Acknowledgement Number : 870846100221121

INDIAN INCOME TAX RETURN

[For Individuals and HUFs not having income from profits and gains of business or Assessment
ITR2 profession] Year
(Please see Rule 12 of the Income-tax Rules, 1962) 2021 - 22
(Please refer instructions)

Part A-GEN GENERAL

First Name Last Name PAN
Middle Name
AMIT GUPTA AMOPG0302P
Flat/Door/Block No. ✔ Individual
Name of Premises/Building/Village
76/179 SABZI MANDI KULI BAZAR HUF

Road/Street/Post Office
Kanpur
Date of Birth/ Formation (DD/MMM/YYYY) 23-Feb-1984

Aadhaar Number (12 digit) / Aadhaar Enrolment Id (28 digit) (if eligible for
Area/locality
Aadhaar)
KANPUR NAGAR 3xxx xxxx 4277
State
Town/City/District 31-Uttar Pradesh Pin code/Zip code
Kanpur H.O Country 208001
91-India
Mobile No. 1 Mobile No. 2
Residential/Office Phone Number with STD/ISD code
919068188926 91
Email Address-1 (self)
Email Address-2
amit.gupta.777@gmail.com
✔ 139(1)-On or before due date, 139(4)-After due date, 139(5)-Revised
Filed u/s (Tick)[Please see instruction ] Return, 92CD-Modified return, 119(2)(b)-after condonation of delay. 139
(a) (8A)

Or Filed in response to notice u/s 139(9), 142(1), 148

Are you opting for new tax regime u/s 115BAC ? Yes ✔ No

Are you filing return of income under Seventh proviso to Section 139(1) - (Tick) Yes ✔ No
(b)
If yes, please furnish following information

Have you deposited amount or aggregate of amounts exceeding Rs. 1 Crore in one or more
(bi) current account during the previous year? (Yes/No) 0
Yes ✔ No

Have you incurred expenditure of an amount or aggregate of amount exceeding Rs. 2 lakhs for
(bii) travel to a foreign country for yourself or for any other person? (Yes/No) 0
Yes ✔ No

Have you incurred expenditure of amount or aggregate of amount exceeding Rs. 1 lakh on
(biii) consumption of electricity during the previous year? (Yes/No) 0
Yes ✔ No

If revised/defective/modified, then enter Receipt No.

(c)
and Date of filing original return (DD/MMM/YYYY)

If filed, in response to a notice u/s 139(9)/142(1)/148 or order u/s 119(2)(b) enter unique number/ Document
(Unique
(d) Identification Number (DIN) and date of such notice/order, or if filed u/s 92CD, enter date of advance pricing
Number)
agreement
✔ You were in India for 182 days or more during the previous year
[section 6(1)(a)]

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 A. Resident You were in India for 60 days or more during the previous year,
and have been in India for 365 days or more within the 4 preceding
years [section (6)(1)(c)] [where Explanation 1 is not applicable]

You have been a non-resident in India in 9 out of 10 preceding

years [section 6(6)(a)]

You have been in India for 729 days or less during the 7
preceding years [section 6(6)(a)]

You are a citizen of India or person of Indian origin, being outside

India, who comes on a visit to India, and has total income other than
the income from foreign sources exceeding Rs. 15 lakh and been in
B. Resident but not India for a period or periods amounting in all to 120 days or more
Ordinarily Resident but less than 182 days during the previous year [section 6(6)(c)]

You are a citizen of India, who is not resident under clause (1) of
Residential Status in India section 6 and who is deemed to be resident in India under clause
(for individuals) (Tick (1A) of section 6, having total income other than the income from
applicable option) foreign sources exceeding Rs. 15 lakh during the previous year and
(e)
not liable to tax in any other country or territory by reason of your
domicile or residence or any other criteria of similar nature [section 6
(6)(d)]

You were a non-resident during the previous year.

Whether you were a resident of any jurisdiction (Yes/No)
If yes,
(i)Please specify the jurisdiction(s) of residence during the previous
year -

S. Jurisdiction(s) of Taxpayer Identification

C. Non-resident No residence Number(s)

(ii) In case you are a Citizen of India or a Person of Indian Origin

(POI), please specify -

Total period of stay in India

Total period of stay in India during
during the previous year (in
the 4 preceding years (in days)
days)

Residential Status in India

(for HUF) (Tick applicable D. Resident Resident but not Ordinarily Resident Non-resident
option)

(f) Do you want to claim the benefit under section 115H? (applicable in case of resident) Yes ✔ No

(g) Are you governed by Portuguese Civil Code as per section 5A? Tick) Yes ✔ No (If "YES" please fill Schedule 5A)

Whether this return is being filed by a Representative Assesse? Yes ✔ No

If yes, please furnish following information -

(1) Name of the representative

(h)
(2) Capacity of the Representative (drop down to be provided)

(3) Address of the representative

(4) Permanent Account Number (PAN)/ Aadhaar of the representative

Whether you were Director in a company at any time during the previous year? (Tick) Yes ✔ No
(i)
If yes, please furnish following information -

Name of Type of PAN Whether its shares are listed or Director Identification Number
Company company unlisted (DIN)

Whether you have held unlisted equity shares at any time during the previous year? Yes ✔ No
(j)
If yes, please furnish following information in respect of equity shares
Name of Type of PAN Opening balance Shares acquired during the year Shares transferred during the Closing balance
Company company year

No. of Cost of No. of Date of Face value Issue price per Purchase price per share (in No. of Sale No. of Cost of
shares acquisition shares subscription / per share share (in case of case of purchase from shares consideration shares acquisition
purchase fresh issue) existing shareholder)

1a 1b 2 3 4 5 6 7 8 9 10 11 12 13

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 SCHEDULES TO THE RETURN FORM (FILL AS APPLICABLE)

Schedule S Details of Income from Salary

TAN of Employer (mandatory if tax is
Name of Employer Nature of employer (Tick)
deducted)
PARAM DAIRY LIMITED Others
DELR04762C
Address of employer Pin code/ Zip
Town/City State
ADD_LINE_1 PARAM TOWER code
GHAZIABAD 31-Uttar Pradesh
PUSA ROAD 201010
1 Gross Salary (1a + 1b + 1c) 1 ?? 14,10,000
Salary as per section 17(1) (drop down to be
a 1a 14,10,000
provided)
I Basic salary 6,60,000
II House rent allowance (HRA) 3,30,000
III Conveyance allowance 12,000
IV Other Allowance 4,08,000
Value of perquisites as per section 17(2) (drop
b 1b 0
down to be provided)

Profit in lieu of salary as per section 17(3) (drop

c 1c 0
down to be provided)

2 Total Gross Salary (from all employers) 2 14,10,000

Less allowances to the extent exempt u/s 10 (drop down to be provided in
3 e-filing utility) (please refer instructions) 3 2,00,000
(Note: Ensure that it is included in Total Gross salary in (2) above )
Sl. Nature of Exempt Allowance Amount
No.

1 Sec 10(5)-Travel concession 0

/assistance received
2 Sec 10(10)-Death-cum-retirement 0
gratuity received
3 Sec 10(10A)-Commuted value of 0
pension received
4 Sec 10(10AA)-Earned leave 0
encashment on Retirement
5 Sec 10(14)(i)- Allowances or 20,000
benefits, not in the nature of
perquisite, specifically granted and
incurred in the performance of the
duties of an office or employment
6 Sec 10(13A)-Allowance to meet 1,80,000
expenditure incurred on house rent
4 Net Salary (2 - 3) 4 12,10,000
5 Deduction u/s 16 (5a + 5b + 5c) 5 50,000
A Standard deduction u/s 16(ia) 5a 50,000

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 B Entertainment allowance u/s 16(ii) 5b 0
C Professional tax u/s 16(iii) 5c 0
6 Income chargeable under the Head 'Salaries' (4 - 5) 6 11,60,000

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Schedule HP Details Of Income From House Property (Please Refer Instructions)
3 Pass through income/loss if any * 3 0
Income under the head ?Income from house property? (1k + 2k + 3)
4 4 0
(if negative take the figure to 2i of schedule CYLA)
Please include the income of the specified persons referred to in Schedule SPI and Pass through income referred
to in schedule PTI while computing the income under this head.
Furnishing of PAN/ Aadhaar No. of tenant is mandatory, if tax is deducted under section 194-IB.
Furnishing of TAN of tenant is mandatory, if tax is deducted under section 194-I.

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Schedule CG Capital Gains
A Short-term Capital Gains (STCG) (Sub-items 3 and 4 are not applicable for residents)

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
2
or 115AD(1)(ii) proviso (for FII)

a Full value of consideration 2a 7,195

b Deductions under section 48

i Cost of acquisition without indexation bi 8,000

ii Cost of Improvement without indexation bii 0

iii Expenditure wholly and exclusively in connection with transfer biii 0

iv Total (i + ii + iii) biv 8,000

c Balance (2a ? biv) 2c -805

Loss to be disallowed u/s 94(7) or 94(8)- for example if asset bought/acquired within 3
d months prior to record date and dividend/income/bonus units are received, then loss 2d 0
arising out of sale of such asset to be ignored (Enter positive value only)

e Short-term capital gain on equity share or equity oriented MF (STT paid) (2c +2d) A2e -805

For NON-RESIDENT, not being an FII- from sale of shares or debentures of an Indian company (to be computed with foreign exchange
3
adjustment under first proviso to section 48)

a STCG on transactions on which securities transaction tax (STT) is paid A3a 0

b STCG on transactions on which securities transaction tax (STT) is not paid A3b 0

4 For NON-RESIDENT- from sale of securities (other than those at A2) by an FII as per section 115AD

In case securities sold include shares of a company other than quoted shares, enter the
a i
following details

Full value of consideration received/receivable in respect of unquoted

a ia 0
shares

Fair market value of unquoted shares determined in the prescribed

b ib 0
manner

Full value of consideration in respect of unquoted shares adopted as

c ic 0
per section 50CA for the purpose of Capital Gains (higher of a or b)

ii Full value of consideration in respect of securities other than unquoted shares aii 0

iii Total (ic + ii) aiii 0

b Deductions under section 48

i Cost of acquisition without indexation bi 0

ii Cost of improvement without indexation bii 0

iii Expenditure wholly and exclusively in connection with transfer biii 0

iv Total (i + ii + iii) biv 0

c Balance (4aiii ? biv) 4c 0

Loss to be disallowed u/s 94(7) or 94(8)- for example if security bought/acquired within
d 3 months prior to record date and dividend/income/bonus units are received, then loss 4d 0
arising out of sale of such security to be ignored (Enter positive value only)

e Short-term capital gain on sale of securities by an FII (other than those at A2) (4c +4d) A4e 0

5 From sale of assets other than at A1 or A2 or A3 or A4 above

In case assets sold include shares of a company other than quoted shares, enter the
a i
following details

Full value of consideration received/receivable in respect of unquoted

a ia 0
shares

Fair market value of unquoted shares determined in the prescribed

b ib 0
manner

Full value of consideration in respect of unquoted shares adopted as

c ic 0
per section 50CA for the purpose of Capital Gains (higher of a or b)

ii Full value of consideration in respect of securities other than unquoted shares aii 0

iii Total (ic + ii) aiii 0

b Deductions under section 48

i Cost of acquisition without indexation bi 0

ii Cost of improvement without indexation bii 0

iii Expenditure wholly and exclusively in connection with transfer biii 0

iv Total (i + ii + iii) biv 0

c Balance (5aiii ? biv) 5c 0

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 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
d 5d 0
units are received, then loss arising out of sale of such asset to be ignored (Enter
positive value only)

e STCG on assets other than at A1 or A2 or A3 or A4 above (5c + 5d) A5e 0

6 Amount deemed to be short term capital gains

Whether any amount of unutilized capital gain on asset transferred during the previous years shown below was deposited in the Capital
a Gains Accounts Scheme within due date for that year?
yes No Not applicable. If yes, then provide the details below

Sl. Previous year in Section under which Whether new asset New asset acquired/constructed Amount not used for new asset or remained
No. which asset deduction claimed in that acquired (Yes/no) unutilized in Capital gains account (X)
transferred year Year in which asset Amount utilised out of
acquired/constructed Capital Gains account

b Amount deemed to be short term capital gains, other than at 'a' 0

Total amount deemed to be short term capital gains (aXi + b) A6 0

7 Pass Through Income/ Loss in the nature of Short Term Capital Gain, (Fill up schedule PTI) (A7a + A7b + A7c) A7 0

Pass Through Income/ Loss in the nature of Short Term Capital Gain, chargeable @
a A7a 0
15%

Pass Through Income/ Loss in the nature of Short Term Capital Gain, chargeable @
b A7b 0
30%

Pass Through Income/ Loss in the nature of Short Term Capital Gain, chargeable at
c A7c 0
applicable rates

8 Amount of STCG included in A1 ? A7 but not chargeable to tax in India as per DTAA

Sl. Amount of Item No. A1 to A7 above in Country name Article of Rate as per Treaty Whether TRC Section of Rate as per Applicable rate [lower
No. income which included & Code DTAA (enter NIL, if not obtained I.T. Act I.T. Act of (6) or (9)]
chargeable (Y/N)

(1) (2) (3) (4) (5) (6) (7) (8) (9) (10)

a Total amount of STCG not chargeable to tax in India as per DTAA A8a 0

b Total amount of STCG chargeable to tax at special rates in India as per DTAA A8b 0

9 Total Short-term Capital Gain (A1e+ A2e+ A3a+ A3b+ A4e+ A5e+A6 + A7) A9 -805

B Long-term capital gain (LTCG) (Sub-items, 5 , 6, 7 & 8 are not applicable for residents)

2 From sale of bonds or debenture (other than capital indexed bonds issued by Government)

a Full value of consideration 2a 0

b Deductions under section 48

i Cost of acquisition without indexation bi 0

ii Cost of Improvement without indexation bii 0

iii Expenditure wholly and exclusively in connection with transfer biii 0

iv Total (bi + bii +biii) biv 0

c Balance (2a ? biv) 2c 0

d Deduction under sections 54F (Specify details in item D below) 2d 0

e LTCG on bonds or debenture (2c ? 2d) B2e 0

From sale of, (i) listed securities (other than a unit) or zero coupon bonds where proviso under section 112(1) is applicable (ii) GDR of an Indian
3
company referred in sec. 115ACA

a Full value of consideration 3a 0

b Deductions under section 48

i Cost of acquisition without indexation bi 0

ii Cost of Improvement without indexation bii 0

iii Expenditure wholly and exclusively in connection with transfer biii 0

iv Total (bi + bii +biii) biv 0

c Balance (3a ? biv) 3c 0

d Deduction under sections 54F (Specify details in item D below) 3d 0

e Long-term Capital Gains on assets at B3 above (3c ? 3d) B3e 0

4 From sale of equity share in a company or unit of equity oriented fund or unit of a business trust on which STT is paid under section 112A

a LTCG u/s 112A (column 14 of Schedule 112A) 4a 0

b Deduction under sections 54F (Specify details in item D below) 4b 0

c Long-term Capital Gains on sale of capital assets at B4 above (4a ? 4b) B4c 0

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5 For NON-RESIDENTS- from sale of shares or debenture of Indian company (to be computed with foreign exchange adjustment under first proviso to
section 48)

a LTCG computed without indexation benefit 5a 0

b Deduction under sections 54F (Specify details in item D below) 5b 0

c LTCG on share or debenture (5a-5b) B5c 0

For NON-RESIDENTS- from sale of, (i) unlisted securities as per sec. 112(1)(c), (ii) bonds or GDR as referred in sec. 115AC, (iii) securities by
6
FII as referred to in sec. 115AD (other than securities referred to in section 112A for which column B7 is to be filled up)

In case securities sold include shares of a company other than quoted shares, enter the
a i
following details

a Full value of consideration received/receivable in respect of unquoted shares ia 0

b Fair market value of unquoted shares determined in the prescribed manner ib 0

Full value of consideration in respect of unquoted shares adopted as per

c ic 0
section 50CA for the purpose of Capital Gains (higher of a or b)

ii Full value of consideration in respect of securities other than unquoted shares aii 0

iii Total (ic + ii) aiii 0

b Deductions under section 48

i Cost of acquisition without indexation bi 0

ii Cost of improvement without indexation bii 0

iii Expenditure wholly and exclusively in connection with transfer biii 0

iv Total (bi + bii +biii) biv 0

c Balance (6aiii ? biv) 6c 0

d Deduction under sections /54F (Specify details in item D below) 6d 0

e Long-term Capital Gains on assets at 6 above in case of NON-REESIDENT (6c - 6d) B6e 0

For NON-RESIDENTS - From sale of equity share in a company or unit of equity oriented fund or unit of a business trust on which STT is paid
7
under section 112A

a LTCG u/s 112A (column 14 of Schedule 115AD(1)(iii)) 7a 0

b Deduction under section 54F (Specify details in item D below) 7b 0

c Long-term Capital Gains on sale of capital assets at B7 above (7a ? 7b) B7c 0

8 From sale of foreign exchange asset by NON-RESIDENT INDIAN (If opted under chapter XII-A)

a LTCG on sale of specified asset (computed without indexation) 8a 0

b Less deduction under section 115F (Specify details in item D below) 8b 0

c Balance LTCG on sale of specified asset (8a ? 8b) B8c 0

d LTCG on sale of asset, other than specified asset (computed without indexation) 8d 0

e Less deduction under section 115F (Specify details in item D below) 8e 0

f Balance LTCG on sale of asset, other than specified asset (8d- 8e) B8f 0

9 From sale of assets where B1 to B8 above are not applicable

In case securities sold include shares of a company other than quoted shares, enter the
A i
following details

a Full value of consideration received/receivable in respect of unquoted shares ia 0

b Fair market value of unquoted shares determined in the prescribed manner ib 0

Full value of consideration in respect of unquoted shares adopted as per

c ic 0
section 50CA for the purpose of Capital Gains (higher of a or b)

ii Full value of consideration in respect of securities other than unquoted shares aii 0

iii Total (ic + ii) aiii 0

b Deductions under section 48

i Cost of acquisition with indexation bi 0

ii Cost of improvement with indexation bii 0

iii Expenditure wholly and exclusively in connection with transfer biii 0

iv Total (bi + bii +biii) biv 0

c Balance (9aiii ? biv) 9c 0

d Deduction under sections 54F (Specify details in item D below) 9d 0

E Long-term Capital Gains on assets at B9 above ( (9c ? 9d) 0

10 Amount deemed to be long-term capital gains

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 Whether any amount of unutilized capital gain on asset transferred during the previous year shown below was deposited in the Capital Gains
a
Accounts Scheme within due date for that year?
Yes No Not applicable. If yes, then provide the details below

Sl. Previous year in Section under which Whether new asset New asset acquired/constructed Amount not used for new asset or remained
No. which asset deduction claimed in that acquired (Yes/no) unutilized in Capital gains account (X)
transferred year Year in which asset Amount utilised out of
acquired/constructed Capital Gains account

b Amount deemed to be short term capital gains, other than at 'a'

Total amount deemed to be long-term capital gains (aXi + aXii + b) 0

11 Pass Through Income/ Loss in the nature of Long Term Capital Gain,(Fill up schedule PTI) (B11a1+ B11a2 + B11b) B11 0

Pass Through Income/ Loss in the nature of Long Term Capital Gain, chargeable @
a1 B11a1 0
10% u/s 112A

Pass Through Income/ Loss in the nature of Long Term Capital Gain, chargeable @
a2 B11a2 0
10% under sections other than u/s 112A

Pass Through Income/ Loss in the nature of Long Term Capital Gain, chargeable @
b B11b 0
20%

12 Amount of LTCG included in B1 - B11 but not chargeable to tax or chargeable at special rates in India as per DTAA

Sl. Amount of Item No. B1 to B11 above in which Country name & Article of Rate as per Treaty Whether TRC Section of I.T. Rate as per I.T. Applicable rate [lower of (6) or
No. income included Code DTAA (enter NIL, if not obtained Act Act (9)]
chargeable) (Y/N)

(1) (2) (3) (4) (5) (6) (7) (8) (9) (10)

a Total amount of LTCG not chargeable to tax as per DTAA B12a 0

b Total amount of LTCG chargeable to tax at special rates as per DTAA B12b 0

13 Total long term capital gain chargeable under I.T. Act (B1e+B2e+B3e+B4c+B5c+B6e+B7c+B8c+B8f+B9e+B10 + B11 - B12a) B13 0

C Income chargeable under the head "CAPITAL GAINS" (A9 + B13) (take B13 as nil, if loss) C -805

D Information about deduction claimed against Capital Gains

1 In case of deduction u/s 54/54B/54EC/54F/54GB/115F give following details

a Deduction claimed u/s 54

Date of Transfer of Date of purchase/ Cost of new asset Amount deposited in Amount of deduction
Original Asset construction of new Capital Gains Accounts claimed
asset Scheme before due date

b Deduction claimed u/s 54B

Date of Transfer of Original Date of purchase of new agricultural Cost of new agricultural Amount deposited in Capital Gains Accounts Scheme before Amount of
Asset land land due date deduction
claimed

c Deduction claimed u/s 54EC

Date of Transfer of Amount invested in specified/notified bonds (not exceeding fifty lakh rupees) Date of investment Amount of deduction claimed
Original Asset

d Deduction claimed u/s 54F

Date of Transfer Date of purchase/construction of new residential Cost of new residential Amount of Amount deposited in Capital Gains Accounts Scheme before
of house house deduction due date
Original Asset claimed

e Deduction claimed u/s 54GB

Date of transfer of PAN of the Amount utilised for Date of Cost of new plant and Date of Amount deposited in Capital Amount of
original residential eligible subscription of equity shares subscription machinery purchased by the purchase of Gains Accounts Scheme deduction
property company of eligible company of shares eligible company plant and before due date claimed
machinery

f Deduction claimed u/s 115F (for Non-Resident Indians)

Date of Transfer of Amount invested in new specified asset or savings certificate Date of investment Amount of deduction claimed
foreign exchange asset

g Total deduction claimed (1a + 1b + 1c + 1d + 1e + 1f) 1g 0

E Set-off of current year capital losses with current year capital gains (excluding amounts included in A8a & B12a which is not chargeable under DTAA)

Sl.No Type of Capital Gain Capital Gain of Short term capital loss Long term capital loss Current year?s capital gains

current year (Fill this column remaining after set off

15% 30% Applicable Rate Covered By DTAA 10% 20% Covered By DTAA
only if computed figure is positive) (9=1-2-3-4-6-7-8)
(2) (3) (4) (5) (6) (7) (8)
(1)

i Capital Loss to be set 805 0 0 0 0 0 0

off

(Fill this row only if computed

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 figure is negative)

ii Short 15% 0 0 0 0 0

Term
iii 30% 0 0 0 0 0
Capital

Gain
iv Applicable 0 0 0 0 0

Rate

v Covered 0 0 0 0 0

By DTAA

vi Long 10% 0 0 0 0 0 0 0 0

Term
vii 20% 0 0 0 0 0 0 0 0
Capital

Gain
viii Covered 0 0 0 0 0 0 0 0

By DTAA

ix Total loss set off 0 0 0 0 0 0 0

(ii + iii + iv + v + vi+vii+viii)

x Loss remaining after set off 805 0 0 0 0 0 0

(i-ix)

The figures of STCG in this table (A1e* etc.) are the amounts of STCG computed in respective column (A1-A6) as reduced by theamount of STCG not chargeable to tax or chargeable at special
rates as per DTAA, which is included therein, if any.

The figures of LTCG in this table (B1e* etc.) are the amounts of LTCG computed in respective column (B1-B10) as reduced by theamount of LTCG not chargeable to tax or chargeable at special
rates as per DTAA, which is included therein, if any.

F Information about accrual/receipt of capital gain

Type of Capital gain / Date Upto 15/6 16/6 to 15/9 16/9 to 15/12 16/12 to 15/3 16/3 to 31/3
(i) (ii) (iii) (iv) (v)
1 Short-term capital gains taxable at the rate of 15% 195 0 0 0 0
Enter value from item 3iii of schedule BFLA, if any.

2 Short-term capital gains taxable at the rate of 30% 0 0 0 0 0

Enter value from item 3iv of schedule BFLA, if any

3 Short-term capital gains taxable at applicable rates 0 0 0 0 0

Enter value from item 3v of schedule BFLA, if any.

4 Short-term capital gains taxable at DTAA rates 0 0 0 0 0

Enter value from item 3vi of schedule BFLA, if any.

5 Long- term capital gains taxable at the rate of 10% 0 0 0 0 0

Enter value from item 3vi of schedule BFLA, if any.

6 Long- term capital gains taxable at the rate of 20% 0 0 0 0 0

Enter value from item 3vii of schedule BFLA, if any.

7 Long- term capital gains taxable at the rate DTAA rates 0 0 0 0 0

Enter value from item 3ix of schedule BFLA, if any.

Note: Please include the income of the specified persons (spouse, minor child etc.) referred to in Schedule SPI while computing the income under this head

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 From sale of equity share in a company or unit of equity oriented fund or unit of a business
Schedule 112A
trust on which STT is paid under section 112A
Sl. No. Share/Unit acquired ISIN Code Name of No. of Sale-price Full Value of Cost of Cost of If the long Fair Market Total Fair Market Expenditure Total Balance (6-

the Share Shares per Share Consideration acquisition acquisition term capital Value per Value of capital wholly and deductions 13) Item 4

/Unit /Units /Unit (Total Sale without asset was share/unit asset as per exclusively (7+12) (a) of

Value) (4*5) indexation acquired as on 31st section 55(2)(ac)- in LTCG

Higher of 8 before January, (4*10) connection Schedule

&9 01.02.2018, - 2018 with of ITR2

Lower of 6 & transfer

11

(Col 1) (Col 1a) (Col 2) (Col 3) (Col 4) (Col 5) (Col 6) (Col 7) (Col 8) (Col 9) (Col 10) (Col 11) (Col 12) (Col 13) (Col 14)

1 On or before 31st January, 2018 INF769K01DK3 11158 16.0000 1,78,528.0000 1,78,528.0000 1,50,000.0000 1,78,528.0000 1,92,000.0000 2,14,23,36,000.0000 0.0000 1,78,528.0000 0.0000

Total 1,78,528.0000 1,78,528.0000 1,50,000.0000 1,78,528.0000 2,14,23,36,000.0000 0.0000 1,78,528.0000 0.0000

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115AD(1)(b)(iii) For NON-RESIDENTS - From sale of equity share in a company or unit of equity oriented
proviso fund or unit of a business trust on which STT is paid under section 112A
Sl. ISIN Name No. of Sale- Full Value of Cost of acquisition Cost of If the long term capital asset Fair Market Value per Total Fair Market Value of Expenditure wholly and Total Balance (6-13)

No. Code of the Shares price Consideration (Total without indexation acquisition was acquired before share/unit as on 31st capital asset as per section exclusively in deductions Item 7 (a) of

Share /Units per Sale Value) (4*5) Higher of 8 & 9 01.02.2018, -Lower of 6 & 11 January,2018 55(2)(ac)- (4*10) connection with transfer (7+12) LTCG Schedule

/Unit Share of ITR2

/Unit

(Col (Col (Col 3) (Col (Col 5) (Col 6) (Col 7) (Col 8) (Col 9) (Col 10) (Col 11) (Col 12) (Col 13) (Col 14)

1) 2) 4)

0 0
Total 0 0 0 0 0 0

12 of 43
Schedule OS Income from Other Sources
Gross income chargeable to tax at normal applicable rates (1a+ 1b+
1 1 5,68,778
1c+ 1d + 1e)
a Dividends Gross (ai +aii) 1a 0
ai Dividend income [other than (ii)] 1ai 0
aii Dividend income u/s 2(22)(e) 1aii 0
b Interest, Gross (bi + bii + biii + biv+ bv) 1b 5,68,778
i From Savings Bank bi 3,638
From Deposits (Bank/ Post
ii bii 5,65,140
Office/ Co-
iii From Income-tax Refund biii 0
In the nature of Pass through
iv biv 0
income/ loss
v Others bv 0
c Rental income from machinery, plants, buildings, etc., Gross 1c 0
Income of the nature referred to in section 56(2)(x) which is
d 1d 0
chargeable to tax (di + dii + diii + div + dv)
Aggregate value of sum of money
i di 0
received without consideration
In case immovable property is
ii received without consideration, dii 0
stamp duty value of property
In case immovable property is
received for inadequate
iii consideration stamp duty value of diii 0
property in excess of such
consideration
In case any other property is
iv received without consideration, div 0
fair market value of property
In case any other property is
received for inadequate
v consideration, fair market value dv 0
of property in excess of such
consideration
e Any other income (please specify nature) 1e 0
Sl. No. Nature Amount

0
1 Family Pension

Income chargeable at special rates (2a+ 2b+ 2c+ 2d + 2e +2f

2 2 0
elements related to Sl. No.1)
Winnings from lotteries, crossword puzzles etc. chargeable u/s
a 2a 0
115BB
b Income chargeable u/s 115BBE (bi + bii + biii + biv+ bv + bvi) 2b 0
i Cash credits u/s 68 bi 0

13 of 43
 ii Unexplained investments u/s 69 bii 0
iii Unexplained money etc. u/s 69A biii 0
Undisclosed investments etc. u/s
iv biv 0
69B
Unexplained expenditure etc. u/s
v bv 0
69C
Amount borrowed or repaid on
vi bvi 0
hundi u/s 69D
Accumulated balance of recognised provident fund taxable u/s
c 2c 0
111
S.No. Assessment Year Income benefit Tax benefit

(i) (ii) (iii) (iv)

d Any other income chargeable at special rate (total of di to dxviii) 2d 0

Sl. No. Nature Amount
Pass through income in the nature of income from other sources chargeable at special
e 2e 0
rates (drop down to be provided)
Sl. No. Nature Amount
Amount included in 1 and 2 above, which is chargeable at special rates in India as per
2f 0
DTAA (total of column (2) of table below)
Sl. Amount Item No.1 & 2 Country Article Rate as per Treaty Whether Section Rate as Applicable rate [lower
f No. of in which name & of (enter NIL, if not TRC of I.T. per I.T. of (6) or (10)]
income included Code DTAA chargeable) obtained (Y Act Act Applicable rate
/N)

(1) (2) (3) (4) (5) (6) (7) (8) (9) (10)

Deductions under section 57 (other than those relating to income chargeable at special rates
3
under 2a, 2b & 2d)
Expenses / Deductions (in case other
ai than family pension) Expenses / 3ai 0
Deductions
Interest expenditure u/s 57(1)
aii 3aii
(available only if income offered in 1a)
Interest expenditure claimed 0
Eligible amount of interest expenditure 0
Deduction u/s. 57(iia) (in case of family
aiii 3aiii 0
pension only)
Depreciation (available only if income
b 3b 0
offered in 1c of schedule OS)
c Total 3c 0
4 Amounts not deductible u/s 58 4 0
5 Profits chargeable to tax u/s 59 5 0
Net Income from other sources chargeable at normal applicable rates (1(after
6 reducing income related to DTAA portion) ? 3 + 4 + 5) (If negative take the figure to 6 5,68,778
3i of schedule CYLA )
Income from other sources (other than from owning race horses) (2 + 6) (enter 6 as
7 7 5,68,778
nil, if negative)

14 of 43
8 Income from the activity of owning and maintaining race horses
a Receipts 8a 0
Deductions under section 57 in
b 8b 0
relation to receipts at 8a only
c Amounts not deductible u/s 58 8c 0
d Profits chargeable to tax u/s 59 8d 0
Balance (8a - 8b + 8c + 8d) (if negative take the figure to 6xii of Schedule
e 8e 0
CFL)
Income under the head"Income from other sources" (7 + 8e) (take 8e as nil if
9 9 5,68,778
negative)
10 Information about accrual/receipt of income from Other Sources
S.No. Other Source Income Upto 15/6 From 16/6 to 15/9 From 16/9 to 15/12 From 16/12 to 15/3 From 16/3 to 31/3

(i) (ii) (iii) (iv) (v)

1 Dividend Income u/s 0 0 0 0 0

115BBDA

2 Income by way of winnings 0 0 0 0 0

from lotteries, crossword

puzzles, races, games,

gambling, betting etc.

referred to in section 2(24)

(ix)

3 Dividend Income 0 0 0 0 0

chargeable under

DTAArates

Note: Please include the income of the specified persons (spouse, minor child etc.) referred to in Schedule SPI while
computing the income under this head.

15 of 43
Schedule CYLA Details of Income after Set off of Current Year Losses
Sl. Head/ Source of Income Income of current year (Fill House property Net loss from Other sources chargeable at normal Current year?s
No. this column only if income loss of the applicable rates (other than loss from race Income
is zero or positive) current year set horses) of the current year set off remaining after
off set off

1 2 3 4=1-2-3

i Loss to be set off (Fill this 0 0

row only if computed
figure is negative)

ii Salaries 11,60,000 0 0 11,60,000

iii House property 0 0 0

iv Short-term capital gain 0 0 0 0

taxable @ 15%

v Short-term capital gain 0 0 0 0

taxable @ 30%

vi Short-term capital gain 0 0 0 0

taxable at applicable rates

vii Short-term capital gain 0 0 0 0

taxable at special rates in
India as per DTAA

viii Long term capital gain 0 0 0 0

taxable @ 10%

ix Long term capital gain 0 0 0 0

taxable @ 20%

x Long term capital gains 0 0 0 0

taxable at special rates in
India as per DTAA

xi Net income from other 5,68,778 0 5,68,778

sources chargeable at
normal applicable rates

xii Profit from the activity of 0 0 0 0

owning and maintaining
race horses

xiii Total loss set off (ii + iii + iv + v + vi + vii + viii + ix + x + xi + 0 0

xii)

xiv Loss remaining after set-off (i ? xiii) 0 0

16 of 43
Schedule BFLA Details of Income after Set off of Brought Forward Losses of earlier years
Sl. Head/ Source of Income Income after set off, if any, of current year?s losses Brought forward Current year?s income
No. as per 4 of Schedule CYLA) loss set off remaining after set off

1 2 3

i Salaries 11,60,000 11,60,000

ii House property 0 0 0

iii Short-term capital gain taxable @ 15% 0 0 0

iv Short-term capital gain taxable @ 30% 0 0 0

v Short-term capital gain taxable at applicable 0 0 0

rates

vi Short-term capital gain taxable at special 0 0 0

rates in India as per DTAA

vii Long term capital gain taxable @ 10% 0 0 0

viii Long term capital gain taxable @ 20% 0 0 0

ix Long term capital gains taxable at special 0 0 0

rates in India as per DTAA

x Net income from other sources chargeable 5,68,778 0 5,68,778

at normal applicable rates

xi Profit from owning and maintaining race 0 0 0

horses

xii Total of brought forward loss set off (2ii + 2iii + 2iv + 2v+ 2vi + 2vii +2viii+ 2ix + 2xi) 0

xiii Current year's income remaining after set off Total of (3i + 3ii + 3iii + 3iv + 3v+ 3vi + 3vii + 3viii+ 3ix + 3x + 3xi) 17,28,778

17 of 43
Schedule CFL Details of Losses to be carried forward to future years
Assessment Date of House property loss Short-term capital loss Long-term Capital loss Loss from owning and
Year Filing (DD maintaining race horses
/MMM
/YYYY)

1 2 3 4 5 6

i 2013-14 0 0 0

ii 2014-15 0 0 0

iii 2015-16 0 0 0

iv 2016-17 0 0 0

v 2017-18 0 0 0 0

vi 2018-19 0 0 0 0

vii 2019-20 0 0 0 0

viii 2020-21 0 0 0 0

ix Total of 0 0 0 0
earlier year
losses

x Adjustment 0 0 0 0
of above
losses in
Schedule
BFLA

xi 2021-22 0 805 0 0
(Current year
losses)

xii Total loss 0 805 0 0

carried
forward to
future years

18 of 43
Schedule VI-A Deductions under Chapter VI-A
1 Part B- Deduction in respect of certain payments
a 80C 1,50,000 b 80CCC 0
c 80CCD(1) 0 d 80CCD(1B) 0
e 80CCD(2) 0 f 80D 5,460
g 80DD 0 h 80DDB 0
i 80E 0 j 80EE 0
k 80EEA 0 l 80EEB 0
m 80G 0 n 80GG 0
o 80GGA 0 p 80GGC 0
2 Part C, CA and D- Deduction in respect of certain incomes/other deduction
q 80QQB 0 r 80RRB 0
s 80TTA 3,638 t 80TTB 0
u 80U 0
v Total deductions under Chapter VI-A (Total of a to u) v 1,59,098

19 of 43
Schedule 80G Details of donations entitled for deduction under section 80G
Donations entitled for 100% deduction without
A
qualifying limit
Eligible
PAN of Amount
Name and address of Donee Amount of donation
Donee of
donation
Donation in Donation in Total
cash other mode Donation
Total 0 0 0 0
Donations entitled for 50% deduction without
B
qualifying limit
Eligible
Name and address of PAN of
Amount of donation Amount of
Donee Donee
donation
Donation in Donation in Total
cash other mode Donation
Total 0 0 0 0
Donations entitled for 100% deduction subject to
C
qualifying limit
Eligible
Name and address of PAN of
Amount of donation Amount of
Donee Donee
donation
Donation in Donation in Total
cash other mode Donation
Total 0 0 0 0
Donations entitled for 50% deduction subject to
D
qualifying limit
Eligible
Name and address of PAN of
Amount of donation Amount of
Donee Donee
donation
Donation in Donation in Total
cash other mode Donation
Total 0 0 0 0
E Total donations (A + B + C + D) 0

20 of 43
Schedule
Details of donations for scientific research or rural development
80GGA
Sl. Relevant clause under which deduction is Name and PAN Amount of donation Eligible
No. claimed (drop down to be provided) address of of Amount of
Donee Donee donation

Donation Donation in Total

in cash other mode Donation

Total donation 0 0 0 0

21 of 43
Schedule AMT Computation of Alternate Minimum Tax payable under section 115JC
1 Total Income as per item 12 of PART-B-TI 1 15,69,680
2 Adjustment as per section 115JC(2)
Deduction claimed under any section included in Chapter VI-A
a under the heading "C.?Deductions in respect of certain 2a 0
incomes"
3 Adjusted Total Income under section 115JC(1) (1+2a) 3 15,69,680
4 Tax payable under section 115JC [18.5% of (3)] (if 3 is greater than Rs. 20 lakhs) 4 0

22 of 43
Schedule AMTC Computation of tax credit under section 115JD
1 Tax under section 115JC in assessment year 2020-21 (1d of Part-B-TTI) 1 0
2 Tax under other provisions of the Act in assessment year 2020-21 (7 of Part-B-TTI) 2 2,94,740
Amount of tax against which credit is available [enter (2 ? 1) if 2 is greater than 1,
3 3 2,94,740
otherwise enter 0]
Utilisation of AMT credit Available (Sum of AMT credit utilized during the current year is subject to maximum of
4
amount mentioned in 3 above and cannot exceed the sum of AMT Credit Brought Forward)
S. Assessment Year AMT Credit AMT Credit Utilised Balance AMT
No. (A) during the Current Credit Carried
Gross Set-off in Balance brought Assessment Year Forward
(B1) earlier forward to the current (C) (D)= (B3) ?(C)
assessment assessment year
years (B3) = (B1) ? (B2)
(B2)

viii Current AY (enter 0 0

1-2, if 1>2 else
enter 0)
ix Total 0 0 0 0 0
Amount of tax credit under section 115JD utilised during the year [total of item No. 4
5 5 0
(C)]
Amount of AMT liability available for credit in subsequent assessment years [total of 4
6 6 0
(D)]

23 of 43
 Income of specified persons (spouse, minor child etc.) includable in income of the assessee
Schedule SPI as per section 64 GENERALIncome of specified persons (spouse, minor child etc.) includable
in income of the assessee as per section 64
Sl Name of person PAN/ Aadhaar of person Relationship Amount Head of Income in which
No (optional) (Rs) included

24 of 43
 Income chargeable to tax at special rates (please see instructions No. 9 for rate of tax)
Schedule SI
Income chargeable to tax at special rates
Sl. Section Special rate Income Taxable Tax thereon
No. Income
after
adjusting
for min
chargeable
to tax

1 1 111 - Tax on accumulated 1% 0 0

balance of recognised
provident fund
2 1A 111A or section 115AD(1) 15 % 0 0
(ii)- Proviso (STCG on
shares units on which
STT paid)
3 21 112 Long term capital 20 % 0 0
gains (with indexing)
4 22 112 proviso (LTCG on 10 % 0 0
listed securities/ units
without indexation)
5 2A 112A (LTCG on sale of 10 % 0 0
shares or units on which
STT is paid)
6 21ciii 112(1)(c)(iii)(LTCG on 10 % 0 0
unlisted securities in case
of non-residents)
7 5BB 115BB (Winnings from 30 % 0 0
lotteries, puzzles, races,
games etc.)
8 5ADii 115AD(1)(ii) -STCG (other 30 % 0 0
than on equity share or
equity oriented mutual
fund referred to in section
111A) by an FII
9 5AD1biip 115AD(1)(b)(ii)- Short 15 % 0 0
term capital gains referred
to in section 111A
10 5A1ai 115A(1)(a)(i)- Dividends 20 % 0 0
interest and income from
units purchase in foreign
currency
11 5A1aii 115A(1)(a)(ii)- Interest 20 % 0 0
received from Govt/Indian
Concerns received in
Foreign Currency
12 5A1aiia 1115A(1) (a)(iia) -Interest 5% 0 0
from Infrastructure Debt
Fund
13 5A1aiiaa 115A(1) (a)(iiaa) -Interest 5% 0 0
as per Sec. 194LC(1)
14 5A1aiiaaP 115A(1) (a)(iiaa) -Interest 4% 0 0
25 of 43
 received by non-resident
as referred in proviso to
section 194LC(1)
15 5A1aiiab 115A(1) (a)(iiab) -Interest 5% 0 0
as per Sec. 194LD
16 5A1aiiac 115A(1) (a)(iiac) -Interest 5% 0 0
as per Sec. 194LBA
17 5A1aiiaci 115A(1) (a)(iiac) - 10 % 0 0
Distributed income being
Dividend referred to in
section 194LBA
18 5A1aiii 115A(1) (a)(iii) - Income 20 % 0 0
received in respect of
units of UTI purchased in
Foreign Currency
19 5A1bA 115A(1)(b)- Income from 10 % 0 0
royalty or fees for
technical services
received from
Government or Indian
concern - chargeable u/s
115A(1)(b)
20 5AC1ab 115AC(1)(a) - Income by 10 % 0 0
way of interest on bonds
purchased in foreign
currency
21 5AC1c 115AC(1)(c) -LTCG 10 % 0 0
arising from the transfer of
bonds or GDR purchased
in foreign currency - non-
resident
22 5ACA1a 115ACA(1)(a) - Income 10 % 0 0
from GDR purchased in
foreign currency -resident
23 5ACA1b 115ACA(1)(b) - LTCG 10 % 0 0
arising from the transfer of
GDR purchased in foreign
currency -resident
24 5AD1i 115AD(1)(i) -Income 20 % 0 0
(other than dividend)
received by an FII in
respect of securities(other
than units as per Sec
115AB)
25 5AD1iP 115AD(1)(i) -Income 5% 0 0
received by an FII in
respect of bonds or
government securities as
per Sec 194LD
26 5ADiii 115AD(1)(iii)-Long term 10 % 0 0
capital gains by an FII
27 5ADiiiP Securities referred in 10 % 0 0

26 of 43
 section 112A read with
section 115AD
28 5BBA 115BBA - Income 20 % 0 0
received by non-resident
sportsmen or sports
associations or entertainer
29 5BBC 115BBC - Anonymous 30 % 0 0
donations
30 5BBE 115BBE - Tax on income 60 % 0 0
referred to in sections 68
or 69 or 69A or 69B or
69C or 69D
31 5BBF 115BBF - Income under 10 % 0 0
head other sources
32 5BBG 115BBG - Income under 10 % 0 0
head other sources
33 5Ea 115E(a)-Investment 20 % 0 0
income
34 5Eacg 115E(a)-LTCG on any 20 % 0 0
asset other than a
specified asset-non
resident Indian
35 5Eb 115E(b) - Income by way 10 % 0 0
of long term capital gains
36 DTAASTCG STCGDTAARate - STCG 1% 0 0
Chargeable at special
rates in India as per DTAA
37 DTAALTCG LTCGDTAARate - LTCG 1% 0 0
Chargeable at special
rates in India as per DTAA
38 DTAAOS Other source income 1% 0 0
chargeable under DTAA
rates
39 PTI_STCG15P Pass Through Income in 15 % 0 0
the nature of Short Term
Capital Gain chargeable
@ 15%
40 PTI_STCG30P Pass Through Income in 30 % 0 0
the nature of Short Term
Capital Gain chargeable
@ 30%
41 PTI_LTCG10P Pass Through Income in 10 % 0 0
the nature of Long Term
Capital Gain chargeable
@ 10% u/s other than u/s
112A
42 PTI_LTCG10P112A Pass Through Income in 10 % 0 0
the nature of Long Term
Capital Gain chargeable
@ 10% u/s 112A

27 of 43
43 PTI_LTCG20P Pass Through Income in 20 % 0 0
the nature of Long Term
Capital Gain chargeable
@ 20%
44 PTI_5A1ai PTI_115A(1)(a)(i)- 20 % 0 0
Dividends in the case of
non-residents
45 PTI_5A1aii PTI_115A(1)(a)(ii)- 20 % 0 0
Interest received in the
case of non-residents
46 PTI_5A1aiia PTI_115A(1)(a)(iia)- 5% 0 0
Interest received by non-
resident from
infrastructure debt fund
47 PTI_5A1aiiaa PTI_115A(1)(a)(iiaa)- 5% 0 0
Income received by non-
resident as referred in
section 194LC(1)
48 PTI_5A1aiiaaP PTI_115A(1) (a)(iiaa) - 4% 0 0
Interest received by non-
resident as referred in
proviso to section 194LC
(1)
49 PTI_5A1aiiab PTI_115A(1)(a)(iiab)- 5% 0 0
Income received by non-
resident as referred in
section 194LD
50 PTI_5A1aiiac PTI_115A(1)(a)(iiac)- 5% 0 0
Income received by non-
resident as referred in
section 194LBA
51 PTI_5A1aiiaci PTI_115A(1) (a)(iiac) - 10 % 0 0
Distributed income being
Dividend referred to in
section 194LBA
52 PTI_5A1aiii PTI_115A(1)(a)(iii)- 20 % 0 0
Income from units
purchased in foreign
currency in the case of
non-residents
53 PTI_5A1bA PTI_115A(1)(b)-Income 10 % 0 0
from royalty or fees for
technical services
received from
Government or Indian
concern
54 PTI_5AC1ab PTI_115AC(1)(a)- Income 10 % 0 0
by way of interest on
bonds purchased in
foreign currency
55 PTI_5ACA1a PTI_115ACA(1)(a )- 10 % 0 0
Income from GDR
purchased in foreign
28 of 43
 currency or long term
capital gains arising from
their transfer in case of a
resident employee of an
Indian company, engaged
in knowledge based
industry or service
56 PTI_5AD1iDiv PTI_115AD(1)(i)- PTI - 20 % 0 0
Income (other than
dividend) received by an
FII in respect of securities
(other than units referred
to in section115AB)
57 5AD1iDiv 115AD(1)(i) - Income 20 % 0 0
being dividend received
by an FII in respect of
securities (other than units
referred to in
section115AB)
58 PTI_5AD1i PTI_115AD(1)(i)-PTI - 20 % 0 0
Income (being Dividend)
received by an FII in
respect of securities(other
than units referred to in
section115AB)
59 PTI_5AD1iP PTI_115AD(1)(i)- Income 5% 0 0
received by an FII in
respect of bonds or
government securities
referred to in section
194LD
60 PTI_5BBA PTI_115BBA- Income 20 % 0 0
received by non-resident
sportsmen or sports
associations or entertainer
61 PTI_5BBC PTI_115BBC- Anonymous 30 % 0 0
donations
62 PTI_5BBF PTI_115BBF- Income 10 % 0 0
from patent
63 PTI_5BBG PTI_115BBG- Income 10 % 0 0
from transfer of carbon
credits
64 PTI_5Ea PTI_115E(a)- Investment 20 % 0 0
income of a non-resident
Indian
Total 0 0

29 of 43
 Details of Exempt Income (Income not to be included in Total Income or not chargeable to
Schedule EI
tax)
1 Interest income 1 0
Gross Agricultural receipts (other than income to be excluded
i i 0
under rule 7A, 7B or 8 of I.T. Rules)
ii Expenditure incurred on agriculture ii 0
Unabsorbed agricultural loss of previous eight assessment
2 iii iii 0
years
iv Net Agricultural income for the year (i ? ii ? iii) (enter nil if loss) 2 0
In case the net agricultural income for the year exceeds Rs.5 lakh, please furnish the
v
following details (Fill up details separately for each agricultural land)
3 Other exempt income (including exempt income of minor child) 3 0
4 Income not chargeable to tax as per DTAA
Sl. Amount of Nature of Country name Article of Head of Whether TRC
No. income income & Code DTAA Income obtained (Y/N)

III Total Income from DTAA not chargeable to tax 4 0

5 Pass through income not chargeable to tax (Schedule PTI) 5 0
6 Total (1+2+3+4+5+6) 6 0

30 of 43
 Pass Through Income details from business trust or investment fund as per section 115UA,
Schedule PTI
115UB
Note: Please refer to the instructions for filling out this schedule.

31 of 43
Schedule FSI Details of Income from outside India and tax relief (Available in case of resident)
Note: Please refer to the instructions for filling out this schedule.

32 of 43
 Details Summary of tax relief claimed for taxes paid outside India (available only in case of
Schedule TR
resident)
1 Summary of Tax relief claimed
Country Tax Total proportionate taxes paid outside Total tax relief available (total Tax Relief Claimed
Code Identification India (total of (c) of Schedule FSI in of (f) of Schedule FSI in under section
Number respect of each country) respect of each country) (specify 90, 90A or
91)

(a) (b) (c) (d) (e)

Total 0 0
Total Tax relief available in respect of country where DTAA is applicable (section
2 2 0
90/90A) (Part of total of 1(d))
Total Tax relief available in respect of country where DTAA is not applicable
3 3 0
(section 91) (Part of total of 1(d))
Whether any tax paid outside India, on which tax relief was allowed in India, has
4 been refunded/credited by the foreign tax authority during the year? If yes, 4
provide the details below
Amount of tax Assessment year in which tax
a 0 b
refunded relief allowed in India
Note: Please refer to the instructions for filling out this schedule.

33 of 43
Schedule FA Details of Foreign Assets and Income from any source outside India
A1 Details of Foreign Depository Accounts held (including any beneficial interest) at any time during the relevant accounting period

Sl Country Country Name of financial Address of financial ZIP Account Status Account Peak balance during Closing Gross interest paid/credited to the account

No name code institution institution code number opening date the period balance during the period

(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12)

A2 Details of Foreign Custodial Accounts held (including any beneficial interest) at any time during the relevant accounting period

Sl Country Country Name of Address of ZIP Account Status Account Peak balance Closing Gross interest paid/credited to the account during the period

No name code financial financial code number opening during the balance (drop down to be provided specifying nature of amount viz. interest/dividend

institution institution date period /proceeds from sale or redemption of financial assets/ other income)

(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12)

A3 Details of Foreign Equity and Debt Interest held (including any beneficial interest) in any entity at any time during the relevant accounting period

Sl Country Country Name Address ZIP Nature Date of Initial value Peak value of Closing Total gross amount paid/credited with Total gross proceeds from sale or

No name code of of entity code of acquiring the of the investment during balance respect to the holding during the redemption of investment during the

entity entity interest investment the period period period

(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12) (13)

A4 Details of Foreign Cash Value Insurance Contract or Annuity Contract held (including any beneficial interest) at any time during the relevant accounting period

Sl Country Country Name of financial institution in which Address of financial ZIP Date of The cash value or surrender value Total gross amount paid/credited with respect to the

No name code insurance contract held institution code contract of the contract contract during the period

(1) (2) (3) (4) (5) (6) (7) (8) (9)

B Details of Financial Interest in any Entity held (including any beneficial interest) at any time during the relevant accounting period

Sl Country Name ZIP Nature of Name and Address Nature of Date Total Investment (at Income accrued from Nature of Income taxable and offered in this return

No and code Code entity of the Entity Interest-Direct since cost) (in rupees) such Interest Income
Amount Schedule Item number
/Beneficialowner held
where offered of schedule
/Beneficiary

(1) (2) 2a (3) (4) (5) (6) (7) (8) (9) (10) (11) (12)

C Details of Immovable Property held (including any beneficial interest) at any time during the relevant accounting period

Sl Country Name ZIP Address of the Ownership-Direct/ Beneficial Date of Total Investment (at Income derived from Nature of Income taxable and offered in this return

No and code Code Property owner/ Beneficiary acquisition cost) (in rupees) the property Income
Amount Schedule Item number

where offered of schedule

(1) (2) 2b (3) (4) (5) (6) (7) (8) (9) (10) (11)

D Details of any other Capital Asset held (including any beneficial interest) at any time during the relevant accounting period

Sl Country Name ZIP Nature of Ownership-Direct/ Beneficial Date of Total Investment (at cost) Income derived from Nature of Income taxable and offered in this return

No and code Code Asset owner/ Beneficiary acquisition (in rupees) the asset Income
Amount Schedule Item number of

where offered schedule

(1) (2) 2b (3) (4) (5) (6) (7) (8) (9) (10) (11)

E Details of account(s) in which you have signing authority held (including any beneficial interest) at any time during the relevant accounting period and which has not been included in A to D above.

Sl Name of the Address Country Zip Name of Account Peak Balance/ Investment during the Whether income If (7) is yes, If (7) is yes, Income offered in

No Institution in which of the Name Code the Number year (in rupees) Peak Balance/ accrued is taxable in Income accrued this return

the account is held Institution and Code account Investment during the year your hands? in the account
Amount Schedule Item
holder
where number

offered of

schedule

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(1) (2) (3) (3a) (3b) (4) (5) (6) (7) (8) (9) (10) (11)

F Details of trusts, created under the laws of a country outside India, in which you are a trustee, beneficiary or settlor

Sl Country ZIP Name and Name and Name and Name and Date since Whether income derived is If (8) is yes, Income If (8) is yes, Income offered in this

No Name and CODE address of the address of address of address of position taxable in your hands? derived from the trust return

code trust trustees Settlor Beneficiaries held

Amount Schedule Item

where number

offered of

schedule

(1) (2) (2b) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12)

G 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

Sl Country Name and ZIP Name and address of the person from Income Nature of Whether taxable in your If (6) is yes, Income offered in this return

No code CODE whom derived derived income hands?

Amount Schedule where Item number of

offered schedule

(1) (2) (2b) (3) (4) (5) (6) (7) (8) (9)

Note: 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 acquired during any previous year in which he was non-

resident is not mandatory to be reported in this schedule if no income is derived from that asset during the current previous year.

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 Information regarding apportionment of income between spouses governed by Portuguese Civil
Schedule 5A
Code
Name of the
spouse
PAN/ Aadhaar
of the spouse
Receipts Amount of TDS
Heads of Amount apportioned in TDS apportioned in
received under deducted on income
Income the hands of the spouse the hands of spouse
the head at (ii)
(i) (ii) (iii) (iv) (v)
House
1 0 0 0 0
Property
Capital
2 0 0 0 0
gains
Other
3 0 0 0 0
sources
4 Total 0 0 0 0

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 Assets and Liabilities at the end of the year (applicable in a case where total income exceeds Rs.50
Schedule AL
lakh)
A Details of immovable assets
Sl. No. Description Address Pin code Amount (cost) in Rs.

(1) (2) (3) (4) (5)

B Details of movable assets

Sl. Amount (cost) in
Description
No. Rs.
(1) (2) (3)
(i) Jewellery, bullion etc. 0
(ii) Archaeological collections, drawings, painting, sculpture or any work of art 0
(iii) Vehicles, yachts, boats and aircrafts 0
Amount (cost) in
(iv) Financial assets
Rs.
(a) Bank (including all deposits) 0
(b) Shares and securities 0
(c) Insurance policies 0
(d) Loans and advances given 0
(e) Cash in hand 0
C Liabilities in relation to Assets at (A + B) 0
Note: Please refer to instructions for filling out this schedule.

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Part B ?
Computation of total income
TI
1 Salaries (6 of Schedule S) 1 11,60,000
2 Income from house property ( 4 of Schedule HP) (enter nil if loss) 2 0
3 Capital gains
Short term
i Short-term chargeable @ 15% (9ii of item E of schedule CG) ai 0
ii Short-term chargeable @ 30% (9iii of item E of schedule CG) aii 0

a Short-term chargeable at applicable rate (9iv of item E of

iii aiii 0
schedule CG)
Short-term chargeable at special rates in India as per DTAA (9v
iv aiv 0
of item E of Schedule CG)
v Total Short-term (ai + aii + aiii + aiv) (enter nil if loss) 3av 0
Long-term
i Long-term chargeable @ 10% (9vi of item E of schedule CG) bi 0
ii Long-term chargeable @ 20% (9vii of item E of schedule CG) bii 0
b
Long-term chargeable at special rates in India as per DTAA
iii biii 0
(9viii of item E of schedule CG)
iv Total Long-term (bi + bii + biii) (enter nil if loss) 3biv 0
c Total capital gains (3av + 3biv) (enter nil if loss) 3c 0
4 Income from other sources
Net income from other sources chargeable to tax at normal applicable
a 4a 5,68,778
rates (6 of Schedule OS) (enter nil if loss)
b Income chargeable to tax at special rates ( 2 of Schedule OS) 4b 0
Income from the activity of owning and maintaining race horses ( 8e
c 4c 0
of Schedule OS) (enter nil if loss)
d Total (4a + 4b + 4c) (enter nil if loss) 4d 5,68,778
5 Total of head wise income (1+2+3c+4d) 5 17,28,778
Losses of current year set off against 5 (total of 2xiii and 3xiii of Schedule
6 6 0
CYLA)
Balance after set off current year losses (5-6) (total of column 4 of
7 7 17,28,778
Schedule CYLA + 2 of Schedule OS)
8 Brought forward losses set off against 7 ( 2xii of Schedule BFLA) 8 0
9 Gross Total income (7-8) (3xiii of Schedule BFLA + 2 of Schedule OS) 9 17,28,778
Income chargeable to tax at special rate under section 111A, 112, 112A etc.
10 10 0
included in 9
11 Deductions under Chapter VI-A [v of Schedule VIA and limited to (9-10)] 11 1,59,098
12 Total income (9 - 11) 12 15,69,680
Income which is included in 12 and chargeable to tax at special rates (total
13 13 0
of column (i) of schedule SI)
Net agricultural income/ any other income for rate purpose ( 3 of Schedule
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14 EI) 14 0
Aggregate income (12-13+14) [applicable if (12-13) exceeds maximum
15 15 15,69,680
amount not chargeable to tax]
Losses of current year to be carried forward (total of row xi of Schedule
16 16 805
CFL)
17 Deemed income under section 115JC (3 of Schedule AMT) 17 15,69,680

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Part B -TTI Computation of tax liability on total income
Tax payable on deemed total income u/s 115JC (4 of
a 1a 0
Schedule AMT)

b Surcharge on (a) (if applicable) 1b 0

1
Health and Education Cess @ 4% on (1a + 1b)
c 1c 0
above

d Total tax payable on deemed total income (1a + 1b + 1c) 1d 0

Tax payable on total income 2,83,404

a Tax at normal rates on 15 of Part B-TI 2a 2,83,404

b Tax at special rates (total of col. (ii) of Schedule SI) 2b 0

2
Rebate on agricultural income [applicable if (12-13)
c of Part B-TI exceeds maximum amount not 2c 0
chargeable to tax]

d Tax Payable on Total Income (2a + 2b - 2c) 2d 2,83,404

3 Rebate under section 87A 3 0

4 Tax payable after rebate (2d - 3) 4 2,83,404

5 Surcharge 0

Surcharge computed before marginal relief

i @ 25% of 16(ii) of Schedule SI 5i 0

@10% or 15%, as applicable of 2(ii), 3(ii), 8(ii), 11

ii 5ii 0
(ii), 21(ii), 23(ii) of Schedule SI

On [(4) - ( 16(ii), 2(ii), 3(ii), 8(ii), 11(ii), 21(ii), 23(ii) of

iii 5iii 0
Schedule SI)]

Surcharge after marginal relief

i @ 25% of 14(ii) of Schedule SI 5i 0

ia @ 25% of 16(ii) of Schedule SI 5ia 0

@10% or 15%, as applicable of 2(ii), 3(ii), 8(ii), 11

iia (ii), 21(ii), 23(ii) of Schedule SI On [(4) - ( 16(ii), 2 5iia 0
(ii), 3(ii), 8(ii), 11(ii), 21(ii), 23(ii) of Schedule SI)]

iii Total (ia + iia) 5iii 0

6 Health and Education Cess @ 4% on (4 + 5iv) 6 11,336

7 Gross tax liability (4 + 5iv + 6) 7 2,94,740

8 Gross tax payable (higher of 1d and 7) 8 2,94,740

Tax on income without including income on

perquisites referred in section 17(2)(vi) received
a 8a 2,94,740
from employer, being an eligible start-up referred to
in section 80-IAC ( Schedule Salary)

Tax deferred - relatable to income on perquisites

referred in section 17(2)(vi) received from employer,
b 8b 0
being an eligible start-up referred to in section 80-
IAC

Credit u/s 115JD of tax paid in earlier years (applicable only if 7 is higher than 1d) (row 5 of
9 9 0
Schedule AMTC)

10 Tax payable after credit u/s 115JD (8 - 9) 10 2,94,740

11 Tax relief

a Section 89(Please ensure to submit Form 10E) 11a 0

b Section 90/ 90A (2 of Schedule TR) 11b 0

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 c Section 91 (3 of Schedule TR) 11c 0

d Total (11a + 11b + 11c) 11d 0

12 Net tax liability (10 - 11d) (enter zero if negative) 12 2,94,740

13 Interest and fee payable

Interest for default in furnishing the return (section

a 13a 0
234A)

Interest for default in payment of advance tax

b 13b 2,128
(section 234B)

Interest for deferment of advance tax (section

c 13c 4,712
234C)

Fee for default in furnishing return of income

d 13d 0
(section 234F)

e Total Interest and Fee Payable (13a+13b+13c+13d) 13e 6,840

14 Aggregate liability (12 + 13e) 14 3,01,580

15 Taxes Paid 3,01,578

a Advance Tax (from column 5 of 20A) 15a 83,200

b TDS (total of column 5 of 20B and column 9 of 20C) 15b 1,84,888

c TCS (total of column 5 of 20D) 15c 0

d Self-Assessment Tax (from column 5 of 20A) 15d 33,490

e Total Taxes Paid (15a + 15b + 15c + 15d) 15e 3,01,578

16 Amount payable (Enter if 14is greater than 15e, else enter 0) 16 0

Refund (If 15e is greater than 14) (Refund, if any, will be directly credited into the bank
17 17 0
account)

Do you have a bank account in India (Non- Residents claiming refund with no bank account in India
18 Yes
may select No)

Sl. IFS Code of the Bank in case of Name of Account Indicate the account in which you prefer to get
No Bank Accounts held in India the Bank Number your refund credited, if any (tick accounts

HDFC ✔
1 HDFC0000003 00031610002890
BANK

Note:
1. Minimum one account should be selected for refund credit.
2. In case of Refund, multiple accounts are selected for refund credit, then refund will be credited to one of the account decided by
CPC after processing the return

Rows can be added as required

b) Non- residents, who are claiming income-tax refund and not having bank account in India may, at their option, furnish the details
ii
of one foreign bank account:

Sl. No. SWIFT Code Name of the Bank Country of Location IBAN

Do you 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 Yes
19 ✔
(ii) have signing authority in any account located outside India; or No
(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 ]

20 TAX PAYMENTS

A Details of payments of Advance Tax and Self-Assessment Tax

Sl No BSR Code Date of Deposit (DD/MMM/YYYY) Serial Number of Challan Amount (Rs)

(1) (2) (3) (4) (5)

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 1 0510308 15-Mar-2021 21094 83,200

2 0510308 22-Nov-2021 14969 33,490

Advance Tax and Self Assessment Tax (total of column 5) 1,16,690

Note: Enter the totals of Advance tax and Self-Assessment tax in Sl No. 15a & 15d of Part B-TTI

B Details of Tax Deducted at Source from Salary [As per Form 16 issued by Employer(s)]

Sl Tax Deduction Account Number (TAN) Name of the Income chargeable under Total tax deducted
No of the Employer Employer Salaries

(1) (2) (3) (4) (5)

1 DELR04762C PARAM DAIRY 14,08,000 1,42,500

LIMITED

Note: Please enter total of column 5 in 11b of Part B-TTI

C Details of Tax Deducted at Source (TDS) on Income [As per Form 16 A issued or Form 16B/16C furnished by Deductor(s)]

Sl TDS credit PAN/ TAN of the Unclaimed TDS TDS of the current Financial TDS credit being claimed this Year Corresponding TDS

No relating to self Aadhaar of Deductor/ brought forward Year (TDS deducted during FY (only if corresponding income is Receipt offered credit

/other person Other PAN/ (b/f) 2020-21) being offered for tax this year,not being

[spouse as per Person (if Aadhaar of applicable if TDS deducted u/s 194N) carried

section 5A TDS credit Tenant/ forward

Fin. Year TDS Deducted Deducted in the Claimed Claimed in the hands of Gross Head
/other person related to Buyer
in which b/f in own hands of spouse in own spouse as per section 5A Amount of
as per rule other
deducted hands as per section 5A hands or any other person as per Income
37BA(2)] person)
or any other rule 37BA(2) (if applicable)

person as per rule

37BA(2) (if

applicable)

(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12) (13)

Income TDS Income TDS PAN/

Aadhaar

1 Self / MUMH03189E 2019 0 42,388 0 0 42,388 0 0 / 5,65,140 OS 0

TDS claimed in own hands (total of column 9) 42,388

Note: Please enter total of column 9 in15b of Part B- TTI

D Details of Tax Deducted at Source (TDS) on Income [As per Form 16A issued or Form 16B/16C/16D furnished by Deductor(s)]

Sl TDS credit PAN/ PAN Unclaimed TDS TDS of the current Financial TDS credit being claimed this Year Corresponding TDS

No relating to self Aadhaar of /Aadhaar brought forward Year (TDS deducted during FY (only if corresponding income is Receipt offered credit

/other person Other No. of (b/f) 2020-21) being offered for tax this year) being

[spouse as per Person (if the carried

Fin. Year TDS Deducted Deducted in the Claimed Claimed in the hands of Gross Head
section 5A/other TDS credit Buyer / forward
in which b/f in own hands of spouse as in own spouse as per section 5A Amount of
person as per related to Tenant
deducted hands per section 5A or hands or any other person as per Income
rule 37BA(2)] other
any other person rule 37BA(2) (if applicable)
person)
as per rule 37BA(2)

(if applicable)

(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12) (13)

Income TDS Income TDS PAN/

Aadhaar

TDS claimed in own hands (total of column 9) 0

Note: Please enter total of column 9 in15b of Part B- TTI

E Details of Tax Collected at Source (TCS) [As per Form 27D issued by the Collector(s)]

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Sl Tax Deduction and Collection Name of Tax Amount out of Amount out of (4) being claimed in the
No Account Number of the the Collected (4) being hands of spouse, if section 5A is
Collector Collector claimed applicable

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

TCS being claimed this year (total of column 5) 0

Note: Please enter total of column (5) in 11c of Part B-TTI

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