INCOME TAX (ITR-2) MADE EASY Developed By G.

Gururaja, VU2GRU Please Refer FORM 16 issued by your Firm for entering the data. Place the Mouse Cursor inside the red box and click the left mouse button once. Type your FIRST name in CAPITAL letters and press the enter key once. Now type your MIDDLE name and press the enter key once to go to the next box.
Enter the data for all the boxes & then click on the sheet 1, 2, 3, 4, 5, 6 & 7 for the filled ITR-2 forms.
1. YOUR NAME IN CAPITALS : First Name:

Middle Name: Last Name: 2. Your Father's Name : 3. Address : Flat/Door/Block No: Name of Building: Road/Street/Post Office: Area/Locality: Town/City/District: PIN CODE: State: Email Address: (STD code)-Phone No: 4. Name of your Laboratory: Location Govt/PSU/Others ?Staff ? Govt/PSU/Others 5. Permanent A/c No (PAN): 6. Date of Birth (DD-MM-YYYY) : 7. Gender (MALE/FEMALE) : 8. Income from Salary Rs : 9. Deduction under chapter VI-A : 80c/80ccc/80ccd 80g 80D 80U 80DD 80E 10. Relief under Section 89

GURURAJA G

Govinda Rao T2, Third Floor Jana Jeeva Classic Apartment 8th Main Mallesh Palya Bangalore 560017 Karnataka guru@in.com (080) 41708709 Like INFOSYS, WIPRO, TCS, etc. WIPRO 0 Like Bangalore, Mysore, Pune etc. 0 Please Enter : Govt or PSU or Others AAXPG3480D 17-11-1954 MALE 1200000 200000 1 2 3 4 5 6 'Gross Total Income' of FORM 16
'Please refer FORM 16'

'Please refer FORM 16' 'Please refer FORM 16' 'Please refer FORM 16' 'Please refer FORM 16' Sl. No. 9 (B) (V) of Form 16 (page 2) Sl. No. 16 of Form 16 (page 2)

HBA (Home Loan) Interest Rs:
11. Tax on total Income Rs : 12. Add: SURCHARGE Rs: 13. Add: Education Cess Rs : 14. Less Tax Deducted at Source(TDS) : 15. Advance Tax paid : 16. Self Assessment Tax paid :

45000 'Please refer FORM 16'
600 'Please refer FORM 16' 0 "PleasereferFORM16 12 'Please refer FORM 16' 612 'Please refer FORM 16' 0 0

17. For refund enter 9 Digit MICR Code : Type of Account : Account No :
18. Designation of Assessing officer ( Ward/Circle)

19. TAN Number of the Employer:
Thanks for entering all the required DATA,
Now: Shri

0 0 0 0 ACIT 13(1) 0 BLRN00113B

GURURAJA

Please go to Sheet 1, 2, 3, 4, 5, 6, 7 for the PRINTABLE VERSION OF Filled ITR 2
Software Developed By :

G. Gururaja
8

For Blank ITR2 Forms: Click on Blank1,

the filled ITR-2 forms.

NFOSYS, WIPRO, TCS, etc. Bangalore, Mysore, Pune etc. Enter : Govt or PSU or Others

Total Income' of FORM 16

efer FORM 16'

refer FORM 16' refer FORM 16' refer FORM 16' refer FORM 16' 9 (B) (V) of Form 16 (page 2) 16 of Form 16 (page 2)

e refer FORM 16'

refer FORM 16' referFORM16 refer FORM 16' refer FORM 16' 200015

0

WIPRO

F Filled ITR 2 FORMS

nk ITR2 Forms: Click on Blank1,B2,B3,B4,B5,B6,B7.

FORM

INDIAN INCOME TAX RETURN

ITR - 2

[ For Individuals and HUFs not having income from Business or Profession] (Please see rule 12 of Income Tax Rules, 1962) (Also see attached instructions)

Assesment Year

2009 - 10

G
Part A-GEN GENERAL

0
Last name PAN

First name
PERSONAL INFORMATION

Middle name

GURURAJA G
Flat/Door/Block No T2, Third Floor 8th Main Town/City/District Bangalore Email Address Name of Premises/Building/Village Jana Jeeva Classic Apartment Mallesh Palya State PIN Code Karnataka 560017 (STD Code) - Phone No.
Status

AAXPG3480D
Individual HUF

Date of Birth (DDMMYYYY) 17-11-1954
Sex (in case of Individual)

(080) 41708709 guru@in.com Designation of Assessing Officer (Ward/Circle)

Male Female Employer Category (if in employment) Govt PSU Others 11 Revised
/ /

0 Whether original or Revised return? (Tick)
FILING STATUS If revised, then enter Receipt No and Date of filing original return (DD/MM/YYYY)

Return filed under Section [Please see instruction no-9(i)]

Original

Residential Status (Tick)

Resident

Non Resident

Resident But Not Ordinarily Resident No

Whether this return is being filed by a representative assessee? If yes, please furnish following information (a) Name of the representative (b) Address of the representative ( c) Permanent Account Number (PAN) of the representative P A R Computation of Total Income Part B-TI 1 Salaries (6 of Schedule S) T B 1 2

Yes

NA NA

2 Income from house property (3c of Schedule HP) (enter nil if loss) 3 Capital gains a Short term i 3ai Short-term (u/s 111A) (A5 of Schedule CG) ii Short-term (others) (A6 of Schedule 3aii CG) iii Total short-term (3ai + 3aii) (enter 3aiii nil if loss) b Long-term (B5 of Schedule CG) (enter 3b nil if loss) c Total capital gains (3aiii + 3b)

1200000 -45000

TOTAL INCOME

3c

0

Do not write or stamp in this area (Space for bar code)

For Office Use Only
Receipt No.

Date

Seal and Signature of receving official

Page 1

4

Income from other sources a from sources other than from owning race horses (3 of Schedule OS) (enter nil if loss) b c from owning race horses (4c of Schedule OS) (enter nil if loss)

4a 4b 4c 5 6 7 8 9 10 11 12 13 14

Total (a + b) 5 Total (1+2+3c +4c)
6 7 8 9 10 11 12 13 14 Losses of current year set off against 5 (total of 2vi and 3vi of Schedule 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)

1155000 0 1155000 0 1155000 100015 1054985 0 1054985 0

Part B - TTI Computation of tax liability on total income 1 Tax payable on total income 1a 600 a Tax at normal rates 1b 0 b Tax at special rates (11 of Schedule SI) c 2 Surcharge on 1c 3 Education Cess on (1c + 2) 4 Gross tax liability (1c+ 2 + 3) 5 Tax relief a Section 89 b Section 90 c Section 91 d Total (5a + 5b+5c) 6 Net tax liability (4 – 5d) 7 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 (7a+7b+7c) 8 Aggregate liability (6 + 7d) 9 Taxes Paid a Advance Tax (from Schedule-IT)
TAXES PAID

1c 2 3 4 5a 6 5b 0 5c 0 5D 6 7a 7b 7c

COMPUTATION OF TAX LIABILITY

600 0 12 612

6 606

NA NA NA
7d 8

0 606

9a 0 9b

b TDS (total of column 7 of Schedule-TDS1 and column
7of Schedule-TDS2)

612
9d 10 11

c Self Assessment Tax(from Schedule-IT) d Total Taxes Paid (9a+9b+9c)

9c 0

10 Amount payable (Enter if 8 is greater than 9d, else enter 0) 11 Refund (If 9d is greater than 8, also give Bank Account details below)
REFUND

612 0 6
)

Enter your bank account number (mandatory in case of 12 refund)

0

13 Do you want your refund by cheque, or deposited directly into your bank account? (tick as applicable 14 In case of direct deposit to your bank account give additional details MICR Code
E-filing Acknowledgement Number

0
NA

Type of Bank Account:

Saving

Current

15

Date (DD/MM/Y YYY)

/ /

V E R I F I C A T I O N G Govinda Rao I, GURURAJA (full name in block letters),son /of son daughter of 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 and other particulars shown therein are truly stated and are in accordance with the provisions of the Income-tax Act, 1961, in respect of income chargeable to Income-tax for the previous year relevant to the Assessment Year 2009-2010.
Page 2

solemnly declar

Place: Bangalore

Date

Sign Here

16 NA

If the return has been prepared by a Tax Return Preparer (TRP) give further details as below:
Name of TRP Counter Signature of TRP 17

Identification No. of TRP

NA NA

If TRP is entitled for any reimbursement from the Government, amount thereof
Schedule S Details of Income from Salary

Name of Employer

PAN of Employer (optional) THE DIRECTOR

Address of employer Town/City 0 WIPRO 1 Salary (Excluding all allowances, perquisites & profit in lieu of salary).. 2 Allowances exempt under section 10 2 3 Allowances not exempt 4 Value of perquisites 5 Profits in lieu of salary 6 Income chargeable under the Head ‘Salaries’ (1+3+4+5)
Schedule HP

SALARIES

State Karnataka
1 3 4 5 6

PIN Code

1200000 0 0 0 1200000
PIN Code

Address of property 1 Town/ City 1 Name of Tenant

Details of Income from House Property State

(Tick) if let out

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 c Tax paid to local authorities e Balance (1a – 1d)

1b 1c 1d 1f 1g

0 0 0 1e 45000 1h 1i State

d Total (1b + 1c) f 30% of 1e g Interest payable on borrowed capital h Total (1f + 1g)
HOUSE PROPERTY

0 45000 -45000
PIN Code

2

i Income from house property 1 (1e – 1h) Address of property 2 Town/ City

(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)

2a

The amount of rent which cannot be b realized c Tax paid to local authorities d Total (2b + 2c) e Balance (2a – 2d) f 30% of 2e g Interest payable on borrowed capital

2b 2c 2d 2e 2f 2g 2h 2i 3a

h Total (2f + 2g) i Income from house property 2 (2e – 2h) 3 Income under the head “Income from house property” a Rent of earlier years realized under section 25A/AA

0 0

b Arrears of rent received during the year under section 25B after deducting 30% 3b

c Total (3a + 3b + 1i + 2i) 3c -45000 NOTE Please include 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
CAPITAL GAINS 1

2 From other assets a Full value of consideration b Deductions under section 48

2a

CAPITAL

3

i ii iii

Cost of acquisition Cost of Improvement Expenditure on transfer

bi bii biii

page 3

iv Total ( i + ii + ii) c Balance (3a – biv) d Loss, if any, to be ignored under section 94(7) or 94(8) e Exemption under section 54/54B/54D/54EC/54F f Short-term capital gain (2c – 2d – 2e)

biv 2c 2d 2e 2f 3 4 A5 A6 1

3 Amount deemed to be short term capital gains under sections 54/54B/54D/54EC/54ED/54F 4 Total short term capital gain (1 + 2f +3 +4) 5 Short term capital gain under section 111A included in 4 6 Short term capital gain other than referred to in section 111A (4 – 5) Long term capital gain 1 Asset in case of non-resident to which first proviso to section 48 applicable 2 Other assets where proviso to section 112(1) not applicable 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 biii biv 2c 2d 2e

B

iii Expenditure on transfer iv Total (bi + bii +biii) c Balance (2a – biv) d Deduction under sections 54/54B/54D/54EC /54F e Net balance (2c – 2d) 3 Other assets where proviso to section 112(1) is applicable a Full value of consideration 3a b Deductions under section 48 i Cost of acquisition without indexation Cost of improvement without ii indexation iii Expenditure on transfer iv Total (bi + bii +biii) c Balance (3a – biv) d Deduction under sections 54/54B/54D/54EC/54F e Net balance (3c-3d)

Bi bii biii biv 3c 3d 3e 4 B5 C 16/12 to 15/3 (iii) 16/3 to 31/3 (iv)

4 Amount deemed to be long term capital gains under sections 54/54B/54D/54EC/54ED/54F C D 5 Total long term capital gain (1 + 2e + 3e + 4) Income chargeable under the head “CAPITAL GAINS” (A6 + B5) Information about accrual/receipt of capital gain Date Upto 15/9 16/9 to 15/12 (i) (ii) 1 Long- term 2 Short-term
NOTE

Please include the income of the specified persons referred to in Schedule SPI while computing the income under this head Income from other sources

Schedule OS

1

Income other than from owning race horse(s):Dividends, Gross 1a Interest, Gross 1b Rental income from machinery, plants, buildings, 1c Others, Gross 1d Total (1a + 1b + 1c + 1d) Deductions under section 57:i Expenses fi ii Depreciation fii iii Total fiii g Balance (1e – fiii) 2 Winnings from lotteries, crossword puzzles, races, etc. 3 Income from other sources (other than from owning race horses) (1g + 2) 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) 5 Income chargeable under the head “Income from other sources” (1g + 2 + 3 + 4c) a b c d e f

1e

OTHER SOURCES

1g 2 3

4c 5

NOTE

Please include the income of the specified persons referred to in Schedule SPI while computing the income under this head. (Page4)

Schedule CYLA
Sl.N Head/ Source of o Income

Details of Income after Set off of current year losses
Current year’s Income Other sources loss (other than loss remaining after set off from race horses) of the current Income of current year House property loss of the current year set off (Fill this column only if year set off income is zero or Total loss positive) (3 of Total loss (4c Scheduleof Schedule – OS) HP) 1 2 3 4=1-2-3

CURRENT YEAR LOSS ADJUSTMENT

i

Salaries

ii House property iii Short-term capital gain iv v Long term capital gain Other sources (incl profit from owning race horses)

vi Total loss set off vii Loss remaining after set-off out of 2 & 3

Schedule BFLA
BROUGHT FORWARD LOSS ADJUSTMENT Sl No Head/ Source of Income

Details of Income after Set off of Brouht Forward Losses of earlier years
Income after set off, if any, of current year’s losses as per 4 of Schedule CYLA 1 Brought forward loss set off Current year’s income remaining after set off

2

3

i

Salaries

ii House property iii Short-term capital gain iv Long-term capital gain v Other sources (including profit from owning race horses) 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
Assessment Year

Details of Losses to be carried forward to future years
Date of Filing (DD/MM/YYYY) House property loss Short-term capital loss Long-term Capital loss Other sources loss (other than loss from race horses) Other sources loss (from owning race horses)

CARRY FORWARD OF LOSS

i ii iii iv v vi vii viii ix x xi xii

1999-00 2000-01 2001-02 2002-03 2003-04 2004-05 2005-06 2006-07 Total of earlier year losses Adjustment of above losses in Schedule BFLA 2007-08 (Current year losses) Total loss Carried Forward to future years

200000 Deductions under Chapter VI-A (Section) 1 80G
80GG 80GGA 80GGC 80RRB

100000

Schedule VIA
a TOTAL DEDUCTIONS b c d e f g

80C
80CCC 80CCD

200000

h i j

80D 80DD
80DDB 80E

2 4 5

k l m

80U

3

5

Total deductions (total of a to m)

100015

Schedule SPI Sl No Name of person

Income of specified persons (spouse, minor child etc) includable in income of the assessee PAN of person Relationship Nature of Income Amount (Rs.)

Schedule SI Sl Section No code
SPECIAL RATE

1 2 3 4 5 11 Schedule EI

Special rate (%)

Income chargeable to Income tax at special rates [Please see instruction No.9(iii) for section code and rate of tax] Income Tax thereon Sl Section Special Income Tax thereon i ii No code rate (%) i ii 6 7 8 9 10 Total (1ii to 10 ii)

Details of Exempt Income (Income not to be included in Total Income) 1 2 3 4 5 6 7

EXEMPT INCOME

1 Interest income 2 Dividend income 3 Long-term capital gains on which Securities Transaction Tax is paid 4 Net Agriculture income /any other income for rate purpose 5 Share in the profit of firm / AOP etc. 6 Others 7 Total (1+2+3+4+5+6)

Schedule AIR Sl 1 2 3 4 Code of Transaction
001 002 003 004

Other Information (transactions reported through Annual Information Return) [Please see instruction number - 9(ii) for code] Amount (Rs) Sl 5 6 7 8 Code of Transaction
005 006 007 008

Amount (Rs)

Schedule IT Details of Advance Tax and Self Assessment Tax Payments of Income-tax Sl Name of Bank & Branch Serial Number of BSR Code Date of Deposit (DD/MM/YYYY) No Challan i
TAX PAYMENTS

Amount (Rs)

ii iii iv v
NOTE Enter the totals of Advance tax and Self Assessment tax in Sl No. 9a & 9c of PartB-TTI

Schedule TDS1 Sl Tax No

Deduction Account Number (TAN) of the Employer

Details of Tax Deducted At Source from Salary [As per Form 16 issued by Employer(s)] Deduction Tax payable Name and Income under (incl. surch. address of the chargeable Chapter VI- and edn. cess) under Employer A Salaries (2) (3)
WIPRO

Total tax Tax deposited refundable

TDS ON SALARY

(1) i ii

(4)

(5)

(6)

(7)

(8)

0

0

1200000

145015

606

612

-6

Schedule TDS2 Details of Tax Deducted At Source ON Income [As per Form 16A issued by Deductor(s)] Sl Tax Deduction Account Number (TAN) of the Name and address of the Date of No Deductor Deductor Payment /Credit Amount Paid
TDS ON OTHER INCOME

Total tax deposited

Amount out of (6) claimed for this year

(1) i ii
NOTE

(2)

(3)

(4)

(5)

(6)

(7)

Please enter total of column 7 of Schedule-TDS1 and column 7 of Schedule-TDS2 in (b) of Part B-TTI

(Page 6)

Government of India

INCOME TAX DEPARTMENT
ACKNOWLEDGEMENT
Received with thanks form: GURURAJA

G 0

a return of income and/or return

of fringe benefits in Form No ITR - 2 for assessment year 2009-2010, having the following particulars:
PERSONAL INFORMATION

Name

GURURAJA
Flat/Door/Block No:

GURU G

RAJA

RAO

PAN

AAXPG3480D
Name of Premises/Building/Village:

T2, Third Floor
Road/Street/Post Office:

Jana Jeeva Classic Apartment
Area/Locality:

8th Main
Town/City/District:

Mallesh Palya
State:

Bangalore
1 Gross total income

560017 Karnataka
1 2 3 4 5 6 7a 7b 7c 7d

COMPUTATION OF INCOME & TAX THEREON

2 Deduction under Chapter-VI-A 3 Total Income 4 Net tax payable 5 Interest payable 6 Total tax and interest payable 7 Taxes paid a b c d e Advance Tax TDS TCS Self Assessment Tax Total Taxes paid (7a+7b+7c+7d) -6 6

1200000 145015 1054985 606 0 606 0 0

0
612

0
7e 8 9 10 11 12 13

8 Tax payable (6-7e) 9 Refund (7e-6) 10 Value of Fringe Benefits 11 Total fringe benefit tax liability 12 Total interest payable 13 Total tax and interest payable 14 Taxes paid a b c Advance Tax Self Assessment Tax Total Taxes paid (14a+14b) 14a 14b

Computation of Income & Fringe Benefits & Tax Thereon

612 0 6 NA NA NA NA NA

14c 15 16

15 Tax payable (13-14c) 16 Refund (14c-13)

NA NA NA

Receipt No. Date:

Seal and Signature of receiving official:

FORM

INDIAN INCOME TAX RETURN

ITR - 2

[ For Individuals and HUFs not having income from Business or Profession] (Please see rule 12 of Income Tax Rules, 1962) (Also see attached instructions)

Assesment Year

2009 - 10

G
Part A-GEN GENERAL

0
Last name PAN

First name
PERSONAL INFORMATION

Middle name

Flat/Door/Block No

Name of Premises/Building/Village

Status

Individual

HUF

Date of Birth (DDMMYYYY)

Town/City/District Email Address

State

PIN Code

Sex (in case of Individual)

(STD Code) - Phone No.

Male Female Employer Category (if in employment) Govt PSU Others
Return filed under Section [Please see instruction no-9(i)]

Designation of Assessing Officer (Ward/Circle) Whether original or Revised return? (Tick)
FILING STATUS If revised, then enter Receipt No and Date of filing original return (DD/MM/YYYY)

11 Revised
/ /

Original

Residential Status (Tick)

Resident

Non Resident

Resident But Not Ordinarily Resident No

Whether this return is being filed by a representative assessee? If yes, please furnish following information (a) Name of the representative (b) Address of the representative ( c) Permanent Account Number (PAN) of the representative P A R Computation of Total Income Part B-TI 1 Salaries (6 of Schedule S) T B 1 2

Yes

NA NA

2 Income from house property (3c of Schedule HP) (enter nil if loss) 3 Capital gains a Short term i 3ai Short-term (u/s 111A) (A5 of Schedule CG) ii Short-term (others) (A6 of Schedule 3aii CG) iii Total short-term (3ai + 3aii) (enter 3aiii nil if loss) b Long-term (B5 of Schedule CG) (enter 3b nil if loss) c Total capital gains (3aiii + 3b)

TOTAL INCOME

3c

Do not write or stamp in this area (Space for bar code)

For Office Use Only
Receipt No.

Date

Seal and Signature of receving official

Page 1

4

Income from other sources a from sources other than from owning race horses (3 of Schedule OS) (enter nil if loss) b c from owning race horses (4c of Schedule OS) (enter nil if loss)

4a 4b 4c 5 6 7 8 9 10 11 12 13 14

Total (a + b) 5 Total (1+2+3c +4c)
6 7 8 9 10 11 12 13 14 Losses of current year set off against 5 (total of 2vi and 3vi of Schedule 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)

Part B - TTI Computation of tax liability on total income 1 Tax payable on total income 1a 600 a Tax at normal rates 1b 0 b Tax at special rates (11 of Schedule SI) c 2 Surcharge on 1c 3 Education Cess on (1c + 2) 4 Gross tax liability (1c+ 2 + 3) 5 Tax relief a Section 89 b Section 90 c Section 91 d Total (5a + 5b+5c) 6 Net tax liability (4 – 5d) 7 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 (7a+7b+7c) 8 Aggregate liability (6 + 7d) 9 Taxes Paid a Advance Tax (from Schedule-IT)
TAXES PAID

1c 2 3 4 5a 5b 5c 5D 6 7a 7b 7c 7d 8 9a 9b

COMPUTATION OF TAX LIABILITY

b TDS (total of column 7 of Schedule-TDS1 and column
7of Schedule-TDS2)

c Self Assessment Tax(from Schedule-IT) d Total Taxes Paid (9a+9b+9c)

9c 9d 10 11

10 Amount payable (Enter if 8 is greater than 9d, else enter 0) 11 Refund (If 9d is greater than 8, also give Bank Account details below)
REFUND

Enter your bank account number (mandatory in case of 12 refund)

0
)

13 Do you want your refund by cheque, or deposited directly into your bank account? (tick as applicable 14 In case of direct deposit to your bank account give additional details MICR Code
E-filing Acknowledgement Number

Type of Bank Account:

Saving

Current

15

Date (DD/MM/Y YYY)

/ /

V E R I F I C A T I O N I, (full name in block letters), son / daughter of son/daughter of 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 and other particulars shown therein are truly stated and are in accordance with the provisions of the Income-tax Act, 1961, in respect of income chargeable to Income-tax for the previous year relevant to the Assessment Year 2009-2010.
Page 2

solemnly declar

Place:

Date

Sign Here

16

If the return has been prepared by a Tax Return Preparer (TRP) give further details as below:
Name of TRP 17 Counter Signature of TRP

Identification No. of TRP

If TRP is entitled for any reimbursement from the Government, amount thereof
Schedule S Details of Income from Salary

Name of Employer

PAN of Employer (optional)

SALARIES

Address of employer

Town/City

State
1 3 4 5 6

PIN Code

1 Salary (Excluding all allowances, perquisites & profit in lieu of salary).. 2 Allowances exempt under section 10 2 3 Allowances not exempt 4 Value of perquisites 5 Profits in lieu of salary 6 Income chargeable under the Head ‘Salaries’ (1+3+4+5)
Schedule HP

Address of property 1 Town/ City 1 Name of Tenant

Details of Income from House Property State

PIN Code

(Tick) if let out

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 c Tax paid to local authorities e Balance (1a – 1d)

1b 1c 1d 1f 1g

0 0 0 1e 45000 1h 1i State PIN Code

d Total (1b + 1c) f 30% of 1e g Interest payable on borrowed capital h Total (1f + 1g)
HOUSE PROPERTY

2

i Income from house property 1 (1e – 1h) Address of property 2 Town/ City

(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)

2a

The amount of rent which cannot be b realized c Tax paid to local authorities d Total (2b + 2c) e Balance (2a – 2d) f 30% of 2e g Interest payable on borrowed capital

2b 2c 2d 2e 2f 2g 2h 2i 3a

h Total (2f + 2g) i Income from house property 2 (2e – 2h) 3 Income under the head “Income from house property” a Rent of earlier years realized under section 25A/AA

b Arrears of rent received during the year under section 25B after deducting 30% 3b c Total (3a + 3b + 1i + 2i) 3c NOTE Please include 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
CAPITAL GAINS

2 From other assets a Full value of consideration b Deductions under section 48

2a

CAPITAL

3

i ii iii

Cost of acquisition Cost of Improvement Expenditure on transfer

bi bii biii

page 3

iv Total ( i + ii + ii) c Balance (3a – biv) d Loss, if any, to be ignored under section 94(7) or 94(8) e Exemption under section 54/54B/54D/54EC/54F f Short-term capital gain (2c – 2d – 2e)

biv 2c 2d 2e 2f 3 4 A5 A6 1

3 Amount deemed to be short term capital gains under sections 54/54B/54D/54EC/54ED/54F 4 Total short term capital gain (1 + 2f +3 +4) 5 Short term capital gain under section 111A included in 4 6 Short term capital gain other than referred to in section 111A (4 – 5) Long term capital gain 1 Asset in case of non-resident to which first proviso to section 48 applicable 2 Other assets where proviso to section 112(1) not applicable 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 biii biv 2c 2d 2e

B

iii Expenditure on transfer iv Total (bi + bii +biii) c Balance (2a – biv) d Deduction under sections 54/54B/54D/54EC /54F e Net balance (2c – 2d) 3 Other assets where proviso to section 112(1) is applicable a Full value of consideration 3a b Deductions under section 48 i Cost of acquisition without indexation Cost of improvement without ii indexation iii Expenditure on transfer iv Total (bi + bii +biii) c Balance (3a – biv) d Deduction under sections 54/54B/54D/54EC/54F e Net balance (3c-3d)

Bi bii biii biv 3c 3d 3e 4 B5 C 16/12 to 15/3 (iii) 16/3 to 31/3 (iv)

4 Amount deemed to be long term capital gains under sections 54/54B/54D/54EC/54ED/54F C D 5 Total long term capital gain (1 + 2e + 3e + 4) Income chargeable under the head “CAPITAL GAINS” (A6 + B5) Information about accrual/receipt of capital gain Date Upto 15/9 16/9 to 15/12 (i) (ii) 1 Long- term 2 Short-term
NOTE

Please include the income of the specified persons referred to in Schedule SPI while computing the income under this head Income from other sources

Schedule OS

1

Income other than from owning race horse(s):Dividends, Gross 1a Interest, Gross 1b Rental income from machinery, plants, buildings, 1c Others, Gross 1d Total (1a + 1b + 1c + 1d) Deductions under section 57:i Expenses fi ii Depreciation fii iii Total fiii g Balance (1e – fiii) 2 Winnings from lotteries, crossword puzzles, races, etc. 3 Income from other sources (other than from owning race horses) (1g + 2) 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) 5 Income chargeable under the head “Income from other sources” (1g + 2 + 3 + 4c) a b c d e f

1e

OTHER SOURCES

1g 2 3

4c 5

NOTE

Please include the income of the specified persons referred to in Schedule SPI while computing the income under this head. (Page4)

Schedule CYLA
Sl.N Head/ Source of o Income

Details of Income after Set off of current year losses
Current year’s Income Other sources loss (other than loss remaining after set off from race horses) of the current Income of current year House property loss of the current year set off (Fill this column only if year set off income is zero or Total loss positive) (3 of Total loss (4c Scheduleof Schedule – OS) HP) 1 2 3 4=1-2-3

CURRENT YEAR LOSS ADJUSTMENT

i

Salaries

ii House property iii Short-term capital gain iv v Long term capital gain Other sources (incl profit from owning race horses)

vi Total loss set off vii Loss remaining after set-off out of 2 & 3

Schedule BFLA
BROUGHT FORWARD LOSS ADJUSTMENT Sl No Head/ Source of Income

Details of Income after Set off of Brouht Forward Losses of earlier years
Income after set off, if any, of current year’s losses as per 4 of Schedule CYLA 1 Brought forward loss set off Current year’s income remaining after set off

2

3

i

Salaries

ii House property iii Short-term capital gain iv Long-term capital gain v Other sources (including profit from owning race horses) 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
Assessment Year

Details of Losses to be carried forward to future years
Date of Filing (DD/MM/YYYY) House property loss Short-term capital loss Long-term Capital loss Other sources loss (other than loss from race horses) Other sources loss (from owning race horses)

CARRY FORWARD OF LOSS

i ii iii iv v vi vii viii ix x xi xii

1999-00 2000-01 2001-02 2002-03 2003-04 2004-05 2005-06 2006-07 Total of earlier year losses Adjustment of above losses in Schedule BFLA 2007-08 (Current year losses) Total loss Carried Forward to future years

Schedule VIA
a TOTAL DEDUCTIONS b c d e f g n

80C
80CCC 80CCD

h i j k l m

Deductions under Chapter VI-A (Section) 80G
80GG 80GGA 80GGC 80RRB

80D 80DD
80DDB 80E

80U
n

j

5

Total deductions (total of a to m)

Schedule SPI Sl No Name of person

Income of specified persons (spouse, minor child etc) includable in income of the assessee PAN of person Relationship Nature of Income Amount (Rs.)

Schedule SI Sl Section No code
SPECIAL RATE

1 2 3 4 5 11 Schedule EI

Special rate (%)

Income chargeable to Income tax at special rates [Please see instruction No.9(iii) for section code and rate of tax] Income Tax thereon Sl Section Special Income Tax thereon i ii No code rate (%) i ii 6 7 8 9 10 Total (1ii to 10 ii)

Details of Exempt Income (Income not to be included in Total Income) 1 2 3 4 5 6 7

EXEMPT INCOME

1 Interest income 2 Dividend income 3 Long-term capital gains on which Securities Transaction Tax is paid 4 Net Agriculture income /any other income for rate purpose 5 Share in the profit of firm / AOP etc. 6 Others 7 Total (1+2+3+4+5+6)

Schedule AIR Sl 1 2 3 4 Code of Transaction
001 002 003 004

Other Information (transactions reported through Annual Information Return) [Please see instruction number - 9(ii) for code] Amount (Rs) Sl 5 6 7 8 Code of Transaction
005 006 007 008

Amount (Rs)

Schedule IT Details of Advance Tax and Self Assessment Tax Payments of Income-tax Sl Name of Bank & Branch Serial Number of BSR Code Date of Deposit (DD/MM/YYYY) No Challan i
TAX PAYMENTS

Amount (Rs)

ii iii iv v
NOTE Enter the totals of Advance tax and Self Assessment tax in Sl No. 9a & 9c of PartB-TTI

Schedule TDS1 Sl Tax No

Deduction Account Number (TAN) of the Employer

Details of Tax Deducted At Source from Salary [As per Form 16 issued by Employer(s)] Deduction Tax payable Name and Income under (incl. surch. address of the chargeable Chapter VI- and edn. cess) under Employer A Salaries (2) (3) (4) (5) (6)

Total tax Tax deposited refundable

TDS ON SALARY

(1) i ii

(7)

(8)

Schedule TDS2 Details of Tax Deducted At Source ON Income [As per Form 16A issued by Deductor(s)] Sl Tax Deduction Account Number (TAN) of the Name and address of the Date of No Deductor Deductor Payment /Credit Amount Paid
TDS ON OTHER INCOME

Total tax deposited

Amount out of (6) claimed for this year

(1) i ii
NOTE

(2)

(3)

(4)

(5)

(6)

(7)

Please enter total of column 7 of Schedule-TDS1 and column 7 of Schedule-TDS2 in (b) of Part B-TTI

(Page 6)

Government of India

INCOME TAX DEPARTMENT
ACKNOWLEDGEMENT
Received with thanks form:

G 0

a return of income and/or return

of fringe benefits in Form No ITR - 2 for assessment year 2009-2010, having the following particulars:
PERSONAL INFORMATION

Name Flat/Door/Block No:

GURU

RAJA

RAO

PAN

Name of Premises/Building/Village: Area/Locality: State:
1 2 3 4 5 6 7a 7b 7c 7d 7e 0 0 8 9 10 11 12 13 14a 14b 14c 15 16

Road/Street/Post Office: Town/City/District:
1 Gross total income

COMPUTATION OF INCOME & TAX THEREON

2 Deduction under Chapter-VI-A 3 Total Income 4 Net tax payable 5 Interest payable 6 Total tax and interest payable 7 Taxes paid a b c d e Advance Tax TDS TCS Self Assessment Tax Total Taxes paid (7a+7b+7c+7d)

0 0

8 Tax payable (6-7e) 9 Refund (7e-6) 10 Value of Fringe Benefits 11 Total fringe benefit tax liability 12 Total interest payable 13 Total tax and interest payable 14 Taxes paid a b c Advance Tax Self Assessment Tax Total Taxes paid (14a+14b)

Computation of Income & Fringe Benefits & Tax Thereon

15 Tax payable (13-14c) 16 Refund (14c-13)

Receipt No. Date:

Seal and Signature of receiving official: