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1 FORM ITR-2 Assessment Year INDIAN INCOME TAX RETURN [For Indvduals and HUFs not havng Income from Busness or Professon] (Please see Rule 12 of the Income-tax Rules,1962) (Also see attached nstructons) Part A-GEN GENERAL Frst name Mddle name Last name PAN PERSONAL INFORMATION FILING STATUS Flat/Door/Block No Road/Street/Post Offce Town/Cty/Dstrct Emal Address Desgnaton of Assessng Offcer (Ward/Crcle) Name Of Premses/Buldng/Vllage Area/localty State Pn code (STD code)-phone Number Status (Tck) Indvdual Date of Brth (DD/MM/YYYY) ( n case of ndvdual) / / HUF Sex (n case of ndvdual) (Tck) Male Female Employer Category(f n employment) (Tck) ( ) Govt PSU Others Return fled under Secton [Please see nstructon number-9()] Whether orgnal or Revsed return? (Tck) Orgnal Revsed If revsed, then enter Recept No and Date of flng orgnal return (DD/MM/YYYY) / / Resdental Status (Tck) Resdent Non-Resdent Resdent but Not Ordnarly Resdent 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 PART-B Part B - TI Computaton of total ncome 1 Salares (6 of Schedule S) 1 TOTAL INCOME 2 Income from house property (3c of Schedule HP) (enter nl f loss) 2 3 Captal gans a Short term Short-term (u/s 111A) (A5 of Schedule CG) 3a Short-term (others) (A6 of Schedule CG) Total short-term (3a + 3a) (enter nl f loss) b Long-term (B5 of Schedule CG) (enter nl f loss) c Total captal gans (3a + 3b) Do not wrte or stamp n ths area (Space for bar code) 3a 3a 3b 3c For Offce Use Only Recept No Date Seal and Sgnature of recevng offcal

2 4 Income from other sources a from sources other than from ownng race horses (3 of Schedule OS) (enter nl f loss) 4a b from ownng race horses (4c of Schedule OS) (enter nl f loss) 4b c Total (a + b) 4c 5 Total (1+2+3c +4c) 5 6 Losses of current year set off aganst 5 (total of 2v and 3v of Schedule CYLA) 6 7 Balance after set off current year losses (5-6) (also total of column 4 of Schedule CYLA) 7 8 Brought forward losses set off aganst 7 (2v of Schedule BFLA) 8 9 Gross Total ncome (7-8)(also 3v of Schedule BFLA) 9 10 Deductons under Chapter VI-A (n of Schedule VIA) Total ncome (9-10) Net agrcultural ncome/ any other ncome for rate purpose (4 of Schedule EI) Aggregate ncome (11+12) Losses of current year to be carred forward (total of row x of Schedule CFL) 14 Part B - TTI Computaton of tax lablty on total ncome 1 Tax payable on total ncome a Tax at normal rates 1a b Tax at specal rates (11 of Schedule SI) 1b c Tax Payable on Total Income (1a + 1b) 1c 2 Surcharge on 1c 2 COMPUTATION OF TAX LIABILITY TAXES PAID 3 Educaton Cess on (1c + 2) 3 4 Gross tax lablty (1c ) 4 5 Tax relef a Secton 89 5a b Secton 90 5b c Secton 91 5c d Total (5a + 5b) 5d 6 Net tax lablty (4 5d) 6 7 Interest payable a For default n furnshng the return (secton 234A) 7a b For default n payment of advance tax (secton 234B) 7b c For deferment of advance tax (secton 234C) 7c d Total Interest Payable (7a+7b+7c) 7d 8 Aggregate lablty (6 + 7d) 8 9 Taxes Pad a Advance Tax (from Schedule-IT) 9a b TDS (total of column 7 of Schedule-TDS1 and column 7 9b of Schedule-TDS2) c Self Assessment Tax(from Schedule-IT) 9c d Total Taxes Pad (9a+9b+9c) 9d 10 Amount payable (Enter f 8 s greater than 9d, else enter 0) Refund (If 9d s greater than 8, also gve Bank Account detals below) 11 REFUND 12 Enter your bank account number (mandatory n case of refund) 13 Do you want your refund by cheque, or deposted drectly nto your bank account? (tck as applcable ) 14 In case of drect depost to your bank account gve addtonal detals MICR Code Type of Account (tck as applcable ) Savngs Current 15 E-flng Acknowledgement Number Date(DD/MM/YYYY) / / VERIFICATION I, son/ daughter of solemnly declare that to the best of my knowledge and belef, the nformaton gven n the return and 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 Income-tax for the prevous year relevant to the Assessment Year Place Date Sgn here

3 16 If the return has been prepared by a Tax Return Preparer (TRP) gve further detals as below: Identfcaton No. of TRP Name of TRP Counter Sgnature of TRP If TRP s enttled for any rembursement from the Government, amount thereof 17 Schedule S Detals of Income from Salary Name of Employer PAN of Employer (optonal) Address of employer Town/Cty State Pn code SALARIES 1 Salary (Excludng all allowances, perqustes & proft n leu of salary) Allowances exempt under secton Allowances not exempt 3 4 Value of perqustes 4 5 Profts n leu of salary 5 6 Income chargeable under the Head Salares ( ) 6 Schedule HP Detals of Income from House Property Address of property 1 Town/ Cty State 1 PIN Code (Tck) f let out Name of Tenant PAN of Tenant (optonal) HOUSE PROPERTY 2 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 PIN Code (Tck) f let out Name of Tenant PAN of Tenant (optonal) NOTE 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 3 Income under the head Income from house property a Rent of earler years realzed under secton 25A/AA 3a b Arrears of rent receved durng the year under secton 25B after deductng 30% 3b c Total (3a + 3b ) 3c Please nclude the ncome of the specfed persons referred to n Schedule SPI whle computng the ncome under ths head Schedule CG Captal Gans A Short-term captal gan 1 From assets n case of non-resdent to whch frst provso to secton 48 applcable 1 CAPITAL GAINS 2 From other assets a Full value of consderaton 2a b Deductons under secton 48 Cost of acquston b Cost of Improvement b Expendture on transfer b

4 NOTE v Total ( + + ) bv c Balance (3a bv) d Loss, f any, to be gnored under secton 94(7) or 94(8) e Exempton under secton 54/54B/54D/54EC/54F f Short-term captal gan (2c 2d 2e) 2f 3 Amount deemed to be short term captal gans under sectons 54/54B/54D/54EC/54ED/54F 3 4 Total short term captal gan (1 + 2f +3 +4) 4 5 Short term captal gan under secton 111A ncluded n 4 A5 6 Short term captal gan other than referred to n secton 111A (4 5) A6 B Long term captal gan 1 Asset n case of non-resdent to whch frst provso to secton 48 applcable 1 2 Other assets where provso to secton 112(1) not applcable a Full value of consderaton 2a b Deductons under secton 48 Cost of acquston after ndexaton b Cost of mprovement after ndexaton b Expendture on transfer b v Total (b + b +b) bv c Balance (2a bv) 2c d Deducton under sectons 54/54B/54D/54EC/54F 2d e Net balance (2c 2d) 3 Other assets where provso to secton 112(1) s applcable a Full value of consderaton 3a b Deductons under secton 48 Cost of acquston wthout ndexaton B Cost of mprovement wthout ndexaton b Expendture on transfer b v Total (b + b +b) bv c Balance (3a bv) 3c d Deducton under sectons 54/54B/54D/54EC/54F 3d e Net balance (3c-3d) 3e 4 Amount deemed to be long term captal gans under sectons 54/54B/54D/54EC/54ED/54F 4 5 Total long term captal gan (1 + 2e + 3e + 4) B5 C Income chargeable under the head CAPITAL GAINS (A6 + B5) D Informaton about accrual/recept of captal gan Date Upto 15/9 16/9 to 15/12 () () 1 Long- term 2 Short-term 2c 2d 2e 16/12 to 15/3 () Please nclude the ncome of the specfed persons referred to n Schedule SPI whle computng the ncome under ths head 2e C 16/3 to 31/3 (v) Schedule OS Income from other sources 1 Income other than from ownng race horse(s):- a Dvdends, Gross 1a b Interest, Gross 1b c Rental ncome from machnery, plants, buldngs, 1c d Others, Gross 1d e Total (1a + 1b + 1c + 1d) 1e f Deductons under secton 57:- Expenses f Deprecaton f Total f g Balance (1e f) 1g 2 Wnnngs from lotteres, crossword puzzles, races, etc. 2 OTHER SOURCES 3 Income from other sources (other than from ownng race horses) (1g + 2) 3 4 Income from ownng and mantanng race horses a Recepts 4a b Deductons under secton 57 n relaton to (4) 4b c Balance (4a 4b) 4c 5 Income chargeable under the head Income from other sources (1g c) 5 NOTE Please nclude the ncome of the specfed persons referred to n Schedule SPI whle computng the ncome under ths head

5 Schedule CYLA Detals of Income after Set off of current year losses Sl.No Head/ Source of Income Income of current year House property loss of the current year set off (Fll ths column only f ncome s zero or Total loss postve) (4c of Schedule HP) CURRENT YEAR LOSS ADJUSTMENT v v v Salares House property Short-term captal gan Long term captal gan Other sources (ncl proft from ownng race horses) Total loss set off v Loss remanng after set-off out of 2 & 3 Other sources loss (other than loss from race horses) of the current year set off Total loss (3 of Schedule- OS) Current year s Income remanng after set off =1-2-3 Schedule BFLA Detals of Income after Set off of Brought Forward Losses of earler years Sl. Head/ Source of Income Income after set off, f any, of Brought forward loss set off Current year s ncome No. current year s losses as per 4 of Schedule CYLA remanng after set off BROUGHT FORWARD LOSS ADJUSTMENT Salares House property Short-term captal gan v Long-term captal gan v v Other sources (ncludng proft from ownng race horses) Total of brought forward loss set off v Current year s ncome remanng after set off Total ( v3 + v3) Schedule CFL Detals of Losses to be carred forward to future years Assessment Year Date of Flng House property Short-term captal (DD/MM/YYYY) loss loss Long-term Captal loss Other sources loss (other than loss from race horses) Other sources loss (from ownng race horses) CARRY FORWARD OF LOSS v v v v v 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 Schedule VIA Deductons under Chapter VI-A (Secton) a 80C h 80G TOTAL DEDUCTIONS b 80CCC 80GG c 80CCD j 80GGA d 80D k 80GGC e 80DD l 80RRB f 80DDB g 80E n Total deductons (total of a to m) m 80U n

6 Schedule SPI Income of specfed persons(spouse, mnor chld etc) ncludable n ncome of the assessee Sl No Name of person PAN of person Relatonshp Nature of Income Amount (Rs) 1 2 Schedule SI Sl Secton No code SPECIAL RATE Income chargeable to Income tax at specal rates [Please see nstructon No.9() for secton code and rate of tax] Specal rate Income Tax thereon Sl Secton Specal Income (%) No code rate (%) Total (1 to 10 ) Tax thereon 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 /any other ncome for rate purpose 4 5 Share n the proft of frm/aop etc. 5 6 Others 6 7 Total ( ) 7 Schedule AIR Other Informaton (transactons reported through Annual Informaton Return) [Please see nstructon number-9() for code] Sl Code of Transacton Amount (Rs) Sl Code of Transacton Amount (Rs) Schedule IT Sl No TAX PAYMENTS v v Detals of Advance Tax and Self Assessment Tax Payments of Income-tax Name of Bank & Branch BSR Code Date of Depost (DD/MM/YYYY) Seral Number of Challan Amount (Rs) NOTE Enter the totals of Advance tax and Self Assessment tax n Sl No. 9a & 9c of PartB-TTI Schedule TDS1 TDS ON SALARY Sl No Detals of Tax Deducted at Source from Salary [As per Form 16 ssued by Employer(s)] Name and address of the Employer Income Deducton chargeable under under Chapter VI-A Salares Tax Deducton Account Number (TAN) of the Employer Tax payable (ncl. surch. and edn. cess) Total tax deposted Tax payable/ refundable (1) (2) (3) (4) (5) (6) (7) (8) Schedule TDS2 TDS ON OTHER 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 and address of the Deductor Amount Pad Date of Payment / Credt Total tax deposted Amount out of (6) clamed for ths year (1) (2) (3) (4) (5) (6) (7) NOTE Please enter total of column 7 of Schedule-TDS1 and column 7 of Schedule-TDS2 n 9(b) of Part B-TTI

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