Name Mujeeb ur Rehman

Mobile No 9911400178
Place New Delhi

In case you are facing any problem in

using this file, feel free to contact me.
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
Income from royalty or technical services where agreement entered between 31.3.1961 to
6 31.3.1976 in case of royalty and between 29.2.1964 and 31.3.1976, and agreement is approved
by the Central Government.

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

Income by way of long-term capital gains arising from the transfer of units purchase in
11
foreign currency by a off-shore fund
Income from bonds or GDR purchases in foreign currency or capital gains arising from their
12
transfer in case of a non-resident
Income from GDR purchased in foreign currency or capital gains arising from their transfer in
13
case of a resident
14 Profits and gains of life insurance business
Winnings from lotteries, crosswords puzzles, races including horse races, card games and
15
other games of any sort or gambling or betting of any form or nature whatsoever
16 Tax on non-residents sportsmen or sports associations
Tax on income from units of an open – ended equity oriented fund of the Unit Trust of India
17
or of Mutual Funds
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

Cash deposits aggregating to ten lakh rupees or more in a year in any savings account by you maintained in a
1. banking company to which the Banking Regulation Act, 1949 (10 of 1949), applied (including any bank or banking
Payment made
institution by youtoagainst
referred bills51
in section raised in Act.
of the respect of a credit card aggregating to two lakh rupees or more
2.
year.
3. 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
4.
company or institution.
5. Payment made by you of an amount of one lakh rupees or more for acquiring shares issued by a company.
6. Purchase by you of any immovable property valued at thirty lakh rupees or more.
7. 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
8.
Reserve Bank of India.
 Section
Section ToRate of Tax in
be computed
Code
accordance with rule
111 1
9(1) of Part A of
111A 1A 15
fourth Schedule
112 21 20
112 22 10
115A(1)(a) 5A1a 20
Paragraph EII of Part I
of first schedule of FA 50
Finance Act
115A(1)(b) if agreement
is entered on or before 5A1b1 30
31.5.1997
115A(1)(b) if agreement
is entered on or after
5A1b2 20
31.5.1997 but before
1.6.2005
115A(1)(b)if agreement is
5A1b3 10
on or after 1.6.2005
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 30
115E(a) 5Ea 20
115E(b) 5Eb 10
DTAA

Code
11
12
13
14
15
account by you maintained in a Code
d (including any bank or banking 001
g to two lakh rupees or more in a
002
units of Mutual Fund. 003
onds or debentures issued by a
004
ares issued by a company. 005
ore. 006
007
vestment in bonds issued by
008
 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 Other than Shares & Mutual On Shares & Mutu
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 -

 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 16/09/2009 TO 16/12/2009 TO 16

15/12/2009 15/03/2010 3
1
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.
2
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.
3
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.
4
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.

17. INCOME CHARGEABLE TO INCOME TAX AT SPECIAL RATES:

S. NO SECTION CODE SPECIAL RATE INCOME TAX THEREON

 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 BROUGHT FORWARD

LOSSES OF EARLEIR
YEARS

a. House Property -
b. Short-term Capital Gain -
c. Long term Capital Gain -
d. -
Other sources(profit from owning race horses but excluding winnings from Lottery)

19. LOSS TO BE CARRIED FORWARD TO FUTURE YEARS

ASSESSMENT YEAR DATE OF FILING HOUSE PROPERTY SHORT TERM LONG TERM CAPITAL
ROI LOSS CAPITAL LOSS LOSS
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 -

 d. Deduction U/s 80D -

e. Deduction U/s 80G -

TOTAL OF DEDUCTION UNDER CHAPTER VIA

21. INCOME OF SPECIFIED PERSONS INCLUDIBLE IN TOTAL INCOME OF THE ASSESSEE (INCOME OF MINOR CHILD TO BE INCLUDED
CHILD

S. NO NAME OF PERSON PAN OF THE RELATIONSHIP NATURE OF INCOME

PERSON
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
Sl. Name of Bank & Branch BSR Code Date of Deposit Serial No. of Amount
No (DD/MM/YYYY Challan
1 - Input
2 - Input
3 Input
4

TOTAL : -
b) Tax Deducted At Source (As per Form No. 16 issued by the employer)
 TAN of the Name and address of the Income Deduction Tax Payable Total tax deducted Tax Payable/
Employer Employer Chargeable u/h under Chapter (including E Cess) refundable
Salaries VI-A

0 - - - - -

TOTAL : -
b) Tax Deducted At Source (As per Form No. 16A issued by the deductee)
TAN of the Name and address of the deductor Amount Paid/ Credit Date of Payment/ Total tax Amount claimed
Deductor Credit Deducted for this year

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. Long-term capital gains on which Securities Transaction Tax is paid

d Others,including exempt income of minor child

Total
0
 PAN

-
 -

& Mutual Funds

-
-

-
-
-
 -

16/03/2010 TO
31/03/2010

-
 -

OTHER SOURCES LOSS

 -

LUDED AFTER RS. 1500 PER

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
-

-
 Name

PERSONAL INFORMATION
0
Flat/Door/Block No

0
Road/Street/Post Office
0
Town/City/District

0
Designation of Assessing Officer (Ward/Circle)
1 Gross Total Income
2 Deductions Under Chapter VI-A

COMPUTATION OF INCOME AND TAX THEREON

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+7d)
8 Tax Payable (6-7e)
9 Refund (7e-6)
Receipt No
Date
 INDIAN INCOME TAX RETURN Assessment Year
FORM

ITR-2 [For Individuals and HUFs not having Income from Business or Profession]
(Please see Rule 12 of the Income-tax Rules, 1962) 2 0 1 0 - 1 1
(Also see attached instructions)

Part A-GEN GENERAL 1 0

First Name Middle Name Last Name PAN

0 0
Flat /Door/Block No. Name of Premises/building/Village Status (Tick) √
PERSONAL INFORMATION

0 0 √ Individual HUF
Road/Street/Post Office Area/Locality Date
(in of Birth
case (DD/MM/YYYY)
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

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

FILING STATUS

If revised, enter Receipt No and Date of filing original return

(DD/MM/YYYY)

Residential Status (Tick) √ Resident Non-Resident Resident but not ordinarily Resident

Whether this return is being filed by a representative assessee? (Tick) Yes √ No

If Yes, please furnish following information:-
a Name of the representative
b Address of the representative
c Permanent Account Number (PAN) of the representative
PART - B
Part B - TI Computation of total income
1 Salaries (6 of Schedule S) 1 -

2 Income from house property (3c of Schedule HP) (enter nil if loss) 2 -
3 Capital gains
TOTAL INCOME

a Short Term
(i) Short-term (u/s 111A) (enter nil, if loss) (A5 of Schedule CG) 3ai -
(ii) Short-term (others) (A6 of Schedule CG) 3aii -

(iii) Total Short-term (3ai +3aii) (A4 of Schedule CG) 3aiii -

b Long-term (B5 of Schedule CG) (enter nil if loss) 3b -
c Total capital gains (3aiii + 3b) (enter nil if 3c is a loss) 3c -

4 Income from other sources

a From sources other than from owning race horses and Winnings from Lottery (3 of Schedule OS) 4a -
b from owning race horses (4c of Schedule OS) (enter nil if loss) 4b -
c Total (a + b) (enter nil, if 4c is a loss) 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

 6 Lossess of current year set off against 5 (total of 2vi and 3vi of schedulce CYLA) 6 -
7 Balance after set off current year losses (5-6) (also total of column 4 of Schedule CYLA) 7 -
8 Brought forward losses set off against 7 (2vi of Schedule BFLA) 8 -
9 Gross Total income (7-8) (also 3vii of Schedule BFLA) 9 -
10 Deductions under Chapter VI-A (n of Schedule VIA) 10 -
11 Total income (9-10) 11 -
12 Net agricultural income / any other income for rate purpose (4 of Schedule EI) 12 -
13 Aggregate income' (11 + 12) 13 -
14 Losses of current year to be carried forward (total of row xi of Schedule CFL) 14 -

Part B - TTI Computation of tax liability on total income

1 Tax payable on total income
a Tax at normal rates 1a -
b Tax at special rates (11 of Schedule SI) 1b -
c Tax payable on total income (1a + 1b) 1c -
COMPUTATION OF TAX LIABILITY

2 Education Cess including Secondary & Higher Education Cess on 1c 2 -

3 Gross tax liability (1c + 2 ) 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 -
8 Taxes paid
a Advance Tax (from Schedule - IT) 8a -
TAXES PAID

b TDS (total of column 7 of Schedule - TDSI and column 7 of

schedule - TDS2 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 -
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
REFUND

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
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

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

Name of Employer PAN of Employer (optional)

0 0
Address of employer Town/City State Pin Code
LARIES
SALARIES

0 0 0 0
1 Salary (Exculding all exempt/non-exempt allowances, perquisites & profit in lieu of salary as they are shown
separately below) 1 -
2 Allowances exempt under section 10 (Not to be included in 6 below) 2 -
3 Allowances not exempt (refer Form 16 from employer) 3 -
4 Value of perquisites (refer Form 16 from employer) 4 -
5 Profits in lieu of salary (refer Form 16 from employer) 5 -
6 Income chargeable under the Head 'Salaries' (1+3+4+5) 6 -
Schedule HP Details of Income from House Property (Please refer to instructions)
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)

a 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) 1a
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 -
HOUSE PROPERTY

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
Annual letable value/rent received or receivable (higher if let out for whole of the year, lower if let out
a -
for part of the year 2a
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

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 -
d Loss, if any, to be ignored u/s. 94(7) or 94(8)
(enter positive values only) 2d -
e Deduction under section 54B/54D 2e -
f Short-term capital gain (2c + 2d - 2e) 2f -
3
Amount deemed to be short term capital gains under sections 54B/54D/54EC/54ED/54G/ 54GA A3 -
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 -
 2 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 Deductions under sections 54/54B/54D/54EC/54F/ 54G/
54GA 2d -
e Net balance (2c - 2d) 2e -
3 Assets in case of others where proviso under section 112(1) is exercised
CAPITAL GAINS

a 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/54F B4 -
5 Total long term capital gain [(1+2e (enter 2e as nil if loss) + 3e (enter 3e as nil if loss) + 4)] B5 -
C Income chargeable under the Head "CAPITAL GAINS" (A4 + B5) (enter B5 as nil if loss) 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 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.

2 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.

3 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.

4 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.
- - - -

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

1 Income
a Dividends, Gross 1a -
b Interest, Gross 1b -
c Rental income from machinery, plants, buildings, 1c -
d Others, Gross (excluding income from owning race horses) 1d -
INCOME FROM OTHER SOURCES

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 Income from other sources (other than from owning race horses and winnings from Lottery) (1g+2) 3
(enter 1g as nil, if loss) -
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 Income chargeable under the head "income from other sources: (3+4c) (enter 4c as nil if loss and take 4c loss
5
figure to Schedule CFL) -
 5 Income chargeable under the head "income from other sources: (3+4c) (enter 4c as nil if loss and take 4c loss
5
figure to Schedule CFL) -
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
Sl Head/Source of income Income of current House property loss of the Other sources loss Current year's Income
No. year (Fill this current year set off (other than loss from race horses) of remaining after set off
column only if the current year set off
CURRENT YEAR LOSS ADJUSTMENT

income is zero or Total loss (3c of Schedule - HP) Total loss (3 of Schedule-OS)
positive)
1 2 3 4=1-2-3
Loss to be adjusted
i Salaries - - - -
ii House Property - - -
iii Short-term Capital gain - - - -
iv Long term Capital gain - - - -
v Other sources(incl profit
from owning race horses
but excluding winnings
from lottery)
- - -
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
Head/Source of Income Income after set off, if any, of current year's Brought forward loss set off Current year's Income remaining
Sl losses as per 4 of Schedule CYLA after set off
BROUGHT FORWARD LOSS ADJUSTMENT

No

1 2 3
i Salaries - - -
ii House Property - - -
iii Short-term Capital Gain - - -
iv Long term Capital Gain - - -
v Other sources( profit from
owning race horsesbut
excluding winnings from
Lottery) - - -
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

Assessment year Date of Filing House property loss Short-term Capital loss Long Term Capital Other sources loss
(DD/MM/YYYY) loss (from owning race
(DD/MM/YYYY) horses)
i 2002-03 30-Dec-99 - - -
ii 2003-04 30-Dec-99 - - -
CARRY FORWARD OF LOSS

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 -
losses - - -
x Adjustment of above -
losses in schedule BFLA - - -
xi 2010-11 (current -
year losses) - - -
xii Total loss carried
forward to future
years - - - -

Schedule VIA Deductions under Chapter VI-A (Section)

a 80C - h 80G -
TOTAL DEDUCTIONS

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 )
 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 Income chargeable to Income tax at special rates [Please see instruction No.9(iii) for section code and rate of tax]
Sl Section Code Special Income Tax thereon Section Income Tax thereon
✘ Sl No ✘ Special rate (%)
No. rate (%) i ii Code i ii
SPECIAL 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)
1 Interest income 1 -
EXEMPT INCOME

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 AIR Other Information (transactions reported through Annual Information Return) [Please see instruction No-9(ii) for code]
Sl 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
Sl Date of Deposit Serial Number of
Name of Bank & Branch BSR Code Amount (Rs.)
No (DD/MM/YYYY) Challan
TAX PAYMENTS

(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)]
Sl Tax Deduction Name and address of the Employer Income Duduction Tax payable Total Tax Tax
No
Account Number Chargeable under Chapter (including Deducted payable/
(TAN) of the under the VI-A education cess) refundable
Employer head Salaries
TDS ON SALARY

(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)]
Sl Tax Deduction Account Name and Address of the Deductor Amount paid Date of Total Tax Amount
No
Number(TAN) of the Payment / Deducted out of (6)
Deductor Credit claimed for
this year

(1) (2) (3) (4) (5) (6) (7)

TDS ON OTHER INCOME

(i) 0
0
0 - 30-Dec-99 - -
(ii) 0
0
0 - 30-Dec-99 - -
(iii) 0
0
0 - 30-Dec-99 - -
(iv) 0
0
0 - 30-Dec-99 - -
Note: Please Enter the total of column 7 of Schedule - TDS1 and column 7 of Schedule - TDS2 in 8(b) of Part B-TTI