Office Phone Number with STD code/mobile No. 1 Fax Number/Mobile No. 2 Income Tax Ward/Circle. Classification (see instructions para 11d)

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1 FORM ITR-7 INDIAN INCOME TAX RETURN [For persons ncludng companes requred to furnsh return under sectons 139(4A) or 139(4B) or 139(4C) or 139(4D) or 139(4E)] (Please see rule 12 of the Income-tax Rules,1962) (Also see attached nstructons for gudance) Assessment Year Part A-GEN Name (as mentoned n deed of creaton/establshng/ncorporaton/formaton) PAN PERSONAL INFORMATION Flat/Door/Block Name Of Premses/Buldng/Vllage Date of formaton/ncorporaton (DD/MM/YYYY) / / Road/Street/Post Offce Area/Localty Status (see nstructons para 11b) Town/Cty/Dstrct State Pn code Offce Phone Number wth STD code/moble. 1 Fax Number/Moble. 2 Income Tax Ward/Crcle Emal Address 1 Emal Address 2 Detals of the projects/nsttutons run by you. Name of the project/nsttuton Nature of actvty (see nstructon para 11d) 1 Classfcaton (see nstructons para 11d) Approval/ tfcaton/ Regstraton. Approvng/ regsterng Authorty Secton under whch exempton clamed, f any (see nstructon para 11e) FILING STATUS (a) Return fled[please see nstructon no.-6]o On or before due date-139(1), o After due date-139(4), o Revsed Return-139(5) o Modfed return-92cd o under secton 119(2)(b), OR In response to notce u/s o 139(9)- defectve, o 142(1), o 148, o 153A, o 153C (b) Return furnshed under secton 139(4A) 139(4B) 139(4C) 139(4D) 139(4E) (c) (d) If revsed/n response to defectve/modfed, then enter Recept. and Date of flng orgnal return (DD/MM/YYYY) If fled, n response to a notce u/s 139(9)/142(1)/148/153A/153C enter date of such notce, or u/s 92CD enter date of advance prcng agreement (e) Resdental status? (Tck) o Resdent o n-resdent (f) (g) / / / / Whether any ncome ncluded n total ncome for whch for whch clam under secton 90/90A/91 has been made? o Yes o [applcable n the case of resdent] [f yes, ensure to fll Schedule FSI and Schedule TR] Whether any transacton has been made wth a person located n a jursdcton notfed u/s 94A of the Act? (h) In the case of non-resdent, s there a permanent establshment (PE) n Inda (Tck) þ () For Offce Use Only Whether ths return s beng fled by a representatve assessee? (Tck) þ If yes, please furnsh followng nformaton - (1) Name of the representatve (2) Address of the representatve (3) Permanent Account Number (PAN) of the representatve For Offce Use Only Recept. Date Seal and Sgnature of recevng offcal Page 1

2 OTHER DETAILS A Where, n any of the projects/nsttutons run by you, one of the chartable purposes s advancement of any other object of general publc utlty then,- whether there s any actvty n the nature of trade, commerce or busness referred to a b n provso to secton 2(15)? whether there s any actvty of renderng any servce n relaton to any trade, commerce or busness for any consderaton as referred to n provso to secton 2(15)? If a or b s YES, the aggregate annual recepts from such actvtes n respect of that nsttuton. a Name of the project/insttuton of aggregate annual recepts from such actvtes b B Unversty/ Educatonal Insttuton/ Hosptal/ Other Insttuton elgble for exempton u/s 10(23C)(ad) and 110(23C)(ae) Tck þ, f applcable Secton o 10(23C)(ad) Name of the Unversty/ Educatonal Insttuton/ Hosptal/ Other Insttuton Aggregate annual recepts (Rs.) o 10(23C)(ae) C Whether Regstered u/s 12A/12AA? If yes, then enter Regstraton. Commssoner/Drector of Income-tax (Exemptons) who granted regstraton Date of Regstraton (DD/MM/YYYY) / / v Whether actvty s,- o chartable, o relgous or o both? Please tck þ as applcable. D Whether approval obtaned under secton 35? If yes, then enter the relevant clause of secton 35 and Regstraton. E F Date of Approval (DD/MM/YYYY) / / v Approvng Authorty v Whether research s,- o Scentfc, o Socal Scence or o Statstcal? Please tck þ as applcable v In case of busness actvty n research, whether t s o Incdental or o t ncdental? Please tck þ as applcable Whether approval obtaned u/s 80G? If yes, then enter Approval. Date of Approval (DD/MM/YYYY) / / Is there any change n the objects/actvtes durng the Year on the bass of whch approval/regstraton was granted? G Whether a poltcal party as per secton 13A? (f yes, please fll schedule LA) If yes, then whether regstered? If yes, then enter regstraton number under secton 29A of the Representaton of People Act, 1951 H Whether an Electoral Trust? (f yes, please fll schedule ET) If yes, then enter approval number? Date of Approval (DD/MM/YYYY) / / Page 2

3 I Whether regstered under Foregn Contrbuton (Regulaton) Act, 1976 (FCRA)? If yes, then enter Regstraton. Date of Regstraton (DD/MM/YYYY) / / v a Total amount of contrbuton receved from outsde Inda durng the year, f any Rs. b Specfy the purpose for whch the above contrbuton s receved J Whether lable to tax at maxmum margnal rate under secton 164? K Is ths your frst return? Are you lable for audt? (Tck) þ, If yes, furnsh followng nformaton- AUDI T INFORMATION Secton under whch you are lable for audt (specfy secton). Please menton date of audt report. (DD/MM/YY) (see Instructon 6()) 12A a Name of the audtor sgnng the tax audt report b Membershp no. of the audtor c Name of the audtor (propretorshp/ frm) d Permanent Account Number (PAN) of the propretorshp/ frm e Date of audt report f Date of furnshng of the audt report / / (DD/MM/YYYY). Part B TI STATEMENT OF INCOME FOR THE PERIOD ENDED ON 31 ST MARCH Income from house property [3c of Schedule HP] (enter nl f loss) 1 STATEMENT OF INCOME 2 Profts and gans of busness or professon [as per tem no. E 35 of schedule BP] 2 3 Income under the head Captal Gans a Short term (A5 of schedule CG) 3a b Long term (B3 of schedule CG) (enter nl f loss ) 3b c Total captal gans (3a + 3b) (enter nl f loss ) 4 Income from other sources [as per tem no. 4 of Schedule OS] 4 5 Voluntary Contrbutons (C of schedule VC) 5 6 Gross ncome [ c ] 6 If regstered under secton 12A/12AA, fll out tems 7 to 13 7 Aggregate of ncome referred to n secton u/s 11 and 12 derved durng the prevous year to the extent that s ncluded n 6 above 7 8 Voluntary contrbuton formng part of corpus as per secton 11(1)(d) [(A + B) of schedule VC] 8 9 Applcaton of ncome for chartable or relgous purposes appled to chartable or relgous purposes n Inda durng the prevous year - Revenue Account 9 appled to chartable or relgous purposes n Inda durng the prevous year Captal Account [Excludng applcaton from Borrowed Funds and amount exempt u/s 9 11(1A)] appled to chartable or relgous purposes n Inda durng the prevous year - Captal Account (Repayment of Loan) 9 v deemed to have been appled to chartable or relgous purposes n Inda durng the prevous year as per clause (2) of Explanaton to secton 11(1) 9v a If (v) above applcable, whether opton to be exercsed n wrtng before due date to the Assessng Offcer v accumulated or set apart for applcaton to chartable or relgous purposes to the extent t does not exceed 15 per cent of ncome derved from property held n trust/ 9v nsttuton under secton 11(1)(a)/11(1)(b) [restrcted to the maxmum of 15% of (7-8) above] v n addton to amount referred to n (v) above, accumulated or set apart for specfed purposes f all the condtons n secton 11(2) and 11(5) are fulflled (fll out schedule I) v 3c Page 3

4 v elgble for exempton under secton 11(1)(c) a Approval number and date of approval by the Board v Total [ v+9v+9v+9v] 10 Addtons Income chargeable under secton 11(1B) 10 Income chargeable under secton 11(3) 10 Income n respect of whch exempton under secton 11 s not avalable by vrtue of provsons of secton 13 Beng anonymous donaton at D of schedule VC to the extent appled for chartable a 10a purpose b Other than (a) above 10b v Income chargeable under secton 12(2) 10v v Total [ a+10b+10v] 10v 11 Income chargeable u/s 11(4) [as per tem no. E36 of Schedule BP] Total (6 8-9v + 10v + 11) 12 of ncome exempt under any clause of secton 10, to the extent that s ncluded n above 13 elgble for exempton under secton 10(21), 10(22B), 10(23A), 10(23B), 10(23C)(v), 14 10(23C)(v), 10(23C)(v), 10(23C)(va) 14 elgble for exempton under secton 10(23C)(ad), 10(23C)(ae), 10(24), 10(46), 15 10(47) elgble for exempton under any clause, other than those at 14 and 15, of secton Income chargeable under secton 11(3) read wth secton 10(21) 17 Income clamed/ exempt under secton 13A or 13B n case of a Poltcal Party or Electoral Trust 18 (fll Schedule LA or ET) Income chargeable to tax (6 8-9v + 10v ) Losses of current year to be set off aganst 19 (total of 2x, 3x and 4x of Schedule CYLA) Gross Total Income (19-20) Income chargeable to tax at specal rate under secton 111A, 112 etc. ncluded n Deducton u/s 10A or 10AA Deductons under chapter VIA (lmted to 21-22) Total Income [ ] Income whch s ncluded n 25 and chargeable to tax at specal rates (total of () of schedule SI) Net Agrcultural ncome for rate purpose Aggregate Income ( ) [applcable f (25-26) exceeds maxmum amount not chargeable to tax] Anonymous donatons, ncluded n 28, to be taxed under secton 30% (D of schedule VC) 30 Income chargeable at maxmum margnal rates 30 9v 9v 29 Part B - TTI Computaton of tax lablty on total ncome 1a Tax Payable on deemed total Income under secton 115JB or 115JC as applcable (7 of 1 Schedule MAT/ 4 of Schedule AMT) 1b Surcharge on (a) above TAX LIABILITY 1c Educaton Cess on (1a+1b) above 1d Total Tax Payable u/s 115JB or 115JC as applcable (1a+1b+1c) 2 Tax payable on total ncome a Tax at normal rates on ( ) of Part B-TI b Tax at specal rates (total of () of Schedule-SI) Tax on anonymous donaton u/s on 29 of Part c B-TI d Tax at maxmum margnal rate on 30 of Part B-TI e Rebate on agrcultural ncome [applcable f (25-26) of Part B-TI exceeds maxmum amount not chargeable to tax] f Tax Payable on Total Income (2a + 2b+2c+2d 2e) 3 Surcharge on 2f 3 2a 2b 2c 2d 2e 1a 1b 1c 1d 2f Page 4

5 TAXES PAID BANK ACCOUNT 4 Educaton cess, ncludng secondary and hgher educaton cess on (2f+3) 4 5 Gross tax lablty (2f+3+4) 5 6 Gross tax payable (hgher of 5 and 1d) 6 7 Credt under secton 115JAA/115JD of tax pad n earler years (f 5 s more than 1d) ( 5 of Schedule MATC/AMTC) 8 Tax payable after credt under secton 115JAA/115JD [ (6 7)] 8 9 Tax relef a Secton 90/90A (2 of Schedule TR) b Secton 91 (3 of Schedule TR) c Total (9a + 9b) 10 Net tax lablty (8 9c) Interest payable a For default n furnshng the return (secton 234A) 9a 9b 11a b For default n payment of advance tax (secton 234B) 11b 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 column 5 of 19A) b TDS (total of column 8 of 19B) c TCS (total of column 7 of 19C) d Self-Assessment Tax (from column 5 of 19A) e Total Taxes Pad (13a+13b+13c + 13d) 14 payable (Enter f 12 s greater than 13e, else enter 0) Refund(If 13e s greater than 12) (refund, f any, wll be drectly credted nto the bank account) Detals of all Bank Accounts held n Inda at any tme durng the prevous year (excludng dormant accounts) Total number of savngs and current bank accounts held by you at any tme durng the prevous year (excludng dormant accounts). Provde the detals below.. IFS Code of Name of the Bank the Bank 11c 13a 13b 13c 13d Account Number (the number should be 9 dgts or more as per CBS system of the bank ) Savngs/ Current/ Cash Credt 7 9c 11d 13e Indcate the account n whch you prefer to get your refund credted, f any (tck one account þ ) 17 Do you at any tme durng the prevous year,- () hold, as benefcal owner, benefcary or otherwse, any asset (ncludng fnancal nterest n any entty) located outsde Inda; or () have sgnng authorty n any account located outsde Inda; or o Yes () have ncome from any source outsde Inda? [applcable only n case of a resdent] [Ensure Schedule FA s flled up f the answer s Yes ] o 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, statements, etc accompanyng t 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. I further declare that the crtcal assumptons specfed n the agreement have been satsfed and all the terms and condtons of the agreement have been compled wth. (Applcable, n a case where return s furnshed under secton 92CD) Place Date Sgn here è Page 5

6 18 TAX PAYMENTS A ADVANCE/ SELF ASSESSMENT TAX B TDS ON INCOME C TCS ON INCOME Detals of payments of Advance Tax and Self-Assessment Tax BSR Code Date of Depost (DD/MM/YYYY) Seral Number of Challan (Rs) (1) (2) (3) (4) (5) v NOTE Enter the totals of Advance tax and Self-Assessment tax n. 13a & 13d of Part B-TTI Detals of Tax Deducted at Source (TDS) on Income [As per Form 16 A ssued by Deductor(s) or Form 26QB] Tax Deducton Account Number (TAN) of the Deductor Name of the Deductor Unque TDS Certfcate Number Unclamed TDS brought forward (b/f) TDS of the current fn. year out of (6) or (7) beng out of clamed ths Year (only f (6) or (7) beng correspondng ncome s beng carred offered for tax ths year) forward Fn. Year n whch deducted b/f (1) (2) (3) (4) (5) (6) (7) (8) (9) NOTE Please enter total of column (8) of Schedule-TDS n 13b of Part B-TTI Detals of Tax Collected at Source (TCS) [As per Form 27D ssued by the Collector(s)] Name of the Collector Unclamed TCS brought forward (b/f) Tax Deducton and Tax Collecton Account Number of the Collector TCS of the current fn. year out of (5) or (6) beng out of clamed ths Year (only f (5) or (6) beng correspondng ncome s beng carred offered for tax ths year) forward Fn. Year n whch collected b/f (1) (2) (3) (4) (5) (6) (7) (8) NOTE Please enter total of column (7) of Schedule-TDS n 13c of Part B-TTI NOTE: PLEASE FILL SCHEDULES TO THE RETRUN FORM (S1 to S11) AS APPLICABLE Page 6

7 SCHEDULES TO THE RETURN FORM (FILL AS APPLICABLE) Schedule I Detals of amounts accumulated / set apart wthn the meanng of secton 11(2) Year of accumulaton (F.Yr.) accumulated n the year of accumulaton Purpose of accumulaton appled for chartable/ relgous purposes upto the begnnng of the prevous year nvested or deposted n the modes specfed n secton 11(5) s appled for chartable or relgous purpose durng the prevous year Balance amount avalable for applcaton (7) = (2) - (4) (6) (1) (2) (3) (4) (5) (6) (7) (8) deemed to be ncome wthn meanng of sub-secton (3) of secton 11 Total Schedule J Statement showng the nvestment of all funds as on the last day of the prevous year A Balance n the corpus fund as on the last day of the prevous year Rs. Balance n the non-corpus fund as on the last day of the year B Detals of nvestment/deposts made under secton 11(5) Rs. Mode of nvestment as per secton 11(5) Date of nvestment Date of maturty of nvestment Maturty amount DETAILS OF INVESTMENT OF FUNDS (1) (2) (3) (4) (5) (6) Investment n Government Savng Scheme Post Offce Savng Bank Depost n Schedule Bank or co-operatng socetes as per secton 11(5)() v Investment n UTI v Any Other v TOTAL C Investment held at any tme durng the prevous year (s) n concern (s) n whch persons referred to n secton 13(3) have a substantal nterest Name and address Where the concern Number of Class of mnal Income from Whether the amount n col (6) of the concern s a company shares held shares value of the exceeds 5 percent of the (tck as applcable held the nvestment captal of the concern durng þ nvestment the prevous year (tck as applcable þ ) (1) (2) (3) (4) (5) (6) (7) (8) v v Page S1

8 TOTAL D Other nvestments as on the last day of the prevous year Name and address of the concern Whether the concern s a company (tck as applcable þ ) Class of shares held Number of shares held mnal value of nvestment (1) (2) (3) (4) (5) (6) v v TOTAL E Voluntary contrbutons/donatons receved n knd but not converted nto nvestments n the specfed modes u/s 11(5) wthn the tme provded.n Name and address of the Value of out of (3) nvested Balance to be treated as o donor contrbuton/donaton n modes prescrbed under ncome under secton 11(3) secton 11(5) (1) (2) (3) (4) (5) v TOTAL Schedule K Statement of partculars regardng the Author(s) / Founder(s) / Trustee(s) / Manager(s), etc., of the Trust or Insttuton A Name(s) of author(s) / founder(s) / Settlor(s) and address(es), f alve. Name and address PAN B Name(s) of the person(s) who was / were trustee(s) / manager(s) durng the prevous year(s). Name and address PAN C Name(s) of the person(s) who has / have made substantal contrbuton to the trust / nsttuton n terms of secton 13(3)(b). Name and address PAN Name(s) of relatve(s) of author(s), founder(s), trustee(s), manager(s), and substantal contrbutor(s) and where any D such author, founder, trustee, manager or substantal contrbutor s a Hndu undvded famly, also the names of the members of the famly and ther relatves. Name and address PAN Page S2

9 Schedule LA POLITICAL PARTY Poltcal Party 1 Whether books of account were mantaned? (tck as applcable þ ) 2 Whether record of each voluntary contrbuton n excess of twenty thousand rupees (ncludng name and address of the person who has made such contrbuton) were mantaned? (tck as applcable þ ) 3 Whether the accounts have been audted? (tck as applcable þ ) If yes, date of audt (DD/MM/YYYY) / / 4 Whether the report under sub-secton (3) of secton 29C of the Representaton of the People Act, 1951 for the fnancal year has been submtted?(tck as applcable þ ) 5 If yes, then date of submsson of the report (DD/MM/YYYY) / / Schedule ET ELECTORAL TRUST Electoral Trust 1 Whether books of account were mantaned? (tck as applcable þ ) 2 Whether record of each voluntary contrbuton (ncludng name, address and PAN of the person who has made such contrbuton along wth the mode of contrbuton) were mantaned? (tck as applcable þ ) 3 Whether record of each person (ncludng name, address and PAN of such person) to whom voluntary contrbuton has been dstrbuted was mantaned? (tck as applcable þ ) 4 Whether the accounts have been audted? (tck as applcable þ ) If yes, date of audt (DD/MM/YYYY ) 5 Whether the report as per rule 17CA(14) furnshed to the Commssoner of Income-tax or Drector of Income-tax?(tck as applcable þ ) 6 Detals of voluntary contrbuton Openng balance as on 1 st Aprl Voluntary contrbuton receved durng the year Total ( + ) v dstrbuted to Poltcal partes v v spent on managng the affars of the Trust v v Total (v + v) v v Closng balance as on 31 st March ( v) v / / Schedule HP Detals of Income from House Property (Please refer to nstructons) Address of property 1 Town/ Cty State PIN Code 1 Is the property co-owned? (f YES please enter followng detals) Your percentage of share n the property Name of Co-owner(s) PAN of Co-owner(s) (optonal) Percentage Share n Property I HOUSE PROPERTY II (Tck) þ f let out o deemed let out o Name(s) of Tenant (f let out) PAN of Tenant(s) (optonal) I II Annual letable value or rent receved or recevable (hgher of the two, f let out for whole of a the year, lower of the two 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 Annual value (1a 1d) (nl, f self -occuped etc. as per secton 23(2)of the Act) f 30% of 1e 1f g Interest payable on borrowed captal 1g h Total (1f + 1g) Income from house property 1 (1f 1) 1a 1e 1h 1 Page S3

10 2 Address of property 2 Town/ Cty State PIN Code Is the property co-owned? (f YES please enter followng detals) Your percentage of share n the property. Name of Co-owner(s) PAN of Co-owner(s) (optonal) Percentage Share n Property I II (Tck) þ f let out o deemed let out o Name(s) of Tenant (f let out) PAN of Tenant(s) (optonal) I II Annual letable value or rent receved/ recevable (hgher of the two, f let out for whole of a the year, lower of the two, 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 Annual value (2a 2d) f 30% of 2f 2f g Interest payable on borrowed captal 2g h Total (2f + 2g) Income from house property 2 (2e 2h) 3 Income under the head Income from house property a Rent of earler years realzed under secton 25A/AA b Arrears of rent receved durng the year under secton 25B after deductng 30% c Total ( a + 3b ) (f negatve take the fgure to 2 of schedule CYLA) 2a 2e 2h 2 3a 3b 3c Schedule CG Captal Gans A Short-term captal gan 1 From assets (shares/unts) where secton 111A s applcable (STT pad) a Full value of consderaton 1a b Deductons under secton 48 Cost of acquston b Cost of Improvement b Expendture on transfer b v Total ( + + ) bv c Balance (1a bv) 1c d Loss, f any, to be gnored under secton 94(7) or 1d 94(8) (Enter postve value only) CAPITAL GAINS e Short-term captal gan (1c +1d) 2 From assets where secton 111A s not applcable a Full value of consderaton 2a b Deductons under secton 48 Cost of acquston b Cost of Improvement b Expendture on transfer b v Total ( + + ) bv c Balance (2a bv) 2c d Loss, f any, to be gnored under secton 94(7) or 2d 94(8) (Enter postve value only) e Short-term captal gan (2c + 2d) 2e 3 Deemed short term captal gan on deprecable assets A3 4 Exempton u/s 11(1A) A4 5 Total short term captal gan (A1e + 2e + A3 - A4) A5 B Long term captal gan 1 From asset where provso under secton 112(1) s not applcable a Full value of consderaton b Deductons under secton 48 1a A1e Page S4

11 Cost of acquston after ndexaton b Cost of mprovement after ndexaton b Expendture on transfer b v Total (b + b +b) bv c Balance (1a bv) 1c d Exempton u/s 11(1A) 1d e Long-term captal gans where provso under secton 112(1) s not applcable (1c 1d) B1e 2 From asset where provso under secton 112(1) s applcable (wthout ndexaton) a Full value of consderaton 2a 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 (2a bv) 2c d Exempton u/s 11(1A) 2d e Long-term captal gans where provso under secton 112(1) s applcable (2c 2d) B2e 3 Total long term captal gan (B1e + B2e) B3 C Income chargeable under the head CAPITAL GAINS (A5 + B3) (enter B3 as nl, f loss) C Schedule OS OTHER SOURCES Income from other sources 1 Income a Dvdends, Gross 1a b Interest, Gross 1b c Rental ncome from machnery, plants, buldngs, etc., Gross 1c Others, Gross (excludng ncome from ownng race d horses)menton the source Income from wnnngs from lotteres, crossword puzzles 1d etc. 1d v Total (1d + 1d+ 1d) e Total (1a + 1b + 1c + 1dv) f Income ncluded n 1e chargeable to tax at specal rate (to be taken to schedule SI) Income from wnnngs from lotteres, crossword puzzles, races, games, gamblng, bettng etc. (u/s 115BB) Any other ncome under chapter XII/XII-A Income ncluded n 1e chargeable to tax at specal rate (1f +1f) g Gross amount chargeable to tax at normal applcable rates (1e-1f) h Deductons under secton 57(other than those relatng to ncome under 1f & 1f for non-resdents) Expenses / Deductons Deprecaton h Total h Income from other sources (other than from ownng race horses and amount chargeable to tax at specal rate) (1g h) (If negatve take the fgure to 4 of schedule CYLA) 2 Income from other sources (other than from ownng race horses) (1f + 1) (enter 1 as nl, f negatve) 2 3 Income from the actvty of ownng and mantanng race horses a Recepts 3a b Deductons under secton 57 n relaton to (3) 3b c Balance (3a 3b) 4 Income under the head Income from other sources (2 + 3c) (take 3c as nl f negatve) 4 1d 1dv h 1e 1 1f 1f 1g 1 3c Schedule- VC Voluntary Contrbutons A Local Corpus fund donaton A Other than corpus fund donaton A Voluntary contrbuton local (A + A) A Page S5

12 B Foregn contrbuton Corpus fund donaton B Other than corpus fund donaton B Foregn contrbuton (B + B) B C Total Contrbutons (A + B) C D Schedule OA Anonymous donatons, ncluded n C, chargeable u/s 115BBC Aggregate of such anonymous donatons receved 5% of total donatons receved at C or 1,00,000 whchever s hgher Anonymous donatons chargeable u/s 30% ( ) General Do you have any ncome under the head busness and professon? (f yes please enter followng detals) 1 Nature of Busness or professon (refer to the nstructons) 1 2 Number of branches 2 3 Method of accountng employed n the prevous year (Tck) þ o mercantle o cash 3 4 Is there any change n method of accountng (Tck) þ o Yes 4 5 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 6 Method of valuaton of closng stock employed n the prevous year 6 Raw Materal (f at cost or market rates whchever s less wrte 1, f at cost wrte 2, f at a market rate wrte 3) Fnshed goods (f at cost or market rates whchever s less wrte 1, f at cost wrte 2, f at b market rate wrte 3) c Is there any change n stock valuaton method (Tck) þ d Effect on the proft or loss because of devaton, f any, from the method of valuaton prescrbed under secton 145A 5 6d Schedule BP Computaton of ncome from busness or professon A From busness or professon other than speculatve busness and specfed busness Proft before tax as per proft and loss account 1 1 INCOME FROM BUSINESS OR PROFESSION 2 Net proft or loss from speculatve busness ncluded n 1 (enter ve sgn n case of loss) 3 Net proft or loss from Specfed Busness u/s 35AD ncluded n 1 (enter ve sgn n case of loss) 3 4 Proft or loss ncluded n 1, whch s referred to n secton 44AD/44AE 4 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 6 Balance ( d) 6 Expenses debted to proft and loss account 7 7 consdered under other heads of ncome 8 Expenses debted to proft and loss account whch relate to exempt ncome 9 Total (7 + 8) 9 10 Adjusted proft or loss (6+9) Deemed ncome under secton 33AB/33ABA/35ABB 11 Any other tem or tems of addton under secton to 44DA 13 Any other ncome not ncluded n proft and loss 13 account/any other expense not allowable (ncludng ncome from salary, commsson, bonus and nterest from frms n whch company s a partner) 2 5d 8 Page S6

13 14 Total ( ) Deducton allowable under secton 32(1)() Any other amount allowable as deducton Total ( ) Income (14 17) Profts and gans of busness or professon deemed to be under - Secton 44AD 19 Secton 44AE Total (19 to 19) 20 Net proft or loss from busness or professon other than speculatve and specfed busness ( ) 21 Net Proft or loss from busness or professon other than speculatve busness and specfed busness after applyng rule 7A, 7B or 7C, f applcable (If rule 7A, 7B or 7C s not applcable, enter same fgure as n 20) B Computaton of ncome from speculatve busness 24 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 ( ) (enter nl f loss) B27 C Computaton of ncome from specfed busness under secton 35AD C 28 Net proft or loss from specfed busness as per proft or loss account Addtons n accordance wth secton 28 to 44DA 29 Deductons n accordance wth secton 28 to 44DA (other than deducton under secton,- () 35AD, () 32 or 35 on whch deducton u/s 35AD s clamed) 31 Proft or loss from specfed busness ( ) Deductons n accordance wth secton 35AD(1) or 35AD(1A) Proft or loss from specfed busness (31-32) (enter nl f loss) 33 D Income chargeable under the head Profts and gans (A21+B27+C33) D34 E Computaton of ncome chargeable to tax under secton 11(4) 35 Income as shown n the accounts of busness under takng [refer secton 11(4)] E35 36 Income chargeable to tax under secton 11(4) [D34-E35] E A21 Schedule CYLA Detals of Income after set-off of current years losses. Head/ Source of Income of current House property loss of Busness Loss Income year the current year set off (other than speculaton or (Fll ths column specfed busness loss) of only f ncome s the current year set off zero or postve) Total loss Total loss (3c of Schedule HP) (A21 of Schedule-BP) CURRENT YEAR LOSS ADJUSTMENT Loss to be adjusted -> House property Busness (excludng speculaton ncome and ncome from specfed busness) Speculaton ncome v Specfed busness ncome v Short-term captal gan v Long term captal gan v Other sources (excludng proft from ownng race horses and wnnngs from lottery) v Proft from ownng and mantanng race horses x Total loss set-off x Loss remanng after set-off 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 (1 of Schedule-OS) = Page S7

14 Schedule MAT MINIMUM ALTERNATE TAX 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 of Schedule VI to the 1 Companes Act, 1956 (If yes, wrte Y, f no wrte N ) Whether, for the Proft and Loss Account referred to n tem 1 above, the same accountng polces, accountng 2 standards and 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 Y, f no wrte N 3 Proft after tax as shown n the Proft and Loss Account 3 4 Addtons (f debted n proft and loss account) Income Tax pad or payable or ts provson a ncludng the amount of deferred tax and the provson therefor b Reserve (except reserve under secton 33AC) c Provsons for unascertaned lablty d Provsons for losses of subsdary companes e Dvdend pad or proposed Expendture related to exempt ncome under sectons f 10, 11 or 12 [exempt ncome excludes ncome exempt under secton 10(38)] g Deprecaton attrbutable to revaluaton of assets Others (ncludng resdual unadjusted tems and h provson for dmnuton n the value of any asset) Total addtons (4a+4b+4c+4d+4e+4f+4g+4h) 4 5 Deductons a wthdrawn from reserve or provsons f credted to Proft and Loss account b Income exempt under sectons 10, 11 or 12 [exempt ncome excludes ncome exempt under secton 10(38)] c 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 and the amount of deferred tax credted to P&L A/c) g Total deductons (5a+5b+5c+5d+5e+5f) 6 Book proft under secton 115JB (3+ 4 5g) 6 4a 4b 4c 4d 4e 4f 4g 4h 5a 5b 5c 5d 5e 5f 5g o o 7 Tax payable under secton 115JB [18.5% of (6)] 7 Schedule MATC Computaton of tax credt under secton 115JAA 1 Tax under secton 115JB n assessment year (1d of Part-B-TTI) 1 MAT CREDIT 2 Tax under other provsons of the Act n assessment year (5 of Part-B-TTI) 2 3 of tax aganst whch credt s avalable [enter (2 1) f 2 s greater than 1, otherwse enter 0] 3 4 Utlsaton of MAT credt Avalable [Sum of MAT credt utlzed durng the current year s subject to maxmum of amount mentoned n 3 above and cannot exceed the sum of MAT Credt Brought Forward ] S. Assessment Year MAT Credt (A) v v v Gross (B1) Set-off n earler years (B2) Balance Brought forward (B3)=(B2)-(B1) MAT Credt Utlsed durng the Current Year (C) Balance MAT Credt Carred Forward (D)= (B3) (C) Page S8

15 v v x (enter 1-2, f 1>2 else enter 0) x Total 5 of tax credt under secton 115JAA utlsed durng the year [enter 4(C)x] 5 6 of MAT lablty avalable for credt n subsequent assessment years [enter 4(D)x] 6 Schedule AMT Computaton of Alternate Mnmum Tax payable under secton 115JC 1 Total Income as per tem 25 of PART-B-TI 1 2 Adjustment as per secton 115JC(2) a Deducton Clamed under any secton ncluded n Chapter VI-A under the headng C. Deductons n respect of certan ncomes b Deducton Clamed u/s 10AA c Deducton clamed u/s 35AD as reduced by the amount of deprecaton on assets on whch such deducton s clamed d Total Adjustment (2a+ 2b+2c) 3 Adjusted Total Income under secton 115JC(1) (1+2d) 3 4 Tax payable under secton 115JC [18.5% of (3)] (In the case of Indvdual, HUF, AOP, BOI, AJP ths s applcable f 3 s greater than Rs. 20 lakhs) 2a 2b 2c 2d 4 Schedule AMTC Computaton of tax credt under secton 115JD 1 Tax under secton 115JC n assessment year (1d of Part-B-TTI) 1 2 Tax under other provsons of the Act n assessment year (5 of Part-B-TTI) 2 3 of tax aganst whch credt s avalable [enter (2 1) f 2 s greater than 1, otherwse 3 enter 0] 4 Utlsaton of AMT credt Avalable (Sum of AMT credt utlzed durng the current year s subject to maxmum of amount mentoned n 3 above and cannot exceed the sum of AMT Credt Brought Forward) S. Assessment Year (AY) AMT Credt (A) v v Current AY (enter 1-2, f 1>2 else enter 0) Total Gross (B1) Set-off n earler years (B2) Balance brought forward (B3) = (B1) (B2) 5 of tax credt under secton 115JD utlsed durng the year [total of tem no 4C] 5 6 of AMT lablty avalable for credt n subsequent assessment years [total of 4D] 6 AMT Credt Utlsed durng the Current Year (C) Balance AMT Credt Carred Forward (D)= (B3) (C) Schedule SI Income chargeable to tax at specal rates [Please see nstructon] Secton þ Specal rate (%) 1 111A (STCG on shares where STT pad) o provso (LTCG on lsted securtes/ unts wthout ndexaton) o (LTCG on others) o BB (Wnnngs from lotteres, puzzles, races, games etc.) o BBE (Income under secton 68, 69, 69A, 69B, 69C or 69D) o 30 6 o 7 o 8 Total SPECIAL RATE Income () Tax thereon () Page S9

16 Schedule FSI INCOME FROM OUTSIDE INDIA AND TAX RELIEF. Country Code Taxpayer Identfcaton Number 1 House Property Detals of Income from outsde Inda and tax relef. Head of ncome Income from Tax pad outsde Inda outsde (ncluded n Inda PART B-TI) Busness or Professon Captal Gans v Other sources Tax payable on such ncome under normal provsons n Inda Tax relef avalable n Inda (e)= (c) or (d) whchever s lower Relevant artcle of DTAA f relef clamed u/s 90 or 90A (a) (b) (c) (d) (e) (f) Total 2 House Property Busness or Professon Captal Gans v Other sources Total NOTE Please refer to the nstructons for fllng out ths schedule. Schedule TR Summary of tax relef clamed for taxes pad outsde Inda 1 Detals of Tax relef clamed Country Code Taxpayer Total taxes pad outsde Inda Identfcaton (total of (c) of Schedule FSI n Number respect of each country) TAX RELIEF FOR TAX PAID OUTSIDE INDIA Total tax relef avalable (total of (e) of Schedule FSI n respect of each country) Secton under whch relef clamed (specfy 90, 90A or 91) (a) (b) (c) (d) (e) Total 2 Total Tax relef avalable n respect of country where DTAA s applcable (secton 90/90A) (Part of total of 1(d)) 2 3 Total Tax relef avalable n respect of country where DTAA s not applcable (secton 91) (Part of total of 1(d)) 3 4 Whether any tax pad outsde Inda, on whch tax relef was allowed n Inda, has been refunded/credted by the foregn tax authorty durng the year? If yes, provde the detals below 4 Yes/ a of tax refunded NOTE Please refer to the nstructons for fllng out ths schedule. Schedule FA DETAILS OF FOREIGN ASSETS Detals of Foregn Assets and Income from any source outsde Inda b Assessment year n whch tax relef allowed n Inda A Detals of Foregn Bank Accounts held (ncludng any benefcal nterest) at any tme durng the prevous year Country Name and Code Name and Address of the Bank Account holder name Status- Owner/ Benefcal owner/ Benefcary Account Number Account openng date Peak Balance Durng the Year (n rupees) Interest accrued n the account Interest taxable and offered n ths return Schedule where offered Item number of schedule (1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12) () () B Detals of Fnancal Interest n any Entty held (ncludng any benefcal nterest) at any tme durng the prevous year Country Nature of Name and Nature of Date snce Total Income Nature of Name and entty Address of Interest- held Investment accrued from Income Schedule code the Entty Drect/ (at cost) (n such Interest where offered Benefcal rupees) owner/ Income taxable and offered n ths return Item number of schedule Benefcary (1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12) Page S10

17 () () C Detals of Immovable Property held (ncludng any benefcal nterest) at any tme durng the prevous year Address of the Property Date of acquston Nature of Income Income taxable and offered n ths return Country Name and code Ownershp- Drect/ Benefcal owner/ Benefcary Total Investment (at cost) (n rupees) Income derved from the property Schedule where offered Item number of schedule (1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) () () D Detals of any other Captal Asset held (ncludng any benefcal nterest) at any tme durng the prevous year Country Nature of Ownershp- Date of Total Investment Income Nature of Income taxable and offered n ths return Name and code Asset Drect/ Benefcal owner/ Benefcary acquston (at cost) (n rupees) derved from the asset Income Schedule where offered Item number of schedule (1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) () () E Detals of account(s) n whch you have sgnng authorty held (ncludng any benefcal nterest) at any tme durng the prevous year and whch has not been ncluded n A to D above. Address of Name of the Account If (7) s yes, Income offered n ths the account Number return Insttuton holder Name of the Insttuton n whch the account s held Peak Balance/ Investment durng the year (n rupees) Whether ncome accrued s taxable n your hands? If (7) s yes, Income accrued n the account Schedule where offered Item number of schedule (1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) () () F Detals of trusts, created under the laws of a country outsde Inda, n whch you are a trustee, benefcary or settlor Country Name and Name and Name and Name and If (8) s yes, Income offered n ths Name and address of address of address of address of return code the trust trustees Settlor Benefcares Date snce poston held Whether ncome derved s taxable n your hands? If (8) s yes, Income derved from the trust Schedule where offered Item number of schedule (1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12) () () G Detals of any other ncome derved from any source outsde Inda whch s not ncluded n,- () tems A to F above and, () ncome under the head busness or professon If (6) s yes, Income offered n ths return Country Name Name and address of the Whether taxable Income derved Nature of ncome and code person from whom derved n your hands? Schedule where offered Item number of schedule (1) (2) (3) (4) (5) (6) (7) (8) (9) () () NOTE Please refer to nstructons for fllng out ths schedule. Page S11

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