De heer V.K.

Nandagiri
SGR Towers H.No.10-3/
5000 60 Dilsukhnagar, Hyderabad, Andhr
INDIA

Fiscal report 2011

File number: 10689

Tax consultant: J. van der Heiden
Date: 28 February 2013
De heer V.K. Nandagiri
SGR Towers H.No.10-3/
5000 60 Dilsukhnagar, Hyderabad, Andhr
INDIA

Wageningen, 28 February 2013

File number: 10689

Dear Mr Nandagiri,

In accordance with our engagement we have prepared the Income tax return 2011, included in
this report, based on the information provided by you.

Based on our calculations we expect the following tax assessments:

income tax and social security receivable amount EUR 2,089

Health and Care Insurance Act amount payable (see attachment) Nil

Receivable contributions Health and Care Insurance Act EUR 833

In the tax report you will find specification of the tax payable or receivable and the calculation
of the taxable amount.

Both calculations are subject to assessment by the inspector. Interest will be charged or
refunded on the tax notice resulting from this tax return. We have not included this interest in
the calculations in this report.

We trust to have informed you sufficiently. Please do not hesitate to contact us if you have any
further questions.

Yours sincerely,
AdFides

J. van der Heiden

 PPSN: 3032.53.459
Income tax report 2011 of de heer V.K. Nandagiri

Table of contents Page

1 Income tax and social security 1

1.1 Threshold / aggregate / taxable income 1
1.2 Tax calculation 1
1.2.1 Income tax and social security (Box 1) due 1
1.2.2 Levy rebates 1
1.2.3 Withholding taxes paid (domestic period) 1

2 Taxable income 2
2.1 Explanation taxable income from employment and primary residence (Box 1) 2
(domestic period)
2.1.1 Employment income 2
2.2 Summary income from employment and residence 2

3 Enclosures (Total) 3
3.1 Health and Care Insurance Act 3
3.2 Health and Care Insurance Act contributions 4

4 Historical tax data summary 5

4.1 Income tax 5
 Page: 1
PPSN: 3032.53.459
Income tax report 2011 of de heer V.K. Nandagiri

1 Income tax and social security

1.1 Threshold / aggregate / taxable income

Employment income 16,106

Threshold / aggregate / taxable income from labour and property (Box 1) 16,106
Total threshold / aggregate / taxable income 16,106

1.2 Tax calculation

1.2.1 Income tax and social security (Box 1) due

Social security due

Social security: 31,15% over 16,106 5,017

Calculated income tax and national insurance schemes 5,017

1.2.2 Levy rebates

General tax credits 1,876

Employed person’s tax credit 997
Combined levy rebate 2,873 -2,873
2,144

1.2.3 Withholding taxes paid (domestic period)

Wage tax withheld on employment income 4,233

Total tax advances 4,233 -4,233

Income tax and social security amount receivable 2,089

 Page: 2
PPSN: 3032.53.459
Income tax report 2011 of de heer V.K. Nandagiri

2 Taxable income

2.1 Explanation taxable income from employment and primary residence (Box 1)
(domestic period)

2.1.1 Employment income

• Wages and other income present employment

Wage tax
Wages and other income withheld Wages
Octoplus Techn. BV 4,233 16,106

Total employment income 16,106

2.2 Summary income from employment and residence

Domestic
Foreign period period Total
Employment income 0 16,106 16,106
 Page: 3
PPSN: 3032.53.459
Income tax report 2011 of de heer V.K. Nandagiri

3 Enclosures (Total)

3.1 Health and Care Insurance Act

Maximum income 33,427

Income subject to Health and Care Insurance contributions high rate

Wages for purposes of the Health and Care Insurance Act current
employment 14,947
14,947 -14,947
Excess to be settled 18,480

Calculated assessment

Maximum contribution Health and Care Insurance: 5,65% of 0 0

Payable 0

Income subject to Health and Care Insurance contributions

Wages for purposes of the Health and Care Insurance Act 14,947

Repayment to employer/ government agency

Total Withheld Maximum Balance

Wages for purposes of the Health and Care Insurance Act current employment
Octoplus Techn. BV 14,947 1,159
Total high 14,947 1,159 1,159 0

Repayment to employer/ government agency 0

 Page: 4
PPSN: 3032.53.459
Income tax report 2011 of de heer V.K. Nandagiri

3.2 Health and Care Insurance Act contributions

Assessment income Application Tax return

Income taxpayer 0 0

Calculation benchmark premium

Percentage threshold income 2,72% of 19,890 542

Health and Care Insurance Act contributions

Standard premium 1,375
Benchmark premium -542
Receivable 833
 Page: 5
PPSN: 3032.53.459
Income tax report 2011 of de heer V.K. Nandagiri

4 Historical tax data summary

4.1 Income tax

2011
Tax form M

Taxable income from labour and property

Company profit 0
Employment income 16,106
Taxable income from other activities 0
Assets made available 0
Periodic payments 0
Other income 0
Reimbursements received 0
Repaid premiums 0
16,106
Balance income from primary residence 0
16,106
Premium for income provisions 0
Personal deduction 0
Creditable losses 0
Total 0

Taxable income from substantial interest 0

 Page: 6
PPSN: 3032.53.459
Income tax report 2011 of de heer V.K. Nandagiri

4 Historical tax data summary

2011

Taxable income from savings and investments

Assets
Bank and savings balances 0
Shares, bonds etc. 0
Value of possessions 0
Payables
Other payables 0
Threshold -2,658
Value of the debts 0

Value of the assets 0

Tax free amount 0
Taxable basis savings and investments 0
Taxable amount 0
Factor 0.04
Annualized return 0
Taxable returns 0
Personal deduction 0
Total 0

Total income
Gross income (Taxpayer) 0
Threshold income (Taxpayer) 16,106
Taxable income (Taxpayer) 0
 Page: 7
PPSN: 3032.53.459
Income tax report 2011 of de heer V.K. Nandagiri

4 Historical tax data summary

2011

Income tax and social security

Tax box 1 0
Social security 5,017
5,017
Relief from double taxation 0
Substantial interest loss 0
Total tax and social security Box 1 5,017
Tax box 2 0
Tax extraordinary rate 0
0
Relief from double taxation 0
Total tax Box 2 0
Tax Box 3 0
Relief from double taxation 0
Total tax Box 3 0
Total tax and social security Box 1 5,017
Total tax Box 2 0
Total tax Box 3 0
Total tax and social security 5,017
Levy rebates
General tax credits 1,876
Employed person’s tax credit 997
Combined levy rebate 2,873
Maximum applicable levy rebate 2,873

Withholding taxes paid

Wage tax on employment income 4,233
Total tax advances 4,233
Balance payable/receivable
Total tax and social security 5,017
Levy rebates -2,873
Withholding taxes paid -4,233
Total payable/receivable -2,089
Tax inspection: 012 Randmeren/kantoor Apeldoorn

Tax return : 2011

Tax form: M
Income tax
Premium national insurance schemes

De heer V.K. Nandagiri

SGR Towers H.No.10-3/
5000 60 Dilsukhnagar, Hyderabad, Andhr
INDIA

Date of birth:
05-06-1976

Personal Public Service Number:

3032.53.459

Your account number for the refund:

74.77.56.120

Telephone at home:

Telephone at work:

Personal situation: Single

Is the preliminary assessment 2012 accepted? No

Did you meet the conditions for payment of the general levy rebate? No

In which country did you live outside the Netherlands during the year?
Type of migration Immigration
What is your citizenship?
Were you in the Netherlands liable to pay national
insurance premiums? No
Were you in the Netherlands liable to pay taxes? No
Did you live in a country with which the Netherlands
has a tax treaty other than Switzerland? No
Authorization

Subject: Tax return tax return 2011

De heer V.K. Nandagiri
Fiscal registration number 3032.53.459

Date: 28 February 2013

The undersigned:

De heer V.K. Nandagiri

SGR Towers H.No.10-3/
5000 60 Dilsukhnagar, Hyderabad, Andhr
INDIA

Authorizes to sign:

AdFides
p/a Costerweg 5
6702 AA Wageningen

to sign and send to the Tax authorities the 2011 income tax return using the digital certificate
granted to AdFides

The undersigned declares to have read and understood the contents of this tax return by means
of the enclosed report, as prepared by AdFides.
This report contains the following information:

Income tax / Social security 2011

Tax and levy of premiums Box 1 5,017

Levy rebates 2,873
Withholdings and/or preliminary assessments 4,233
7,106 -7,106
To be received (excluding assessment interest) 2,089

Health and Care Insurance Act amount payable Nil

The receivable amount will be transferred to account number 74.77.56.120

The undersigned declares to accept and agree to the contents of this report and the
accompanied tax return.

Date: ..................................... Place: ...........................................

De heer V.K. Nandagiri

Signature: ..................................................

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