from lottery) Total loss set-off Loss remanng after set-off Schedule BFLA BROUGHT FORWARD LOSS ADJUSTMENT Sl. No. Detals of Income after Set off of Brought Forward Losses of earler years Head/ Source of Income House property Busness (ncludng speculaton or specfed busness proft) Short-term captal gan v Long-term captal gan v Other sources (ncl. proft from ownng race horses but excludng wnnngs from lottery) v Total of brought forward loss set off Income after set off, f any, of current year s losses as per 5 of Schedule CYLA) Brought forward loss set off Brought forward deprecaton set off Brought forward allowance under secton 35(4) set off Current year s ncome remanng after set off v Current year s ncome remanng after set off Total ( v5+v5+v5) Schedule CFL CARRY FORWARD OF LOSS Sl. No v v v v v Assessment Year x Total of earler year losses x Adjustment of above losses n Schedule BFLA x (Current year losses) x Total loss Carred Forward to future years Detals of Losses to be carred forward to future years Date of Flng House (DD/MM/YYY property loss Y) Loss from busness other than loss from speculatve busness Loss from speculatve busness Loss from specfed busness Short-term captal loss Long-term Captal loss Other sources loss (from ownng race horses) Schedule 10A Deducton under secton 10A 1 Deducton n respect of unts located n Software Technology Park a Undertakng No.1 1a b Undertakng No.2 1b c Undertakng No.3 1c d Undertakng No.4 1d e Undertakng No.5 1e DEDUCTION U/S 10A

19 f Total (1a + 1b+ 1c + 1d + 1e) 2 Deductons n respect of unts located n Electronc Hardware Technology Park a Undertakng No.1 2a b Undertakng No.2 2b c Undertakng No.3 2c d Total (2a + 2b+ 2c) 3 Deductons n respect of unts located n Free Trade Zone a Undertakng No.1 3a b Undertakng No.2 3b c Undertakng No.3 3c d Total (3a + 3b+ 3c) 4 Deductons n respect of unts located n Export Processng Zone a Undertakng No.1 4a b Undertakng No.2 4b c Undertakng No.3 4c d Total (4a + 4b+ 4c) 5 Deductons n respect of unts located n Specal Economc Zone a Undertakng No.1 5a b Undertakng No.2 5b c Undertakng No.3 5c d Total (5a + 5b+ 5c) 6 Total of ( 1f +2d +3d+ 4d+ 5d) 6 Schedule 10AA Deducton under secton 10AA Deductons n respect of unts located n Specal Economc Zone a Undertakng No.1 a b Undertakng No.2 b c Undertakng No.3 c d Total (a + b + c) DEDUCTION U/S 10AA Schedule 10B Deducton under secton 10B Deducton n respect of hundred percent Export Orented unts a Undertakng No.1 a b Undertakng No.2 b c Undertakng No.3 c d Undertakng No.4 d e Undertakng No.5 e f Total (a + b + c + d + e) DEDUCTION U/S 10B Schedule 80G DETAILS OF DONATIONS A B Detals of donatons enttled for deducton under secton 80G Donatons enttled for 100% deducton Name and address of donee v v v Total Donatons enttled for 50% deducton where donee not requred to be approved under secton 80G(5) (v) Name and address of donee v v v Total 1f 2d 3d 4d 5d d f A A A Av Av Av B B B Bv Bv Bv Amount of donaton Amount of donaton C Donatons enttled for 50% deducton where donee s requred to be approved under secton 80G(5) (v) Name and address of donee PANof donee Amount of donaton C

20 C C v Cv v Cv v Total Cv D Total donatons (Av + Bv + Cv) D Schedule 80-IA Deductons under secton 80-IA a Deducton n respect of profts of an enterprse referred to a n secton 80-IA(4)() [Infrastructure faclty] b Deducton n respect of profts of an undertakng referred b to n secton 80-IA(4)() [Telecommuncaton servces] c Deducton n respect of profts of an undertakng referred c to n secton 80-IA(4)() [Industral park and SEZs] d Deducton n respect of profts of an undertakng referred d to n secton 80-IA(4)(v) [Power] e Deducton n respect of profts of an undertakng referred e to n secton 80-IA(4)(v) [Revval of power generatng plant] and deducton n respect of profts of an undertakng referred to n secton 80-IA(4)(v) [Cross-country natural gas dstrbuton network] f Total deductons under secton 80-IA (a + b + c + d + e) DEDUCTION U/S 80-IA Schedule 80-IB Deductons under secton 80-IB a Deducton n respect of ndustral undertakng referred to n secton 80-IB(3) [Small-scale ndustry] b Deducton n respect of ndustral undertakng located n Jammu & Kashmr [Secton 80-IB(4)] c Deducton n respect of ndustral undertakng located n ndustrally backward states specfed n Eghth Schedule [Secton 80-IB(4)] d Deducton n respect of ndustral undertakng located n ndustrally backward dstrcts [Secton 80-IB(5)] e Deducton n the case of multplex theatre [Secton 80- IB(7A)] f Deducton n the case of conventon centre [Secton 80- IB(7B)] g Deducton n the case of company carryng on scentfc research [Secton 80-IB(8A)] h Deducton n the case of undertakng whch begns commercal producton or refnng of mneral ol [Secton 80-IB(9)] Deducton n the case of an undertakng developng and buldng housng projects [Secton 80-IB(10)] j Deducton n the case of an undertakng operatng a cold chan faclty [Secton 80-IB(11)] k Deducton n the case of an undertakng engaged n processng, preservaton and packagng of fruts and vegetables [Secton 80-IB(11A)] l Deducton n the case of an undertakng engaged n ntegrated busness of handlng, storage and transportaton of foodgrans [Secton 80-IB(11A)] m Deducton n the case of an undertakng engaged n operatng and mantanng a rural hosptal [Secton 80- IB(11B)] n Total deducton under secton 80-IB (Total of a to m) DEDUCTION U/S 80-IB a b c d e f g h j k l m f n Schedule 80-IC or 80-IE Deductons under secton 80-IC or 80-IE 1 Deducton n respect of ndustral undertakng located n Skkm 1 DEDUCTION U/S 80-IC 2 Deducton n respect of ndustral undertakng located n Hmachal Pradesh 2 3 Deducton n respect of ndustral undertakng located n Uttaranchal 3 4 Deducton n respect of ndustral undertakng located n North-East a Assam 4a b Arunachal Pradesh 4b c Manpur 4c d Mzoram 4d e Meghalaya 4e f Nagaland 4f

21 g Trpura 4g h Total of deducton for undertakngs located n North-east (Total of 4a to 4g) 4h 5 Total deducton under secton 80-IC or 80-IE ( h) 5 Schedule VI-A a 80G TOTAL DEDUCTIONS b 80GGA c 80GGB d 80GGC e 80IA (f of Schedule 80-IA) f 80IAB Deductons under Chapter VI-A g 80IB (n of Schedule 80-IB h 80IC/ 80-IE (5 of Schedule 80-IC/ 80- IE) 80ID/ 80JJA j 80JJAA k 80LA m Total deductons under Chapter VI-A (Total of a to k) Schedule SI SPECIAL RATE Sl No Secton code Income chargeable to Income tax at specal rates IB [Please see nstructon Number-9() for secton code and rate of tax] Specal rate Income Tax thereon Sl Secton Specal Income Tax thereon (%) No code rate (%) 1 1A BB Total (1 to 10 ) Schedule EI Detals of Exempt Income (Income not to be ncluded n Total Income) 1 Interest ncome 1 EXEMPT INCOME 2 Dvdend ncome 2 3 Long-term captal gans on whch Securtes Transacton Tax s pad 3 4 Net Agrculture ncome(other than ncome to be excluded under rule 7, 7A, 7B or 8) 4 5 Share n the proft of frm/aop etc. 5 6 Others 6 7 Total ( ) 7 Schedule MAT Computaton of Mnmum Alternate Tax payable under secton 115JB Whether the Proft and Loss Account s prepared n accordance wth the provsons of Parts II and III of Schedule VI to the 1 Companes Act, 1956 (If yes, wrte 1, f no wrte 2 ) Whether, for the Proft and Loss Account referred to n tem 1 above, the same accountng polces, accountng standards and 2 same method and rates for calculatng deprecaton have been followed as have been adopted for preparng accounts lad before the company at ts annual general body meetng? (If yes, wrte 1, f no wrte 2 3 Proft before tax as shown n the Proft and Loss Account (enter tem 42 of PartA-P&L) 3 Addtons (f debted n proft and loss account) 4 a Income Tax pad or payable or ts provson (other 4a than FBT) b Reserve (except reserve under secton 33AC) 4b MINIMUM ALTERNATE TAX 5 c Provsons for unascertaned lablty d Provsons for losses of subsdary companes e Dvdend pad or proposed f Expendture related to exempt ncome under sectons 10, 10AA, 11 or 12 [exempt ncome excludes ncome exempt under secton 10(38)] g Deprecaton attrbutable to revaluaton of assets h Others (ncludng resdual unadjusted tems and Provson for dmnuton n the value of any asset) Total addtons (4a+4b+4c+4d+4e+4f+4g+4h) Deductons 4c 4d 4e 4f 4g 4h 4 m

22 6 7 Schedule MATC MAT CREDIT a Amount wthdrawn from reserve or provsons f credted to Proft and Loss account b Income exempt under sectons 10, 10AA, 11 or 12 [exempt ncome excludes ncome exempt under secton 10(38)] c Amount wthdrawn from revaluaton reserve and credted to proft and loss account to the extent t does not exceed the amount of deprecaton attrbutable to revaluaton of asset d Loss brought forward or unabsorbed deprecaton whchever s less e Proft of sck ndustral company tll net worth s equal to or exceeds accumulated losses f Others (ncludng resdual unadjusted tems) g Total deductons (5a+5b+5c+5d+5e+5f) Book proft under secton 115JB (3+ 4 5g) Tax payable under secton 115JB [10% of (6)] Computaton of tax credt under secton 115JAA 1 Tax under secton 115JB n assessment year Tax under other provsons of the Act n assessment year Amount of MAT lablty n respect of assessment year avalable for credt n 3 subsequent assessment years [enter (1 2) f 1 s greater than 2, otherwse enter 0] plus brought forward MAT credt for assessment year and Tax under secton 115JB n assessment year Tax under other provsons of the Act n assessment year Amount of tax aganst whch credt n respect of 3 s avalable [enter (5 4) f 5 s greater than 6 4, otherwse enter 0] 7 Amount of tax credt under secton 115JAA [enter lower of 3 and 6] 7 8 Balance MAT lablty n respect of assessment year , , , and avalable for credt n subsequent assessment years [enter (3 7) f 3 s more than 6, otherwse enter 0] 9 Amount of MAT lablty n respect of assessment year avalable for credt n subsequent assessment years [enter (4 5) f 4 s greater than 5, otherwse enter 0] Schedule - DDT Detals of payment of Dvdend Dstrbuton Tax 1 Date of declaraton of dstrbuton or payment of any dvdend profts of domestc companes 1 DIVIDEND DISTRIBUTION TAX 2 Rate of dvdend, dstrbuted or pad durng the prevous year a Interm (rate %) b Fnal (rate %) 3 Amount of any dvdend declared, dstrbuted or pad 3 5a 5b 5c 5d 5e 5f 4 Tax payable on dvdend declared, dstrbutve or pad a Addtonal Income-tax payable under secton 115-O b Surcharge on 4a c Educaton Cess on (4a + 4b) d Total tax payable (4a + 4b + 4c) 5 Interest payable under secton 115P 5 6 Addtonal ncome-tax + nterest payable (4d + 5) 6 7 Tax and nterest pad (Total of v Schedule DDTP) 7 8 Net payable/ refundable (6-7) 8 2a 2b 4a 4b 4c 5g 8 9 4d 6 7 Schedule IT TAX PAYMENTS Sl No Detals of Advance Tax and Self Assessment Tax Payments of Income-tax BSR Code Date of Depost (DD/MM/YYYY) Seral Number of Challan Amount (Rs)

23 v v v NOTE Enter the totals of Advance tax and Self Assessment tax n Sl No. 11a & 11d of PartB-TTI Schedule TDS TDS ON INCOME Sl No Tax Deducton Account Number (TAN) of the Deductor Detals of Tax Deducted at Source on Income [As per Form 16 A ssued by Deductor(s)] Name of the Deductor Total tax deducted Amount out of (4) clamed for ths year (1) (2) (3) (4) (5) NOTE Enter the total of column (7) n Sl No. 15b of PartB-TTI Schedule TCS TCS ON INCOME Sl No Tax Deducton and Tax Collecton Account Number of the Collector Detals of Tax Collected at Source [As per Form 27D ssued by the Collector(s)] Name of the Collector Total tax collected Amount out of (4) clamed durng the year (1) (2) (3) (4) (5) NOTE Enter the total of column (7) n Sl No. 15c of PartB-TTI Schedule DDTP TAX PAYMENTS Sl No v v Detals of payment of Dvdend Dstrbuton Tax Name of Bank & Branch BSR Code Date of Depost (DD/MM/YYYY) NOTE Enter the total of v n 7 of Schedule DDT Seral Number of Challan Amount (Rs)