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Name Mujeeb ur RehmanMobile No 9911400178Place New Delhi
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9 (ii) - Codes for special rates of tax , Schedule SI
S. No Particulars
1 Tax on accumulated balance of recognised provident fund 2 Short term capital gains 3 Long term capital gains (with indexing) 4 Long term capital gains (without indexing) 5 Dividends, interest and income from units purchase in foreign currency
6
7 Income from royalty & technical services
8 Income from royalty & technical services
9 Income from royalty & technical services
10 Income received in respect of units purchase in foreign currency by a off-shore fund
11
12
13
14 Profits and gains of life insurance business
15
16 Tax on non-residents sportsmen or sports associations
17
18 Anonymous donations 19 Investment income 20 Income by way of long term capital gains 21 Double Taxation Agreement
7. Codes for filling this Return Form
Sl.No How the return is filed
i. Voluntarily before the due date under section 139
ii. Voluntarily after the due date under section 139
iii. In response to notice under section 142(1)
iv. In response to notice under section 148
v. In response to notice under section 153A/153C
9. Codes for filling out this Form
Sl.No Nature of transaction
Income from royalty or technical services where agreement entered between 31.3.1961 to 31.3.1976 in case of royalty and between 29.2.1964 and 31.3.1976, and agreement is approved by the Central Government.
Income by way of long-term capital gains arising from the transfer of units purchase in foreign currency by a off-shore fund
Income from bonds or GDR purchases in foreign currency or capital gains arising from their transfer in case of a non-resident
Income from GDR purchased in foreign currency or capital gains arising from their transfer in case of a resident
Winnings from lotteries, crosswords puzzles, races including horse races, card games and other games of any sort or gambling or betting of any form or nature whatsoever
Tax on income from units of an open – ended equity oriented fund of the Unit Trust of India or of Mutual Funds
1.
2.
3.
4.
5.
6.
7.
8.
Cash deposits aggregating to ten lakh rupees or more in a year in any savings accounmaintained in a banking company to which the Banking Regulation Act, 1949 (10 of 1949), applied (including any bank or banking institution referred to in section 51 of the Act.Payment made by you against bills raised in respect of a credit card aggregating tomore in a year.Payment made by you of an amount of two lakh rupees or more for purchase of units of Mutual Fund.Payment made by you of an amount of five lakh rupees or more for acquiring bonds or debentures issued by a company or institution.Payment made by you of an amount of one lakh rupees or more for acquiring sharescompany.Purchase by you of any immovable property valued at thirty lakh rupees or more.
Sale by you of any immovable property valued at thirty lakh rupees or more.Payment made by you of an amount of five lakh rupees or more in a year for investment in issued by Reserve Bank of India.
9 (ii) - Codes for special rates of tax , Schedule SI
Section Rate of Tax
111 1111A 1A 15112 21 20112 22 10
115A(1)(a) 5A1a 20
FA 50
5A1b1 30
5A1b2 20
5A1b3 10
115AB(1)(a) 5AB1a 10
115AB(1)(b) 5AB1b 10
115AC(1) 5AC 10
115ACA(1) 5ACA 10
115B 5B 12.5
115BB 5BB 30
115BBA 5BBA 10
115BBB 5BBB 10
115BBC 5BBC 30115E(a) 5Ea 20115E(b) 5Eb 10
DTAA
How the return is filed Code
Voluntarily before the due date under section 139 11
Voluntarily after the due date under section 139 12
In response to notice under section 142(1) 13
In response to notice under section 148 14
In response to notice under section 153A/153C 15
Nature of transaction Code
Section Code To be computed in
accordance with rule 9(1) of Part A of
fourth Schedule
Paragraph EII of Part I of first schedule of
Finance Act
115A(1)(b) if agreement is entered on or before 31.5.1997
115A(1)(b) if agreement is entered on or after 31.5.1997 but before 1.6.2005
115A(1)(b)if agreement is on or after 1.6.2005
001
002
003
004
005
006
007
008
savings account by you maintained in a banking company to which the Banking Regulation Act, 1949 (10 of 1949), applied (including any bank or banking institution referred to in section 51 of the Act.aggregating to two lakh rupees or
for purchase of units of Mutual Fund. or more for acquiring bonds or debentures
more for acquiring shares issued by a
immovable property valued at thirty lakh rupees or more.
immovable property valued at thirty lakh rupees or more.or more in a year for investment in bonds
INPUT SHEET - [ ITR - 2 ] A.Y. 2010 - 2011
1. Name of the Assessee Name
PAN of the Assessee
Whether Senior Citizen or not No
2. Date of Birth
3. Father's Name
4. Select Gender of the Assessee Male
5. Address Flat/Door No./Block No.
Name of premises/Building/Village `Road / Street / Post Office
Area/ Locality
Town / City /Municipality
State
Pin Code
E-mail ID
6. Phone No (STD Code)
7. Designation of Assessing Officer (Ward/Circle)
8. Status of the Assessee (Individual/HUF) Individual
9. Name of the Employer
9a. Select the Cateogory of Employer Others
9b. PAN/TAN of Employer TAN
9c. Address of the employer Address
Town/City
State
Pin Code
10. Type of Return (Original/Revised) Original
10a. Return Filed under Section 139(1)/139(4) Before Due Date u/s 139(1)
11. Select Residential Status Resident
12. If this return is filed by a representative Assessee, Select Yes or No No
HEADS OF INCOME
13. INCOME FROM SALARY
Salary (Excluding all allowances & perquisites) -
Allowances Exempt u/s 10 -
Allowances not exempt u/s 10 -
Value of Perquisites u/s 17(2)
INCOME CHARGEABLE UNDER THE HEAD SALARIES
14. INCOME FROM HOUSE PROPERTY
HOUSE PROPERTY-1 HOUSE PROPERTY-2
Address :
Door No.
Town/City
State
PIN Code
Select Let Out/Self Occupied - -
Name of Tenant
Gross Annual Value
Less: Amount of Rent which cannot be realised -
Less: Municipal Taxes -
Net Annual Value -
Less: Deduction U/s 24
a) Standard Deduction @ 30% -
b) Interest on borrowed capital
Income from House Property -
INCOME CHARGEABLE UNDER THE HEAD HOUSE PROPERTY
15. INCOME FROM CAPITAL GAINS
A. Short Term Capital Gains: On Shares & Mutual Funds
a. Full Value of Consideration -
Less: Deduction u/s 48
i. Cost of acquisition - -
ii. Cost of Improvement - -
iii Expenditure on transfer - -
b. Balance -
c. Loss, if any to be ignored under Section 94(7) or 94(8)
d. Short Term Capital Gains -
e. Exemption u/s 54B/54D -
f. Income from Short Term Capital Gains -
Income from Short Term Capital Gains Chargeable at Special Rates u/s 111A
B. Long Term Capital Gains
Other assets where proviso under section 112(1) is not applicable
a. Full Value of consideration Less: Deduction u/s 48
i. Indexed cost of acquisition
ii. Indexed cost of Improvement -
iii. Expenditure on Transfer -
On Other than Shares & Mutual Funds
b. Long Term Capital Gains -
c. Exemption u/s 54/54B/54D/54EC/54ED/54F -
Income from Long Term Capital Gains -
Other assets where proviso under section 112(1) is applicable
a. Full Value of consideration - Less: Deduction u/s 48
i. Cost of acquisition without acquisition -
ii. Cost of Improvement without Indexation -
iii. Expenditure on Transfer -
b. Long Term Capital Gains -
c. Exemption u/s 54/54B/54D/54EC/54ED/54F -
Income from Long Term Capital Gains -
d. Income from Long Term Capital Gains
INCOME CHARGEABLE UNDER THE HEAD CAPITAL GAINS
16. INFORMATION ABOUT RECEIPT/ACCRUAL OF CAPITAL GAIN:
S.NO DATE UPTO 15/9/2009
1
- - - -
2
- - - -
3
- - - -
4
- - - -
17. INCOME CHARGEABLE TO INCOME TAX AT SPECIAL RATES:
S. NO SECTION CODE SPECIAL RATE INCOME TAX THEREON
16/09/2009 TO 15/12/2009
16/12/2009 TO 15/03/2010
16/03/2010 TO 31/03/2010
Long-term where proviso under Section 112(1) is exercised (Without indexation)-Code in SI Schedule is 22, Tax Rate is 10%;Enter only positive value from item B3e of Schedule CG AFTER loss adjustment under this category in Schedule CYLA and BFLA, if any.
Long-term where proviso under Section 112(1) is NOT exercised (With indexation)-Code in SI Schedule is 21, Tax Rate is 20%;Enter only positive value from item (B5-B3e) of Schedule CG AFTER loss adjustment under this category in Schedule CYLA and BFLA, if any.
Short-term under 111A-Code in SI Schedule is 1A, Tax Rate is 15%;Enter only positive value from item A7 of Schedule CG AFTER loss adjustment under this category in Schedule CYLA and BFLA, if any.
Short-term OTHERS-Tax at normal rates;Enter only positive value from item A8 of Schedule CG AFTER loss adjustment under this category in Schedule CYLA and BFLA, if any.
1 1A 15% -
2 22 10% -
3 21 20% -
4 5BB 30% -
TOTAL -
18. INCOME FROM OTHER SOURCES
A. Income other than from owning race horse(s):-
a. Dividends, Gross -
b. Interest, Gross
c. Other Income
Income other than from owning race horse(s):- -
INCOME CHARGEABLE UNDER THE HEAD OTHER SOURCES
19. BROUGHT FORWARD LOSS SET OFF
PARTICULARS
a. House Property -
b. Short-term Capital Gain -
c. Long term Capital Gain -
d. -
19. LOSS TO BE CARRIED FORWARD TO FUTURE YEARS
ASSESSMENT YEAR
2002-03
2003-04
2004-05
2005-06
2006-07
2007-08
2008-09
2009-10
20. DEDUCTIONS UNDER CHAPTER - VIA
a. Deduction U/s 80C -
b. Deduction U/s 80CCC -
c. Deduction U/s 80CCD -
BROUGHT FORWARD LOSSES OF EARLEIR YEARS
Other sources(profit from owning race horses but excluding winnings from Lottery)
DATE OF FILING ROI
HOUSE PROPERTY LOSS
SHORT TERM CAPITAL LOSS
LONG TERM CAPITAL LOSS
d. Deduction U/s 80D -
e. Deduction U/s 80G -
TOTAL OF DEDUCTION UNDER CHAPTER VIA
21.
S. NO NAME OF PERSON RELATIONSHIP
1
2
22. SCHEDULE ANNUAL INFORMATION RETURN:
S. NO CODE OF TRANSACTION AMOUNT
1 001
2 002
3 003
4 004
6 005
7 006
8 007
9 008
COMPUTATION OF NET TAX PAYABLE
23. Tax at normal rates -
24. Tax at special rates -
25. Tax Payable on total Income -
25. Education Cess -
26. Interest Payable U/s 234
a) U/s 234 A - -
b) U/s 234 B -
c) U/s 234 C -
27. Taxes Paid
a) Advance Tax Paid and Self Assessment Tax Paid
Name of Bank & Branch BSR Code Amount
1 - Input adv tax on or before 15.09.09
2 - Input adv tax on or before 15.12.09
3 Input adv tax on or before 15.03.10
4
TOTAL : -
b) Tax Deducted At Source (As per Form No. 16 issued by the employer)
INCOME OF SPECIFIED PERSONS INCLUDIBLE IN TOTAL INCOME OF THE ASSESSEE (INCOME OF MINOR CHILD TO BE INCLUDED AFTER RS. 1500 PER CHILD
PAN OF THE PERSON
NATURE OF INCOME
Sl.No
Date of Deposit(DD/MM/YYYY
Serial No. of Challan
0
0
- - - - -
TOTAL : -
b) Tax Deducted At Source (As per Form No. 16A issued by the deductee)
Total Taxes paid
28. BANK DETAILS
a. Name of the Bank
b. Select Type of account (Saving/Current) Saving
c. Bank Account Number
d. MICR Code
e. Do You Want Refund by Cheque or Directly deposit into your Account Direct Deposit into Account
29. DETAILS OF EXEMPT INCOME
a. Interest income
b. Dividend income
c.
d Others,including exempt income of minor child
Total
0
TAN of the
Employer
Name and address of the Employer
Income Chargeable u/h Salaries
Deduction under
Chapter VI-A
Tax Payable (including E
Cess)
Total tax deducted
Tax Payable/ refundable
TAN of the
Deductor
Name and address of the deductor
Amount Paid/ Credit
Date of Payment/ Credit
Total tax Deducted
Amount claimed for this year
Long-term capital gains on which Securities Transaction Tax is paid
INPUT SHEET - [ ITR - 2 ] A.Y. 2010 - 2011
`
PAN
Resident
-
-
-
-
-
On Shares & Mutual Funds
-
-
-
-
-
-
-
-
-
-
-
16/03/2010 TO 31/03/2010
-
OTHER SOURCES LOSS
-
AMOUNT
-
-
-
-
-
-
Input adv tax on or before 15.09.09
Input adv tax on or before 15.12.09
Input adv tax on or before 15.03.10
INCOME OF SPECIFIED PERSONS INCLUDIBLE IN TOTAL INCOME OF THE ASSESSEE (INCOME OF MINOR CHILD TO BE INCLUDED AFTER RS. 1500
-
-
PER
SO
NA
L I
NFO
RM
ATIO
N
Name
0Flat/Door/Block No
0Road/Street/Post Office
0Town/City/District
0
Designation of Assessing Officer (Ward/Circle)
CO
MP
UTA
TIO
N O
F I
NC
OM
E A
ND
TA
X T
HER
EO
N
1 Gross Total Income
2 Deductions Under Chapter VI-A
3 Total Income
3a Current Year Loss, (if any)
4 Net tax payable
5 Interest payable
6 Total tax and interest payable
7 Taxes paid
a Advance Tax
b TDS
c TCS
d Self Assessment Tax
e Total Taxes Paid (7a+7b+7c+
8 Tax Payable (6-7e)
9 Refund (7e-6)
Receipt No
Date
FO
RM
ITR-2
INDIAN INCOME TAX RETURN Assessment Year
[For Individuals and HUFs not having Income from Business or Profession]
2 0 1 0 - 1 1(Please see Rule 12 of the Income-tax Rules, 1962)
(Also see attached instructions)
Part A-GEN GENERAL 1 0
PER
SO
NA
L I
NFO
RM
ATIO
N
First Name Middle Name Last Name PAN
0 0
Flat /Door/Block No. Name of Premises/building/Village Status (Tick) √
0 0 √ Individual HUF
Road/Street/Post Office Area/Locality Date of Birth (DD/MM/YYYY)(in case of individual
0 0 30-Dec-99
Town/City/District State Pin Code Sex(in case of individual) (Tick) √
0 0 0 √ Male Female
Email Address (STD Code) - Phone Number Employer Category (if in employment)
0 0 Govt. PSU √ Others
FIL
ING
STA
TU
S
Designation of Assessing Officer (Ward/Circle) Return Filed Under Section 11
0 [Please see instruction number-9(I)]
Whether original or Revised return? (Tick) √ √ Original Revised
Residential Status (Tick) √ Resident Non-Resident Resident but not ordinarily Resident
Whether this return is being filed by a representative assessee? (Tick) Yes √ NoIf Yes, please furnish following information:-a Name of the representativeb Address of the representativec Permanent Account Number (PAN) of the representati
PART - BPart B - TI Computation of total income
TO
TA
L I
NC
OM
E
1 1 -
2 2 -
3 Capital gains
a Short Term
(i) 3ai -
(ii) 3aii -
(iii) 3aiii -
b 3b -
c 3c -
4 Income from other sources
a 4a -
b 4b -
c 4c -
5 Total (1+2+3c+4c) 5 -
Do not write or stamp in this area (Space for bar code) For Office Use only
Receipt No.
Date
Seal and Signature of receiving official
If revised, enter Receipt No and Date of filing original return
(DD/MM/YYYY)
Salaries (6 of Schedule S)
Income from house property (3c of Schedule HP) (enter nil if loss)
Short-term (u/s 111A) (enter nil, if loss) (A5 of Schedule CG)
Short-term (others) (A6 of Schedule CG)
Total Short-term (3ai +3aii) (A4 of Schedule CG)
Long-term (B5 of Schedule CG) (enter nil if loss)
Total capital gains (3aiii + 3b) (enter nil if 3c is a loss)
From sources other than from owning race horses and Winnings from Lottery (3 of Schedule OS)
from owning race horses (4c of Schedule OS) (enter nil if loss)
Total (a + b) (enter nil, if 4c is a loss)
6 6 -
7 7 -
8 8 - 9 9 -
10 10 - 11 11 - 12 12 -
13 13 -
14 14 -
Part B - TTI
CO
MP
UTA
TIO
N O
F T
AX
LIA
BIL
ITY
1 Tax payable on total incomea Tax at normal rates 1a - b 1b - c 1c -
2 2 - 3 3 - 4 Tax relief
a Section 89 4a - b Section 90 4b - c Section 91 4c -
d Total (4a + 4b + 4c) 4d - 5 Net tax liability (3 - 4d) 5 - 6 Interest Payable
a For default in furnishing the return (section 234A) 6a - b For default in payment of advance tax (section 234B) 6b - c For deferment of advance tax (section 234C) 6c - d Total Interest Payable (6a + 6b + 6c) 6d -
7 Aggregate liability (5 + 6d) 7 -
TA
XES
PA
ID
8 Taxes paida Advance Tax (from Schedule - IT) 8a - b
8b -
c Self Assessment Tax (from Schedule - IT) 8c d Total Taxes paid (8a + 8b + 8c) 8d -
9 Amount payable (enter if 7 is greater than 8d, else enter 0) 9 -
REFU
ND
10 Refund (if 8d is greater than 7, also give bank account details below) 10 -
11 Enter your bank account number (mandatory in case of refund) 0
12 Do you want your refund by Cheque, or √ deposited directly into your bank account ? (tick as applicable)
13 Give Additional Details of your bank account 0
MICR Code 0 Type of account (tick as applicable ) √ Savings Current
VERIFICATION
I, 0 Son of 0 holding permanent
account number 0 solemnly declare that to the best of my knowledge and belief, the information given in the
Place NEW DELHI Date Sign here
14 If the return has been prepared by a Tax Return Preparer(TRP) give further details as below:
Identification No. of TRP Name of TRP Counter Signature of TRP
If TRP is entitled for any reimbursement from the Government, amount thereof 15
Schedule S Details of Income from Salary
SA
LA
RIE
S
Name of Employer PAN of Employer (optional)
0 0
Address of employer Town/City State Pin Code
Lossess of current year set off against 5 (total of 2vi and 3vi of schedulce CYLA)
Balance after set off current year losses (5-6) (also total of column 4 of Schedule CYLA)
Brought forward losses set off against 7 (2vi of Schedule BFLA)
Gross Total income (7-8) (also 3vii of Schedule BFLA)
Deductions under Chapter VI-A (n of Schedule VIA)
Total income (9-10)
Net agricultural income / any other income for rate purpose (4 of Schedule EI)
Aggregate income' (11 + 12)
Losses of current year to be carried forward (total of row xi of Schedule CFL)
Computation of tax liability on total income
Tax at special rates (11 of Schedule SI)Tax payable on total income (1a + 1b)
Education Cess including Secondary & Higher Education Cess on 1cGross tax liability (1c + 2 )
TDS (total of column 7 of Schedule - TDSI and column 7 of schedule - TDS2
return and schedules thereto is correct and complete and that the amount of total income/fringe benefits and other particulars shown there are truly stated and are in accordance with the provisions of the Income Tax Act, 1961, in respect of, income & fringe benefits chargeable to Income tax for the previous year relevant to Assessment Year 2010-2011
SA
LA
RIE
S
0 0 0 0
11 -
2 2 -
3 3 -
4 4 -
5 5 -
6 Income chargeable under the Head 'Salaries' (1+3+4+5) 6 -
Schedule HP
HO
US
E P
RO
PER
TY
1 Address of property 1 Town / City State PIN Code
0 0 0 0
(Tick) If let out Name of Tenant PAN of Tenant (optional)
a1a
-
b The amount of rent which cannot be realized 1b -
c Tax paid to local authorities 1c -
d Total (1b + 1c) 1d -
e Balance (1a - 1d) 1e -
f 30% of 1e 1f -
g Interest payable on borrowed capital 1g -
h Total (1f + 1g) 1h -
i Income from house property 1 (1e-1h) 1i -
2 Address of property 2 Town / City State PIN Code
0 0 0 0
(Tick) If let out Name of Tenant PAN of Tenant (optional)
0
a2a
-
b The amount of rent which cannot be realized 2b - c Tax paid to local authorities 2c -
d Total (2b + 2c) 2d -
e Balance (2a - 2d) 2e -
f 30% of 2e 2f -
g Interest payable on borrowed capital 2g -
h Total (2f + 2g) 2h -
i Income from house property 2 (2e-2h) 2i -
3 Income under the head "Income from house property"
a Rent of earlier years realized under section 25A/AA 3a -
b Arrears of rent received during the year under section 25B after deducting 30% 3b -
c Total (3a + 3b + 1i + 2i) 3c - NOTE Please including the income of the specified persons referred to in schedule SPI while computing the income under this head
Schedule CG Capital Gains
CA
PIT
AL G
AIN
S
A Short-term capital gain
1 From assets in case of non-resident to which first proviso to section 48 applicable 1 2 From assets in case of others
a Full value of consideration 2a - b Deductions under section 48
i Cost of acquisition bi - ii Cost of Improvement bii - iii Expenditure on transfer biii - iv Total (i+ii+iii) biv -
c Balance (2a - biv) 2c -
d2d -
e Deduction under section 54B/54D 2e -
f Short-term capital gain (2c + 2d - 2e) 2f -
3A3 -
4 Total short term capital gain (1+2f+A3) A4 -
5 Short term capital gain under section 111A included in 4 A5 -
6 Short term capital gain other than referred to in section 111A (A4-A5) A6 - B Long term capital gain
1 Asset in case of non-resident to which first proviso to section 48 is applicable 1 -
Salary (Exculding all exempt/non-exempt allowances, perquisites & profit in lieu of salary as they are shown separately below)
Allowances exempt under section 10 (Not to be included in 6 below)
Allowances not exempt (refer Form 16 from employer)
Value of perquisites (refer Form 16 from employer)
Profits in lieu of salary (refer Form 16 from employer)
Details of Income from House Property (Please refer to instructions)
Annual letable value/rent received or receivable (higher if let out for whole of the year, lower if let out for part of the year)
Annual letable value/rent received or receivable (higher if let out for whole of
the year, lower if let out for part of the year
Loss, if any, to be ignored u/s. 94(7) or 94(8) (enter positive values only)
Amount deemed to be short term capital gains under sections 54B/54D/54EC/54ED/54G/ 54GA
CA
PIT
AL G
AIN
S2 Assets in case of others where proviso to section 112(1) is not exercised
a Full value of consideration 2a - b Deductions under section 48
i Cost of acquisition after indexation bi -
ii Cost of Improvement after indexation bii - iii Expenditure on transfer biii - iv Total (bi+bii+biii) biv -
c Balance (2a - biv) 2c -
d
2d - e Net balance (2c - 2d) 2e -
3 Assets in case of others where proviso under section 112(1) is exerciseda Full value of consideration 3a -
b Deductions under section 48
i Cost of acquisition without indexation bi -
ii Cost of Improvement without indexation bii -
iii Expenditure on transfer biii - iv Total (bi+bii+biii) biv -
c Balance (3a - biv) 3c - d Deductions under sections 54/54B/54D/54EC/54F 3d -
e Net balance (3c - 3d) 3e -
4 Amount deemed to be long term capital gains under sections 54/54B/54D/54EC/54ED/5 B4 -
5 B5 -
C C - D Information about accrual / receipt of capital gain
Date Upto 15/9 16/9 to 15/12 16/12 to 15/3 16/3 to 31/3
(i) (ii) (iii) (iv)
1
- - - -
2
- - - -
3
- - - -
4
- - - -
NOTE: Please include the income of the specified persons referred to in schedule SPI while computing the income under this head
Schedule OS Income from Other Sources
INC
OM
E F
RO
M O
TH
ER
SO
UR
CES
1 Income
a Dividends, Gross 1a -
b Interest, Gross 1b -
c Rental income from machinery, plants, buildings, 1c - d 1d -
e Total (1a + 1b + 1c + 1d) 1e -
f Deductions under section 57:-
i Expenses/Deduction fi -
ii Depreciation fii -
iii Total fiii - g Balance (1e - fiii) 1g -
2 Winnings from lotteries, crossword puzzles, races, etc., 2 -
3 3
- 4 Income from owning and maintaining race horses
a Receipts 4a -
b Deductions under section 57 in relation to (4) 4b -
c Balance (4a - 4b) 4c -
5 5 -
Deductions under sections 54/54B/54D/54EC/54F/ 54G/ 54GA
Total long term capital gain [(1+2e (enter 2e as nil if loss) + 3e (enter 3e as nil if loss) + 4)]
Income chargeable under the Head "CAPITAL GAINS" (A4 + B5) (enter B5 as nil if loss)
Long-term where proviso under Section 112(1) is exercised (Without indexation)-Code in SI Schedule is 22, Tax Rate is 10%;Enter only positive value from item B3e of Schedule CG AFTER loss adjustment under this category in Schedule CYLA and BFLA, if any.
Long-term where proviso under Section 112(1) is NOT exercised (With indexation)-Code in SI Schedule is 21, Tax Rate is 20%;Enter only positive value from item (B5-B3e) of Schedule CG AFTER loss adjustment under this category in Schedule CYLA and BFLA, if any.
Short-term under 111A-Code in SI Schedule is 1A, Tax Rate is 15%;Enter only positive value from item A7 of Schedule CG AFTER loss adjustment under this category in Schedule CYLA and BFLA, if any.
Short-term OTHERS-Tax at normal rates;Enter only positive value from item A8 of Schedule CG AFTER loss adjustment under this category in Schedule CYLA and BFLA, if any.
Others, Gross (excluding income from owning race horses)
Income from other sources (other than from owning race horses and winnings from Lottery) (1g+2) (enter 1g as nil, if loss)
Income chargeable under the head "income from other sources: (3+4c) (enter 4c as nil if loss and take 4c loss figure to Schedule CFL)
INC
OM
E F
RO
M O
TH
ER
SO
UR
CES
5 5 -
NOTE: Please include the income of the specified persons referred to in schedule SPI while computing the income under this head
Schedule CYLA Details of Income after Set off of current year losses
CU
RR
EN
T Y
EA
R L
OS
S A
DJU
STM
EN
T
Head/Source of income
Total loss (3 of Schedule-OS)
1 2 3 4=1-2-3Loss to be adjusted
i Salaries - - - - ii House Property - - - iii Short-term Capital gain - - - -
iv Long term Capital gain - - - - v
- - -
vi Total loss set off - -
vii Loss remaining after set-off out of 2 & 3 - -
Schedule BFLA Details of Income after set off of Brought Forward Losses of earlier years
BR
OU
GH
T F
OR
WA
RD
LO
SS
AD
JUS
TM
EN
T
Head/Source of Income Brought forward loss set off
1 2 3i Salaries - - -
ii House Property - - - iii Short-term Capital Gain - - - iv Long term Capital Gain - - - v
- - -
vi Total of brought forward loss set off -
vii Current year's income remaining after set off total (i3 + ii3 + iii3 + iv3 + v3) -
Schedule CFL Details of Losses to be carried forward to future years
CA
RR
Y F
OR
WA
RD
OF L
OS
S
Assessment year House property loss
(DD/MM/YYYY)
i 2002-03 30-Dec-99 - - - ii 2003-04 30-Dec-99 - - - iii 2004-05 30-Dec-99 - - -
iv 2005-06 30-Dec-99 - - - v 2006-07 30-Dec-99 - - - - vi 2007-08 30-Dec-99 - - - - vii 2008-09 30-Dec-99 - - - - viii 2009-10 30-Dec-99 - - - - ix Total of earlier year
- - - -
lossesx Adjustment of above
- - - -
losses in schedule BFLAxi 2010-11 (current
- - - -
year losses)xii Total loss carried
- - - - forward to futureyears
Schedule VIA Deductions under Chapter VI-A (Section)
TO
TA
L D
ED
UC
TIO
NS
a 80C - h 80G -
b 80CCC - I 80GG -
c 80CCD - j 80GGA -
d 80D - k 80GGC -
e 80DD - l 80RRB -
f 80DDB - m 80U -
g 80E
n Total deductions (total of a to m) n -
Schedule SPI Income of specified persons (spouse, minor child etc) includable in income of the assessee ( income of minor child to be included after Rs 1,500 per child )
Income chargeable under the head "income from other sources: (3+4c) (enter 4c as nil if loss and take 4c loss figure to Schedule CFL)
Sl No.
Income of current year
(Fill this column only if income
is zero or positive)
House property loss of the current year set off
Other sources loss (other than loss from race
horses) of the current year set off
Current year's Income remaining after set off
Total loss (3c of Schedule - HP)
Other sources(incl profit from owning race horses but excluding winnings from lottery)
Sl No
Income after set off, if any, of current year's losses as per 4 of Schedule CYLA
Current year's Income remaining after set off
Other sources( profit from owning race horsesbut excluding winnings from Lottery)
Date of Filing Short-term Capital loss
Long Term Capital loss
Other sources loss (from owning race
horses)
Sl. No. Name of person PAN of person (optional) Relationship Nature of Income Amount(Rs.)
1 0 0 0 0 -
2 0 0 0 0 -
Schedule SI
SP
EC
IAL R
ATE
Section CodeSpecial rate (%)
1 1A 15 - - 6
2 22 10 - - 7 3 21 20 - - 8 4 5BB 30 - - 9
5 10
11 Total (1 ii to 10 ii) - 1 0 0 0 0 0 0 0 0 0
Schedule EI Details of Exempt Income (Income not to be included in Total Income)
EX
EM
PT I
NC
OM
E 1 Interest income 1 -
2 Dividend Income 2 - 3 Long-term capital gains on which Securities Transaction Tax is paid 3 - 4 Net Agriculture income/any other Income for rate purpose 4 -
5 Others, including exempt income of minor child 5 -
6 Total (1+2+3+4+5) 6 -
Schedule AIRSl Code of Transaction Amount (Rs.) Sl No Code of Transaction Amount(Rs.)1 001 - 5 005 - 2 002 - 6 006 - 3 003 - 7 007 - 4 004 - 8 008 -
0 0 0 0
Schedule IT Details of advance Tax and Self assessment Tax payments of Income-tax
TA
X P
AY
MEN
TS Name of Bank & Branch BSR Code Amount (Rs.)
(i) 0 0 30-Dec-99 0 -
(ii) 0 0 30-Dec-99 0 - (iii) 0 0 30-Dec-99 0 - (iv) 0 0 30-Dec-99 0 - Note: Enter the totals of Advance tax and Self Assessment Tax in Sl. No. 8a & 8c of Part B-TTI
Schedule TDS1 Details of Tax deducted at source from Salary [As per Form 16 issued by Employer(s)]
TD
S O
N S
ALA
RY
Name and address of the Employer
(1) (2) (3) (4) (5) (6) (7) (8)
(i)
0
0
- - - - -
(ii)
Schedule TDS2 Details of Tax Deducted at Source on Interest [As per Form 16A issued by Deductor(s)]
TD
S O
N O
TH
ER
IN
CO
ME
Name and Address of the Deductor Amount paid
(1) (2) (3) (4) (5) (6) (7)(i)
0
0
- 30-Dec-99 - - 0
(ii)0
0
- 30-Dec-99 - - 0
(iii)
0
0
- 30-Dec-99 - - 0
(iv)
0
0
- 30-Dec-99 - - 0
Note: Please Enter the total of column 7 of Schedule - TDS1 and column 7 of Schedule - TDS2 in 8(b) of Part B-TTI
Income chargeable to Income tax at special rates [Please see instruction No.9(iii) for section code and rate of tax]Sl No.
Special rate (%)
Income i
Tax thereon ii
Sl No
Section Code
Income i
Tax thereon ii
Other Information (transactions reported through Annual Information Return) [Please see instruction No-9(ii) for code]
Sl No
Date of Deposit (DD/MM/YYYY)
Serial Number of Challan
Sl No
Tax Deduction Account Number
(TAN) of the Employer
Income Chargeable under the
head Salaries
Duduction under
Chapter VI-A
Tax payable (including education
cess)
Total Tax Deducted
Tax payable/ refundabl
e
Sl No
Tax Deduction Account Number(TAN) of the
Deductor
Date of Payment /
Credit
Total Tax Deducted
Amount out of (6) claimed for this
year