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PART A - GENERAL
PARTB - TI - TTI
PartB-TI,PartB-TTI,Verification
IT
Tax Payments
TDS
TCS
SALARY
Schedule S
HOUSE_PROPERTY
8
9
CG
Schedule HP
Schedule CG
10
CYLA-BFLA
Schedule OS
Schedule CYLA, Schedule BFLA
11
CFL
ScheduleCFL
12
13
80G
14
SPI - SI
15
EI
16
PTI
Schedule
Schedule
Schedule
Schedule
Schedule
17
18
19
20
OS
VIA
FSI
80G
VIA
SPI, Schedule SI
EI
PTI
Schedule FSI
TR_FA
AL
Schedule AL
SCH5A
Schedule 5A
Description
Click on applicable links to navigate to the respective sheet / schedule.
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
FORM
ITR-2
Middle Name
ANUJ
Last Name
BHARGAV
PAN
AAAPB1234E
Status (I-Individual, H-HUF)
I - Individual
Road / Street / Post Office
Date of Birth
DD/MM/YYYY
Area / Locality
DELHI
Town/City/District
19/05/1889
State
DELHI
Email Address-2
Mobile No 1
ANUJ@GMAIL.COM
7507438160
(Select)
M-Male
Country
Pincode
91-INDIA
09-DELHI
Email Address-1 (self)
Sex
(Std code)
Phone
Number
110052
Mobile No 2
Employer Category
OTH
11 - On Or BeforeDueDt 139(1)
TUS
No
Original
FILING STATUS
Notice No (Where the original return filed was defective and a notice is
issued to the assessee to file a fresh return Sec 139(9)
If filed, in response to a notice u/s 139(9)/142(1)/148/153A/153C enter
date of such notice
Whether this return is being filed by a representative assessee? If yes, please furnish following information
a
Residential Status
RES-Resident
No
Part B - TI
1
2
3
Computation of total income . PLEASE NOTE THAT CALCULATED FIELDS (IN WHITE) ARE PICKED UP FROM OTHER SCHEDULES AN
ENTERED. For ex : The income figures below will get filled up when the Schedules linked to the Income are filled.
Salaries (7 of Schedule S)
Income from house property (C of Schedule-HP) (Enter nil if loss)
Capital gains
a
Short term
i
Short-term chargeable (15%) 7(ii) of Table E of Schedule CG)
ii
Short-term chargeable (30%) 7(iii) of Table E of Schedule CG)
iii
Short-term (Applicable Rate) 7(iv) of Table E of Schedule CG)
TOTAL INCOME
iv
i
ii
iii
5
6
7
8
9
10
11
12
13
14
d
Total (4a+4b+4c) (enter nil if loss)
Total (1+2+3c+4d)
Losses of current year set off against 5 (total of 2xi and 3xi of Schedule CYLA)
Balance after set off current year losses (5-6) (also total of column 4 of Schedule CYLA +4b)
Brought forward losses set off against 7 (2x of Schedule BFLA)
Gross Total income (7-8)(3xi of Schedule BFLA +4b )
Income chargeable to tax at special rate under section 111A, 112 etc. included in 9
Deductions under Chapter VI-A [q of Schedule VIA and limited to (9-10)]
Total income (9 - 11)
Income which is included in 12 and chargeable to tax at special rates (total of (i) of schedule SI)
Net agricultural income/ any other income for rate purpose (4 of Schedule EI)
1
2
3ai
3aii
3aiii
0
0
0
3aiv
3bi
3bii
3biii
0
0
0
0
3c
4a
4b
4c
0
0
0
4d
5
6
7
8
9
10
11
12
13
14
15 Aggregate income (12-13+14) [applicable if (12-13) exceeds maximum amount not chargeable to tax]
16 Losses of current year to be carried forward (total of xi of Schedule CFL)
Part B - TTI
TAXES PAID
15
16
d
Tax Payable on Total Income (1a+1b-1c)
2 Rebate under section 87A (applicable for resident and if 12 of Part B-TI does not exceed 5 lakh)
3 Tax payable (1d-2)
4 Surcharge on 3 (applicable if 12 of Part B-TI exceeds 1 crore)
5 Education Cess, including secondary and higher education cess, on (3 + 4)
6 Gross tax liability (3+4+5)
7 Tax relief
a
Section 89
b
Section 90/90A (2 of Schedule TR)
c
Section 91 (3 of Schedule TR)
d
Total (7a+7b+7c)
8 Net tax liability (6 7d) Enter 0 if negative
9 Interest payable
a
For default in furnishing the return (section 234A)
b
For default in payment of advance tax (section 234B)
c
For deferment of advance tax (section 234C)
d
Total Interest Payable (9a+9b+9c)
10 Aggregate liability (8 + 9d)
11 Taxes Paid
a
Advance Tax (from column 5 of 18A)
b
TDS (total of column 5 of 18B and column 8 of 18C)
c
TCS (total of column 5 of 18D)
1a
1b
1c
0
0
0
1d
2
3
4
5
6
7a
7b
7c
0
0
0
7d
8
9a
9b
9c
0
0
0
9d
10
11a
11b
11c
0
0
0
TAXES PAID
11d
e
Total Taxes Paid (11a+11b+11c+11d)
12 Amount payable (Enter if 10 is greater than 11e, else enter 0)
13 Refund (If 11e is greater than 10) (Refund, if any, will be directly credited into the bank account)
11e
12
13
14 Details of all Bank Accounts held in India at any time during the previous year (excluding dormant accounts)
Total number of savings and current bank accounts held by you at any time during the previous year (excluding dormant accounts). Provide the details below.
Bank Account in which refund, if any, shall be credited
Sl.No
1
SBIN0001234
Other Bank account details
Sl.No
Account Number
0012134567956
Name of the Bank
Type
SAVINGS
Account Number
Type
2
3
4
(Select)
(Select)
(Select)
(Select)
(Do Not Delete Blank Rows)
15 Do you have at any time during the previous year,(i) hold, as beneficial owner, beneficiary or otherwise, any asset (including financial interest in any entity) located outside India or
(ii) ) have signing authority in any account located outside India or
(iii) have income from any source outside India?
[applicable only in case of a resident]
[Ensure Schedule FA is filled up if the answer is Yes ]
15
VERIFICATION
I,
ANUJ BHARGAV
son/ daughter of
solemnly declare that to the best of my knowledge and belief, the information given in the return and the schedules thereto is correct and complete and that the amount of total income/ fring
particulars shown therein are truly stated and are in accordance with the provisions of the Income-tax Act, 1961, in respect of income and fringe benefits chargeable to Income-tax for the pr
to the assessment year 2016-17.
Place
DELHI
PAN
AAAPB1234E
(Date)
16 If the return has been prepared by a Tax Return Preparer (TRP) give further details below:
Identification No. of TRP
Name of TRP
If TRP is entitled for any reimbursement from the Government, amount thereof
17
02/05/2016
ED FIELDS (IN WHITE) ARE PICKED UP FROM OTHER SCHEDULES AND ARE NOT TO BE
n the Schedules linked to the Income are filled.
200000
0
0
200000
0
200000
0
200000
0
#VALUE!
#VALUE!
#VALUE!
0
#VALUE!
0
0
#VALUE!
#VALUE!
0
#VALUE!
#VALUE!
0
#VALUE!
0
#VALUE!
0
#VALUE!
#VALUE!
counts)
Type of Account
SAVINGS
Type of Account
(Select)
(Select)
(Select)
(Select)
e Blank Rows)
(Select)
N
UMESH BHARGAV
es thereto is correct and complete and that the amount of total income/ fringe benefits and other
, in respect of income and fringe benefits chargeable to Income-tax for the previous year relevant
02/05/2016
18 A
TAX
PAYMENTS
BSR Code
Date of Deposit
(DD/MM/YYYY)
Serial Number of
Challan
Amount (Rs)
2
If no entry is made in this
column, then columns (3) to (5)
will not be considered for that
row
1
2
3
4
5
6
Total
NOTE
Enter the totals of Advance tax and Self-Assessment tax in Sl No. 11a & 11d of Part B-TTI
18 B
Details of Tax Deducted at Source from SALARY [As per FORM 16 issued by Employer(s)]
Sl No
Income chargeable
under Salaries
Total tax
deducted
1
2
3
4
Total
18 C
Details of Tax Deducted at Source on Income [As per FORM 16 A issued by Deductor(s)
Sl No
Name of Deductor
2
If no entry is made in this column,
then columns (3) to (7) will not be
considered for that row
1
2
3
4
Amount b/f
6
In own hands
8
(Select)
(Select)
(Select)
(Select)
Total
18 C
Details of Tax Deducted at Source (TDS) on Sale of Immovable Property u/s 194IA (For seller of property) As per Form 26QB]
Sl No
2
If no entry is made in this column,
then columns (3) to (7) will not be
considered for that row
1
2
3
4
Amount b/f
6
In own hands
8
(Select)
(Select)
(Select)
(Select)
Total
te blank rows)
Form 26QB]
10
0
0
0
0
te blank rows)
10
0
0
0
0
18 D
SI.No
(1)
1
2
3
4
Note
Details of Tax Collected at Source [As per Form 27D issued by the Collector(s)]
Tax Collection Account
Number of the Collector
(2)
Tax
Collected
(3)
(4)
Total
PLEASE ENTER TOTAL OF COLUMN (5) OF TCS IN 11C OF PART B-TTI
(Do not delete blank rows)
(s)]
TTI
(5)
(6)
Schedule S
Details of Income from Salary (Fields marked in RED should not be left Blank)
Name of Employer
Address of employer
State
1 Salary (Excluding all exempt/ non-exempt allowances, perquisites & profit in lieu of salary as they are shown separate
2 Allowances exempt under section 10 (Not to be included in 7 below)
i
Travel concession/assistance received [(sec. 10(5)]
ii
Tax paid by employer on non-monetary perquisite [(sec. 10(10CC)]
iii
Allowance to meet expenditure incurred on house rent [(sec. 10(13A)]
iv
Other allowances
3 Allowances not exempt (refer Form 16 from employer)
4 Value of perquisites (refer Form 16 from employer)
5 Profits in lieu of salary (refer Form 16 from employer)
6 Deduction u/s 16 (Entertainment allowance by Government and tax on employment)
7 Income chargeable under the Head Salaries (1 + 3 + 4 + 5 - 6)
Total
s of Income from Salary (Fields marked in RED should not be left Blank)
(Select)
xempt/ non-exempt allowances, perquisites & profit in lieu of salary as they are shown separately below)
der section 10 (Not to be included in 7 below)
ion/assistance received [(sec. 10(5)]
2i
mployer on non-monetary perquisite [(sec. 10(10CC)]
2ii
meet expenditure incurred on house rent [(sec. 10(13A)]
2iii
2iv
t (refer Form 16 from employer)
efer Form 16 from employer)
(refer Form 16 from employer)
rtainment allowance by Government and tax on employment)
der the Head Salaries (1 + 3 + 4 + 5 - 6)
Pin code
1
180000
3
4
5
6
7
20000
10800
200000
200000
SCH HP Details of Income from House Property (Fields marked in RED must not be left Blank)
ADDRESS OF PROPERTY
(NOTE : DO NOT LEAVE
ADDRESS BLANK )
Town/ City
KESAM
State
PIN Code
(Select)
(Select)
S.No
1
2
3
4
5
Type of House Property ?
(Select)
S.No
Name of Tenant
1
2
a
b
c
d
e
f
g
h
30% of f
Interest payable on borrowed capital
Total (g + h)
0
e
f
0
ADDRESS OF PROPERTY
(NOTE : DO NOT LEAVE
ADDRESS BLANK )
Town/ City
State
PIN Code
(Select)
Is the property co-owned?
(Select)
S.No
1
2
3
4
5
Type of House Property ?
(Select)
S.No
Name of Tenant
1
2
a
b
c
d
e
f
g
h
30% of f
Interest payable on borrowed capital
Total (g + h)
0
e
f
0
j
A
j
A
B
C
Arrears of rent received during the year under section 25B after deducting 30%
Total (A + B + Total of (j) for all properties above) (if negative take the figure to 2i of schedule CYLA)
B
C
0
0
0
0
Schedule CG
Capital Gains
A Short-term Capital Gains (STCG) (Items 3 , 4 and 7 are not applicable for residents)
1
CAPITAL GAINS
c
d
e
2
ai
ii
aii
iii
Full value of consideration adopted as per section 50C for the purpose of Capital Gains (ai or aii)
aiii
bi
bii
iii
biii
iv
biv
1c
1d
(i) From sale of equity share or unit of equity oriented Mutual Fund (MF) or unit of a business trust on which STT is paid under section 111A
ia Full value of consideration
ib Deductions under section 48
i
Cost of acquisition without indexation
ii
Cost of Improvement without indexation
iii
iv
2ia
bi
bii
biii
ibiv
ic
2ic
id
Loss to be disallowed u/s 94(7) or 94(8)- for example if asset bought/acquired within 3 months prior to record date and dividend/income/bonus units are received, then loss arising out of sale of
such asset to be ignored (Enter positive value only)
2id
ie
Short-term capital gain on equity share or equity oriented MF or unit of a business trust (STT paid) u/s 111A [for others] (2c +2d)
(ii) From sale of equity share or unit of equity oriented Mutual Fund (MF) or unit of a business trust on which STT is paid u/s 115AD(1)(b)(ii) [for Foreign Institutional Investors]
iia Full value of consideration
iib Deductions under section 48
i
Cost of acquisition without indexation
ii
Cost of Improvement without indexation
iii
Expenditure wholly and exclusively in connection with transfer
iv
Total ( i + ii + iii)
iic Balance (2a 2biv)
2iia
bi
bii
biii
iibiv
2iic
iid Loss to be disallowed u/s 94(7) or 94(8)- for example if asset bought/acquired within 3 months prior to record date and dividend/income/bonus units are received, then loss arising out of sale of
such asset to be ignored (Enter positive value only)
iie
5
Short-term capital gain on equity share or equity oriented MF or unit of a business trust (STT paid) u/s 115AD(1)(b)(ii) [for Foreign Institutional Investors] (2iic +2iid)
2iid
5a
bi
bii
biii
biv
5c
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 prior to record date and dividend/income/bonus units are received,
then loss arising out of sale of such asset to be under (Enter positive value only)
5d
a Whether any amount of unutilized capital gain on asset transferred during the previous years shown below was deposited in the Capital Gains Accounts Scheme within due date for that year? If yes, (Select)
then provide the details below
Previous year in
which asset
transferred
Sl.
i
ii
1
2
2012-13
2013-14
(Select)
(Select)
54B
(Select)
iii
Full value of consideration adopted as per section 50C for the purpose of Capital Gains
(ai or aii)
Deductions under
section 48
ai
aii
aiii
b
i
ii
iii
iv
c
bi
bii
biii
biv
1c
di
dii
diii
div
dv
1d
2a
bi
bii
biii
biv
2c
di
dii
2d
From sale of, (i) listed securities(other than a unit) or zero coupon bonds where proviso under section 112(1) is applicable
ia Full value of consideration
ib Deductions under section 48
i
Cost of acquisition without indexation
Cost of improvement without indexation
ii
Expenditure wholly and exclusively in connection with transfer
iii
iv
Total (bi + bii +biii)
ic Balance (3a biv)
di Deduction under sections 54EC(Specify details in item D below)
dii Deduction under sections 54F(Specify details in item D below)
id Deduction under sections 54EC/54F(Specify details in item D below)
3ia
bi
bii
biii
ibiv
3ic
di
dii
3id
ie
3iia
bi
bii
biii
iibiv
3iic
di
dii
3iid
7a
bi
bii
biii
biv
7c
di
dii
7d
a Whether any amount of unutilized capital gain on asset transferred during the previous years shown below was deposited in the Capital Gains Accounts Scheme within due date for that year? If yes, (Select)
then provide the details below
New asset acquired/constructed
Section under which
Amount not used for new
Previous year in
deduction claimed in
asset or remained
which asset
that year
Year in which asset
Amount utilised out of
unutilized in Capital gains
transferred
acquired/constructed
Capital Gains account
account (X)
Sl.
i
ii
1
2
2012-13
2013-14
(Select)
(Select)
54B
(Select)
1
2
3
4
5
6
Amount deposited in
Capital Gains Accounts
Scheme before due date
(Select)
(Select)
(Select)
(Select)
(Select)
(Select)
c
2
1c
E Set-off of current year capital losses with current year capital gains (excluding amounts included in A7 & B9 which is chargeable under DTAA)
SI.
i
ii
Short term
capital gain
Curre
rem
15%
30%
applicable rate
10%
20%
iii
iv
v
vi
vii
Short term
capital gain
30%
applicable rate
10%
20%
Long term
capital gain
Total loss set off
(ii + iii + iv + v + vi)
Upto 15/9
(i)
16/9 to 15/12
(ii)
4
5
NOTE Please include the income of the specified persons referred to in Schedule SPI while computing the income under this head
0
0
A1e
A2ie
111A
0
0
0
0
A2iie
0
0
A5e
A6
A8
0
0
(Select)
0
0
0
B1e
B2e
0
0
0
0
B3ie
B3iie
B7e
0
0
0
0
(Select)
B8
B10
C
0
0
0
0
0
0
0
16/3 to 31/3
(iv)
16/12 to 15/3
(iii)
Sch OS
OTHER SOURCES
Dividends, Gross
Interest, Gross
1a
1b
c
d
1c
1d
Others, Gross (excluding income from owning race horses) (Fill up the Source and the Income Below).
Note: For source other than the available Section Codes in Sl no 3 dropdown and Sl no1, Pl enter
Source
description in Sl no 2 below. Note: Do not enter amount without
selecting Section Code/Filling
(i)
Description. 1st coumn is mandatory.
1
5BB-Winnings from lotteries, crossword puzzles etc.
2
3
(Select)
4
(Select)
5
(Select)
Total
Income
(ii)
e
f
1fi
ii
Any other income chargeable to tax at the rate specified under chapter XII/XII-A
1fii
1fiv
1g
Deductions under section 57 (other than those relating to income under 1fi, 1fii & 1fiii for non-residents)
i Expenses / Deductions
ii Depreciation
iii Total
hi
hii
hiii
i
2
3
Income from other sources (other than from owning race horses and amount chargeable to tax at special rate) (1g hiii)
schedule CYLA)
Income from other sources (other than from owning race horses) (1fiv + 1i) (enter1i as nil, if negative)
Income from the activity of owning and maintaining race horses
a Receipts
b Deductions under section 57 in relation to (3)
c
Balance (3a 3b) if negative, take figure to 6xi of Sch CFL
Income under the head Income from other sources (2 + 3c) (take 3c as nil if negative)
NOTPlease include the income of the specified persons referred to in Schedule SPI while computing the income under this head
3a
3b
1e
ad
1i
3c
Schedule CYLA
Sl.No
ii
iii
iv
v
vi
vii
viii
ix
xi
xii
Salaries
House property
Short-term capital gain taxable @ 15%
Short-term capital gain taxable @ 30%
Short-term capital gain taxable @ applicable rates
Long term capital gain taxable @ 10%
Long term capital gain taxable @ 20%
Other sources (excluding profit from owning race
horses and amount chargeable to special rate of tax)
i
ii
Current years
Income remaining
after set off
0
4=1-2-3
200000
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
200000
0
0
0
0
0
0
Sl.
No.
LOSS ADJUSTMENT
Salaries
House property
Details of Income after Set off Brought Forward Losses of earlier years
Income after set off, if any, of
current years losses as per
col. 4 of Schedule CYLA
Current years
income remaining
after set off
200000
0
200000
0
iii
iv
v
vi
vii
viii
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
ix
xi
200000
Schedule CFL
Sl.
No.
Assessment Year
Date of Filing
(DD/MM/ YYYY)
House
property loss
Short-term
capital loss
Long-term
Capital loss
2008-09
ii
2009-10
iii
2010-11
iv
2011-12
2012-13
vi
2013-14
vii
2014-15
viii
2015-16
ix
Adjustment of above
losses in ScheduleBFLA
xi
xii
0
0
Schedule 80G
Address
City or Town or
District
1
2
3
4
State Code
PinCode
PAN of Donee
Eligible Amount of
Donation
Amount of donation
(Select)
(Select)
(Select)
(Select)
0
0
0
0
Total 80GA
Address
City or Town or
District
1
2
3
4
State Code
PinCode
PAN of Donee
Eligible Amount of
Donation
Amount of donation
(Select)
(Select)
(Select)
(Select)
0
0
0
0
Total 80GB :
Address
City Or Town Or
District
State Code
PinCode
PAN of Donee
Amount of donation
Eligible Amount of
Donation
1
2
3
4
(Select)
(Select)
(Select)
(Select)
0
0
0
0
Total 80GC :
#VALUE!
State Code
PinCode
PAN of Donee
Eligible Amount of
Donation
Amount of donation
(Select)
(Select)
(Select)
(Select)
Total 80GD
0
0
0
0
0
#VALUE!
#VALUE!
TOTAL DEDUCTIONS
Schedule VI-A
System Calculated
80C
80CCC
c(i)
80CCD(1)
c(i)
c(ii)
80CCD(1B)
c(ii)
c(iii)
80CCD(2)
c(iii)
80CCG
80D
#VALUE!
80DD
80DDB
80E
80G
#VALUE!
#VALUE!
80GG
#VALUE!
80GGA
80GGC
80QQB
80RRB
80TTA
80U
#VALUE!
#VALUE!
Sch SPI
Income of specified persons (spouse, minor child etc) includable in income of the assessee (income of the minor child, in excess of Rs. 1,500 per child, to be included)
Sl No
Name of person
Relationship
Nature of Income
Amount (Rs)
1
2
3
4
5
6
Total
Sch SI
Income chargeable to tax at special rates (please see instructions No. 9 for rate of tax)
SPECIA
L RATE Sl
No
Section
code (Serial nos other than Sl no 1,2 are
autofilled)
Income
i
15
#VALUE!
#VALUE!
20
#VALUE!
#VALUE!
10
#VALUE!
#VALUE!
10
Special rate
(%)
10
11
30
30
15
20
20
12
13
14
15
16
20
17
10
18
10
19
20
22
24
10
10
10
20
10
20
21
23
10
25
26
27
30
28
30
20
29
30
31
20
10
#VALUE!
#VALUE!
EXEMPT INCOME
Schedule EI
Interest income
Dividend income
Long-term capital gains from transactions on which Securities Transaction Tax is paid
Gross Agricultural receipts (other than income to be excluded under rule 7A, 7B or
8 of I.T. Rules)
i
ii
ii
iii
iv Net Agricultural income for the year (i ii iii) (enter nil if loss)
Total (1+2+3+4+5)
Schedule PTI
Pass Through Income details from business trust or investment fund as per section 115UA, 115UB
Name of business trust/ investment
fund
Sl.
Sl.
Head of income
House property
ii
Capital Gains
a
b
Short term
Long term
NOTE
u/s
u/s
u/s
i
ii
House property
Capital Gains
a Short term
b Long term
iii Other Sources
iv Income claimed to be exemp
a
u/s
b
u/s
c
u/s
Please refer to the instructions for filling out this schedule.
on 115UA, 115UB
Head of income
House property
Capital Gains
Short term
Long term
Other Sources
House property
Capital Gains
Short term
Long term
Other Sources
Income claimed to be exempt
10(23FBB)
Amount of income
Country Code
(Select)
(Select)
Taxpayer Identification
number
Sr No
i
ii
iii
iv
v
Total
i
ii
iii
iv
v
Total
Head of Income
Salary
House Property
Business or Profession
Capital Gains
Other Sources
0
Salary
House Property
Business or Profession
Capital Gains
Other Sources
Relevant article of
DTAA if relief claimed
u/s 90 or 90A
(ie)
0
0
0
0
0
0
0
0
0
0
0
0
##
##
Schedule TR
1
Country Code
Total
Total Tax relief available in respect of country where DTAA is applicable (section 90/90A) (Part of total of 1(d))
Total Tax relief available in respect of country where DTAA is not applicable (section 91) (Part of total of 1(d))
Whether any tax paid outside India, on which tax relief was allowed in India, has been refunded/credited by the foreign tax authority during the year? If yes,
provide the details below
a) Amount of tax refunded
Schedule FA
A
Details of Foreign Assets and Income from any source outside India
Details of Foreign Bank Accounts held (including any beneficial interest) at any time during the previous year
Sr No
(1)
(2)
(3)
(4)
(5)
1
2
3
4
5
Status
(6)
Details of Financial Interest in any Entity held (including any beneficial interest) at any time during the previous year
Sr No
Country Code
Nature of entity
(1)
(2)
(3)
(4)
Nature of Interest
(5)
(6)
1
2
3
4
5
Details of Immovable Property held (including any beneficial interest) at any time during the previous year
Sr No
Country Code
(1)
(2)
(3)
Ownership
(4)
Date of acquisition
(5)
(6)
1
2
3
4
5
Details of any other Capital Asset held (including any beneficial interest) at any time during the previous year
Sr No
Country Code
Nature of Asset
(1)
(2)
(3)
Ownership
(4)
Date of acquisition
(5)
(6)
1
2
3
4
5
Details of account(s) in which you have signing authority held (including any beneficial interest) at any time during the previous year and which has not been included in A to D abo
Sr No
(1)
(2)
(3)
Account Number
Peak Balance/Investment /
during the year (in rupees)
(4)
(5)
(6)
1
2
3
4
5
Details of trusts, created under the laws of a country outside India, in which you are a trustee, beneficiary or settlor
Sr No
Country Code
Name of trust
Name of trustees
Address of trustees
Sr No
Country Code
(1)
(2)
Name of trust
(3)
Name of trustees
Address of trustees
(4)
(5)
(6)
1
2
3
4
5
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
Sr No
Country Code
Income derived
(1)
(2)
(3)
(4)
(5)
Nature of income
(6)
1
2
3
4
5
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 acqui
schedule if no income is derived from that asset during the current previous year.
0
0
(Select)
(7)
(8)
(9)
Amount
(10)
(11)
(12)
Nature of Income
(7)
(8)
(9)
(10)
Amount
(11)
(12)
rows)
Nature of Income
(7)
(8)
Amount
(9)
(10)
(11)
Nature of Income
(7)
(8)
Amount
(9)
(10)
(11)
rows)
cluded in A to D above.
If (7) is yes, Income offered in this return
Whether income accrued
is taxable in your hands?
(7)
Name of Settlor
Amount
(8)
(9)
(10)
(11)
Address of Settlor
Name of Beneficiaries
Address of Beneficiaries
rows)
Name of Settlor
Address of Settlor
Name of Beneficiaries
Address of Beneficiaries
(7)
(8)
(9)
(10)
(11)
(12)
rows)
ofession
If (7) is yes, Income offered in this return
Amount
(7)
(8)
(9)
(10)
t visa, an asset acquired during any previous year in which he was non-resident is not mandatory to be reported in this
(13)
(13)
Amount
(13)
(14)
(15)
(16)
Schedule AL
A
Asset and Liability at the end of the year (Applicable in a case where total income exceeds Rs. 50 lakh)
Particulars of Asset
1
Immovable Asset
Land
a
Building
b
Movable Asset
Cash in hand
a
Jewellery, bullion etc.
b
Vehicles, yachts, boats and aircrafts
c
Total
3
Liability in relation to Assets at A
2a
2b
2c
3
B
Schedule 5A
(i)
(ii)
(iii)
House Property
Business or profession
Capital Gains
Other Sources
Total
(iv)
(v)