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Page No.:
Date: YOUVA
22512 ncame rm ober SouceS
Sudu_
f Guch income
iSn0f exempo
Uoder cnu Sechon
Oy
Vod er any oE
Hhe oHh ex
four ecds
of income
Piampl
oirectocS Sithiny
Lees
Boyaly
Aent Tem Sch letin
T WT S S
Page No.
YOUVA
Date:
coeultcchacge S6O)
ILDiviclends
c aiky wehavei
N O L a
wo upes of diudends
Gn Oy 9 nenio Vidend
stabiboniCS deemec diuidends_
Oe emecd oivd ends
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piSHof 0iS on otStD Aduae
nishbohon o pebentuesiquicdabion on ced loan ox
aS$es of AonuS toD Of loan by
Compcun PrefereOCe capitnclosehy hele
tnSH SH Como
-
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15 clemed valve of tny dis by SHiS
cliuiclend S Vch clistr onliquideeduch beoehcial|
Cnd Shul b Shaube o owner
PMN OF cleemec cleemec Ccpitul of10
Cndole ct clividend lividend is deemed Oy
dishrisuho0 tSH Oividens mos
to SH
is ceemed
diuiclend euha-
Capitul of
SUch Comny
Shaul br
Oeemecldivia
To HaePLHod gt accmolakd_psofB
OF campa Only
M W T
Page No.:
Date: YOUVA
peem AcDiudend
ueD oleclcreo - Paic o Pcidto
esp eckye of SH
M WT FSs
Page No.:
YOUVA
Date
LODLOq loCCMe.
winDiOg ke Hemes C OU2zl£S 3UOeS
t Hoy Constribuhca
fecieed buaSSeSSee as6
Cenkahithon to P£ BS Cr_cn
Ohex fund fom mployPPS
Chcrczecible 1ES
PGBP
The CAmOUDt inioHh 0yLend of depcsils
CeSeCHed fudS Cn os befee due
claP 1S culaLweol_cS oledocLon US 9
M
Page No.
Date YOUVA
JnlereSE Loccmes
PaßBP
eG BP
M W TFS S
Page No.:
Date YOUVA
mduo recieved Unci ex_KeqmcD
polfey Cindudinq onuS) Ins vrance
+ayable
tUYable voce IFoS E not +arecl
Undes
Undey
eyman i%UTance
polity 1s e insUcante
pelcy +aken by o employed tox
mostimpestn Rmployee h6-
i c ectment
(C)
PstmVmi-aic on keyma)
liA_inSurante pclity
fo emploues
Clowec as fer eplogee
Not taxable
cecduchon visS s perquiSihe
34EID
Manr pec ePcls05 death oE
he keuman
DE Ceevec by
Eeceved b JE (ecieuec
employex employeP by fruml
TKab le uncles
Ckeuman
anoLble a
head PGGP_ PoS io le kevyoao
of Salany
uLh Sculanies heacl
MT WT
PageNo.
Date: YOUVA
Taxubl
ulh_ fly eX Ampt
pmemiun O0 Dales
Such Polcu not
exeed
+ak en OD ox CEes
20l lo3but befone
3103l12
gn os aFes ]12
buF beEr lla3l13
fos handi.ccpged1
Page N
YOUVA
Date
NCHeS
Date YOUVA
ncvabie ipbrpesh
f fS
Guch
difere oce
15 teCsable
WTFSS
Page No.
YOUVA
Date:
ReciPepd on
O) Souse
P ga ocaSsicoo maicge
Unoley wfi) ox inbenance
Sin contmp lab co o leah
opayer
Rfrem loca auHhonhj-
hosipitzi Oivesihinmedicu_
jnshhbon_
Date (OUYA
Ccdvane mcnA Oy
Sum ecieved as
Any maney15 forfeiked
OHheruse_cunel- 5Uch
0 e g i :neejobdbon
coUrSe at
1N theCoUse gains
CSechon 51_of Ccupita
Taxable U[h_EoS
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i t rePveo on 0x aERr
Reualh Inccnne_
Remun ecuhon t o o Non_emploser
Cec checkingees o Hacher
amily Pensicn reaieyCcl by fruniluyo
CleceaSec employe e
bere leduchn ulS S S allowed
Maximu 15hoo
P e nSicn Ecievool bu recipent 0EPaYcLro
Vir chukci Maha Vir chad Ox
Other Such aLCLrcl hal lbe ly
PKempuls
uls_OC8) i n in hand5
of Svch inclivdual
Pension cecievccl buwicdou chiL EO of
Hhe members of amed teres llyM
Pemp S O CIa)
6 cantulhc Inc com e_ Hm_and_
A
Outsid e Locdtc
ndic
oC) fs
Page R
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YOUVA
interes
taUble uxable_
fuily ulb ulh
eemp Salan@ Fos
US 10CI0)
Date:
YOUYA
o e d u c h o n a l l o u a b l e
ulh OPher Soumes
V l h _ O h e r _ S o u m e s
Apen
allawctble eS u r lPvenup_A
cleclucbcn fer eaminu_ t a x a b ) e ,
- for clon e
incom p h IES-
0 feSpect of_
xpenclihupincuccecd
Parnin
Oeduchons
(a1|ln CaSe af olivideods _anc Goterest
9ecunbe)_
PKpens e) SUcm aS commSSfon remuneIcili_
paid H bander s alloueol
ttr4sattt ieiutibti
M T WT F S_S
Page No.:
YOUVA
Date:
cufenrAcis
any
insurcnte pemiom_ollowed UIS S
ncm depyfciafon
Date:
OUVA
wlh Eos_ls Ss
L Disao waoLe