HOLDING STATUS (a) Nature of company (wrte 1 f holdng company, wrte 2 f a subsdary company, wrte 3 f both, wrte 4 f any other) (b) If subsdary company

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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) (Also see attached nstructons) Assessment Year Part A-GEN Name GENERAL PAN Is there any change n the company s name? If yes, please furnsh the old name Corporate Identty Number (CIN) ssued by MCA PERSONAL INFORMATION Flat/Door/Block No Name Of Premses/Buldng/Vllage Date of ncorporaton (DD/MM/YYYY) / / Road/Street/Post Offce Area/Localty Type of company (Tck any one) () Domestc Company () Foregn Company Town/Cty/Dstrct State Country Pn code If a publc company wrte 6, and f prate company wrte 7 (as defned n secton 3 of The Company Act) Offce Phone Number wth STD code/ Moble No. 1 Moble No. 2 Income Tax Ward/Crcle Emal Address-1 FILING STATUS Emal Address-2 (a) Return fled(tck)[please see nstructon number-5] On or before due date-139(1), After due date-139(4), Resed Return- 139(5) Modfed return-92cd, Or In response to notce 139(9)- Defecte, 142(1), 148, 153A, 153C (b) If resed/n response to defecte/modfed, then enter Recept No and Date of flng orgnal return (DD/MM/YYYY) / / (c) If fled, n response to notce u/s 139(9)/142(1)/148/153A/153C enter date of such notce, or u/s 92CD enter date of adance prcng agreement / / (d) Resdental Status (Tck) Resdent Non-Resdent (e) In the case of non-resdent, s there a permanent establshment (PE) n Inda (Tck) Yes No (f) Whether any transacton has been made wth a person located n a jursdcton notfed u/s 94A of the Act? Yes No (g) Whether ths return s beng fled by a representate assessee? (Tck) Yes No If yes, please furnsh followng nformaton - (1) Name of the representate assessee (2) Address of the representate assessee AUDIT INFORMATION (3) Permanent Account Number (PAN) of the representate assessee (a) Whether lable to mantan accounts as per secton 44AA? (Tck) Yes No (b) Whether lable for audt under secton 44AB? (Tck) Yes No (c) If (b) s Yes, whether the accounts hae been audted by an accountant? (Tck) Yes No If Yes, furnsh the followng nformaton below (1) Menton the date of furnshng of audt report (DD/MM/YYYY) (2) Name of the audtor sgnng the tax audt report (3) Membershp no. of the audtor (4) Name of the audtor (propretorshp/ frm) (5) Permanent Account Number (PAN) of the audtor (propretorshp/ frm) (6) Date of audt report (d) If lable to furnsh other audt report, menton the date of furnshng the audt report? (DD/MM/YY) (Please see Instructon 5()) 92E 115JB Page 1 of 33

2 HOLDING STATUS (a) Nature of company (wrte 1 f holdng company, wrte 2 f a subsdary company, wrte 3 f both, wrte 4 f any other) (b) If subsdary company, menton the detals of the Holdng Company PAN Name of Holdng Company Address of Holdng Company Percentage of Shares held (c) If holdng company, menton the detals of the subsdary companes PAN Name of Subsdary Company Address of Subsdary Company Percentage of Shares held (a) In case of amalgamatng company, menton the detals of amalgamated company Address of Amalgamated Company PAN Name of Amalgamated Company BUSINESS ORGANISATION (b) (c) (d) In case of amalgamated company, menton the detals of amalgamatng company Address of Amalgamatng Company PAN Name of Amalgamatng Company In case of demerged company, menton the detals of resultng company Address of Resultng Company PAN Name of Resultng Company In case of resultng company, menton the detals of demerged company Address of Demerged Company PAN Name of Demerged Company Partculars of Managng Drector, Drectors, Secretary and Prncpal offcer(s) who hae held the offce durng the preous year Drector Identfcaton S.No. Name Desgnaton Resdental Address PAN Number (DIN) ssued by MCA, n case of Drector SHAREHOLDERS INFORMATION KEY PERSONS Partculars of persons who were benefcal owners of shares holdng not less than 10% of the otng power at any tme of the preous year S.No. Name and Address Percentage of shares held PAN Page 2 of 33

3 NATURE OF COMPANY AND ITS BUSINESS Nature of company (Tck) 1 Whether a publc sector company as defned n secton 2(36A) of the Income-tax Act Yes No 2 Whether a company owned by the Resere Bank of Inda Yes No Whether a company n whch not less than forty percent of the shares are held (whether sngly or taken together) by the Goernment or the Resere Bank of Inda or a corporaton owned by that Bank Whether a bankng company as defned n clause (c) of secton 5 of the Bankng Regulaton Yes No Act,1949 Yes No Whether a scheduled Bank beng a bank ncluded n the Second Schedule to the Resere Bank of Inda Act Yes No Whether a company regstered wth Insurance Regulatory and Deelopment Authorty (establshed under sub-secton (1) of secton 3 of the Insurance Regulatory and Deelopment Authorty Act, 1999) Yes No 7 Whether 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 acttes/ products S.No. () Code [Please see nstructon No.7()] Descrpton () () I Part A-BS BALANCE SHEET AS ON 31 ST DAY OF MARCH, 2013 EQUITY AND LIABILITIES Equty and Labltes 1 Shareholder s fund A B Share captal Authorsed A Issued, Subscrbed and fully Pad up Subscrbed but not fully pad Total (A + A) Reseres and Surplus Captal Resere Captal Redempton Resere Securtes Premum Resere Debenture Redempton Resere Realuaton Resere Share optons outstandng amount Other resere (specfy nature and amount) a b c Total (a + b) Surplus.e. Balance n proft and loss account (Debt balance to be shown as e fgure) Total (B + B + B + B + B + B + B + B) (Debt balance to be shown as e x fgure) C Money receed aganst share warrants D Total Shareholder s fund (A + Bx + 1C) 2 Share applcaton money pendng allotment Pendng for less than one year A A B B B B B B a b B B A Bx 1C 1D Page 3 of 33

4 Pendng for more than one year Total ( + ) 2 3 Non-current labltes A Long-term borrowngs Bonds/ debentures a Foregn currency a b Rupee b c Total (a + b) c Term loans a Foregn currency a b Rupee loans 1 From Banks b1 2 From others b2 3 Total (b1 + b2) b3 c Total Term loans (a + b3) c Deferred payment labltes Deposts from related partes (see nstructons) Other deposts Loans and adances from related partes (see nstructons) Other loans and adances Long term maturtes of fnance lease oblgatons x Total Long term borrowngs (c + c ) 3A B Deferred tax labltes (net) 3B C Other long-term labltes Trade payables Others Total Other long-term labltes ( + ) 3C D Long-term prosons Proson for employee benefts Others Total ( + ) 3D E Total Non-current labltes (3A + 3B + 3C + 3D) 3E 4 Current labltes A Short-term borrowngs Loans repayable on demand a From Banks a b From Non-Bankng Fnance Companes b c From other fnancal nsttutons c d From others d e Total Loans repayable on demand (a + b + c + d) e Deposts from related partes (see nstructons) Loans and adances from related partes (see nstructons) Other loans and adances Other deposts Total Short-term borrowngs (e ) 4A B Trade payables Outstandng for more than 1 year Others Total Trade payables ( + ) 4B C Other current labltes Current maturtes of long-term debt Current maturtes of fnance lease oblgatons Page 4 of 33

5 II Interest accrued but not due on borrowngs Interest accrued and due on borrowngs Income receed n adance Unpad ddends Applcaton money receed for allotment of securtes and due for refund and nterest accrued Unpad matured deposts and nterest accrued thereon Unpad matured debentures and nterest accrued x thereon x Other payables x Total Other current labltes ( x + x) D Short-term prosons Proson for employee beneft Proson for Income-tax Proson for Wealth-tax Proposed Ddend Tax on ddend Other Total Short-term prosons ( ) E Total Current labltes (4A + 4B + 4C + 4D) Total Equty and labltes (1D E + 4E) ASSETS 1 Non-current assets A Fxed assets Tangble assets a Gross block a b Deprecaton b c Imparment losses c d Net block (a b - c) d Intangble assets a Gross block a b Amortzaton b c Imparment losses c d Net block (a b - c) d Captal work-n-progress Intangble assets under deelopment Total Fxed assets (d + d + + ) B Non-current nestments Inestment n property Inestments n Equty nstruments a Lsted equtes b Unlsted equtes c Total (a + b) Inestments n Preference shares Inestments n Goernment or trust securtes Inestments n Debenture or bonds Inestments n Mutual funds Inestments n Partnershp frms Others Inestments x Total Non-current nestments ( + c ) Bx C Deferred tax assets (Net) D Long-term loans and adances x x a b c C 4C 4D 4E I A Page 5 of 33

6 Captal adances Securty deposts Loans and adances to related partes (see nstructons) Other Loans and adances Total Long-term loans and adances ( ) Long-term loans and adances ncluded n D whch s a for the purpose of busness or professon b not for the purpose of busness or professon b gen to shareholder, beng the benefcal owner of share, or to any concern or on behalf/ beneft c c of such shareholder as per secton 2(22)(e) of I.T. Act E Other non-current assets Long-term trade receables a Secured, consdered good b Unsecured, consdered good c Doubtful d Total Other non-current assets (a + b + c) Others Total (d + ) Non-current assets ncluded n E whch s due from shareholder, beng the benefcal owner of share, or from any concern or on behalf/ beneft of such shareholder as per secton 2(22)(e) of I.T. Act F Total Non-current assets (A + Bx + C + D + E) 2 Current assets A Current nestments Inestment n Equty nstruments a Lsted equtes b Unlsted equtes c Total (a + b) Inestment n Preference shares Inestment n goernment or trust securtes Inestment n debentures or bonds Inestment n Mutual funds Inestment n partnershp frms Other nestment Total Current nestments (c ) B Inentores Raw materals Work-n-progress Fnshed goods Stock-n-trade (n respect of goods acqured for tradng) Stores and spares Loose tools Others Total Inentores ( ) C Trade receables Outstandng for more than 6 months Others Total Trade receables ( + + ) D Cash and cash equalents Balances wth Banks a a b c d a b c D E 1F A B C Page 6 of 33

7 Cheques, drafts n hand Cash n hand Others Total Cash and cash equalents ( ) E Short-term loans and adances Loans and adances to related partes (see nstructons) Others Total Short-term loans and adances ( + ) Short-term loans and adances ncluded n E whch s a for the purpose of busness or professon b not for the purpose of busness or professon c F Other current assets gen to a shareholder, beng the benefcal owner of share, or to any concern or on behalf/ beneft of such shareholder as per secton 2(22)(e) of I.T. Act G Total Current assets (A + B + C + D + E + F) Total Assets (1F + 2G) a b c D E F 2G II Part A-P& L CREDITS TO PROFIT AND LOSS ACCOUNT 1 Reenue from operatons Proft and Loss Account for the fnancal year (fll tems 1 to 52 n a case where regular books of accounts are mantaned, otherwse fll tem 53) A Sales/ Gross recepts of busness (net of returns and refunds and duty or tax, f any) Sale of products/goods Sale of serces Other operatng reenues (specfy nature and amount) a b c Total (a + b) Interest (n case of fnance company) Other fnancal serces (n case of fnance company Total ( + + c + + ) A Dutes, taxes and cess receed or receable n respect of goods and serces sold or B suppled Unon Excse dutes Serce tax VAT/ Sales tax Any other duty, tax and cess Total ( ) C Total Reenue from operatons (A + B) 2 Other ncome Interest ncome (n case of a company, other than a fnance company) Ddend ncome Proft on sale of fxed assets Proft on sale of nestment beng securtes chargeable to Securtes Transacton Tax (STT) Proft on sale of other nestment Rent Commsson Proft on account of currency fluctuaton x Agrcultural ncome x Any other ncome (specfy nature and amount) a b c x B 1C Page 7 of 33

8 DEBITS TO PROFIT AND LOSS ACCOUNT a b c Total (xa + xb) x Total of other ncome ( x + xc) 3 Closng Stock Raw materal Work-n-progress Fnshed goods Total ( ) 4 Total of credts to proft and loss account (1C + 2x + 3) 4 5 Openng Stock Raw materal Work-n-progress Fnshed goods Total ( ) 6 Purchases (net of refunds and duty or tax, f any) 6 7 Dutes and taxes, pad or payable, n respect of goods and serces purchased Custom duty Counter elng duty Specal addtonal duty Unon excse duty Serce tax VAT/ Sales tax Any other tax, pad or payable Total ( ) 8 Freght 8 9 Consumpton of stores and spare parts 9 10 Power and fuel Rents Repars to buldng Repars to plant, machnery or furnture Compensaton to employees Salares and wages Bonus Rembursement of medcal expenses Leae encashment Leae trael benefts Contrbuton to approed superannuaton fund Contrbuton to recognsed prodent fund Contrbuton to recognsed gratuty fund xa xb xc x Contrbuton to any other fund 14x x Any other beneft to employees n respect of whch an 14x expendture has been ncurred Total compensaton to employees ( x 14x + 14x) Whether any compensaton, ncluded n 14x, pad to x non-resdent xa Yes / No If Yes, amount pad to non-resdents xb 15 Insurance Medcal Insurance 15 Lfe Insurance Keyman s Insurance x x Page 8 of 33

9 Other Insurance ncludng factory, offce, car, goods, 15 etc. Total expendture on nsurance ( ) 16 Workmen and staff welfare expenses Entertanment Hosptalty Conference Sales promoton ncludng publcty (other than adertsement) Adertsement Commsson Pad outsde Inda, or pad n Inda to a non-resdent other than a company or a foregn company To others Total ( + ) 23 Royalty Pad outsde Inda, or pad n Inda to a non-resdent other than a company or a foregn company To others Total ( + ) 24 Professonal / Consultancy fees / Fee for techncal serces Pad outsde Inda, or pad n Inda to a non-resdent other than a company or a foregn company To others Total ( + ) 25 Hotel, boardng and Lodgng Traelng expenses other than on foregn traelng Foregn traelng expenses Coneyance expenses Telephone expenses Guest House expenses Club expenses Festal celebraton expenses Scholarshp Gft Donaton Rates and taxes, pad or payable to Goernment or any local body (excludng taxes on ncome) Unon excse duty 36 Serce tax VAT/ Sales tax Cess Any other rate, tax, duty or cess ncl. STT and CTT Total rates and taxes pad or payable ( ) 37 Audt fee Other expenses (specfy nature and amount) Total ( + ) 38 Bad debts wrtten off (specfy PAN of the person, f t s aalable, for whom Bad Debt for amount of Rs lakh or more s clamed and amount) Others (more than Rs. 1 lakh) where PAN s not aalable Page 9 of 33

10 PROVISIONS FOR TAX AND APPROPRIATIONS NO ACCOUNT CASE Others (amounts less than Rs. 1 lakh) 39 Total Bad Debt ( ) 40 Proson for bad and doubtful debts Other prosons 41 Proft before nterest, deprecaton and taxes [4 ( to x to to )] 43 Interest Pad outsde Inda, or pad n Inda to a non-resdent other than a company or a foregn company To others Total ( + ) 44 Deprecaton and amortzaton Proft before taxes ( ) Proson for current tax Proson for Deferred Tax and deferred lablty Proft after tax ( ) Balance brought forward from preous year Amount aalable for appropraton ( ) Appropratons Transfer to reseres and surplus Proposed ddend/ Interm ddend Tax on ddend/ Tax on ddend for earler years Any other appropraton Total ( ) 52 Balance carred to balance sheet (50 51) In a case where regular books of account of busness or professon are not mantaned, furnsh the followng nformaton for preous year n respect of busness or professon a Gross recepts b Gross proft c Expenses d Net proft a 53b 53c 53d OTHER INFORMATION Part A- OI Other Informaton (optonal n a case not lable for audt under secton 44AB) 1 Method of accountng employed n the preous year (Tck) mercantle cash 2 Is there any change n method of accountng (Tck) Yes No 3 Effect on the proft because of deaton, f any, n the method of accountng employed n the preous year from accountng standards prescrbed under secton 145A 4 Method of aluaton of closng stock employed n the preous year a Raw Materal (f at cost or market rates whcheer s less wrte 1, f at cost wrte 2, f at market rate wrte 3) b Fnshed goods (f at cost or market rates whcheer s less wrte 1, f at cost wrte 2, f at market rate wrte 3) c Is there any change n stock aluaton method (Tck) Yes No d Effect on the proft or loss because of deaton, f any, from the method of aluaton 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 serce tax, or refund of sales tax or alue added tax, where such credts, drawbacks or refunds are admtted as due by the authortes concerned c escalaton clams accepted durng the preous year d any other tem of ncome e captal recept, f any 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 due to non-fulflment of condton specfed n releant clauses- 5a 5b 5c 5d 5e 3 4d 5f Page 10 of 33

11 Premum pad for nsurance aganst rsk of damage or a destructon of stocks or store [36(1)()] Premum pad for nsurance on the health of employees b [36(1)(b)] Any sum pad to an employee as bonus or commsson for c serces rendered, where such sum was otherwse payable to hm as profts or ddend [36(1)()] Any amount of nterest pad n respect of borrowed d captal [36(1)()] e Amount of dscount on a zero-coupon bond [36(1)(a)] Amount of contrbutons to a recognsed prodent fund f [36(1)()] Amount of contrbutons to an approed superannuaton g fund [36(1)()] Amount of contrbuton to a penson scheme referred to n h secton 80CCD [36(1)(a)] Amount of contrbutons to an approed gratuty fund [36(1)()] j Amount of contrbutons to any other fund Any sum receed from employees as contrbuton to any prodent fund or superannuaton fund or any fund set up k under ESI Act or any other fund for the welfare of employees to the extent not credted to the employees account on or before the due date [36(1)(a)] l Amount of bad and doubtful debts [36(1)()] m Proson for bad and doubtful debts [36(1)(a)] n Amount transferred to any specal resere [36(1)()] Expendture for the purposes of promotng famly o plannng amongst employees [36(1)(x)] Amount of securtes transacton pad n respect of p transacton n securtes f such ncome s not ncluded n busness ncome [36(1)(x)] q Any other dsallowance r Total amount dsallowable under secton 36 (total of 6a to 6q) Total number of employees employed by the company (mandatory n case company has s recognzed Prodent Fund) deployed n Inda deployed outsde Inda Total 7 Amounts debted to the proft and loss account, to the extent dsallowable under secton 37 a Expendture of captal nature [37(1)] 7a b Expendture of personal nature [37(1)] 7b c Expendture lad out or expended wholly and exclusely NOT for the purpose of busness or professon [37(1)] 7c d Expendture on adertsement n any souenr, brochure, tract, pamphlet or the lke, publshed by a poltcal party 7d [37(2B)] e Expendture by way of penalty or fne for olaton of any law for the tme beng n force 7e f Any other penalty or fne 7f g Expendture ncurred for any purpose whch s an offence or whch s prohbted by law 7g h Amount of any lablty of a contngent nature 7h Any other amount not allowable under secton 37 7 j Total amount dsallowable under secton 37 (total of 7a to 7) 8 A. Amounts debted to the proft and loss account, to the extent dsallowable under secton 40 Amount dsallowable under secton 40 (a)(), on a account of non-complance wth the prosons of Aa Chapter XVII-B Amount dsallowable under secton 40(a)(a) on b account of non-complance wth the prosons of Ab Chapter XVII-B Amount dsallowable under secton 40(a)() on c account of non-complance wth the prosons of Ac Chapter XVII-B d Amount of tax or rate leed or assessed on the bass of Ad profts [40(a)()] 6a 6b 6c 6d 6e 6f 6g 6h 6 6j 6k 6l 6m 6n 6o 6p 6q 6r 7j Page 11 of 33

12 e Amount pad as wealth tax [40(a)(a)] Amount pad by way of royalty, lcense fee, serce fee f etc. as per secton 40(a)(b) Amount of nterest, salary, bonus, commsson or g remuneraton pad to any partner or member [40(b)] h Any other dsallowance Total amount dsallowable under secton 40(total of Aa to Ah) Any amount dsallowed under secton 40 n any precedng preous year but allowable B. durng the preous 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) 9a Amount pad otherwse than by account payee cheque or b account payee bank draft under secton 40A(3) 100% dsallowable c Proson for payment of gratuty [40A(7)] any sum pad by the assessee as an employer for settng up d or as contrbuton to any fund, trust, company, AOP, or BOI or socety or any other nsttuton [40A(9)] e Any other dsallowance f Total amount dsallowable under secton 40A Any amount dsallowed under secton 43B n any precedng preous year but allowable durng 10 the preous year Any sum n the nature of tax, duty, cess or fee under any a law 10a Any sum payable by way of contrbuton to any prodent b fund or superannuaton fund or gratuty fund or any other 10b fund for the welfare of employees c Any sum payable to an employee as bonus or commsson for serces rendered 10c Any sum payable as nterest on any loan or borrowng d from any publc fnancal nsttuton or a State fnancal 10d corporaton or a State Industral nestment corporaton e Any sum payable as nterest on any loan or borrowng from any scheduled bank 10e f Any sum payable towards leae encashment 10f g Total amount allowable under secton 43B (total of 10a to 10f) Any amount debted to proft and loss account of the preous year but dsallowable under 11 secton 43B a Any sum n the nature of tax, duty, cess or fee under any 11a law b Any sum payable by way of contrbuton to any prodent fund or superannuaton fund or gratuty fund or any other 11b fund for the welfare of employees c Any sum payable to an employee as bonus or commsson 11c for serces rendered d Any sum payable as nterest on any loan or borrowng from any publc fnancal nsttuton or a State fnancal 11d corporaton or a State Industral nestment corporaton e Any sum payable as nterest on any loan or borrowng 11e from any scheduled bank f Any sum payable towards leae 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 Serce 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) Ae Af Ag Ah 9b 9c 9d 9e 12a 12b 12c 12d 8A 8B 9f 10g 11g 12e 15 Page 12 of 33

13 Part A QD Quanttate 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 preous year 2 3 Sales durng the preous 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 6a QUANTITATIVE DETAILS b Purchases durng the preous year 6b c Consumpton durng the preous year 6c d Sales durng the preous year 6d e Closng stock 6e f Yeld fnshed products 6f g Percentage of yeld 6g h Shortage/ excess, f any 6h 7 Fnshed products/ By-products a openng stock 7a b purchase durng the preous year 7b c quantty manufactured durng the preous year 7c d sales durng the preous year 7d e closng stock 7e f shortage/ excess, f any 7f TOTAL INCOME Part B - TI 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 Profts and gans from busness other than speculate busness and specfed busness (A36 of Schedule-BP) (enter nl f loss) 2 Profts and gans from speculate busness (B40 of Schedule- 2 BP) (enter nl f loss and take the fgure to schedule CFL) Profts and gans from specfed busness (C46 of Schedule 2 BP)(enter nl f loss and take the fgure to schedule CFL) Total ( ) 3 Captal gans a Short term Short-term 15% (7 of tem E of schedule CG) Short-term 30% (7 of tem E of schedule CG) Short-term chargeable at applcable rate (7 of tem E of schedule CG) Total Short-term (a + a + a) b Long-term Long-term 10% (7 of tem E of schedule CG) b Long-term 20% (7 of tem E of schedule CG) Total Long-term (b + b) (enter nl f loss) c Total captal gans (3a + 3b) (enter nl f loss) 4 Income from other sources from sources other than from ownng and mantanng race a horses and ncome chargeable to tax at specal rate (1 of Schedule OS) (enter nl f loss) 4a b Income chargeable to tax at specal rate (1f of Schedule OS) 4b c from ownng and mantanng race horses (3c of Schedule OS) (enter nl f loss) 4c d Total (4a + 4b + 4c) a a a 3a b b 2 3c 4d Page 13 of 33

14 5 Total ( c + 4d) 5 6 Losses of current year to be set off aganst 5 (total of 2x, 3x and 4x of Schedule CYLA) 6 7 Balance after set off current year losses (5 6) (total of column 5 of schedule CYLA + 4b) 7 8 Brought forward losses to be set off aganst 7 (total of 2x, 3x and 4x of Schedule BFLA) 8 9 Gross Total ncome (7 8) (5x of Schedule BFLA + 4b) 9 10 Income chargeable to tax at specal rate under secton 111A, 112 etc. ncluded n Deducton u/s 10A or 10AA (e of Sch. 10A + e of Sch. 10AA) Deductons under Chapter VI-A a Part-B of Chapter VI-A [1 of Schedule VI-A and lmted upto (9-10)] 12a b Part-C of Chapter VI-A [2 of Schedule VI-A and lmted upto (9-10-2)] 12b c Total (12a + 12b) [lmted upto (9-10)] 12c 13 Total ncome ( c) Income chargeable to tax at specal rates (total of () of schedule SI) Income chargeable to tax at normal rates (13-14) Net agrcultural ncome(4 of Schedule EI) Losses of current year to be carred forward (total of x of Schedule CFL) Deemed total ncome under secton 115JB (7 of Schedule MAT) 18 Part B - TTI Computaton of tax lablty on total ncome 1 a Tax Payable on deemed total Income under secton 115JB (8 of Schedule MAT) 1a COMPUTATION OF TAX LIABILITY TAXES PAID b Surcharge on (a) aboe c Educaton cess, ncludng secondary and hgher educaton cess on (1a+1b) aboe d Total Tax Payable u/s 115JB (1a+1b+1c) 2 Tax payable on total ncome a Tax at normal rates on 15 of Part B-TI b Tax at specal rates (total of col. () of Schedule-SI) d Tax Payable on Total Income (2a + 2b) e Surcharge on 2d f Educaton cess, ncludng secondary and hgher educaton cess on (2d+2e) g Gross tax lablty (2d+2e+2f) 3 Gross tax payable (hgher of 1d and 2g) 3 4 Credt under secton 115JAA of tax pad n earler years (f 2g s more than 1d) ( 5 of Schedule MATC) 5 Tax payable after credt under secton 115JAA [ (3-4)] 5 6 Tax relef e a Secton 90/90A(2 of Schedule TR) b Secton 91(3 of Schedule TR) c Total (6a + 6b) 7 Net tax lablty (5 6c) (enter zero f negate) 7 8 Interest payable a For default n furnshng the return (secton 234A) b For default n payment of adance tax (secton 234B) c For deferment of adance tax (secton 234C) d Total Interest Payable (8a+8b+8c) 9 Aggregate lablty (7 + 8d) 9 10 Taxes Pad a Adance Tax (from Schedule-IT) b TDS (total of column 8 of Schedule-TDS) c TCS (total of column 7 of Schedule-TCS) d Self-Assessment Tax (from Schedule-IT) e Total Taxes Pad (10a+10b+10c + 10d) 11 Amount payable (9-10e) (Enter f 9 s greater than 10e, else enter 0) 11 2a 2b 6a 6b 8a 8b 8c 10a 10b 10c 10d 1b 1c 1d 2d 2e 2f 2g 4 6c 8d 10e 12 Refund (If 10e s greater than 9) (Refund, f any, wll be drectly credted nto the bank account) 12 Page 14 of 33

15 13 Enter your bank account number (the number should be 9 dgts or more as per Core Bankng Soluton of the bank ) 14 IFS Code Type of Account (tck as applcable ) Cash Credt Current 15 Do you hae,- () any asset (ncludng fnancal nterest n any entty) located outsde Inda or () sgnng authorty n any account located outsde Inda? [applcable only n case of a resdent] [Ensure Schedule FA s flled up f the answer s Yes ] Yes No VERIFICATION I, son/ daughter of, holdng permanent account number solemnly declare that to the best of my knowledge and belef, the nformaton gen 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 prosons of the Income-tax Act, 1961, n respect of ncome chargeable to ncome-tax for the preous year releant 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 erfy t. Place Date Sgn here Schedule HP Detals of Income from House Property (Please refer nstructons) Address of property 1 Town/ Cty State PIN Code 1 Is the property co-owned? Yes No (f YES please enter followng detals) Assessee s percentage of share n the property Name of Co-owner(s) PAN of Co-owner (s) Percentage Share n Property I II (Tck) f let out Name of Tenant PAN of Tenant (optonal) HOUSE PROPERTY 2 a Annual letable alue or rent receed or receable (hgher of the two, f let out for whole of the year, lower of the two f let out for part of the year) 1a b The amount of rent whch cannot be realzed 1b c Tax pad to local authortes 1c d Total (1b + 1c) 1d e Annual alue (1a 1d) 1e f Annual alue of the property owned (own percentage share x 1e) 1f g 30% of 1f 1g h Interest payable on borrowed captal 1h Total (1g + 1h) 1 j Income from house property 1 (1f 1) 1j Address of property 2 Town/ Cty State PIN Code Is the property co-owned? Yes No (f YES please enter followng detals) Assessee s percentage of share n the property Name of Co-owner(s) PAN of Co-owner (s) Percentage Share n Property I II (Tck) f let out Name of Tenant PAN of Tenant (optonal) Annual letable alue or rent receed or receable (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 alue (2a 2d) f Annual alue of the property owned (own percentage share x 2e) 2a 2e 2f Page 15 of 33

16 3 g 30% of 2f 2g h Interest payable on borrowed captal 2h Total (2g + 2h) 2 j Income from house property 2 (2e 2h) 2j Address of property 3 Town/ Cty State PIN Code Is the property co-owned? Yes No (f YES please enter followng detals) Assessee s percentage of share n the property Name of Co-owner(s) PAN of Co-owner (s) Percentage Share n Property I II (Tck) f let out Name of Tenant PAN of Tenant (optonal) Annual letable alue or rent receed or receable (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 3b c Tax pad to local authortes 3c d Total (3b + 3c) 3d e Annual alue (3a 3d) f Annual alue of the property owned (own percentage share x 3e) g 30% of 3f 3g h Interest payable on borrowed captal 3h Total (3g + 3h) j Income from house property 3 (3f 3) 4 Income under the head Income from house property a Rent of earler years realzed under secton 25A/AA b Arrears of rent receed durng the year under secton 25B after deductng 30% c Total (1j + 2j + 3j + 4a + 4b) 3a 3e 3f 3 3j 4a 4b 4c Schedule BP Computaton of ncome from busness or professon A From busness or professon other than speculate busness and specfed busness 1 Proft before tax as per proft and loss account (tem 45 of Part A-P&L ) 1 Net proft or loss from speculate busness ncluded n 1 (enter e 2a sgn n case of loss) 2a Net proft or Loss from Specfed Busness u/s 35AD ncluded n 1 2b (enter e sgn n case of loss) 2b INCOME FROM BUSINESS OR PROFESSION Income/ recepts credted to proft and loss a House property 3a 3 account consdered under other heads of b Captal gans 3b ncome c Other sources 3c 4 Proft or loss ncluded n 1, whch s referred to n secton 44AE/44B/44BB/44BBA/44BBB/ 44D/44DA/ Chapter-XII-G/ Frst Schedule of Income-tax Act 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 (specfy nature and amount) c Total (c + c) 5c d Total exempt ncome (5a + 5b + 5c) 5d 6 Balance (1 2a 2b 3a - 3b 3c 4 5d) a House property 7a Expenses debted to proft and loss account consdered under other heads of ncome b Captal gans 7b c Other sources 7c Expenses debted to proft and loss account whch relate to exempt ncome 8 9 Total (7a + 7b + 7c + 8) 9 10 Adjusted proft or loss (6+9) Deprecaton and amortsaton debted to proft and loss account 11 c Page 16 of 33

17 12 Deprecaton allowable under Income-tax Act Deprecaton allowable under secton 32(1)() and 32(1)(a) (tem 6 of Schedule-DEP) Deprecaton allowable under secton 32(1)() (Make your own computaton refer Appendx-IA of IT Rules) Total ( ) 13 Proft or loss after adjustment for deprecaton ( ) 13 Amounts debted to the proft and loss account, to the extent 14 dsallowable under secton 36 (6r of PartA-OI) 14 Amounts debted to the proft and loss account, to the extent 15 dsallowable under secton 37 (7j of PartA-OI) 15 Amounts debted to the proft and loss account, to the extent 16 dsallowable under secton 40 (8A of PartA-OI) 16 Amounts debted to the proft and loss account, to the extent 17 dsallowable under secton 40A (9f of PartA-OI) 17 Any amount debted to proft and loss account of the preous 18 year but dsallowable under secton 43B (11g of PartA-OI) Interest dsallowable under secton 23 of the Mcro, Small and Medum Enterprses Deelopment Act, Deemed ncome under secton Deemed ncome under secton 32AC/33AB/33ABA/ 21 35ABB/35AC/40A(3A)/33AC/ 72A/80HHD/80-IA Deemed ncome under secton 43CA Any other tem of addton under secton 28 to 44DA Any other ncome not ncluded n proft and loss account/any other expense not allowable (ncludng ncome from salary, commsson, bonus and nterest from frms n whch company s a partner) 25 Total ( ) Deducton allowable under secton 32(1)() 26 Amount of deducton under secton 35 or 35CCC or 35CCD n excess of the amount debted to proft and loss account 27 (tem x(4) of Schedule ESR) (f amount deductble under secton or 35CCC or 35CCD s lower than amount debted to P&L account, t wll go to tem 24) Any amount dsallowed under secton 40 n any precedng 28 preous year but allowable durng the preous year(8b of 28 PartA-OI) Any amount dsallowed under secton 43B n any precedng 29 preous year but allowable durng the preous year(10g of 29 PartA-OI) 30 Deducton under secton 35AC a Amount, f any, debted to proft and loss account 30a b Amount allowable as deducton 30b c Excess amount allowable as deducton (30b 30a) 30c 31 Any other amount allowable as deducton Total ( c + 31) Income ( ) Profts and gans of busness or professon deemed to be under - Secton 44AE 34 Secton 44B Secton 44BB Secton 44BBA Secton 44BBB Secton 44D Secton 44DA 34 (tem 4 of Form 3CE) Chapter-XII-G (tonnage) 34 (total of col. 7 of tem 10 of Form 66) x Frst Schedule of Income-tax Act x Total (34 to 34x) Net proft or loss from busness or professon other than speculate and specfed busness ( x) x x 35 Page 17 of 33

18 Net Proft or loss from busness or professon other than speculate busness and specfed 36 busness after applyng rule 7A, 7B or 8, f applcable (If rule 7A, 7B or 8 s not applcable, enter same A36 fgure as n 35) (If loss take the fgure to 2 of tem E) B Computaton of ncome from speculate busness 37 Net proft or loss from speculate busness as per proft or loss account Addtons n accordance wth secton 28 to 44DA Deductons n accordance wth secton 28 to 44DA Income from speculate busness ( ) (f loss, take the fgure to 6x of schedule CFL) B40 C Computaton of ncome from specfed busness under secton 35AD 41 Net proft or loss from specfed busness as per proft or loss account Addtons n accordance wth secton 28 to 44DA 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) 44 Proft or loss from specfed busness ( ) Deductons n accordance wth secton 35AD(1) or 35AD(1A) Income from Specfed Busness (44 45) (f loss, take the fgure to 7x of schedule CFL) C46 D D Income chargeable under the head Profts and gans from busness or professon (A36+B40+C46) D E Intra head set off of busness loss of current year Sl. Type of Busness ncome Loss to be set off (Fll ths row only f fgure s negate) Income from speculate busness Income from specfed busness Total loss set off ( + ) Loss remanng after set off ( ) Income of current year (Fll ths column only f fgure s zero or poste) Busness loss set off 43 Busness ncome remanng after set off (1) (2) (3) = (1) (2) (B40) (C46) (A36) Deprecaton on Plant and Machnery (Other than assets on whch full captal expendture s allowable as deducton Schedule DPM under any other secton) 1 Block of assets Plant and machnery DEPRECIATION ON PLANT AND MACHINERY 2 Rate (%) Wrtten down alue on the frst day of preous year 4 Addtons for a perod of 180 days or more n the preous year 5 Consderaton or other realzaton durng the preous year out of 3 or 4 6 Amount on whch deprecaton at full rate to be allowed ( ) (enter 0, f result s negate) 7 Addtons for a perod of less than 180 days n the preous 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 negate) 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 negate only f block ceases to exst) () () () () () () () Page 18 of 33

19 17 Wrtten down alue on the last day of preous year* ( ) (enter 0 f result s negate) Schedule DOA Deprecaton on other assets (Other than assets on whch full captal expendture s allowable as deducton) 1 Block of assets Buldng Furnture and Intangble Shps fttngs assets 2 Rate (%) DEPRECIATION ON OTHER ASSETS 3 Wrtten down alue on the frst day of preous year 4 Addtons for a perod of 180 days or more n the preous year 5 Consderaton or other realzaton durng the preous year out of 3 or 4 6 Amount on whch deprecaton at full rate to be allowed ( ) (enter 0, f result s negate) 7 Addtons for a perod of less than 180 days n the preous 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 negate) 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 negate only f block ceases to exst) 17 Wrtten down alue on the last day of preous year* ( ) (enter 0 f result s negate) () () () () () () Summary of deprecaton on assets (Other than on assets on whch full captal expendture s allowable as deducton Schedule DEP under any other secton) 1 Plant and machnery SUMMARY OF DEPRECIATION ON ASSETS Block enttled for 15 per cent a ( Schedule DPM - 14 ) Block enttled for 30 per cent b ( Schedule DPM - 14 ) Block enttled for 40 per cent c ( Schedule DPM - 14 ) Block enttled for 50 per cent d ( Schedule DPM - 14 ) Block enttled for 60 per cent e ( Schedule DPM - 14 ) Block enttled for 80 per cent f ( Schedule DPM 14 ) Block enttled for 100 per cent g ( Schedule DPM - 14 ) h Total deprecaton on plant and machnery ( 1a + 1b + 1c + 1d+ 1e + 1f + 1g ) 2 Buldng a Block enttled for 5 per cent (Schedule DOA- 14) b Block enttled for 10 per cent (Schedule DOA- 14) c Block enttled for 100 per cent (Schedule DOA- 14) d Total deprecaton on buldng (2a+2b+2c) 3 Furnture and fttngs(schedule DOA- 14 ) 3 1a 1b 1c 1d 1e 1f 1g 2a 2b 2c 1h 2d Page 19 of 33

20 4 Intangble assets (Schedule DOA- 14 ) 4 5 Shps (Schedule DOA- 14 ) 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 - 16) e Block enttled for 60 per cent 1e (Schedule DPM 16) f Block enttled for 80 per cent (Schedule 1f DPM 16) g Block enttled for 100 per cent 1g (Schedule DPM 16) 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) 2d 3 Furnture and fttngs ( Schedule DOA- 16) 3 4 Intangble assets (Schedule DOA- 16) 4 5 Shps (Schedule DOA- 16) 5 6 Total ( 1h+2d+3+4+5) 6 Schedule ESR Deducton under secton 35 or 35CCC or 35CCD Sl No Expendture of the nature referred to n secton (1) Amount, f any, debted to proft and loss account (2) Amount of deducton allowable (3) 35(1)() x x 35(1)() 35(1)(a) 35(1)() 35(1)() 35(2AA) 35(2AB) 35CCC 35CCD Total Amount of deducton n excess of the amount debted to proft and loss account (4) = (3) - (2) Schedule CG Captal Gans A Short-term Captal Gans (STCG) (Items 4 & 5 are not applcable for resdents) 1 From sale of land or buldng or both a Full alue of consderaton receed/receable a Value of property as per stamp aluaton authorty a Full alue of consderaton adopted as per secton 50C for the purpose of Captal Gans (a or a) a b Deductons under secton 48 Cost of acquston wthout ndexaton b Cost of Improement wthout ndexaton b Expendture wholly and exclusely n connecton wth transfer b Total (b + b + b) b Short-term Captal Gans Page 20 of 33

21 c Balance (a b) d Deducton under secton 54D/ 54G/54GA (Specfy detals n tem D below) 1d e Short-term Captal Gans on Immoable property (1c - 1d) 2 From slump sale a Full alue of consderaton 2a (5 of Form 3CEA) b Net worth of the under takng or dson 2b (6(e) of Form 3CEA) c Short term captal gans from slump sale (2a-2b) 3 From sale of equty share or unt of equty orented Mutual Fund (MF) on whch STT s pad a Full alue of consderaton 3a b Deductons under secton 48 Cost of acquston wthout ndexaton b Cost of Improement wthout ndexaton b Expendture wholly and exclusely n connecton wth transfer b Total ( + + ) b c Balance (3a b) 3c Loss to be dsallowed u/s 94(7) or 94(8)- for example f asset bought/acqured wthn 3 months pror to record date and d ddend/ncome/bonus unts are receed, then loss arsng out of sale of 3d such asset to be gnored (Enter poste alue only) e Short-term captal gan on equty share or equty orented MF (STT pad) (3c +3d) For NON-RESIDENT, not beng an FII- from sale of shares or debentures of an Indan company (to 4 be computed wth foregn exchange adjustment under frst proso to secton 48) a STCG on transactons on whch securtes transacton tax (STT) s pad b STCG on transactons on whch securtes transacton tax (STT) s not pad For NON-RESIDENTS- from sale of securtes (other than those at A3 aboe) by an FII as per secton 5 115AD a Full alue of consderaton 5a b Deductons under secton 48 Cost of acquston wthout ndexaton b Cost of mproement wthout ndexaton b Expendture wholly and exclusely n connecton wth transfer b Total ( + + ) b c Balance (5a b) 5c d Loss to be dsallowed u/s 94(7) or 94(8)- for example f securty bought/acqured wthn 3 months pror to record date and ddend/ncome/bonus unts are receed, then loss arsng out of sale of such securty to be gnored (Enter poste alue only) e Short-term captal gan on securtes (other than those at A3 aboe) by an FII (5c +5d) 6 From sale of assets other than at A1 or A2 or A3 or A4 or A5 aboe a Full alue of consderaton b Deductons under secton 48 Cost of acquston wthout ndexaton Cost of Improement wthout ndexaton Expendture wholly and exclusely n connecton wth transfer Total ( + + ) c Balance (6a b) In case of asset (securty/unt) loss to be dsallowed u/s 94(7) or 94(8)- for example f asset bought/acqured wthn 3 months pror to record d date and ddend/ncome/bonus unts are receed, then loss arsng out of sale of such asset to be gnored (Enter poste alue only) e Deducton under secton 54D/54G/54GA f STCG on assets other than at A1 or A2 or A3 or A4 or A5 aboe (6c + 6d) A6f 7 Amount deemed to be short term captal gans under sectons 54D/54G/ 54GA A7 8 Deemed short term captal gans on deprecable assets (6 of schedule- DCG) A8 9 Total Short-term Captal Gan (A1e+ A2c+ A3e+ A4a+ A4b+ A5e+ A6f+A7+ A8) A9 B Long-term captal gan (LTCG) (Items 5, 6 & 7 are not applcable for resdents) Long-term Captal Gans 1 From sale of land or buldng or both a Full alue of consderaton receed/receable a Value of property as per stamp aluaton authorty Full alue of consderaton adopted as per secton 50C for the purpose of Captal Gans (a or a) b Deductons under secton 48 Cost of acquston wth ndexaton 5d 6a b b b b 6c 6d 6e a a b 1c A1e A2c A3e A4a A4b A5e Page 21 of 33

22 Cost of Improement wth ndexaton Expendture wholly and exclusely n connecton wth transfer Total (b + b + b) c Balance (a b) 1c d Deducton under secton 54D/54EC/54G/54GA (Specfy detals n tem D below) 1d e Long-term Captal Gans on Immoable property (1c - 1d) 2 From slump sale a Full alue of consderaton 2a (5 of Form 3CEA) b Net worth of the under takng or dson 2b (6(e) of Form 3CEA) c Balance (2a 2b) d Deducton u/s 54EC e Long term captal gans from slump sale (2c-2d) 3 From sale of bonds or debenture (other than captal ndexed bonds ssued by Goernment) a Full alue of consderaton b Deductons under secton 48 Cost of acquston wthout ndexaton Cost of mproement wthout ndexaton Expendture wholly and exclusely n connecton wth transfer Total (b + b +b) c Balance (3a b) d Deducton under sectons 54EC (Specfy detals n tem D below) 3d e LTCG on bonds or debenture (3c 3d) From sale of lsted securtes or unts or zero coupon bonds where proso under secton 112(1) s 4 applcable 10% wthout ndexaton beneft) a Full alue of consderaton 4a b Deductons under secton 48 Cost of acquston wthout ndexaton b Cost of mproement wthout ndexaton b Expendture wholly and exclusely n connecton wth transfer b Total (b + b +b) b 5 6 c Balance (4a b) 4c d Deducton under sectons 54EC (Specfy detals n tem D below) 4d e Long-term Captal Gans on assets at B4 aboe (4c 4d) B4e For NON-RESIDENTS- from sale of shares or debenture of Indan company (to be computed wth foregn exchange adjustment under frst proso to secton 48) a LTCG computed wthout ndexaton beneft 5a b Deducton under sectons 54EC (Specfy detals n tem D below) 5b c Balance LTCG (5a 5b) 5c d LTCG on share or debenture, beng lsted securty, ncluded n 5c B5d e LTCG on share or debenture, beng unlsted securty, ncluded n 5c B5e For NON-RESIDENTS- from sale of, () unlsted securtes as per sec. 112(1)(c), () unts referred n sec. 115AB, () bonds or GDR as referred n sec. 115AC, () securtes by FII as referred to n sec. 115AD a Full alue of consderaton 6a b Deductons under secton 48 Cost of acquston wthout ndexaton b Cost of mproement wthout ndexaton b Expendture wholly and exclusely n connecton wth transfer b Total (b + b +b) b c Balance (6a b) 6c d Deducton under sectons 54EC (Specfy detals n tem D below) 6d e Long-term Captal Gans on assets at 6 aboe n case of NON-REESIDENT (6c 6d) B6e 7 From sale of assets where B1 to B6 aboe are not applcable a Full alue of consderaton 7a b Deductons under secton 48 Cost of acquston wth ndexaton b Cost of mproement wth ndexaton b Expendture wholly and exclusely n connecton wth transfer b Total (b + b +b) b c Balance (7a b) 7c d Deducton under secton 54D/54EC/54G/54GA (Specfy detals n tem D below) 7d 2c 2d b b b 3a b b b b 3c B1e B2e B3e Page 22 of 33

23 e Long-term Captal Gans on assets at B7 aboe (7c-7d) B7e 8 Amount deemed to be LTCG under sectons 54D/54EC/54G/54GA B8 9 Total long term captal gan [B1e +B2e+ B3e +B4e + B5d +B5e + B6e + B7e+ B8] (In case of loss take the fgure to 9x of schedule CFL) C Income chargeable under the head CAPITAL GAINS (A8 + B9) (take B9 as nl, f loss) D Informaton about deducton clamed 1 In case of deducton u/s 54B/54D/54EC/54G/54GA ge followng detals a Secton under whch deducton clamed 1a amount of deducton Cost of new asset Date of ts acquston/constructon a dd/mm/yyyy Amount deposted n Captal Gans Accounts Scheme before due date b Secton under whch deducton clamed 1b amount of deducton Cost of new asset Date of ts acquston/constructon b dd/mm/yyyy Amount deposted n Captal Gans Accounts Scheme before due date c Total deducton clamed (1a + 1b) E Set-off of current year captal losses wth current year captal gans Sl. Type of Captal Gan Gan of current year (Fll ths column only f computed fgure s poste) Short term captal loss set off 15% 30% applcable rate a a b b 1c Long term captal loss set off Current year s captal gans remanng after 10% 20% set off (7= ) B9 C Loss to be set off (Fll ths row f fgure computed s negate) (A3e+A4a) A5e (A1e+A2c+A4b +A6f +A7+A8) (B4e+B5d + B6e) (B1e+B2e+B3e+ B5e+ B7e+B8) 15% (A3e+A4a) Short term captal 30% A5e gan applcable (A1e+A2c+A4b+A6f rate +A7+A8) Long term 10% (B4e+B5d + B6e) captal gan 20% (B1e+B2e+B3e+ B5e+ B7e+B8) Total loss set off ( ) Loss remanng after set off ( ) F Informaton about accrual/recept of captal gan Type of Captal gan / Date Short-term captal gans taxable at the rate of 15% Enter alue from tem 5 of schedule BFLA, f any. Short-term captal gans taxable at the rate of 30% Enter alue from tem 5 of schedule BFLA, f any. Short-term captal gans taxable at applcable rates Enter alue from tem 5 of schedule BFLA, f any. Long- term captal gans taxable at the rate of 10% Enter alue from tem 5 of schedule BFLA, f any. Long- term captal gans taxable at the rate of 20% Enter alue from tem 5x of schedule BFLA, f any. Upto 15/9 () 16/9 to 15/12 () 16/12 to 15/3 () 16/3 to 31/3 () Schedule OS OTHER SOURCES Income from other sources 1 Income a Ddends, Gross 1a b Interest, Gross 1b c Rental ncome from machnery, plants, buldngs, etc., Gross 1c d Others, Gross (excludng ncome from ownng race horses)menton the source Income by way of wnnngs from lotteres, crossword puzzles etc. 1d 1d 1d Page 23 of 33