Form PDF 307805810300722
Form PDF 307805810300722
(A9) Area/locality (A16) Aadhaar Number (12 digit)/ Aadhaar Enrolment Id (28 digit) (if eligible for Aadhaar)
JAUNPUR 3xxx xxxx 2602
(A11) State
(A10) Town/City/District 31-Uttar Pradesh (A12) PIN code/ZIP code
JAUNPUR (A13) Country 222001
91-India
139(9),
(ii) Or Filed in response to notice u/s 142(1),
148
Have you opted for new tax regime u/s 115BAC and filed Form 10IE in AY 2021-22 ?
Yes
✔ No
For other than not opting, please furnish date of filing of form 10-IE along with Acknowledgment number
(bi)
Date of filing of form 10-IE Acknowledgment Number
Are you filing return of income under Seventh proviso to Section 139(1) - (Tick) Yes ✔ No
If yes, please furnish following information
(c)
[Note: To be filled only if a person is not required to furnish a return of income under section 139(1) but filing return of
income due to fulfilling one or more conditions mentioned in the seventh proviso to section 139(1)]
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Acknowledgement Number:307805810300722 Date of filing:30-07-2022
(cii) for travel to a foreign country for yourself or Amount (Rs) (If Yes) 0
for any other person
Are you required to file a return as per other conditions prescribed under clause (iv) of seventh proviso to section 139(1) (If
(civ)
yes, please select the relevant condition from the drop down menu) Yes No
You were in India for 60 days or more during the previous year, and have
been in India for 365 days or more within the 4 preceding years [section (6)
(1)(c)] [where Explanation 1 is not applicable]
You are a citizen of India, who left India, for the purpose of employment,
as a member of the crew of an Indian ship and were in India for 182 days or
A. Resident more during the previous year and 365 days or more within the preceding 4
years [Explanation 1(a) of section (6)(1)(c)]
You are a citizen of India or a person of Indian origin and have come on
a visit to India during the previous year and were in India for a) 182 days or
more during the previous year and 365 days or more within the preceding 4
years; or b) 120 days or more during the previous year and 365 days or
more within the preceding 4 years if the total income, other than income
from foreign sources, exceeds Rs. 15 lakh. [Explanation 1(b) of section (6)
(1)(c)]
You are a citizen of India having total income, other than the income
from foreign sources, exceeding Rs. 15 lakh during the previous year and
not liable to tax in any other country or territory by reason of your domicile
or residence or any other criteria of similar nature [section 6(6)(d) read with
section 6(1A)].
C. Non-resident (ii) In case you are a Citizen of India or a Person of Indian Origin (POI),
please specify -
Total period of stay in India during Total period of stay in India during
the previous year (in days) the 4 preceding years (in days)
Residential
Status in D.
India (for Resident
HUF) (Tick Resident but not Ordinarily Resident
applicable Non-resident
option)
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Yes
(g) Do you want to claim the benefit under section 115H? (applicable in case of resident) ✔ No
Are you governed by Portuguese Civil Code as per section 5A? (Tick) ✔
Yes
(h) ✔ No
(If “YES” please fill Schedule 5A)
Whether you were Director in a company at any time during the previous year? (Tick) ✔ Yes ✔ No
(j)
If yes, please furnish following information -
Name of Company Type of company PAN Whether its shares are Director Identification
listed or unlisted Number (DIN)
(k) Whether you are Partner in a firm? (Tick) ✔ Yes ✔ No If yes, please furnish following information -
Whether you have held unlisted equity shares at any time during the previous year? (Tick) ✔ Yes ✔ No
(l)
If yes, please furnish following information in respect of equity shares
Name of Type of PAN Opening balance Shares acquired during the year Shares transferred Closing balance
No. of Cost of No. of Date of Face value Issue price per share (in Purchase price per share (in case of No. of Sale No. of Cost of
shares acquisition shares subscription / per share case of fresh issue) purchase from existing shareholder) shares consideration shares acquisition
purchase
1a 1b 2 3 4 5 6 7 8 9 10 11 12 13
(m) In case of non-resident, is there a permanent establishment (PE) in India? (Tick) ✔ Yes No
(n) In the case of non-resident, is there a Significant Economic Presence (SEP) in India (Tick) ✔ Yes No
Whether assessee has a unit in an International Financial Services Centre and derives income solely in convertible foreign
exchange?
(o)
Yes
✔ No
(a1) Are you liable to maintain accounts as per section 44AA? (Tick) ✔ Yes ✔ No
(a2) Whether assessee is declaring income only under section 44AE/44B/44BB/44AD/44ADA/44BBA Yes ✔ No
If No, Whether during the year Total sales/turnover/gross receipts of business is between Rs. 1 crore and exceed Rs. 10
crores ?
a2i Yes
✔ No, turnover does not exceed 1 crore
No, turnover exceeds 10 crores
If Yes is selected at a2i, whether aggregate of all amounts received including amount received for sales, turnover or gross
receipts or on capital account like capital contributions, loans etc. during the previous year, in cash & non-a/c payee cheque
/DD, does not exceed five per cent of said amount?
a2ii
Yes
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Acknowledgement Number:307805810300722 Date of filing:30-07-2022
No
If Yes is selected at a2i, whether aggregate of all payments made including amount incurred for expenditure or on capital
account such as asset acquisition, repayment of loans etc., in cash & non-a/c payee cheque/DD, during the previous year
a2iii does not exceed five per cent of the said payment?
Yes
No
(b) Are you liable for audit under section 44AB? (Tick) ✔ Yes ✔ No
If (b) is Yes, whether the accounts have been audited by an accountant? (Tick) ✔ Yes No
(c)
If Yes, furnish the following information below
If (di) is Yes, Whether the accounts have been audited u/s 92E? Yes
(dii) Date of furnishing audit report? DD/MMM/YYYY
No
(diii) If liable to furnish other audit report, mention the date of furnishing the audit report? (DD/MM/YY) (Please see Instruction)
SL. Section Whether have you furnished such other audit Date of furnishing of the audit
No. Code report? report
(e) If liable to audit under any Act other than the Income-tax act, mention the Act, section and date of furnishing the audit report?
SL. Act Section Have you got audited Date of furnishing of the
No. under the selected Act audit report
other than the Income-tax
Act?
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i 09005 -General commission agents, commodity brokers and auctioneers Not Available Not Available
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2 Investments
a Long-term investments
i Government and other Securities - Quoted ai 0
ii Government and other Securities – Unquoted aii 0
iii Total (ai + aii) aiii 0
b Short-term investments
Equity Shares, including share application
i bi 0
money
ii Preference Shares bii 0
iii Debentures biii 0
iv Total (bi + bii + biii) biv 0
c Total investments (aiii + biv) 2c 0
3 Current assets, loans and advances
a Current assets
i Inventories
Stores/consumables including packing
A iA 0
material
B Raw materials iB 0
C Stock-in-process iC 0
D Finished Goods/Traded Goods iD 0
E Total (iA + iB + iC + iD) iE 0
ii Sundry Debtors aii 0
iii Cash and Bank Balances
A Cash-in-hand iiiA 0
B Balance with banks iiiB 0
C Total (iiiA + iiiB) iiiC 0
iv Other Current Assets aiv 0
v Total current assets (iE + aii + iiiC + aiv) av 0
b Loans and advances
Advances recoverable in cash or in kind or for
i bi 0
value to be received
Deposits, loans and advances to corporates
ii bii 0
and others
iii Balance with Revenue Authorities biii 0
iv Total (bi + bii + biii ) biv 0
c Total of current assets, loans and advances (av + biv) 3c 0
d Current liabilities and provisions
i Current liabilities
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A Sundry Creditors iA 0
B Liability for Leased Assets iB 0
C Interest Accrued on above iC 0
D Interest accrued but not due on loans iD 0
E Total (iA + iB + iC + iD) iE 0
ii Provisions
A Provision for Income Tax iiA 0
Provision for Leave encashment
B iiB 0
/Superannuation/Gratuity
C Other Provisions iiC 0
D Total (iiA + iiB + iiC) iiD 0
iii Total (iE + iiD) diii 0
e Net current assets (3c – diii) 3e 0
4 a Miscellaneous expenditure not written off or adjusted 4a 0
b Deferred tax asset 4b 0
c Profit and loss account/ Accumulated balance 4c 0
d Total (4a + 4b + 4c) 4d 0
5 Total, application of funds (1e + 2c + 3e +4d) 5 0
In a case where regular books of account of business or profession are not
6 maintained - (furnish the following information as on 31st day of March, 2022, in
respect of business or profession)
a Amount of total sundry debtors 6a 0
b Amount of total sundry creditors 6b 0
c Amount of total stock-in-trade 6c 0
d Amount of the cash balance 6d 0
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Part A-
Manufacturing Account for the financial year 2021-22 (fill items 1 to 3 in a case where regular books
Manufacturing
of accounts are maintained, otherwise fill items 61 to 65 as applicable)
Account
1 Debits to manufacturing account
Opening Inventory
i Opening stock of raw-material i 0
A
ii Opening stock of Work in progress ii 0
iii Total (i + ii) Aiii 0
Purchases (net of refunds and duty or tax, if any) (Provide details of top three
B B 0
purchase item)
C Direct wages C 0
D Direct expenses (Di + Dii + Diii) D 0
i Carriage inward i 0
ii Power and fuel ii 0
iii Other direct expenses iii 0
E Factory Overheads
I Indirect wages i 0
II Factory rent and rates ii 0
III Factory Insurance iii 0
IV Factory fuel and power iv 0
V Factory general expenses v 0
Vi Depreciation of factory machinery vi 0
Vii Total (i+ii+iii+iv+v+vi) Evii 0
F Total of Debits to Manufacturing Account (Aiii+B+C+D+Evii) IF 0
2 Closing Stock
i Raw material 2i 0
ii Work-in-progress 2ii 0
Total (2i +2ii) 2 0
3 Cost of Goods Produced – transferred to Trading Account (1F - 2) 3 0
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Part A-Trading Trading Account for the financial year 2021-22 (fill items 4 to 12 in a case where regular books of
Account accounts are maintained, otherwise fill items 61 to 65 as applicable)
4 Revenue from operations
Sales/ Gross receipts of business (net of returns and refunds and duty or
A
tax, if any)
i Sale of goods i 0
ii Sale of services ii 0
iii Other operating revenues (specify nature and amount)
Sl. No. Nature of Revenue Amount
Total Aiii 0
iv Total (i + ii + iiic) Aiv 0
B Gross receipts from Profession B 0
Duties, taxes and cess received or receivable in respect of goods and
C
services sold or supplied
i Union Excise duties i 0
ii Service tax ii 0
iii VAT/Sales tax iii 0
Central Goods &
iv iv 0
Service Tax (CGST)
State Goods &
v v 0
Services Tax (SGST)
Integrated Goods &
vi vi 0
Services Tax (IGST)
Union Territory Goods
vii & Services Tax vii 0
(UTGST)
Any other duty, tax
viii viii 0
and cess
ix Total (i + ii + iii + iv +v+ vi+vii+viii) Cix 0
D Total Revenue from operations (Aiv + B +Cix) 4D 0
5 Closing Stock of Finished Stocks 5 0
6 Total of credits to Trading Account (4D + 5) 6 0
7 Opening Stock of Finished Goods 7 0
8 Purchases (net of refunds and duty or tax, if any) 8 0
9 Direct Expenses (9i + 9ii + 9iii) 9 0
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i Carriage inward 9i 0
ii Power and fuel 9ii 0
iii Other direct expenses 9iii 0
Sl.No Nature of Expense Amount
10 Duties and taxes, paid or payable, in respect of goods and services purchased
i Custom duty 10i 0
ii Counter veiling duty 10ii 0
iii Special additional duty 10iii 0
iv Union excise duty 10iv 0
v Service tax 10v 0
vi VAT/ Sales tax 10vi 0
Central Goods & Service
vii 10vii 0
Tax (CGST)
State Goods & Services
viii 10viii 0
Tax (SGST)
Integrated Goods &
ix 10ix 0
Services Tax (IGST)
Union Territory Goods &
x 10x 0
Services Tax (UTGST)
Any other tax, paid or
xi 10xi 0
payable
Total (10i + 10ii + 10iii + 10iv + 10v + 10vi + 10vii + 10viii + 10ix + 10x +
xii 10xii 0
10xi)
11 Cost of goods produced – Transferred from Manufacturing Account 11 0
Gross Profit from Business/Profession - transferred to Profit and Loss account
12 12 0
(6-7-8-9-10xii-11)
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Acknowledgement Number:307805810300722 Date of filing:30-07-2022
Part A- Profit and Loss Account for the financial year 2021-22 (fill items 13 to 60 in a case where regular books of
P& L accounts are maintained, otherwise fill items 61 to 65 as applicable)
14 Other income
i Rent i 0
ii Commission ii 0
iv Interest income iv 0
vi Profit on sale of investment being securities chargeable to Securities Transaction Tax (STT) vi 0
viii Gain (loss) on account of foreign exchange fluctuation u/s 43AA viii 0
Profit on conversion of inventory into capital asset u/s 28(via) (Fair Market Value of inventory as on the date of
ix ix 0
conversion)
x Agricultural income x 0
16 Freight outward 16 0
19 Rents 19 0
20 Repairs to building 20 0
21 Repairs to machinery 21 0
22 Compensation to employees
ii Bonus 22ii 0
x Any other benefit to employees in respect of which an expenditure has been incurred 22x 0
23 Insurance
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iii Keyman’s Insurance 23iii 0
25 Entertainment 25 0
26 Hospitality 26 0
27 Conference 27 0
29 Advertisement 29 0
30 Commission
i Paid outside India, or paid in India to a non-resident other than a company or a foreign company i 0
ii To others ii 0
31 Royalty
i Paid outside India, or paid in India to a non-resident other than a company or a foreign company i 0
ii To others ii 0
i Paid outside India, or paid in India to a non-resident other than a company or a foreign company i 0
ii To others ii 0
36 Conveyance expenses 36 0
37 Telephone expenses 37 0
39 Club expenses 39 0
41 Scholarship 41 0
42 Gift 42 0
43 Donation 43 0
44 Rates or taxes, paid or payable to Government or any local body (excluding taxes on income)
iv Cess 44iv 0
ix Any other rate, tax, duty or cess incl STT and CTT 44ix 0
x Total rates and taxes paid or payable (44i + 44ii +44iii +44iv + 44v + 44vi + 44vii + 44viii +44ix) 44x 0
45 Audit Fee 45 0
Bad debts (specify PAN/ Aadhaar of the person, if available, for whom Bad Debt for amount of Rs. 1 lakh or more is
47 47i 0
claimed and amount)
Sl. No. PAN of the person Aadhaar Number of the person Amount
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ii Others (more than Rs. 1 lakh) where PAN/ Aadhaar is not available (provide name and complete address) 47ii 0
Sl. Name Flat / Door / Name of Premises/ Building/ Road/ Street/ Post Area/ Town/ City/ State Country PIN ZIP Amount
No. Block No. Village Office Locality District Code Code
49 Other provisions 49 0
Profit before interest, depreciation and taxes [15 – (16 to 21 + 22xi + 23v + 24 to 29 + 30iii + 31iii + 32iii + 33 to 43 + 44x +
50 50 0
45 + 46iii + 47iv + 48 + 49)]
51 Interest
i Paid outside India, or paid in India to a non-resident other than a company or a foreign company i 0
ii To others ii 0
Through a/c payee cheque or a/c payee bank draft or bank electronic clearing system received or
a ia 0
other prescribed electronic modes before specified date
a 6% of 61ia, or the amount claimed to have been earned, whichever is higher iia 0
b 8% of 61ib, or the amount claimed to have been earned, whichever is higher iib 0
NOTE—If income is less than the above percentage of Gross Receipts/Turnover, it is mandatory to maintain books of accounts and have a tax audit under section 44AB
Presumptive Income under section 44ADA (50% of 62i, or the amount claimed to have been earned, whichever
(ii) 62ii 0
is higher)
NOTE—If income is less than 50% of Gross Receipts, it is mandatory to maintain books of accounts and have a tax audit under section 44AB
Registration No. of Whether owned/ Tonnage capacity of Number of months for which goods carriage was Presumptive income u/s 44AE for the goods
goods carriage leased/hired goods carriage (in MT) owned/leased/hired by assessee carriage (Computed @ Rs.1000 per ton per month
in case tonnage exceeds 12MT, or else @ Rs.7500
per month) or the amount claimed to have been
actuallyearned, whichever is higher
Total 0
(ii) Total presumptive income from goods carriage u/s 44AE [total of column (5) of table 63(i)] 63(ii) 0
NOTE— If the profits are lower than prescribed under S.44AE or the number of goods carriage owned / leased / hired at any time during the year exceeds 10, then , it is mandatory to maintain
books of accounts and have a tax audit under section 44AB
IF REGULAR BOOKS OF ACCOUNT OF BUSINESS OR PROFESSION ARE NOT MAINTAINED, furnish the following information
64
for previous year 2021-22 in respect of business or profession -
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Acknowledgement Number:307805810300722 Date of filing:30-07-2022
1 Through a/c payee cheque or a/c payee bank draft or bank electronic clearing system received or a1 89,791
other prescribed electronic modes before specified date
C Expenses ic 0
Through a/c payee cheque or a/c payee bank draft or bank electronic clearing system received or
1 a1 0
other prescribed electronic modes before specified date
c Expenses iic 0
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Part A- OI Other Information (mandatory if liable for audit under section 44AB, for other fill, if applicable)
1 Method of accounting employed in the previous year (Tick) ✔ ✔ mercantile cash
2 Is there any change in method of accounting (Tick) ✔ Yes ✔ No
Increase in the profit or decrease in loss because of deviation, if any, as per
3a Income Computation Disclosure Standards notified under section 145(2) 3a 0
[column 11a(iii) of Schedule ICDS]
Decrease in the profit or increase in loss because of deviation, if any, as per
3b Income Computation Disclosure Standards notified under section 145(2) 3b 0
[column 11b(iii) of Schedule ICDS]
4 Method of valuation of closing stock employed in the previous year
Raw Material (if at cost or market rates whichever is less write 1, if at cost write
a
2, if at market rate write 3)
Finished goods (if at cost or market rates whichever is less write 1, if at cost
b
write 2, if at market rate write 3)
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g Any sum payable to the Indian Railways 10g 0
for the use of railway assets
h Total amount allowable under section 43B (total of 10a to 10g) 10h 0
Any amount debited to profit and loss account of the previous year but
11
disallowable under section 43B
Any sum in the nature of tax, duty, cess or
a 11a 0
fee under any law
Any sum payable by way of contribution to
any provident fund or superannuation fund
b 11b 0
or gratuity fund or any other fund for the
welfare of employees
Any sum payable to an employee as
c bonus or commission for services 11c 0
rendered
Any sum payable as interest on any loan
or borrowing from any public financial
d institution or a State financial corporation 11d 0
or a State Industrial investment
corporation
Any sum payable as interest on any loan
or borrowing from a deposit taking non-
banking financial company or systemically
da important non-deposit taking nonbanking 11da 0
financial company, in accordance with the
terms and conditions of the agreement
governing such loan or borrowing
Any sum payable as interest on any loan
or borrowing from any scheduled bank or
a co-operative bank other than a primary
e 11e 0
agricultural credit society or a primary co-
operative agricultural and rural
development bank
Any sum payable towards leave
f 11f 0
encashment
Any sum payable to the Indian Railways
g 11g 0
for the use of railway assets
h Total amount disallowable under Section 43B (total of 11a to 11g) 11h 0
12 Amount of credit outstanding in the accounts in respect of
a Union Excise Duty 12a 0
b Service tax 12b 0
c VAT/sales tax 12c 0
d Central Goods & Service Tax (CGST) 12d 0
e State Goods & Services Tax (SGST) 12e 0
f Integrated Goods & Services Tax (IGST) 12f 0
Union Territory Goods & Services Tax
g 12g 0
(UTGST)
h Any other tax 12h 0
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i Total amount outstanding (total of 12a to 12h) 12i 0
13 Amounts deemed to be profits and gains under section 33AB or 33ABA 13 0
13a 33AB 13a 0
13b 33ABA 13b 0
14 Any amount of profit chargeable to tax under section 41 14 0
Amount of income or expenditure of prior period credited or debited to the
15 15 0
profit and loss account (net)
16 Amount of expenditure disallowed u/s 14A 16 0
Whether assessee is exercising option under subsection 2A of section 92CE
17 (Tick) Yes No 17
[If yes , please fill schedule TPSA]
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Part A – QD Quantitative details (mandatory if liable for audit under section 44AB)
a. In the case of a trading concern
Sl. No. Item Name Unit of Opening Purchase Sales during Closing stock Shortage
measure Stock during the the previous /excess (if
previous year year any)
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Less : allowances to the extent exempt u/s 10 (drop down to be provided in e-filing utility) (please
3 refer instructions) 3 0
(Note: Ensure that it is included in Total Gross salary in (2) above )
4 Net Salary (2 - 2a - 3) 4 0
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I
[Tick the
applicable
option] Sl. Name of PAN/ Aadhaar No. of Tenant PAN/TAN of Tenant(s) (if TDS credit is claimed)
Let out No. Tenant(s) (if (s) (Please see note)
Self- let out)
occupied I
Deemed let
out
a Gross rent received or receivable or letable value 1a 0
b The amount of rent which cannot be realized 1b 0
c Tax paid to local authorities 1c 0
d Total ( 1 b + 1 c) 1d 0
Annual value ( 1 a – 1 d) (nil, if self -occupied etc. as per section 23(2)
e 1e 0
of the Act)
f Annual value of the property owned (own percentage share x 1 e) 1f 0
g 30% of 1 f 1g 0
h Interest payable on borrowed capital 1h 0
i Total ( 1 g + 1 h) 1i 0
j Arrears/Unrealised rent received during the year less 30% 1j 0
k Income from house property 1 ( 1 f – 1 i + 1 j) 1k 0
3 Pass through income/loss if any * 3 0
Income under the head “Income from house property” (1k + 2k + 3)
4 4 0
(if negative take the figure to 2i of schedule CYLA)
Please include the income of the specified persons referred to in Schedule SPI and Pass through income
referred to in schedule PTI while computing the income under this head.
Furnishing of PAN/ Aadhaar No. of tenant is mandatory, if tax is deducted under section 194-IB.
Furnishing of TAN of tenant is mandatory, if tax is deducted under section 194-I.
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vi 44BBA 4avi 0
vii 44DA 4avii 0
Profit from activities covered under rule 7,
4b 7A, 7B(1), 7B(1A) and 8 (Dropdown to be 4b 0
provided and capture as individual line item)
Sl.
Section Amount
No
Profit from activities covered under
i 4bi 0
rule 7
Profit from activities covered under
ii 4bii 0
rule 7A
Profit from activities covered under
iii 4biii 0
rule 7B(1)
Profit from activities covered under
iv 4biv 0
rule 7B(1A)
Profit from activities covered under
v 4bv 0
rule 8
Income credited to Profit and Loss account (included in 1) which is
5
exempt
Share of income
a 5a 0
from firm(s)
Share of income
b 5b 0
from AOP/ BOI
Any other exempt
c income (specify 5c 0
nature and amount)
Sl. Nature of Exempt Amount
No. Income
Total (7a + 7b + 7c + 7d + 7e + 7f + 8a +
9 9 0
8b)
10 Adjusted profit or loss (6+9) 10 89,791
11 Depreciation and amortisation debited to profit and loss account 11 0
12 Depreciation allowable under Income-tax Act
Depreciation allowable under section
i 32(1)(ii) and 32(1)(iia) (item 6 of 12i 0
Schedule-DEP)
Depreciation allowable under section
ii 32(1)(i) (Make your own computation 12ii 0
refer Appendix-IA of IT Rules)
iii Total (12i + 12ii) 12iii 0
13 Profit or loss after adjustment for depreciation (10 + 11 - 12iii) 13 89,791
Amounts debited to the profit and loss
14 account, to the extent disallowable under 14 0
section 36 (6s of PartA-OI)
Amounts debited to the profit and loss
15 account, to the extent disallowable under 15 0
section 37 (7J of PartA-OI)
Amounts debited to the profit and loss
16 account, to the extent disallowable under 16 0
section 40 (8Aj of PartA-OI)
Amounts debited to the profit and loss
17 account, to the extent disallowable under 17 0
section 40A (9F of PartA-OI)
Any amount debited to profit and loss
account of the previous year but
18 18 0
disallowable under section 43B (11h of
PartA-OI)
Interest disallowable under section 23 of the
19 Micro, Small and Medium Enterprises 19 0
Development Act,2006
20 Deemed income under section 41 20 0
Deemed income under section 32AD/ 33AB/
21 33ABA/ 35ABA /35ABB/ 40A(3A)/ 72A 21 0
/80HHD/ 80-IA
a 32AD 21a 0
b 33AB 21b 0
c 33ABA 21c 0
d 35ABA 21d 0
e 35ABB 21e 0
f 40A(3A) 21f 0
g 72A 21g 0
h 80HHD 21h 0
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i 80-IA 21i 0
22 Deemed income under section 43CA 22 0
Any other item of addition under section 28
23 23 0
to 44DA
Any other income not included in profit and
loss account/any other expense not
allowable (including income from salary,
24 24 0
commission, bonus and interest from firms
in which individual/HUF/prop. concern is a
partner)
a Salary 24a 0
b Bonus 24b 0
c Commission 24c 0
d interest 24d 0
e Others 24e 0
Increase in profit or decrease in loss on
account of ICDS adjustments and deviation
25 25 0
in method of valuation of stock (Column 3a
+ 4d of Part A - OI)
26 Total (14 + 15 + 16 + 17 + 18 + 19 + 20 + 21 + 22 + 23 + 24 + 25) 26 0
27 Deduction allowable under section 32(1)(iii) 27 0
28 Deduction allowable under section 32AD 28 0
Amount of deduction under section 35 or
35CCC or 35CCD in excess of the amount
debited to profit and loss account (item x(4)
29 of Schedule ESR) (if amount deductible 29 0
under section 35 or 35CCC or 35CCD is
lower than amount debited to P&L account,
it will go to item 24)
Any amount disallowed under section 40 in
30 any preceding previous year but allowable 30 0
during the previous year(8B of PartA-OI)
Any amount disallowed under section 43B in
31 any preceding previous year but allowable 31 0
during the previous year(10h of PartA-OI)
32 Any other amount allowable as deduction 32 0
Decrease in profit or increase in loss on
account of ICDS adjustments and deviation
33 33 0
in method of valuation of stock (Column 3b
+ 4e of Part A- OI)
34 Total (27+28+29+30+31+32+33) 34 0
35 Income (13+26-34) 35 89,791
36 Profits and gains of business or profession deemed to be under -
i Section 44AD (61(ii) of schedule P&L) 36i 0
Section 44ADA (62(ii) of schedule
ii 36ii 0
P&L)
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Acknowledgement Number:307805810300722 Date of filing:30-07-2022
iii Section 44AE (63(ii) of schedule P&L) 36iii 0
iv Section 44B 36iv 0
v Section 44BB 36v 0
vi Section 44BBA 36vi 0
vii Section 44DA 36vii 0
viii Total (36i to 36vii) 36viii 0
Net profit or loss from business or profession other than speculative and
37 37 89,791
specified business (35 + 36viii)
Net Profit or loss from business or profession other than speculative
business and specified business after applying rule 7A, 7B or 8, if
38 A38 89,791
applicable (If rule 7A, 7B or 8 is not applicable, enter same figure as in 37)
(If loss take the figure to 2i of item E) (38a+ 38b + 38c + 38d + 38e + 38f)
a Income chargeable under Rule 7 38a 0
Deemed income chargeable under
b 38b 0
Rule 7A
Deemed income chargeable under
c 38c 0
Rule 7B(1)
Deemed income chargeable under
d 38d 0
Rule 7B(1A)
Deemed income chargeable under
e 38e 0
Rule 8
Income other than Rule 7A, 7B & 8
f 38f 89,791
(Item No. 37)
Balance of income deemed to be from agriculture, after applying Rule 7,
39 7A, 7B(1), 7B(1A) and Rule 8 for the purpose of aggregation of income as 39 0
per Finance Act [4b-(38a+38b+38c+38d+38e)]
B Computation of income from speculative business
Net profit or loss from speculative business as per profit or loss account
40 40 0
(Item No. 2a)
41 Additions in accordance with section 28 to 44DA 41 0
42 Deductions in accordance with section 28 to 44DA 42 0
Income from speculative business (40+ 41 – 42) (if loss, take the figure to
43 B43 0
6xv of schedule CFL)
C Computation of income from specified business under section 35AD
44 Net profit or loss from specified business as per profit or loss account 44 0
45 Additions in accordance with section 28 to 44DA 45 0
Deductions in accordance with section 28 to 44DA (other than deduction
46 under section,- (i) 35AD, (ii) 32 or 35 on which deduction u/s 35AD is 46 0
claimed)
47 Profit or loss from specified business (44 + 45 - 46) 47 0
48 Deductions in accordance with section 35AD(1) 48 0
Income from Specified Business (47-48) (if loss, take the figure to 7xv of
49 C49 0
schedule CFL)
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Acknowledgement Number:307805810300722 Date of filing:30-07-2022
50 Relevant clause of sub-section (5) of section 35AD which covers the C50
specified business (to be selected from drop down menu)
Income chargeable under the head 'Profits and gains from business or
D D 89,791
profession' (A38 + B43 + C49)
E Intra head set off of business loss of current year
Income of current year (Fill Business income
Business loss
Type of Business this column only if figure is remaining after set
Sl. set off
income zero or positive) off
(1) (2) (3) = (1) - (2)
Loss to be set off (Fill this
i row only if figure is 0
negative)
Income from speculative
ii 0 0 0
business
Income from specified
iii 0 0 0
business
iv Total loss set off (ii + iii) 0
v Loss remaining after set off (i – iv) 0
NOTE - Please include the income of the specified persons referred to in Schedule SPI while computing the
income under this head
30 of 90
Acknowledgement Number:307805810300722 Date of filing:30-07-2022
Depreciation on Plant and Machinery (Other than assets on which full capital expenditure is
Schedule DPM
allowable as deduction under any other section)
1 Block of assets Plant and machinery
15 30 40 45
2 Rate (%)
(i) (ii) (iii) (iv)
Written down value on the
3 0 0 0
first day of previous year
Additions for a period of
4 180 days or more in the 0 0 0
previous year
Consideration or other
5 realization during the 0 0 0 0
previous year out of 3 or 4
Amount on which
depreciation at full rate to
6 0 0 0 0
be allowed (3 + 4 -5) (enter
0, if result is negative)
Additions for a period of
7 less than 180 days in the 0 0 0
previous year
Consideration or other
8 realizations during the year 0 0 0
out of 7
Amount on which
depreciation at half rate to
9 0 0 0
be allowed (7-8) (enter 0, if
result is negative)
Depreciation on 6 at full
10 0 0 0 0
rate
Depreciation on 9 at half
11 0 0 0
rate
Additional depreciation, if
12 0 0 0
any, on 4
Additional depreciation, if
13 0 0 0
any, on 7
Additional depreciation
relating to immediately
14 preceding year' on asset 0 0 0 0
put to use for less than 180
days
Total depreciation
15 0 0 0 0
(10+11+12+13+14)
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Acknowledgement Number:307805810300722 Date of filing:30-07-2022
Depreciation disallowed
16 under section 38(2) of the I. 0 0 0 0
T. Act (out of column 15)
Net aggregate depreciation
17 0 0 0 0
(15-16)
Proportionate aggregate
depreciation allowable in
18 the event of succession, 0 0 0 0
amalgamation, demerger
etc. (out of column 17)
Expenditure incurred in
19 connection with transfer of 0 0 0 0
asset/ assets
Capital gains/ loss under
section 50 (5 + 8 - 3 - 4 - 7
20 0 0 0 0
- 19) (enter negative only if
block ceases to exist)
Written down value on the
last day of previous year
21 0 0 0 0
(6+ 9 -15) (enter 0 if result
is negative)
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Acknowledgement Number:307805810300722 Date of filing:30-07-2022
Depreciation on other assets (Other than assets on which full capital expenditure is allowable as
Schedule DOA
deduction)
Furniture and Intangible
1 Block of assets Land Building (not including land) Ships
fittings assets
Nil 5 10 40 10 25 20
2 Rate (%)
(i) (ii) (iii) (iv) (v) (vi) (vii)
Consideration or other
realization during the
5 0 0 0 0 0 0
previous year out of 3 or
4
Amount on which
depreciation at full rate
6 to be allowed (3 + 4 -5) 0 0 0 0 0 0
(enter 0, if result is
negative)
Consideration or other
8 realizations during the 0 0 0 0 0 0
year out of 7
Amount on which
depreciation at half rate
9 to be allowed (7-8) 0 0 0 0 0 0
(enter 0, if result is
negative)
Depreciation on 6 at full
10 0 0 0 0 0 0
rate
Depreciation on 9 at half
11 0 0 0 0 0 0
rate
Total depreciation
12 0 0 0 0 0 0
(10+11)
Depreciation disallowed
under section 38(2) of
13 0 0 0 0 0 0
the I.T. Act (out of
column 12)
Net aggregate
14 0 0 0 0 0 0
depreciation (12-13)
Proportionate aggregate
depreciation allowable in
the event of succession,
15 0 0 0 0 0 0
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Acknowledgement Number:307805810300722 Date of filing:30-07-2022
amalgamation,
demerger etc. (out of
column 14)
Expenditure incurred in
16 connection with transfer 0 0 0 0 0 0
of asset/ assets
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Acknowledgement Number:307805810300722 Date of filing:30-07-2022
Summary of depreciation on assets (Other than assets on which full capital expenditure is allowable
Schedule DEP
as deduction under any other section)
1 Plant and machinery
Block entitled for depreciation
@ 15 percent
a 1a 0
(Schedule DPM -17i or 18i as
applicable)
Block entitled for depreciation
@ 30 percent
b 1b 0
(Schedule DPM - 17ii or 18ii
as applicable)
Block entitled for depreciation
@ 40 percent
c 1c 0
(Schedule DPM - 17iii or 18iii
as applicable)
Block entitled for depreciation
@ 45 percent
d 1d 0
(Schedule DPM - 17iv or 18iv
as applicable)
e Total depreciation on plant and machinery ( 1a + 1b + 1c + 1d) 1e 0
2 Building (not including land)
Block entitled for depreciation
@ 5 percent
a 2a 0
(Schedule DOA- 14ii or 15ii
as applicable)
Block entitled for depreciation
@ 10 percent
b 2b 0
(Schedule DOA- 14iii or 15iii
as applicable)
Block entitled for depreciation
@ 40 percent
c 2c 0
(Schedule DOA- 14iv or 15iv
as applicable)
d Total depreciation on building (total of 2a + 2b + 2c) 2d 0
3 Furniture and fittings (Schedule DOA- 14v or 15v as applicable) 3 0
4 Intangible assets (Schedule DOA- 14vi or 15vi as applicable) 4 0
5 Ships (Schedule DOA- 14vii or 15vii as applicable) 5 0
6 Total depreciation (1e+2d+3+4+5) 6 0
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Acknowledgement Number:307805810300722 Date of filing:30-07-2022
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Acknowledgement Number:307805810300722 Date of filing:30-07-2022
Schedule ESR Expenditure on scientific Research etc. (Deduction under section 35 or 35CCC or 35CCD)
Amount of deduction in
Sl Expenditure of the nature Amount, if any, debited to Amount of deduction excess of the amount
No referred to in section (1) profit and loss account (2) allowable (3) debited to profit and loss
account (4) = (3) - (2)
i 35(1)(i) 0 0 0
ii 35(1)(ii) 0 0 0
iii 35(1)(iia) 0 0 0
iv 35(1)(iii) 0 0 0
v 35(1)(iv) 0 0 0
vi 35(2AA) 0 0 0
vii 35(2AB) 0 0 0
viii 35CCC 0 0 0
ix 35CCD 0 0 0
x Total 0 0 0
In case any deduction is claimed under sections 35(1)(ii) or 35(1)(iia) or 35(1)(iii) or 35(2AA), please provide the details as per
NOTE
Schedule RA.
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Acknowledgement Number:307805810300722 Date of filing:30-07-2022
1i From sale of land or building or both (fill up details separately for each property)
Cost of Improvement
ii bii 0
without indexation
In case of transfer of immovable property, please furnish the following details (see
f
note)
From sale of equity share or unit of equity oriented Mutual Fund (MF) or unit of a business trust on which STT is paid
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Acknowledgement Number:307805810300722 Date of filing:30-07-2022
3 under section 111A or 115AD(1)(ii) proviso (for FII)
For NON-RESIDENT, not being an FII- from sale of shares or debentures of an Indian company (to be
4
computed with foreign exchange adjustment under first proviso to section 48)
STCG on transactions on which securities transaction tax
a A4a 0
(STT) is paid
STCG on transactions on which securities transaction tax
b A4b 0
(STT) is not paid
For NON-RESIDENTS- from sale of securities (other than those at A3 above) by an FII as per section
5
115AD
In case securities sold include shares of a company other than
a i
quoted shares, enter the following details
Full value of consideration received/receivable in
a ia 0
respect of unquoted shares
Fair market value of unquoted shares determined
b ib 0
in the prescribed manner
Full value of consideration in respect of unquoted
c shares adopted as per section 50CA for the ic 0
purpose of Capital Gains (higher of a or b)
Full value of consideration in respect of securities other
ii aii 0
than unquoted shares
iii Total (ic + ii) aiii 0
b Deductions under section 48
i Cost of acquisition without indexation bi 0
ii Cost of improvement without indexation bii 0
Expenditure wholly and exclusively in connection with
iii biii 0
transfer
iv Total (bi + bii + biii) biv 0
c Balance (5aiii - biv) 5c 0
Loss to be disallowed u/s 94(7) or 94(8)- for example if security
bought/acquired within 3 months prior to record date and
d dividend/income/bonus units are received, then loss arising out 5d 0
of sale of such security to be ignored (Enter positive value
only)
Short-term capital gain on sale of securities by an FII (other
e A5e 0
than those at A3) (5c +5d)
6 From sale of assets other than at A1 or A2 or A3 or A4 or A5 above
In case assets sold include shares of a company other than
a i
quoted shares, enter the following details
Full value of consideration received/receivable in
a ia 0
respect of unquoted shares
Fair market value of unquoted shares determined
b ib 0
in the prescribed manner
Full value of consideration in respect of unquoted
c shares adopted as per section 50CA for the ic 0
purpose of Capital Gains (higher of a or b)
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Acknowledgement Number:307805810300722 Date of filing:30-07-2022
ii Full value of consideration in respect of asset other than aii 0
unquoted shares
iii Total (ic + ii) aiii 0
b Deductions under section 48
i Cost of acquisition without indexation bi 0
ii Cost of improvement without indexation bii 0
Expenditure wholly and exclusively in connection with
iii biii 0
transfer
iv Total (bi + bii + biii) biv 0
c Balance (6aiii - biv) 6c 0
In case of asset (security/unit) loss to be disallowed u/s 94(7)
or 94(8)- for example if asset bought/acquired within 3 months
d prior to record date and dividend/income/bonus units are 6d 0
received, then loss arising out of sale of such asset to be
ignored (Enter positive value only)
Deemed short term capital gains on depreciable assets (6 of
e 6e 0
schedule- DCG)
f Deduction under section 54D/54G/54GA 6f 0
STCG on assets other than at A1 or A2 or A3 or A4 or A5
g A6g 0
above (6c + 6d + 6e - 6f)
7 Amount deemed to be short term capital gains
Whether any amount of unutilized capital gain on asset transferred during the previous years shown below
a was deposited in the Capital Gains Accounts Scheme within due date for that year?
yes No Not applicable. If yes, then provide the details below
Sl. Previous year in Section under which New asset acquired/constructed Amount not used for new asset or
No. which asset deduction claimed in remained unutilized in Capital gains
Year in which Amount utilised out
transferred that year account (X)
asset acquired of Capital Gains
/constructed account
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Acknowledgement Number:307805810300722 Date of filing:30-07-2022
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10)
i Cost of acquisition bi 0
f In case of transfer of immovable property, please furnish the following details (see note)
Furnishing of PAN/ Aadhaar is mandatory, if the tax is deducted under section 194-IA or is
NOTE quoted by buyer in the documents.
In case of more than one buyer, please indicate the respective percentage share and amount.
41 of 90
Acknowledgement Number:307805810300722 Date of filing:30-07-2022
b Net worth of the under taking or division 2b 0
3 From sale of bonds or debenture (other than capital indexed bonds issued by Government)
From sale of, (i) listed securities (other than a unit) or zero coupon bonds where proviso under section 112(1) is applicable (ii)
4
GDR of an Indian company referred in sec. 115ACA
From sale of equity share in a company or unit of equity oriented fund or unit of a business trust on which
5
STT is paid under section 112A
a LTCG u/s 112A (column 14 of Schedule 112A) 5a 0
b Deduction under sections 54F (Specify details in item D below) 5b 0
c Long-term Capital Gains on sale of capital assets at B5 above (5a - 5b) B5c 0
For NON-RESIDENTS- from sale of shares or debenture of Indian company (to be computed with foreign
6
exchange adjustment under first proviso to section 48)
a LTCG computed without indexation benefit 6a 0
b Deduction under sections 54F (Specify details in item D below) 6b 0
c LTCG on share or debenture (6a-6b) B6c 0
For NON-RESIDENTS- from sale of, (i) unlisted securities as per sec. 112(1)(c), (ii) bonds or GDR as
7 referred in sec. 115AC, (iii) securities by FII as referred to in sec. 115AD (other than securities referred to
in section 112A for which column B8 is to be filled up)
For NON-RESIDENTS - From sale of equity share in a company or unit of equity oriented fund or unit of a
8
business trust on which STT is paid under section 112A
a LTCG u/s 112A (column 14 of Schedule 115AD(1)(iii)) 8a 0
b Deduction under section 54F (Specify details in item D below) 8b 0
c Long-term Capital Gains on sale of capital assets at B7 above (7a - 7b) B8c 0
9 From sale of foreign exchange asset by NON-RESIDENT INDIAN (If opted under chapter XII-A)
a LTCG on sale of specified asset (computed without indexation) 9a 0
b Less deduction under section 115F (Specify details in item D below) 9b 0
c Balance LTCG on sale of specified asset (8a - 8b) B9c 0
d LTCG on sale of asset, other than specified asset (computed without indexation) 9d 0
e Less deduction under section 115F (Specify details in item D below) 9e 0
f Balance LTCG on sale of asset, other than specified asset (8d- 8e) B9f 0
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Acknowledgement Number:307805810300722 Date of filing:30-07-2022
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Acknowledgement Number:307805810300722 Date of filing:30-07-2022
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10)
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Acknowledgement Number:307805810300722 Date of filing:30-07-2022
Date of transfer Date of purchase Cost and Amount deposited Amount
of original asset /construction of expenses incurred in Capital Gains of
from urban area new asset in SEZ for purchase or Accounts Scheme deduction
construction of before due date claimed
new asset
h Deduction claimed u/s 115F (for Non-Resident Indians)
Amount invested in
Date of Transfer of
new specified Amount of deduction
foreign exchange Date of investment
asset or savings claimed
asset
certificate
i Total deduction claimed (1a + 1b + 1c + 1d + 1e + 1f + 1g + 1h) 0
Set-off of current year capital losses with current year capital gains (excluding amounts included in A 9a & B 13a which is
E
chargeable under DTAA)
Sl. Type of Capital Gain Capital Gain of Short term capital loss Long term capital loss Current year's capital gains
off
computed
figure is negative)
ii Short 15% 0 0 0 0 0
Term
iii 30% 0 0 0 0 0
Capital
Gain
iv Applicable 0 0 0 0 0
Rate
v DTAA 0 0 0 0 0
rates
vi Long 10% 0 0 0 0 0 0 0 0
Term
vii 20% 0 0 0 0 0 0 0 0
Capital
Gain
viii DTAA 0 0 0 0 0 0 0 0
rates
(i-ix)
The figures of STCG in this table (A1e* etc.) are the amounts of STCG computed in respective column (A1-A9) as reduced by theamount of STCG not chargeable to tax or chargeable at special
The figures of LTCG in this table (B1e* etc.) are the amounts of LTCG computed in respective column (B1-B13) as reduced by theamount of LTCG not chargeable to tax or chargeable at special
45 of 90
Acknowledgement Number:307805810300722 Date of filing:30-07-2022
Enter value from item 5vii of
schedule BFLA, if any
Note: Please include the income of the specified persons (spouse, minor child etc.) referred to in Schedule SPI
while computing the income under this head
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Acknowledgement Number:307805810300722 Date of filing:30-07-2022
Schedule From sale of equity share in a company or unit of equity oriented fund or unit of a business trust on
112A which STT is paid under section 112A
Sl. Share ISIN Name No. of Sale- Full Value of Consideration If shares/units are acquired on or Cost of Cost of If the long term Fair Market Total Fair Market Expenditure Total Balance
No. /Unit Code of the Shares price before 31st January, 2018 (Total Sale Value) (4*5) or If shares acquisition acquisition capital asset was Value per Value of capital wholly and deductions (6-13)
Acquired Share /Units per /units are acquired after 31st January, 2018 - (Please enter Full without acquired before share/unit as asset as per exclusively in (7+12) Item 5 (a)
/Unit Share Value of Consideration) indexation 01.02.2018, -(Lower on 31st section 55(2)(ac)- connection with of LTCG
/Unit (Higher of 8 & of 6 & 11) January,2018 (4*10) transfer Schedule
9) of ITR3
(Col (Col 1a) (Col (Col (Col (Col (Col 6) (Col 7) (Col 8) (Col 9) (Col 10) (Col 11) (Col 12) (Col 13) (Col 14)
1) 2) 3) 4) 5)
Total 0 0 0 0 0 0 0 0
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Acknowledgement Number:307805810300722 Date of filing:30-07-2022
Schedule 115AD For NON-RESIDENTS - From sale of equity share in a company or unit of equity oriented
(1)(b)(iii) proviso fund or unit of a business trust on which STT is paid under section 112A
Sl. Share ISIN Name No. of Sale- Full Value of Consideration If shares/units are acquired on or Cost of Cost of If the long term Fair Market Total Fair Market Expenditure Total Balance
No. /Unit Code of the Shares price before 31st January, 2018 (Total Sale Value) (4*5) or If shares acquisition acquisition capital asset was Value per Value of capital wholly and deductions (6-13)
Acquired Share /Units per /units are acquired after 31st January, 2018 - (Please enter Full without acquired before share/unit as asset as per exclusively in (7+12) Item 8 (a)
/Unit Share Value of Consideration) indexation 01.02.2018, -Lower on 31st section 55(2)(ac)- connection with of LTCG
/Unit (Higher of 8 & of 6 & 11 January,2018 (4*10) transfer Schedule
9) of ITR3
(Col (Col 1a) (Col (Col (Col (Col (Col 6) (Col 7) (Col 8) (Col 9) (Col 10) (Col 11) (Col 12) (Col 13) (Col 14)
1) 2) 3) 4) 5)
Total 0 0 0 0 0 0 0 0
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Acknowledgement Number:307805810300722 Date of filing:30-07-2022
a Dividends, Gross 1a 0
b Interest, Gross (bi + bii + biii + biv + bv + bvi + bvii + bviii + bix) 1b 0
ix Others bix 0
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Acknowledgement Number:307805810300722 Date of filing:30-07-2022
e Any other income (please specify nature) 1e 1,02,549
Sl. Nature Amount
No.
1 Family Pension 0
2 Income from retirement benefit account maintained in a notified country u/s 0
89A
Country Amount
Pass through income in the nature of income from other sources chargeable at special rates
e 2e 0
(drop down to be provided)
Amount included in 1 and 2 above, which is chargeable at special rates in India as per
2f 0
DTAA (total of column (2) of table below)
Sl. Amount Item No. Country Article Rate as per Whether Section Rate Applicable
No. of 1ai,1b, name & of Treaty TRC of I.T. as rate
f income 1c,1d Code DTAA (enter NIL, obtained Act per I. [lower of
and 2 in if not (Y/N) T. (6) or (9)]
which chargeable) Act
included
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10)
Deductions under section 57 (other than those relating to income chargeable at special rates under 2a, 2b, 2d, 2e
3
and 2f)
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Acknowledgement Number:307805810300722 Date of filing:30-07-2022
a(i) Expenses / Deductions other than entered in “C” 3a(i) 0
(in case of other than family pension)
d Total 3d 0
Net Income from other sources chargeable at normal applicable rates (1(after reducing income
6 6 1,02,549
related to DTAA portion) - 3 + 4 + 5 - 5a) (If negative take the figure to 4i of schedule CYLA )
7 Income from other sources (other than from owning race horses) (2 + 6) (enter 6 as nil, if negative) 7 1,02,549
a Receipts 8a 0
e Balance (8a - 8b + 8c + 8d) (if negative take the figure to 10xv of Schedule CFL) 8e 0
9 Income under the head "Income from other sources" (7 + 8e) (take 8e as nil if negative) 9 1,02,549
Note: Please include the income of the specified persons (spouse, minor child etc.) referred to in Schedule SPI while computing the
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Acknowledgement Number:307805810300722 Date of filing:30-07-2022
income under this head.
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Acknowledgement Number:307805810300722 Date of filing:30-07-2022
Schedule
Details of Income after set-off of current years losses
CYLA
Business
Loss (other Other
Income of
than sources loss
current year
House speculation (other than Current year’
(Fill this
Sl. Head/ Source of property loss loss or loss from s Income
column only
No Income of the current specified owning race remaining
if income is
year set off business horses) of after set off
zero or
loss) of the the current
positive)
current year year set off
set off
1 2 3 4 5=1-2-3-4
i Loss to be set off 0 0 0
ii Salaries 0 0 0 0
iii House property 0 0 0 0
Income from
Business (excluding
speculation profit
iv 89,791 0 0 89,791
and income from
specified business)
or profession
v Speculative Income 0 0 0 0
Specified Business
vi 0 0 0 0
Income
Short-term capital
vii 0 0 0 0 0
gain taxable @ 15%
Short-term capital
viii 0 0 0 0 0
gain taxable @ 30%
Short-term capital
ix gain taxable at 0 0 0 0 0
applicable rates
Short-term capital
gain taxable at
x 0 0 0 0 0
special rates in
India as per DTAA
Long term capital
xi 0 0 0 0 0
gain taxable @ 10%
Long term capital
xii 0 0 0 0 0
gain taxable @ 20%
Long term capital
gains taxable at
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Acknowledgement Number:307805810300722 Date of filing:30-07-2022
xiii special rates in 0 0 0 0 0
India as per DTAA
Net income from
other sources
xiv chargeable at 1,02,549 0 0 1,02,549
normal applicable
rates
Profit from the
activity of owning
xv 0 0 0 0 0
and maintaining
race horses
Income from other
sources taxable at
xvi 0 0 0 0 0
special rates in
India as per DTAA
xvii Total loss set off 0 0 0
xviii Loss remaining after set-off (i – xvii) 0 0 0
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Acknowledgement Number:307805810300722 Date of filing:30-07-2022
Schedule BFLA Details of Income after Set off of Brought Forward Losses of earlier years
Sl. Head/ Income after set Brought forward Brought forward Brought forward Current year’s
No. Source of off, if any, of loss set off depreciation set off allowance under income remaining
Income current year’s section 35(4) set after set off
losses as per 5 of off
Schedule CYLA)
1 2 3 4 5
i Salaries 0 0
ii House 0 0 0 0 0
property
iii Business 89,791 0 0 0 89,791
(excluding
speculation
income and
income
from
specified
business)
iv Speculation 0 0 0 0 0
Income
v Specified 0 0 0 0 0
Business
Income
vi Short-term 0 0 0 0 0
capital gain
taxable @
15%
vii Short-term 0 0 0 0 0
capital gain
taxable @
30%
viii Short-term 0 0 0 0 0
capital gain
taxable at
applicable
rates
ix Short-term 0 0 0 0 0
capital gain
taxable at
special
rates in
India as
per DTAA
x Long term 0 0 0 0 0
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capital gain
taxable @
10%
xi Long term 0 0 0 0 0
capital gain
taxable @
20%
xii Long term 0 0 0 0 0
capital
gains
taxable at
special
rates in
India as
per DTAA
xiii Net income 1,02,549 0 0 1,02,549
from other
sources
chargeable
at normal
applicable
rates
xiv Profit from 0 0 0 0 0
owning and
maintaining
race
horses
xv Income 0 0 0 0
from other
sources
income
taxable at
special
rates in
India as
per DTAA
xvi Total of brought forward loss 0 0 0
set off (2ii + 2iii + 2iv + 2v +
2vi + 2vii +2viii + 2ix + 2x +
2xi + 2xii + 2xiv)
xvii Current year's income remaining after set off Total of (5i + 5ii + 5iii + 5iv + 5v+ 5vi + 1,92,340
5vii + 5viii+ 5ix + 5x + 5xi + 5xii + 5xiii + 5xiv + 5xv)
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i 2010-11 0
ii 2011-12 0
iii 2012-13 0
iv 2013-14 0
v 2014-15 0 0 0 0 0 0 0
vi 2015-16 0 0 0 0 0 0 0
vii 2016-17 0 0 0 0 0 0 0
viii 2017-18 0 0 0 0 0 0 0
ix 2018-19 0 0 0 0 0 0 0 0 0
x 2019-20 0 0 0 0 0 0 0 0 0
xi 2020-21 0 0 0 0 0 0 0 0 0
xii 2021-22 0 0 0 0 0 0 0 0 0
xiv Adjustment of 0 0 0 0 0 0 0
above
losses in
schedule BFLA
xv 2022-23 0 0 0 0 0 0 0
(Current Year
Losses to be
carry forward)
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No
Amount of brought Amount as adjusted on Amount of Balance Amount of Amount of allowance Balance
forward account of opting for depreciation set-off carried brought forward set-off against the Carried
unabsorbed taxation u/s 115BAC against the current forward to the unabsorbed current year income forward to the
i 2022-23 0 0 0 0 0 0 0
Total 0 0 0 0 0 0 0
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Acknowledgement Number:307805810300722 Date of filing:30-07-2022
I Accounting Policies 0
II Valuation of Inventories (other than the effect of change in method of valuation u/s 145A, 0
if the same is separately reported at col. 4d or 4e of Part A-OI)
IV Revenue Recognition 0
VIII Securities (other than the effect of change in method of valuation u/s 145A, if the same is 0
separately reported at col. 4d or 4e of Part A-OI)
IX Borrowing Costs 0
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Schedule 80D
1 Whether you or any of your family member (excluding parents) is a senior citizen? Not claiming for Self
/Family
(a) Self & Family 0
(i) Health Insurance 0
(ii) Preventive Health Checkup 0
(b) Self & Family (Senior Citizen) 0
(i) Health Insurance 0
(ii) Preventive Health Checkup 0
(iii) Medical Expenditure (This deduction can be claimed on which health insurance is 0
not claimed at (i) above)
2 Whether any one of your parents is a senior citizen Not claiming for
parents
(a) Parents 0
(i) Health Insurance 0
(ii) Preventive Health Checkup 0
(b) Parents (Senior Citizen) 0
(i) Health Insurance 0
(ii) Preventive Health Checkup 0
(iii) Medical Expenditure (This deduction can be claimed on which health insurance is 0
not claimed at (i) above)
3 Eligible Amount of Deduction 0
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Acknowledgement Number:307805810300722 Date of filing:30-07-2022
Schedule 80G Details of donations entitled for deduction under section 80G
Donations entitled for 100% deduction
A
without qualifying limit
Eligible
Name and address of PAN of
Amount of donation Amount of
Donee Donee
donation
Donation in Donation in
Total Donation
cash other mode
Total 0 0 0 0
Donations entitled for 50% deduction without
B
qualifying limit
Eligible
Name and address of PAN of
Amount of donation Amount of
Donee Donee
donation
Donation in Donation in
Total Donation
cash other mode
Total 0 0 0 0
Donations entitled for 100% deduction
C
subject to qualifying limit
Eligible
Name and address of PAN of
Amount of donation Amount of
Donee Donee
donation
Donation in Donation in
Total Donation
cash other mode
Total 0 0 0 0
Donations entitled for 50% deduction subject
D
to qualifying limit
Eligible
Name and address of PAN of
Amount of donation Amount of
Donee Donee
donation
Donation in Donation in
Total Donation
cash other mode
Total 0 0 0 0
E TOTAL ELIGIBLE AMOUNT OF DONATIONS (A + B + C + D) 0
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Schedule
Details of donations for scientific research or rural development
80GGA
Sl. Relevant clause under which deduction is Name and PAN Amount of donation Eligible
No. claimed (drop down to be provided) address of of Amount of
Donee Donee donation
Total donation 0 0 0 0
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Details of donations to research associations etc. [deduction under sections 35(1)(ii) or 35(1)(iia) or
Schedule RA
35(1)(iii) or 35(2AA)]
Name and address of PAN of Amount of donation Eligible Amount of
donee Donee donation
Total 0 0
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Schedule 80-IA
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1 g 80DD 0 h 80DDB 0
i 80E 0 j 80EE 0
k 80EEA 0 l 80EEB 0
m 80G 0 n 80GG 0
o
o 80GGA 0 80GGC 0
(i)
Total Deduction under Part B (total of a to oi) 1 0
2 Part C- Deduction in respect of certain incomes
p 80-IA 0 q 80-IAB 0
r 80-IB 0 s 80-IBA 0
80-IC/ 80-
t 0 u 80JJA 0
IE
v 80JJAA 0 w 80QQB 0
x 80RRB 0
Total Deduction under Part C (total of p to x ) 2 0
3 Part CA and D- Deduction in respect of other incomes/other deduction
i 80TTA 0 ii 80TTB 0
iii 80U 0
Total Deduction under Part CA and D (total of i, ii and iii) 3 0
4 Total deductions under Chapter VI-A (1 + 2 + 3) 4 0
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Acknowledgement Number:307805810300722 Date of filing:30-07-2022
Schedule AMT Computation of Alternate Minimum Tax payable under section 115JC
1 Total Income as per item 14 of PART-B-TI 1 1,92,340
2 Adjustment as per section 115JC(2)
Deduction claimed under any section
included in Chapter VI-A under the heading
a 2a 0
"C.—Deductions in respect of certain
incomes"
b Deduction claimed u/s 10AA 2b 0
Deduction claimed u/s 35AD as reduced by
c the amount of depreciation on assets on 2c 0
which such deduction is claimed
d Total Adjustment (2a+ 2b+ 2c) 2d 0
3 Adjusted Total Income under section 115JC(1) (1+2d) 3 1,92,340
Adjusted Total Income u/s 115JC from units
a 3a 0
located in IFSC, if any
Adjusted Total Income u/s 115JC from other
b 3b 1,92,340
Units (3-3a)
Tax payable under section 115JC [9% of 3a + 18.5% of 3b] (if 3 is greater than
4 4 0
Rs. 20 lakhs)
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Schedule
Computation of tax credit under section 115JD
AMTC
1 Tax under section 115JC in assessment year 2022-23 (1d of Part-B-TTI) 1 0
2 Tax under other provisions of the Act in assessment year 2022-23 (2i of Part-B-TTI) 2 0
Amount of tax against which credit is available [enter (2 – 1) if 2 is greater than 1,
3 3 0
otherwise enter 0]
Utilisation of AMT credit Available (Sum of AMT credit utilized during the current year is subject to maximum of
4
amount mentioned in 3 above and cannot exceed the sum of AMT Credit Brought Forward)
S. Assessment AMT Credit AMT Credit Utilised Balance AMT
No. Year during the Current Credit
(A) Gross Set-off in Balance brought Assessment Year Carried
(B1) earlier forward to the (C) Forward
assessment current assessment (D)= (B3) –(C)
years year
(B2) (B3) = (B1) – (B2)
i 2013-14 0 0 0 0 0
ii 2014-15 0 0 0 0 0
iii 2015-16 0 0 0 0 0
iv 2016-17 0 0 0 0 0
v 2017-18 0 0 0 0 0
vi 2018-19 0 0 0 0 0
vii 2019-20 0 0 0 0 0
viii 2020-21 0 0 0 0 0
ix 2021-22 0 0 0 0 0
x Current AY 0 0
(enter 1-2, if
1>2 else enter
0)
xi Total 0 0 0 0 0
Amount of tax credit under section 115JD utilised during the year [total of item No. 4
5 5 0
(C)]
Amount of AMT liability available for credit in subsequent assessment years [total of
6 6 0
4 (D)]
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Acknowledgement Number:307805810300722 Date of filing:30-07-2022
Schedule Income of specified persons (spouse, minor child etc.) includable in income of the assessee as per
SPI section 64
Sl Name of person PAN/ Aadhaar of person Relationship Amount (Rs) Head of Income in
No (optional) which included
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Schedule IF Information regarding partnership firms in which you are partner anytime during the previous year
Number of firms in which you are partner
Sl Name of PAN of Firm Whether the Whether Percentage Amount of share Capital balance on
No Firm firm is liable section 92E is Share in in profit 31st March in the
for audit? applicable to the profit of firm
(Yes/No) firm? (Yes/ No) the firm
i ii
Total 0 0
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Acknowledgement Number:307805810300722 Date of filing:30-07-2022
Schedule EI Details of Exempt Income (Income not to be included in Total Income or not chargeable to tax)
1 Interest income 1 0
Gross Agricultural receipts (other than income to
i i 0
be excluded under rule 7A, 7B or 8 of I.T. Rules)
ii Expenditure incurred on agriculture ii 0
Unabsorbed agricultural loss of previous eight
iii iii 0
assessment years
2
Agricultural income portion relating to Rule 7, 7A,
iv iv 0
7B(1), 7B(1A) and 8(from Sl. No. 39 of Sch. BP)
v Net Agricultural income for the year (i – ii – iii + iv) (enter nil if loss) 2 0
In case the net agricultural income for the year exceeds Rs.5 lakh, please
vi
furnish the following details (Fill up details separately for each agricultural land)
3 Other exempt income (including exempt income of minor child) 3 0
SL.No Nature of Income Description Amount
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Acknowledgement Number:307805810300722 Date of filing:30-07-2022
Schedule PTI Pass Through Income details from business trust or investment fund as per section 115UA, 115UB
Note: Please refer to the instructions for filling out this schedule.
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Acknowledgement Number:307805810300722 Date of filing:30-07-2022
Schedule- Details of Tax on secondary adjustments as per section 92CE(2A) as per the schedule provided in e-
TPSA filing utility
Amount of primary adjustment on which option u/s 92CE(2A) is exercised & such excess
1 money has not been repatriated within the prescribed time (please indicate the total of 0
adjustments made in respect of all the Ays)
a Additional Income tax payable @ 18% on above 0
b Surcharge @ 12% on "a" 0
2
c Health & Education cess on (a+b) 0
d Total Additional tax payable (a+b+c) 0
3 Taxes paid 0
4 Net tax payable (2d-3) 0
Date(s) of deposit of tax on Serial
Name of Bank and BSR
secondary adjustments as per number Amount deposited
Branch Code
section 92CE(2A) of challan (9)
(6) (7)
(5) (8)
Amount Deposited 0
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Schedule FSI Details of Income from outside India and tax relief (Available in case of resident)
Note: Please refer to the instructions for filling out this schedule.
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Schedule TR Summary of tax relief claimed for taxes paid outside India (available only in case of resident)
1 Details of Tax relief claimed
Country Tax Total taxes paid outside India (total Total tax relief available (total of Section under which
Code Identification of (c) of Schedule FSI in respect of (e) of Schedule FSI in respect of relief claimed (specify
Number each country) each country) 90, 90A or 91)
Total 0 0
Total Tax relief available in respect of country where DTAA is applicable (section 90
2 2 0
/90A) (Part of total of 1(d))
Total Tax relief available in respect of country where DTAA is not applicable
3 3 0
(section 91) (Part of total of 1(d))
Whether any tax paid outside India, on which tax relief was allowed in India, has
4 been refunded/credited by the foreign tax authority during the year? If yes, provide 4
the details below
Amount of tax Assessment year in which tax
a 0 b
refunded relief allowed in India
Note: Please refer to the instructions for filling out this schedule.
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Acknowledgement Number:307805810300722 Date of filing:30-07-2022
Schedule FA Details of Foreign Assets and Income from any source outside India
A1 Details of Foreign Depository Accounts held (including any beneficial interest) at any time during the calendar year ending as on 31st December, 2021
Sl Country Country Name of financial Address of financial ZIP Account Status Account Peak balance during Closing Gross interest paid/credited to the account
No name code institution institution code number opening date the period balance during the period
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12)
A2 Details of Foreign Custodial Accounts held (including any beneficial interest) at any time during the calendar year ending as on 31st December, 2021
Sl Country Country Name of Address of ZIP Account Status Account Peak balance Closing Gross interest paid/credited to the account during the period
No name code financial financial code number opening during the balance (drop down to be provided specifying nature of amount viz. interest/dividend
institution institution date period /proceeds from sale or redemption of financial assets/ other income)
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) Nature of amount Amount
(12a) (12b)
A3 Details of Foreign Equity and Debt Interest held (including any beneficial interest) in any entity at any time during the calendar year ending as on 31st December, 2021
Sl Country Country Name Address ZIP Nature Date of Initial value Peak value of Closing Total gross amount paid/credited with Total gross proceeds from sale or
No name code of of entity code of acquiring the of the investment during balance respect to the holding during the redemption of investment during the
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12) (13)
A4 Details of Foreign Cash Value Insurance Contract or Annuity Contract held (including any beneficial interest) at any time during the calendar year ending as on 31st December, 2021
Sl Country Country Name of financial institution in which Address of financial ZIP Date of The cash value or surrender value Total gross amount paid/credited with respect to the
No name code insurance contract held institution code contract of the contract contract during the period
B Details of Financial Interest in any Entity held (including any beneficial interest) at any time during the calendar year ending as on 31st December, 2021
Sl Country ZIP Nature Name and Nature of Interest-Direct Date Total Investment (at Income accrued Nature of Income taxable and offered in this
No Name and Code of entity Address of the /Beneficialowner/Beneficiary since cost) (in rupees) from such Interest Income return
where number of
offered schedule
(1) (2) 2a (3) (4) (5) (6) (7) (8) (9) (10) (11) (12)
C Details of Immovable Property held (including any beneficial interest) at any time during the calendar year ending as on 31st December, 2021
Sl Country Name ZIP Address of the Ownership-Direct/ Beneficial Date of Total Investment (at Income derived from Nature of Income taxable and offered in this return
No and code Code Property owner/ Beneficiary acquisition cost) (in rupees) the property Income
Amount Schedule Item number
(1) (2) 2b (3) (4) (5) (6) (7) (8) (9) (10) (11)
D Details of any other Capital Asset held (including any beneficial interest) at any time during the calendar year ending as on 31st December, 2021
Sl Country Name ZIP Nature of Ownership-Direct/ Beneficial Date of Total Investment (at cost) Income derived from Nature of Income taxable and offered in this return
No and code Code Asset owner/ Beneficiary acquisition (in rupees) the asset Income
Amount Schedule Item number of
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Acknowledgement Number:307805810300722 Date of filing:30-07-2022
(1) (2) 2b (3) (4) (5) (6) (7) (8) (9) (10) (11)
E Details of account(s) in which you have signing authority held (including any beneficial interest) at any time during the calendar year ending as on 31st December, 2021 and which has not been included in A to D above.
Sl Name of the Institution in Address of Country Zip Name of the Account Peak Balance/ Whether income If (7) is yes, Income If (7) is yes, Income offered in
No which the account is held the Name and Code account Number Investment during the accrued is taxable in accrued in the this return
where number
offered of
schedule
(1) (2) (3) (3a) (3b) (4) (5) (6) (7) (8) (9) (10) (11)
F Details of trusts, created under the laws of a country outside India, in which you are a trustee, beneficiary or settlor
Sl Country ZIP Name and Name and Name and Name and Date since Whether income derived is If (8) is yes, Income If (8) is yes, Income offered in this
No Name and CODE address of the address of address of address of position taxable in your hands? derived from the trust return
where number
offered of
schedule
(1) (2) (2b) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12)
G Details of any other income derived from any source outside India which is not included in,- (i) items A to F above and, (ii) income under the head business or profession
Sl Country Name and ZIP Name and address of the person from whom Income Nature of Whether taxable in your If (6) is yes, Income offered in this return
offered schedule
(1) (2) (2b) (3) (4) (5) (6) (7) (8) (9)
Note: Please refer to instructions for filling out this schedule. In case of an individual, not being an Indian citizen, who is in India on a business, employment or student visa, an asset acquired during any previous year in which he was non-
resident is not mandatory to be reported in this schedule if no income is derived from that asset during the current previous year.
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Assets and Liabilities at the end of the year (other than those included in Part A- BS) (applicable in a
Schedule AL
case where total income exceeds Rs.50 lakh)
A Details of immovable assets
Sl. No. Description Address Pin code Amount (cost) in Rs.
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Acknowledgement Number:307805810300722 Date of filing:30-07-2022
No. Year deferred brought previous year relevant to current assessment year tax payable amount of
specify date
(6)
1 2021-22 0 0 0 0
2 2022-23 0
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Please furnish the information above for each GSTIN No. separately
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c Income from the activity of owning and maintaining race horses ( 8e 5c 0
of Schedule OS) (enter nil if loss)
d Total (5a + 5b + 5c) (enter nil if loss) 5d 1,02,549
6 Total of head wise income (1+2+3v+4c+5d) 6 1,92,340
Losses of current year to be set off against 6 (total of 2xvii, 3xvii and 4xvii of
7 7 0
Schedule CYLA)
Balance after set off current year losses (6 – 7) (total of serial number (ii) to (xv)
8 8 1,92,340
column 5 of Schedule CYLA+5b+3iv)
Brought forward losses to be set off against 8 (total of 2xvi, 3xvi and 4xvi of
9 9 0
Schedule BFLA)
Gross Total income (8-9) (also total of serial no (i) to (xiv) of column 5 of Schedule
10 10 1,92,340
BFLA+ 5b+ 3iv)
Income chargeable to tax at special rate under section 111A, 112, 112A etc.
11 11 0
included in 10
12 Deductions under Chapter VI-A
Part-B, CA and D of Chapter VI-A [(1 + 3) of Schedule VI-A and limited upto
a 12a 0
(total of i,ii,iii,iv,v,viii,xiii,xiv) of column 5 of BFLA]
b Part-C of Chapter VI-A [(2 of Schedule VI-A] 12b 0
c Total (12a + 12b) [limited upto (10-11)] 12c 0
13 Deduction u/s 10AA (c of Sch. 10AA) 13 0
14 Total income (10 - 12c - 13) 14 1,92,340
Income which is included in 14 and chargeable to tax at special rates (total of (i) of
15 15 0
schedule SI)
16 Net agricultural income/ any other income for rate purpose ( 2v of Schedule EI) 16 0
Aggregate income (14-15+16) [applicable if (14-15) exceeds maximum amount not
17 17 0
chargeable to tax]
18 Losses of current year to be carried forward (total of row xv of Schedule CFL) 18 0
19 Deemed income under section 115JC (3 of Schedule AMT) 19 1,92,340
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3c Tax deferred from earlier years but payable during current AY (Total of col. 7 of schedule Tax 3c 0
Deferred on ESOP)
Credit under section 115JD of tax paid in earlier years (applicable if 2i is more than 1d) (5 of
4 4 0
Schedule AMTC)
5 Tax payable after credit under section 115JD (3a + 3c - 4) 5 0
6 Tax relief
Section 89 (Please ensure to submit Form 10E to claim this
a 6a 0
relief)
b Section 90/ 90A (2 of Schedule TR) 6b 0
c Section 91 (3 of Schedule TR) 6c 0
d Total (6a + 6b + 6c) 6d 0
7 Net tax liability (5 - 6d) (enter zero if negative) 7 0
8 Interest and fee payable
a Interest for default in furnishing the return (section 234A) 8a 0
b Interest for default in payment of advance tax (section 234B) 8b 0
c Interest for deferment of advance tax (section 234C) 8c 0
d Fee for default in furnishing return of income (section 234F) 8d 0
e Total Interest and Fee Payable (8a+8b+8c+8d) 8e 0
9 Aggregate liability (7 + 8e) 9 0
10 Taxes Paid
a Advance Tax (from column 5 of 17A) 10a 0
b TDS (total of column 5 of 18B and column 9 of 17C) 10b 4,499
c TCS (total of column 7 of 17D) 10c 0
d Self-Assessment Tax (from column 5 of 17A) 10d 0
e Total Taxes Paid (10a + 10b + 10c + 10d) 10e 4,499
11 Amount payable (Enter if 9 is greater than 10e, else enter 0) 11 0
Refund (If 10e is greater than 9) (Refund, if any, will be directly credited into the bank
12 12 4,500
account)
Do you have a bank account in India (Non- Residents claiming refund with no bank account in
13 Yes
India may select No)
i. a) Details of all Bank Accounts held in India at any time during the previous year (excluding dormant accounts)
IFS Code of the Bank in case Name Indicate the account in which you
Sl.
of Bank Accounts held in of the Account Number prefer to get your refund credited, if
No
India Bank any (tick accounts
BANK
1 BKID0007295 OF 729510100005895 ✔
INDIA
AXIS
2 UTIB0000638 638010100016959
BANK
Note:
1. Minimum one account should be selected for refund credit.
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Acknowledgement Number:307805810300722 Date of filing:30-07-2022
2. In case of Refund, multiple accounts are selected for refund credit, then refund will be credited to one of the
account decided by CPC after processing the return
Rows can be added as required
b) Non- residents, who are claiming income-tax refund and not having bank account in India may, at their option,
ii
furnish the details of one foreign bank account:
Sl. No. SWIFT Code Name of the Bank Country of Location IBAN
No relating to self Aadhaar of Deductor/ brought forward Year (TDS deducted during FY (only if corresponding income is Receipt offered credit
/other person Other PAN/ (b/f) 2021-22) being offered for tax this year, not being
person as per
applicable)
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12) (13)
Aadhaar
from
Business
&
Profession
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Acknowledgement Number:307805810300722 Date of filing:30-07-2022
Schedule TDS3 - Details of Tax Deducted at Source (TDS) on Income [As per Form 16A issued or Form 16B
D
/16C/16D furnished by Deductor(s)]
Sl TDS credit PAN/ PAN Unclaimed TDS TDS of the current Financial TDS credit being claimed this Year Corresponding TDS
No relating to self Aadhaar of /Aadhaar brought forward Year (TDS deducted during FY (only if corresponding income is Receipt offered credit
/other person Other No. of (b/f) 2021-22) being offered for tax this year, not being
[spouse as per Person (if the applicable if TDS is deducted u/s carried
37BA(2) (if
applicable)
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12) (13)
Aadhaar
E Schedule TCS - Details of Tax Collected at Source (TCS) [As per Form 27D issued by the Collector(s)]
Sl Tax Deduction and Name of Unclaimed TCS TCS of Amount out of (5) or (6) being Amount out
No Tax Collection the brought forward (b the claimed this Year (only if of (5) or (6)
Account Number of Collector /f) current corresponding income is being being
the Collector fin. offered for tax this year) carried
Fin. Year Amount year forward
in which b/f
collected
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