INDIAN INCOME TAX RETURN (For individuals and HUFs having income from profits and gains of business or Assessment ITR3 profession) Year (Please see rule 12 ofthe Income-tax Rules, 1962) 2021-22 (Please refer instructions) GENERAL Last Name PAN pre eee ATUL RAMNIKLAL VASANI —ABJPV4g16A, 2 FlatDoar/Block No Name Of Premises/BuildingVilage Status (Tick) Zo BO PAVITRAKUNJ SOCIETY Diindividual — HUF EE roaa'svectPost once Date of Bitty Formation (ODMMLYYYY) 38 NR.CTM CHAR RASTA 10/09/1968 2a Aealocalty Gadhaar Number (12 city Aadhasr Enrolment ld (20 cgi i eile fr Aadheer) 2 = AMRAIWADI AMRAIWADI BXXX XXXK 2177 / 28 State BF towiciyoistict 11-Gujarat PIN coderzIP code 22 AHMEDABAD AHMEDABAD Country 380026 & 91-India ResidentiaVOfice Phone Number with STD code/Motile No.1 Micke hace Email Acoress-t (self) devk56628@gmail.com (a) ©) oi) (ip (oii) © @ 91 9173027358 Email Address-2 121139(1)-On or Before due date, 139(4)-Ator due dale, 199(6) Fed ul (Tick [Please see instruction) Revised Return,» 82CD-Modiiod return TNSkbNo er condonation of delay. (Or Filed in response to notice uls 1300), 1421), 148, 1534, 1530 ‘Are you opting for new tex regime uls 11584C 7D] Yes No ‘1ieou fling return of income under Seventh proviso to Section 130(1) (Tick) Yes No Iyes, please furnish following information Ormco ee ea PeSn snot ected to fuish a retum of income under secton129(1) but ing retum tincome due falling one ox more condtions mentioned inthe seventh proviso to sechon footy Have you deposited amount or aggregate of amounts exceeding Rs. 1 Crore a ae Im one or more current account during the previous year? (YesNo} ‘Amount (Re) Yeo}e 0 Have you incurred expenditure of an amount or aggregate of amount Sher peor’ 7 ekhS for travel to foreign county for yourselforfor ary Amount (Re) Yes) €0 other person Have you incurred expenctue of amount or aggregate of amount exceeding s Re. 1 lakh on consumption of electricity during the previous year? (Yes/No) Amount (Rs) (IfYes) 0 I revised/Defective/Modifed, then enter Receipt No. and Date of fling riginal return (DDMAMIYYYY). I fled, in response to a notice u's 139(0)/142(1)/148/153A/153C or order wis suck ie) goter Uniaue NumberDocument Identfcation Number and date of (Unique Number) ‘such notice/order, or fed u's 92CD enter date of advance pricing agreement You were in India for 182 days orFILING STATUS, more during tre A, Resient Scie year ieection BUtNall ‘You were in inci for 60 days or more during the provous year and have been in India for 65 days or fore win the 4 preceding years (section (1) frmore Expianaton 1 isnot epplicaBelidontal Status in india (or 2. ‘you have welt seule EE APRESS SELES 10 receding years Resident tsecton 66), bat aot Oreinarly ‘You have been in india for 729 days o less during the 7 preceding Resident years [section 6(6,@)] ‘You were a nonresident during the previous yer. ( bese Speaty tre jutscicion(s) of residence during the previous year tae 'SNo Jurisdiction of residence Taxpayer Identification Number resident {iy ncase you area Citizen of india ora Person of Indian Ovgn (PO), please specty- “Total period of stayin Inala ding “Total poriod of stay in India curing he 4 the previous year (in days) preceding years (days) Residential Status in india Stale Oro 0, C Resident Resident but not Ordinary Resident Non-sdent spleable option) ‘Do you want to claim the benefit under section 115H7? (applicable incase of Thves resident) ae i) ‘i ‘aro you governed by Portuguese Civl Code as per secton SA? (Tis) C1 Ves No (if-YES" please fil (9) Schodule 54) “Wether ths return is being fled by areprosentatve assesses? (Tick) I Yes NO If yes, furnish folowing information - OO) (1) _ Name of the representative (2) Capacity of the Representative (drop down tobe provided) (8) Address of the representative (4) Permanent Account Number (PAN) Aadhaar No.of he representative | Whether you were Diectorin a company at anytime during the previous year? (Tick) IT] ¥es No ()ryes, please furnish following information - Name of Type of PAN Whether its shares are Director Identification Company ‘company listed or unlisted Number (DIN) 6) Whether you are Parner in afm? (Tex) CICA Ves No yes please furnish folowing inormalon- Name of Fitm PAN ‘nether you have het unsted equity shares at any te curing the previous year? (ich) Yes No Wes plese furnish following information in espect of equi shares co)AUDIT INFORMATION (Incase of non-resient, is there @ permanent establishment (PE) in India? (Tick) OD Yes No (rm) Whether assessee is located in an International Financial Senices Centre and derives income solely in convertible foreign exchange? LI Yes No (a1) Are you liable to maintain accounts as per section 44AA? (Tick) II Yes No (22) Whether assessee is dectering income only under section 44AE/44B/44BB/44AD/44ADA/44BBA/44888 01 Yes No {Ne nether during the year Total sles/turnoverigross receipts of business exceeds Rs. 1 crores bul does not exceed Rs. 10 crores? Yes No Tra aa electod at 22, whether aggregate of el amounts received including amount received for sales, tumover or goss receipts 24 oF on capita account tke capital contributions, loans ete. during the previous yeer,n cash, does Nok exceed fe por caet oh eat ‘amount? Yes No a2) UXes is lected at a2, whether aggregate of all payments made including amount incurred for expenditure or on capital account ‘22H such as asso! accuison, repayment of lens etc, in cash, during the previous year does nol exceed fe pos Gantt tha soe payment?) Yes No (b) Are you lable for aucit under section 44487 (Tick) OO Yes No 11 (b)is Ves, whether the accounts have been audited by an accountant? (Tick) IO Yes No (9) WF¥es, furnish the following information below (1) Date of furnishing ofthe audit report (DIAM/YYYY) (2) Name of the aucitor signing the tax aualt report (3) Membership No. of the auditor (4) Name of the ausitor (proprietorship! frm) (8) Proprietorship registration number (6) Permanent Account Number (PAN) of the proprietorship! firm (7) Date of report ofthe aucit (6i) Are you Hable for Audit ws 92E? Yes No Date of furishing audit report? DDIM YYY (2) efile fo furnish eter auc epor, mention the date of fumishing the audit reper? (DD/MMW/YY) (Please see Instruction) St-No. Section Cede _ Whether have you furnished such ather audit report? Date of furnishing ofthe aut report (@) liable to aucit under any Act other than the Income-t ct, mention the Act, section and date of fumishing the audit report? Act Section Have you got audited under Date of furnishing of the the selected Act other than ‘uit report the Income-tax Act?INDIAN INCOME TAX RETURN (For individuals and HUFs having income from profits and gains of business oF Assessment profession) Year 2021 - 22 (TRS (Please ser Nature of Business or Profession, if more th than those declaring income under sections S. Code [Please see instruction No.7 No. (il) 1 18010 - Medical clinics Je rule 12 of the tncome-tax Rules, 1962) (Please refer instructions) ‘an one business or profession indicate the main activities! products (other “AAD, 44ADA 4426, 44B, 4488, 44BBA, 44DA and no account cases) Trade name of the proprietorship, if Description anyy INDIAN INCOME TAX RETURN (For individuals and HUFs having income ftom profts snd gains of business or Assessment TRS profession) Year (Please see rule 12 of the income-tax Rules, 1962) 2021 - 22 (Please refer instructions) ct re na atST BAY OF MARCH, 2021 OF THE PROPRIETORY BUINESS OR PROFESSION (tems below ina cate where gular books of _20000nts ate mained othervise fern 1 Proprietors fund a leone fea . fa lean . » Petes a za Bates 5 | [a Jessie 5 1 [rou 2at Yds : 7 & ‘A Frem Banks a co é frost : fo © Unsecured cans neliding deposit) From Banks o zo From otters bi 0 Total + wip ba ro © Total Loan Funds il» bay 2 ro 3 Deter ax tity 3 20 4 Sources ort (te + 26-43) 4 © 4020082 1 Food assets 8 Gros: Book 1. 665007 > Depreciation F1ss00 © NetBook fa) te r5<9519 © Capt! workingrogress a ro © Teal(te 14) te 549519 2 | tweeronte 9 Loneerm invesimonts overnment and over Secures - Quoted 8 zo 4 Government and eter Secures ~ Unquoted a F 20,14,708 Teal (asa) a 20,4709 > Shorter vestments || Eauty Shares, incising shave appeaton money » Fas1092APPLICATION OF FUNDS. a 5 6 Pretarence Shares i Debontzes veto bl “etainvestments (6 +B current assets, loans and advancas ‘ cont ‘Storesteoneumabie ning packing materi ew merits Finahed Goods/Traded Goods 8 Stock proves Total (A Bei 1 Sundry Debtors Cosh and Bank Balances A Castininand +10) B Balance win bes G_ Teta (A+ 8) iv Otter Curent sets Tota curet asets(E +3 Loans ane vances 1 | advances ocoveraba cash orn inf vate 1 roeted Hi We a) 1k Depoats, tans and savences to comartes and oe i Balance wh Revenue Autores iy Total + biti) ‘otal o curet eset, leans and advances (ov * PM) current tbls and provers Curent abies A Sundry Crestor aoity for Leases Assets tees acened bt rot ve on loans 8 6 nerost Accrued on above . ‘ola (A+ 816 Provisions +0) ‘A Pron fr icome Tax 1B Provision for eave ancashmert!Superannuston/Gratty comer Provisions Tol (ia+tB +6) Wi Total (e+ 0) Net caret assets (8¢ Premium pss fr insurance onthe heath of emotcyees Any sum paid an employee a bonus or commission fo series ‘¢ _rendeved where such sum was aberwse payable ohm as prefs or dione 4 Anyamountotntrest palin rospect of torowes capa ‘e_Amount of coun! ona zero-coupon bond 1 Amount of eons to 8 recognises proven fund 38 de to nortuiment of 0 ro ® ro cs ro « ro ee ro ° ro a» ‘Assessment ‘Year 2021 - 22 © ro a oO eo eoAmount cf contributions o an approved evperanuaton fund 9 Amount contbutenteapnsonsctamereeredivinsesfon 0c 13610 Amount o contbutons o an approved patty fund 6 ‘Amount of conto to anyother fn 5 ‘Any si ecolved rom employees as canirbuon te ary provident {und superanuatontindot ay nds under ESLACLor ‘anyother fund forthe wetlore of erployees tthe extent not ‘created othe erployees account on or bala the duo date “Amount of ad and doubt debts « Provision for bad and doubt debts on ‘Armeunt rarefered to any special reserve on Expenditure forte purposes of pematng fart planning amongst employees -Amountefsecuntosvonsecton pa iespectoftarsaten ing secures such income isnt Indes in business income 4 ‘Marke to martt loss or ther expectes se a8 computed in e sccondance wih the ICDS nofed us 1452) ‘ay omer esatowance & Total amount dislowable under tecSon 26 (tla at 61) 7 Amounts debit toe profit and loss account, ote extent dsollonable under section 37 Export of apt nature te Expenditure of persons nature n Expenditure lid ou cr expences whcty and exclusively NOT fr te the purpose of tusinoss or profession Expenditure on adverisement n ay souven, roche tac, 6 amp othe ke, pubisnedby a pote! ary Expects dy vay otpeaty ote orvaionofanyawtorbe time being in force ‘A oer penalty one ” senate incre sy pupae wchiean flees orien le prohibited ty aw a Amount ef any tabity of contingent nature ™ ‘Any ober amount na towable under section 37 7 Total amount dsatonsbie under sackon 37 (totale 7a fo 7) ‘Amounts debited to the profit end ae account, to he enter salowabie under section 40 ‘Amount dsallowable under section 40 (a), on eeccut of aa ‘omcomplance win me provisions of ChaplerXVIEB ‘Amount dlsalowabie under sacton {aKa} on secount of noncomplance wah the provisions of Chapter XVIEB ‘Amount disalowable under secton e000 account of © noncompliance wih the provilons of Chapter Vilottie Ac Finance Act, 2016 ‘Amount dslowabie uncer section 40a) on account of ro ro 0 zo zo zo zo ro zo ro zo ro <0 zo 0 zo ro ro eo zo os 9 ro ro° » a “Amounts died othe prof nc ss acount, oth extent dealonable under secton 40 ‘ ‘Any amoustdisslowod under section 428 in any prceding previous yoar but alouable during the previous ye ‘any amount debi to pref and ios acount af ho previous year but esabowable under section 438 ¢nomcomolance wih the prevsions of Chapter XVI-B mount of tax ort levied or assessed on he bass of © pres 01) 1 Amount pi as westh ox 40a) «ge lby way tay teanseo,cren oe, 8 por section dOaib) ‘Amount ol nero, ary, borus, commision oF 1 remuneration plato any pare or member admis ner section (400694000), 4 -ayesher cisalowance ae » zo ro 1 ‘ote mount dicatowable under secten 4a of Ant A) ‘Any amount ftallowed under secon 40 any preceding previous year but alowabie cin the previous year runs pat persons species in veton 40A(2)) ‘amoun paid anerwise than by account payee cheque cr account payer bank dat or ute of econ clearing eystm through 8 bank account ar rough sueneleererc mode 3s ay be prescribe, dealowetie under sorton 40A(3) Poulson for payment of gratuty ‘any sum py the assessee as an employer for sting up or canbuon ony fun, tust, company, ADP, o BO or socety oF ‘ny cter insti [Any ster aesowance “otal emoun!disalonsbie uncer secten a0A(o% of 8108) ‘Any sumin the ature ofa, diy 958 oF oe under sry aw ‘any sum payable by way of corbuton any provident fnd oF superannution fund o ratty fund rary oer fund fre eter of enooyees Any sum payable to an emalayee as bones & commission for ‘any sum payato as intrest on any loan. 2 Brening rom any publi fnancialinstuton or a State franca crporaton ora Stale Indus investment corporation ‘ny sum payee a intrest on ny oan or booing rom any sched bank or 8 co-cperatve bank oer than a sina ‘cull crest ora primary cooperative agricul evelopment bank and na ‘ny sm payabie towards eave encashment ‘ry sum payable othe lect Raia forthe use of sway este Teta emount slonabie under octon 438 (tao 1a 0 105) ‘Any sum nthe ature ofa, dy, eso ee under ary aw % fe 108 100 106 108 109 tte 0 zo ro ro ro xo ro zo ro ro to to zo oni son +0 ro zo co2 6 5 16 ” 1b Any sum payate by way ofeontution lo ary provsentfungor tb ‘superannuation und or gratuity fund er any the fan fo he wollare efempayece ‘¢__ MV sum payabie to an employes as bonus comission for fe ‘Any sum payable 2s intares 9 any oan or booming frm ey J public franciainstuton ora State francial corporation ora Sisto td Inia investment corpraon ‘Any sum payable by the assessee as interest on ary loan of Doreoning fom a depos taking non-banking nancial compeny or do sytemicaly inporant nondepost taking nonbantingfharcial ———11da company, a aceotance wih the terms and conditions cf he ‘agreement governg such an or borowing Any sum payable 3 interest on any oan oF boring from any scheduled bank or & cooperative bank other than 8 preety sgtiostral cost society oa prmary co-operative agricul ane rural dovelopmant tank 1 Any sum payable towards leave encashment ut ‘Any sum payable 0 Iain Rata for he use of rea 9 feet 2 He hh Total amount stowable under Secon 438 (otal of 11010 149) ‘Amount ced utstanaing nthe accounts in respect of ® Union Excise Duty 10 Service ae tm © VATsaes ta te © Conta! Goode & Senice Tx (CST) 124 © Sate Goode & Services Tax (SST) tt. grated Goods & Services Tax (GST) om 19 Unen Tertary Goods & Sonices Tax (UIST) 125 bh Anyatner tax 1 | Tota amount cutstarding ota of 1280 12) Amounts deemed tobe profs and gains under sacten 22A8 or 22ABA ‘Any amount tft chargeable oak under secon 41 ‘Amount ef income or expen of pr perio credeed or ceted fo he profi and lots account ret ‘Amount of expertu assowed us 148, Whether assasse is oxercsingeeion under subsectan 2A of secon 92CE (ick) OC Ves No yes, please il schedule TPSA co to xo ro ro. xo 0 ro ro zo ro ro. an 1 ro co ro 0 zo roINDIAN INCOME TAX RETURN (For individuals and HUF having income from profits and gains of business or TRS profession) (Please see rule 12 ofthe Income-tax Rules, 1962) {(Ploase refer instructions) Guna dee ane tal er us vd section 88) 2. Incite tatadng ence encase ota mandating cence -Frstes Gea By routs Assessment Year 2021 - 22 aonINDIAN INCOME TAX RETURN qv [For Individuals and HUFs not having income from profits and gains of business or Assessment ITR-3 profession] Year (Please see Rue 12 ofthe Income-ax Rue, 1962) 2021 - 22 (Please coer insttions) ‘SCHEDULES TO THE RETURN FORM (FILL AS APPLICABLE) Details of Income from Salary Name of Employer Netue of ployer (ick) TAN ot poy: manda ins Adaress of employer Towa/City State Pin code Zipcode 11234866780012 Gross Salary (1a + 1b +40) 1 +0 a Salary as per section 17(1) te <0 Value of perqustes as per secton 17(2) «0 © Proftin eu of salary as per section 173) te +0 Tot ss Saay tom at employers) 2 0 Less allowances tothe extent exempt ul 10 (drop down tobe provided in e-fing ull) (lease refer ° (te Ente that inte Total Gross arya) above) ‘ ae 4 Net Satay (2-2) 4 «0 5 Deduaton us 16 (a + 58 + So) 5 x0 2 Standard deduction us 16(a) sa zo > Entertainment allowance ws 160) 5b x0 © Professional tax us 16() se x0 6 Income chargeable under the Head 'Saaries’ (4-5) x0INDIAN INCOME TAX RETURN [For Individuals and HUFs not having income from profits and gains of business or TRS profession) (Please see Rule 12 of the Income-tax Rules, 1962) (Please refer instructions) Details OF Income From House Property (Please Refer Instructions) Address of property 1 Town’ city state ; Is the property co-owned? (if "YES" please enter following details) Your percentage of share in the property (‘é) undefinec Name of other Go-owner(s) PAN/Rachaar of other Co-owner(s) Proper od No. ree (Please see note) Sotercpct beam fn uch capotb relsed » wo ¢Taxpad cal aubetes te vo «poate (181 6) (a Veeco ce spr secon 2orbw Ac) | 18 + Anna vue fim propor owned en peranoe sare) o atwartt 9 eo [nee te bene ts zo 1 Tats(19 15) i | anfkrenne tected ui te eres 20% 1" 1 rea rom nous pry 144151) 1K Fm aig ero 3 Income under the head “Income from house property" (1k + 2k +3) (itnegative take the figure to 21of schedule CYLA) PIN Code! Zip Code 4 Assessment Year 2021 - 22 Pease include the income of the specified persons referred o in Schedule SPI and Pass through income referred ton schedule PT! ‘while computing the income undor this head. Furnishing of PAN/ Aadhear No. of tenant is mandatory, f tax is deducted under section 194-6, Furnishing of TAN of tenant is mandatory, if tax is deducted under section 194+ Percentage Share of other Co-owner(s) in z0 eo eo 20 0 ro 0 20TRS INDIAN INCOME TAX RETURN (For individuals and HUFs having income from profits and gains of business or profession) (Please see rule 12 ofthe Income-tax Rules, 1962) (Please refer instructions) Computston of come fom business or profession /A From busines or protesion oer an speculatve business and speofied business a 2» * Prof belore tr a8 per profit and lose account (tem $3, 61), 62), 62, (iH) and G5) of PAL) ‘et profi or loss rom specie business inctded in ener -¥ son in eaaa ofa) (So 5 of Schedule PSL) Gn cose of no account ease) Not prot or Loss om Specied Business ls 3SAD incded in enter ye sign m case ef os) 2 Salas > House propery © Captal gains Omer Incomal recep credit to poft ana oes sources sccounl considered under ater head of Incore/hargeabe ls 1150F chargeable us Dvend ‘ea8e Ireome ‘ai Dien Freome, © ue t19B8F 1 us 115006 rots included in 1, which sere to in section 4ADIAAADA HAE/44B/4406146B844ADA [oop down abe povided) Prot rom actus covered under rule 7, 7A. 781), (1A) and & (Cropdown tobe provided and capture as nda ie Rem) Imeem erected Proftand Loss account ieluded i 4) whch s exempt ‘8 Share oincame rom fens) 5 ro. Share et income rom AOP! BO! ES x0 soy aet xen nce omy SLNo. Nature of Exempt Income Amount 1 PF INTEREST 0782 {© Tota exempt inceme (62+ 8b + Set) Balonoe (1-26-20-39-90-22-94-38-91- 44-40-54) 2 Salas > property rpenses debited o profit and oss account . Eee © Captat gains ‘onadered unde her honas ofincome ‘elated to ncome chargeable ut TISBBF oF as: i588 a (ee © ue 1t68BF 1 wis 115886 Expontes dtiod to prot and los account which relat to exempt Exponcosdebitod to profit anc oes account which relate to exert Incame and dlowed ue Y4h 16 ofPer AO ta 2 aa & 74 zo ro eo eo ro 26708 eo ¢26706 zo co <0 eo +0 eo ro ro zo to to 23 Assessment Year 2021 - 22 eaaesee cease 291004INCOME FROM BUSINESS OR PROFESSION 10 2 6 © ® 0 2 2 2% Py 2 3 Ea 8 Total 7a T4704 76+ Te* 71+ 8a 88) ‘Adjusted prof orto (648) ‘Depreciation and emortsaton debited to profi ang los secount Depreciation allowable unde Income Act Depreciation alowabie under secion 321) and 22H) 1 (ee of Schedule DEP) Depreciaton aowable under secon 321) (Make your mn ‘conpuiaton refer AppenaieiA eT Ruts) Tet (r21+ 125) Prot or los afte adjustment for depres jon (10-14-28) “Amounts debe tothe profi and es account ote extent fdralowsble under secuon 36 (6s ofPatA-O}) ‘Amounts dbied othe prot rss acount 0 the extent ‘osomable under secion 37 (ot Paro) “Amounts debited to te profit nd ios eecout. othe eto ‘Gaslowabo under cecion 40 (68) of Path) ‘Amounts bid othe prof and lus secount to the exten ‘@zaiomadle under secon AOA (fet Parth-O}) [Any amount dates ta prof and iss aoourt of ho previous year ut ‘Gabinete unser secon 438 (11h Pert-O)) Interest cisatowable under ston 28 ofthe Nir, Small and Mesum Enterprises Development Act 2008 ‘Deemed income under secon 41 ‘Deored ncn under secon 32ADI SUABY S3ABN SABA /S6ABEY OAGAY T2ATEOHHOY EDA Doomed income under section 43 ‘ny one tem of aditon uncer section 28 0 440A, ‘An oer income not nuda in profit and es account che ‘pense na iewabie (nung Income om sir, commission, ‘Sonus anc erect rom rms in whch ndhiualMMUPpog. concer sa pare) Increso in pot or decrease in ss on accourt of CDS adustrents tind daviaton in metho o vtuation of stock (Colunn 2a 46 of Por A Fon ola (14+ 154+ 184 17+ 184 19+ 20-21 + 22423 +28 +25) Deduction aowable unde section 3218) Deaucten aloadie under section 32AD ‘Amount of deduction under secton 25 6 ISCCC oF SECCD in cess of {ho amount cated prot and toss secount ter x6) of Seneaue [Eos moun! decane under selon 35 0 SECC or SECC is Tower nan amount cesta to PAL acceui i goo em 24) ‘Any emountdealowed under sect 40 nary preceding prevous year bit atonable dung he prewcus year of Pata) ‘Any amour disowed under section 485 a any procodng revous Soar but allowable curing ne previous year(10nf Part!) ‘Ay oer amount atowate as deduction Decrease in loft or creat in oss on scout of COS austen nd donetonnmeiad of vataton of sock (column 3b = 4 Pa aon “otal (27+26+20430451032+58) Income (13%28-34) Profits srd gain of buna so profession dered io be under- | Section 44 (et of snedule PBL ib Seeton 44ADA (620) of segue PAL) Section 44AE (6) of enodulo PAL) Wy Sacton 446 2 10 6 a 2 28 0 ” 2 2 08 26 26 zo eassri zo +0 20 to zo to ro ro 0 zo ro zo <0 zo ro to to ro so zo 0 128 13 26 231044 © 15568 esr e2anoe zo zaatot8 2 e 40 “1 “6 v Secton 4488 vy a Wi Section 44s 261 zo Wii Section 4408, 60 ro “ota (36110 3601) "Net profit loss fom busnosso pofession othe than specustive and specie business (95 = 36) "Net Pro ross tam business or prefession other han speculative business an spectod business afer spplyeg ie 7A Bor apple ree YA, 7Bor& not applicable, enter same fours 98037) oss {ako th four to 2 of em E) (380% 30 #280 * 380 960 3, Income chargeable under Ruse 7 288 ro » 300 ro © Deemed income chargeable under Rule 781) se ro 4 Deemed income chargeable under Rule 781A) 28 ro © Deemed income chrgeable under Rue & 8 Fo Income other han Rule 7A, 78 &8 (tom No. 37) 20 raano41 Belence of income deemed tobe tom epicure. afr appiyg Rule 7, 7A. 71), 781A) and Rule 8 forthe Purpose of aggregston of income ss perFnance Act b(38er38b38e+ 96360) ‘Computation of income rom specuave business "Not proto ls fom specdative bushess e per proto loss acount ie No, 2a) ‘Addons in accordance with section 230 440% Deuctins in accordance with acton 2 to 44DA Income from specialve business (8041-42) (oss, take the howe © 6x of sonede CFL) © Computation of izeme kom speci business under section 35AD “4 4s «6 “2 “0 0 "No proto loss tom specfled business a per proto loss account Aiton in accordance wih secon 28 04404 Deductions in accordance wth secion 28 o 480A (other han deduction under section = () 35AD, i 32 or 35 ‘on which deduction we 3SAD fs eommed) Proitorlos fom species busines (4s + 45-46) Decucton in accordance wth ection 95AD(1) Income rom Speced Business 47-48 oss, oko te fu fo Ta of schedule CFL) Relevant cause of subsection (5) of scion 3SAD which covers the epecfad business (o be selected fom ‘op down mera) 1D Income chargeable unde the head Profs and gins om business o profession (A36 + B43 + C48) Ina nead se off of business oss of eurent yar st Income of current year (Fl this column only figures zero or postive) Business toss set ‘Type of Business income 0 Loss tobe st this row onli ‘awe is neostive) Income tm speculative business zo ‘Income rom species buries ro Tota os ctf (i+ 8) Loss remaining ater sat of — 0) a 0 a eas 4 a “e 50 off a ro zo to ro 2s to e2ano4 Fanoe +o ro. ro. zo eo zo ro eo to ro co Business income remaining ‘ert of ein) zo ro [NOTE - Please include the income ofthe species persons refered ton Schedule SP! whic computing the Income under this headTRS ‘Doprection on Plant and Machinery (Other than assets on which fl eapal expen is owabl as deduction under anyother secon) DEPRECIATION ON PLANT AND MACHINERY ” " 2 8 INDIAN INCOME TAX RETURN [For Individuals and HUFs not having income from profits and gains of business or Block fasts Rate) ten down value on he fst day of pravous year ‘amount a ated on acount ot ‘opting or taxation under section s190Ac ‘Adjusted Witten down valve onthe test hay of powus year (3) + (a) -etons or 2 period of 180 days or ‘more inthe previous year CConeserationo ote reaizaton dung the previous year ot of 3.04 ‘Amount on which depreciation atl tate tobe alowed 2 4 5) (ener 0, result isnogatve) edons or pero ots than 160 daysin th provious yew Corsgeraton or ther relzatione uring te year ou of7 -Amounton wien depreciation at hat rate be slowed (7-8 (ere 0, result le nepatvo) Depreciation on 80 flat Deprecation on 9a ha rate ‘cil depreciation, any, on 4 ‘Adeisonal depreiaon, any, on 7 Addons deprecation reiting © ‘nme preceding year on east put tou or iss than 180 days Tota prociaton (10+41412+13414) Depreciation deatowed under section 390) of he LT. Act (ou ofcourn 18) Net aporegste deprecation (15-16) Proporionate aggregate depesation alowabie in the event succession, amalgamation, demerger ee (ut of profession} (Please see Rule 12 of the Income-tax Rules, 1962) (Please refer instructions) 6 70481 Fo roe eo zo to 0 0 0 ro ro 70566 ro © 10566 to » w we Plant and machinery <0 ro 0 xo zo 0 eo zo co ro ro zo ro eo eo £0 0 zo “0 » eo 0 ro vo ro 0 0 eo zo eo zo ©o xo «0 ro Assessment Year 2021 - 22 4s w co ro zo to eo 0 0 ro zo1° 20 ‘oun 17) Experi ncued in conection wih tanto of aes aesete eo Capt gare exe under secon 50 (S + 8-3-4-7-19) enter negatve ony # zo osk eeces to ont) Witten down valve onthe lst day ot revous year (+ 9-15) (enter 0 259875 resut is negative) ro eo 0 2 &o ro ro eo ro zoINDIAN INCOME TAX RETURN {For Individuals and HUFs not having income from profits and gains of business or profession) (Please see Rule 12 of the Income-‘ax Rules, 1962) (Please refer instructions) as Asse sessment Year 2021 - 22 Depreciation on other assets (Other than assets on which full capital expenditure is allowable as deduction) DEPRECIATION ON OTHER ASSETS 1 10 2 cry 4 18 16 Block of assets Rate (%) Written down value on the fist day of previous year Additions fora period of 4180 days or more in the previous year Consideration or other realization during the previous year out of 3 or 4 ‘Amount on which ‘depreciation a full rate to be allowed (3+ 4-5) (enter 0, if resut is negative) ‘Additions for a period of less than 180 days in the previous year ‘Consideration or other realizations during the year out of7 ‘Amount on which depreciation at haf rate 10. allowes (7-8) (enter 0, results negative) Depreciation on 6 at full rate Depreciation on 9 at halt rate ‘Total depreciation (io+11) Depreciation disallowed ‘under section 38(2) ofthe LET Act (out of column 12) Net aggregate depreciation (12-13) Proportonate aggregate depreciation allowable in the event of succession, amalgamation, demerger etc. (Qut of column 14) Expenditure incurred in connection with transfer of assal assets Land Nil o 0 Building (nat including land) 5 w +0 x0 x0 0 20 eo ro <0 eo co 0 eo 20 z0 10 iy +0 0 ro x0 x0 <0 <0 x0 0 x0 eo z0 <0 zo 40 w) eo <0 x0 x0 <0 zo 0 rT) +0 «0 0 zo <0 eo Fumiture and fitings 0 ” 50,046 <0 0 = 50,046 co ro x0 £5,005 0 5,005 <0 5,005 10 0 Intangible assets 25 wi 0 0 <0 20 x0 0 ro 0 0 0 20 0 +0. x0 Ships 20 wi) <0 0 x0 20 <0 x0 ro +0 +0 ro 0 <0 0 z0w 18 Capital gains/ loss under section 50(5+8.34-7 18) (enter negative only If block ceases to exist) Capital gains/ loss undor section 50(5+8-3-4-7 18) ‘Written down value on the last day of previous year (6+ 9-12) (enter Of result is negative) ro +0 20 zo x0 0 z0 0 45,041 23 ro x0 x0a INDIAN INCOME TAX RETURN [For Individuals and HUFs not having income from profits and gains of business or ‘Assessment TRS profession] Year (Please see Rule 12 of the Income-tax Rules, 1962) 2021 - 22 (Please refer instructions) ‘Summary of depreciation on ates (Other tan asec on which fal capil expends is allowable as deducton under anyother secon) 4 Plantand machinery Block enti for deprecation @ 15 percont © (Sehedule DPMI7) or 18/35 appleabe) te © 10506 Block ent for preston @ 30 percent (Serecule BPM 17 or #898 apples) ‘lock eto for cerecaton @ 40 percent 4g a {Sonedie OPM #7 o 98 appteabl) ‘ook enti for copreciton @ 45 percent @—(Senedule DPM Tir 1a 35 @ r0 ppleabie) © Total depreciation on part and macirary (fa + 10 16+ 1a) te 10586 2 Buloing not neudng lana) 2 Bockentited for deprecaton @S percent py leo {Sonedule 004-14 er 150 98 apphoabl) Bock entities foraepreiaton @ 10 percent 35 re {Seneaue BO%- tan or 1 as eerste) Block ents for deprecation @ 40 percent © feehedule BOA: taneor35v 9 apeabie) 2 zo 1D Tota depreciation en bulking (tl of 2a + 20+ 2c) 2a 0 3 Furitue and fitngs (Seneaue DOA. r4v or rv as aztcable) 5005 4 ntanible assets (Schedule DOA. t4v or 1 as appiabi) zo 5 Ships (Sehecule 008. 14 er 167 a apa) ro © Toba! doprediaten (for2ee3e4e5) eassrt3) INDIAN INCOME TAX RETURN {For Individuals and HUFs not having income from profits and gains of business or ‘Assessment ITRS profession} Year (Please see Rule 12 ofthe Income-iax Rules, 1962) 2021-22 (Please refer instructions) Deemed Capt Gains on sale of depreciabi assets 4 Plantand machinery Block ens for depreciation @ 18 percent 4g as 2 Schedule DPM 20) ook ents foraepreciaton @ 0 percent, ee (Senesue CPM 203) Block ented for cepreciaton @ AOpercent — 4g , (Sehosue BPM 203) ¢ Blochenttes fo depreciaton @ 45percert 4g a (Sovedule OPM - 204) © Total(1a+t0+ te 16) we 2 Buen (ot inetusing ens) Block ented for deprecation @ S percent 9g =e © (Schedule DOA- 17) bck ented or deprecation @ 10 percent, & (Senedule 004: 1719, Bock ented or depreciation @ 40 percent 9, {Senedule B08: 7h) 6 Total ea 2 +26) 2 3 Fumture and tings (Schedule DOA- 179) a 4 rtangbie asses (Schodule DOA- 177) 4 5 Ships (Seheaute DOA. 17m) 5 © Total depreciation tevadede4e5) 6 co zo to to zo zoWw INDIAN INCOME TAX RETURN [For Individuals and HUFs not having income from profits and gains of business or Assessment TRS profession] Year (Please see Rule 12 ofthe Income-tax Rules, 1962) 2021 - 22 (Please refer instructions) Expenditure on scientific Research etc. (Deduction under section 35 or S5CCC or 35CCD) ‘Amount of deduction in sino Expenditure of the nature Amount, fany, debited to ‘Amount of deduction excess of the amount debited referred to In section (1) profit and loss account (2) ‘allowable (3) to profit and loss aecount (6) =@)-@) i 3540) £0 zo r0 i 3501) eo zo +0 ® 35(19(a) x0 <0 x0 " 3501) x0 «0 x0 y 3540) £0 ©0 <0 vi 35(2AA) x0 zo z0 vi 35(288) ro £0 x0 vil ascce <0 «0 x0 cs 3sceD x0 x0 <0 x Total ro x0 20 Note [6880 any deduction ic timed under sections 35( 1) or 35(1)(ia) or 351M) or 35(2AA), please provide the details as per Schedule RA,TRS rm) Ww INDIAN INCOME TAX RETURN [For Individuals and HUFs not having income from profits and gains of business or Assessment profession] Year (Please s0e Rule 12 ofthe income-tax Rules, 1952) 2021-22 (Please refer instructions) ‘A Short-term Capital Gains (STCG) (Sub-items 3 and 4 are not epplicatle for residents) 1 ® b || From sale ofiand or building or both ti! up details separately for each property) 1 Full value of consideration receivedirecelvable Ai ro ii Velue of property as per stamp valuation authotity Ail +0 Full value of consideration adopted as per section 50C for the purpose of iii Capital Gains [in case (ai) does not exceed 1.10 times (ai), take this All +0 figure as (i) or else take (ei) Deductions under section 48 1 Cost of acquisition without indexation Bi ro ji Cost of Improvement without indexation Bi x0 tii Expenciture wholly and exclusively in connection with transfer ii x0 lv Total (bi + bi + bi Biv ro Balance (ail -biv) te eo Deduction under section S4B/54D/ 54GI54GA Spectty details in table D A a “Information About Deduction Claimed Against Capital Galns™ ‘Short-term Capital Gains on Immovable property (1¢- 1d) Ate x0 Incase of transfer of immovable property, please furish the following details (see note) SINo. Name of buyer(s) PAN/ Aadhaar of buyer(s) Percentage share Amount Address of property Pin code 1 Furnishing of PANY Aadhaar is mandatory, i the tax is deducted under section 194-1A ori quoted by buyer in the NOTE documents, In case of more than one buyer, please indicate the respective percentage share and amount. From sale of equity share or unit of equity oriented Mutual Fund (MF) or unt of @ business trust on which STT is paid under section 111A or 118AD(1)i) proviso (fr Fil) Full value of consideration 2a <0 Deductions under section 48 | Cost of acquisition without indexation bi x0 li Cost of Improvement without indexation i zo Ti Expeneiture wholly and exclusively in connection with transfer bi ro Iv Total (i+ i+ tip biv «0 Balance (28 -biv) 26 ro Loss tobe disallowed us 84(7) oF 94(8)- for example if asset boughvacquired ‘within 3 months prior to record date and dividendiincomafbonus units are af an received, then loss arising out of sale of such asset to be ignored (Enter positive value only) Short-torm capital gain on equity share or equity oriented MF (STT pid) (20 +2) Ae 0 For NON-RESIDENT, not being an Fll- rom sale of shares or debentures of an Indian company (tobe computed with foreign exchange ‘adjustment under fist proviso to section 48) 'STCG on transactions on which secures transaction tx (STT) is paid Asa ro ‘SCG on transactions on which securities transaction tax (STT) isnot paid A3b eor ForNON-RESIDENT: from le of securities (ther than those at A2) by an Fl 1 per section 115AD ‘a {_ I.case securities sold include sheres of a company other then quoted shares, enter the following detais a Fill valu of consideration ecovedrecevable respect of unqutad ig tp Fair market value of unquoted shares determined in the prescribed és ‘¢__ Fullvalue of consideration in respect of unquoted shares adopted 68 ig per Section 50CA for the purpose of Capital Gains (igher of aor b) 1 Full of consideration n respect of secures cer than uct fF i Tota Ge +i) ail Deductions under section 48 |. Cost of acquisition without indexation bi ii Cost of improvement without indexation bi 1 Expenditure wholly and exclusively in connection with transfer bil Iv Total (++ ip biv © Belance (4a -biv) 4c Loss tobe disallowed uls 84(7) or 94(8)-for exemple i securty boughtlacquired ig. Within 3 months prior to record date and dividend/incomerbonus units are ag received, then loss arising out of sale of such security 10 be ignored (Enter positive value only) «¢_ Short-term capial gain on sale of securities by an Fl ther than those at AZ) 4c ayy 40) From sale of assets other than at At or A2 or A3 or Ad above In case assets sold include shares of @ company other than quoted shares, enter the #1 following detals 1a Fullvalue of consideration recewvedireceivabe in respect of unquoted ig shares: tp Fair market value of unquoted shares determined inthe prescribed = ¢ _Fullvalue of consideration in respect of unquoted sheres adopted as ig er section SOCA for the purpose of Capital Gains (higher of a orb) i Ful vate of eoraderton in reapect of ecutes aber than unquoted a ii Total Ge +i) ali Deductions under section 48 Cost of acquisition wthout indexation bi |i Cost of improvement without indexation bi ii Expenditure wholy and exclusively in connection with transfer bi Wy Total (++i) biv © Balance (Sail-biv) 50 Incase of asset (securty/unit) loss to be disallowed uls 94(7) or 94(8)- for «g_ example if asset boughtacquired within 3 months prior to record date and 7 ividendlincomelbonus units ere received, then loss arising out of sale of such asset to be ignored (Enter positive valve only) @ STCG on assets other than at At or A2 or AS or Ad above (6c + 6d) Ase ‘Amount deemed tobe short term capital gains <0 <0 xo co 0 x0 <0 <0 <0 x0 ro x0 0 20 ro ro ro «0 x0 +0 +0 +0 ro zow va Whether any amount of unutiized capital gain on asset transferred during the previous years shown below was deposited in the Capital Gains Accounts Scheme within due date fr that year? Clyes No Not applicable. IF yes, then provide the details below 51 |Prvow yearn sectonunderwnien | wnaternew _Newatetcquredconsruted | Amount not eed for newase Mo. |wch aust deduction camedin saat ecqued ‘enained ented in apt gare Snires | natyar Crono) Yesrinwhich Amount uae oot | count, atastscquied | ef epi Gare “Amount deemed 1 be sherttem capital gains, other than a 20 Tote amount deemed to be shot erm capal gains (aXi+b) a6 20 Poss Through Income! Loss in he nature of Shor Term Capital Gan (Fi up s schedule PT) (ave wATb= ATe) " 9 ass Through Income Loss in he natu of Shor Term Captl Gan, chargeable ca are co Pass Through Income! Loss in the nature of Shr Term Capital Gain, chargeable iu » Base a ° Pass Through come! Loss inthe nature of Shr Term Cantal Gan chargeable 7, 0 ro at apokcebie rates “Amount of STCG included ia At - A7 but not chargeable to ax nina 28 per DTA 81 [Amount amo AttoA7 above County ArtcleRatwat per hater Sexton | Ratess _Appabievae No. |ofincome Inutichincied name ofDTAA. Tes tee atit-act [perit. | towerot Choro ode (orto, a poschargeane (rm) | @ o © ” oo io Total amount of STOG not ehergesble to ax in incl espe OTA Ata 20 Total amount of STCG chargeable to tax at special rates in nda as per OTAA «AB <0 Total Shorter Capt! Gein (Ate+ A2S+ ASa+ ASD! Ade? ASC+AS + A7) no x0 Long-tem capt gain (LTC) (Sub-teme, 5, 6,78 are nol applicable fr residents) 11 From see of andor bling or both (up details separatl or each propery) 2) 1 Fulvalie of consideration receiedeceivable ai <0 |i Value of ropery a8 ner stamp valuation authority a <0 Ful valu of consideration adopted a pe section £06 fr he |i purpose of Capitol Gans fm case (ai) Joes hot exceed 110°, alt <0 Ses (a) take ts gue es (a) or ese tae fa) Deductions under section 48 Costa acquition wth indexation bi to |i Costofimprovement wth indexation oi +0 ia Expenditure whol and exclusively connection wth : anster ‘i to Toll (+ Bi By bv ro Balance ai : : © CoN) : “ Deduction Under section 54 eamuec 4 serisacs 16 ro (Specty dois n temo below) © Long-term Capital Gains on Immovable property (1c 1) Bie <0{Incase of transfer of immovable propety, please furnish the following details (see note) Slo. Name ofbuyer(s) PAN Aschaar Percentage share Amount Address of property Pin code 1 Furnishing of PAN/ Aadhaar is mandatory, the tax s deducted under section 194418 or is quoted by buyer in NOTE the documents. in case of more than one buyer, please indicate the respective percentage share and amount 2 From sale of bonds or debenture (other than capital indexed bongs issued by Government) a Fullvalue of consideration 2a x0 Deductions under section 48 | Cost of acquisition without indexation bi r0 li Cost of improvement without indexation bi x0 it Expenditure wholly and exclusively in connection wit transfer bi x0 iv Total (i+ ba +bii) ow r0 © Balance (28 -biv) 26 +0 4 Deduction under sections 54 (Speciy detain item D below) 2 e0 ‘© LTOG on bonds or debenture (20-26) B20 <0 4 From sale of, (sled secures (other than a unit or zero coupon bonds where proviso under secon 112(1) applicable (i) GDR. of am Indian company referred in sec. 115ACA ‘a Full value of consideration 3a 0 b Deductions under section 48 | Cost of acquisition without indexation bi x0 4 Cost of Improvement without indexation bi x0 ii Expenditure wholly and exclusively in connection with transfer bil x0 Ww Total (b+ bi +b) bi <0 © Balance (a bi) 36 «0 4 Deduction under sections 54F (Specify dotals in item D below) 3d z0 Long-term Capital Gains on assets at B3 above (96-3) Bie x0 14 From sae of equty share in company or unit of equty ointed fund or unit ofa business trust on which STT spat under section 112A @ LTCG uls 1128 (column 14 of Schedule 112A) 4a x0 b Deduction under sections 54F (Specity detels in item below) 40 0 Long-term Capital Gains on sale of capital assets at B4 above (4-40) Bac ro For NON-RESIDENTS- frorn sale of shares or debenture of Indian company (to be computed with foreign exchange adjustment © under first proviso to section 48) ‘2 LTCG computed without indexation benefit sa 20 b Deduction under sections S4F (Specify details in item D below) 5b x0 © LTCG on share or debenture (5a-5b) BSc 0 «¢ _FOrNON-RESIDENTS- from sale of, () unisted secures 28 per 800, 11217), (I) Bonds or GDR 2 refried see. 145AC, (ii) ‘Sevurites by Flas referred ton sec. 11SAD (other than securities refered to in section 112A for which column B7 is tobe filed up) Incase securities sold include shares of a company other than quoted shares, enter @ 1 tne following cetals Full value of consideration receivedirecalvable in espect of unquoted shares Fair market value of unquoted shares determined inthe prescribed7 8 From sale of foreign exchange asset by NON-RESIDENT INDIAN (If opted under chapter XI-A) 8 Full value of consideration in respect of unquoted shares adopted as per section SOCA for the purpose of Capital Gains (higher of aor b) Full value of consideration in respect of securities other than unquoted shares it Total (e+ i Deductions under section 48 | Gost of acquisition wthout indexation ii Cost of improvement without indexation fi Expenditure wholly and exclusively in connection with transfer iv Total (0 + bi +i) © Balance (6ai- bv) ‘6 Deduction uncer sections /54F (Specify deals in tom D below) ‘Long-term Capital Gains on asses at 6 above in case of NON-RESIDENT (6c- 60) For NON-RESIDENTS - From sale of equity share in a company or unit of equity oriented fund or unt of @ business trust on which 'STT is paid under section 1124 8 LTCG uls 112A (column 14 of Schedule 1154D(1)(i) Deduction under section S8F (Specty details in tam D below) © Long-term Capital Gains on sale of capital asseis at 87 above (Ta - 7) 2 LTOG on sale of specified asset (computed without indexation) bb Less deduction under section 115F (Specity detais in item D below) © Balance LTCG on sale of specified asset (Ba - 8) LTCG on sale of asset, other than specified asset (computed without indexation) © Less deduction under section 1 15F (Speclly detais in tem D below) d £ Balance LTCG on sale of asset, other than specified asset (Sd 8e) From sale of assets where B1 to B8 above are not applicable A" the folowing details, Full value of consideration receivedireceivable in respect of unquoted 2 shares Fair market value of unquoted shares determined in the prescribed Full value of consideration in respect of unquoted shares adopted as © per section 50CA forthe purpose of Capital Gains (higher of e orb) Full value of consideration in respect of securities other than unquoted shares Total (c+ i) » Deductions under section 48 | Cost of acquisition with indexation ii Cost of improvement with indexation Expenditure wholly and exclusively in connection with vansfer iv Total (6 b+) © Balance (aii -iv) Deduction under sections 54F (Specify details in item D below) ic bi bil bi bw 6c 6 be Ta 7 Bre ba ab Bee 84 ee Bet In ease secures sold include shares of a company other than quoted shaves, enter aii bi bi bi biv 90 39 <0 ro 0 +0 ro x0 ro ro ro zo x0 0 <0 +0 0 x0 <0 0 0 ro z0 0 ro x0 x0 eo eo 0 x0 <0D E Long-term Capital Gains on assets at BS above ( (8c - 96) 40 Amount deemed to be long-term capital gains z0 Whether any amount of unutitzed capital gain on asset transferted during the previous year shown below was deposited in the ‘a Capital Gains Accounts Scheme within due date for that year? (Ties No Not appicable. If yes. then provide the details below ‘SL Previous yearin Section under which Whether new New asset aequirediconstructes No, which asset eeduction claimed in asset acquired tari Par air pat. Yearinvhien Amount atiined ‘set ccquted out of Capital Jeonstwctes Gains account Amount deemed to be shor term capital gains, other than a ‘Total amount deemed to be long-term capital gains (aXi+ aXii+ b) ass Through Income/ Loss inthe nature of Long Term Capital Gain, (Fill up aii schedule PTI) (B11a1+ B11a2 + BI tb) Pass Through Income! Loss inthe nature of Long Term Capital Gain, 81 chargeable @ 10% uls 112A, Bilal ‘aq_ Pass Through income! Loss inthe nature of Long Term Capital Gan, mie chargeable @ 10% under sections otner than wis 112A 1p Pass Through Income! Loss inthe nature of Long Term Capital Gain, iit chargeable @ 20% account) puted n Capit gains +0 +0 +0 ro zo 12 Amount of LTCG included in B1 - B11 but not chargeable o tax or chargeable at special rates in India as per DTAA i Jansun [neone.srmer —[anoncy [ari [rutearew |oimane [oouen [reat [tains ela Ae newes lm le ee Re, Sa ek Time — foe Jovan “|tsaren cts nett poten) o @ ° « f|e| o » 9 8 4 Totalamount ef LTCG not chargeable to tax a8 per DTAA ize *o Tota amcuntofLTCG cargsbl to tx at speci ees 2 pr OTAA B12 © 4g. Teller tar cota gan charges vce Act wd mt (Sie Sobesdo BuerSeenbee brovascebelB0er610 +811 B120) Income cargeate undo he ead "CAPITAL GAINS (A8-rB12) (ake BIDS, le) r0 Ifomatn about deduction cama spent Captal Gans 1 Incase of deducton u's 4/548/54ECI54F:640B/115F ge folowng detale a Deduction daimed us 54 eT Amount posted ginount of ded Dateotansterot ESherucion af now Costot new asset Copal Gane Accounts Amount of deacon iat asset ‘Scheme before due date. = & Deduction daimed ue 4B wan) Amount Date ofTrenstorot _Datecf purchase of new Coat fnew agricutural ,,Ameuntdeposied in” "op Original Asset agricultural land Jand a “ 's deduction Scheme before due date Gusto, i Doducton daimed us SHEC Amount invested in specified Detect ane Inotified bonds (not exceoding Date of investment Amount of deduction Original Asset Ay Learned claimed d Deduction cleimed us 54° Date of Amount Fe cont of now residential Date of purchase Amount deposited in Capital Gains of Ieonstruction of new deductionhouse residential house 34 Accounts Scheme before due date Deduction claimed uls 54GB In case of deduction uls 54GB, furnish PAN of the company Date of Transfer of foreign exchange asset under DTAA) om [us 0 ae Sax ethene Ganon er evan om or Fo zo zo vo Fo Deduction claimed ws 1 15F (for Non-Resident Indians) ‘Amount invested in new ‘specified asset or savings certificate Setoff of current year capital losses with current year capital gains (exciuding amounts included in ABa B12a which isnot chargeable ° zo zo zo zo vo ze Fo « zo ze vo Fo zo zo Fo zo Date of investment * Fo Fo claimed Amount of deduction a zo vo ve zo claimed ‘Ta faue of STCSin hee a) ee mains of SCG amped npc esnn (AA) os ead by now ot TOG rt ber het pc es ‘egees ol 128 rt ul are re anut LTCG came nese can (810s eedy eeu ILTCG notch os chp pct norton crates cpt in 2 sence o © to zo ke to eo Fe© Langtry capa int tne zo eo ee 7 ag nea se te to zo ro Ne Pane etic te sed pin ute. rinse) ee Sh Pan comgig ee tr ea to te» INDIAN INCOME TAX RETURN [For Individuals and HUFs not having income from profits and gains of business or Assessment IR profession} Year (Please see Rule 12 of the Income-tax Rules, 1962) 2021 - 22 (Please referinstuctions) 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 a fo m a ete meINDIAN INCOME TAX RETURN [For Individuals and HUFs not having income from profits and gains of business or Assessment ITRS profession] Year (Please see Rule 12 ofthe Income-tax Rules, 1962) 2021 - 22 (Please refer instructions) 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 under section 1124TRS INDIAN INCOME TAX RETURN [For Individuals and HUFs not having income from profits and gains of business or profession} (Please see Rule 12 ofthe Income-tax Rules, 1962) (Please refer instructions) Income from other sources. C// 1 Sesame crn tx atomalaeeate rea +6616 Ye) Dividends, Gross (not exempt ws, 10(34) and ws. 10(35)) > si. No. 1 1 Dividend income father than (i} Dividend income uls 2(22\e) Interest, Gross (bi + bil + b+ bivt bv) | From Savings Bank From Deposits (Bank! Post Office! Co- ‘operative) Society/) li From Income-tax Refunc iv In the nature of Pass through income! loss v Others Rental income from machinery, plants, buildings, tc., Gross bi bil bi bv 4491 ro <0 0 £22215 Income ofthe nature referred to in section 86(2)(x) which is chargeable to tax (ai + ai+ dil + civ + dy) ‘Aggregate value of sum of money received without consideration Incase immovable propery is received ii__without consideration, stomp duty value of Property Incase immovable propery is received for iii inadequate consideration, stamp duty value ‘of property in excess of such consideration In case any other property is received iv without consiceraton, fair market value of property In case any other propery is received for inadequate consideration, fair market value ‘of property in excess of such consideration Any other income (please specily nature) Nature Family Pension DIVIDEND, di i ail dv av <0 0 ro <0 0 7 ferme Serna seal as a + 20+ 28+ 2 relents No b Winnings from totter Income chargeable u/s 11SBBE (bi + bil + bi + bive by + bv) | Cosh credits us 68 I Unexplained investments uls 68 {i Unexplaines money ete. u/s 69A, ‘crossword puzzles etc. chargeable uls 11588 bi bi bil 0 0 <0 1a ai +» 1c 1 te 2a 2 43 ‘Assessment Year 2021 - 22 £38,595 +0 xo x0 £26,706 0 co 11829 Amount x0 11,829 <0 0 zoIv. Undisclosed investments etc. uls 698 biv Unexplained expenditure etc. u's 69C by ‘Amount borrowed or epaid on hundi ws yy, 69D ‘Accumulated balance of recogniced provident fund taxable u/s 111 S.No. Assessment Year Income benefit ‘Tax benefit 0 w «ay w ‘Any other income chargeable at special rate (tote! ofa to dxx) + 45A(1)(a)()- Dividends interest and | income from units purchase in foreign di currency 115A(1}(a\i- Interest received from govt ji Mndian Concerns received in Foreign di Currency iy 115A(1)(aNlia) Interest rom infrastructure gi Debt Fund r jy 1158(1) (eX(iaa)-Interest as per Sec. ae saat) y115A(1) (aiab) Interest as per Sec. es 194LD yj 115A(1) (ayiac) Interest as per Sec. ne 198LBA 115A(1) (a) Income received in respect vil of units of UTI purchased in foreign dvi currency vat TSACIYOYA)& 145A(1VDNBY Income yg, from royally & technical services 115AC(1)(a & b) - Income from bonds oF {x GDR purchased in foreign curency-non- dix resident 145ACA(1}{a)- Income from GOR purchased in foreign currency -resident 11150(1)() -Income (other than dividend) xi received by an Flin respect of securites ——dxi (other than units as per Sec 11588) 115D(1)() -Income received by an Flin xii respect of bonds or government securities dx 18 per Sec 194LD {119884 - Tax on non-residents sportsmen Xl or sports associations a xv T1SBBC - Anonymous donations dav ay 115A(1)(2)(lac) - Distributed income being yyy Dividend veterres to in section T94LBA xvi 11588F -Tax on income from patent wi ij T19BBG-Tax on income from transfer of gy carbon credits xvi 118E(@)- Investment income evil six 115A(1) (@Mina) Interest as referred in gyig proviso to section 194LC(1) 416AD(1){) - Income (being dividend) received by an Fil in respect of securtos 2% (other than units referred to in section ox zo 20 <0 <0 «0 +0 0 0 0 0 x0 0 0 x0 eo co co x0 «0 +0 ro ro 0 20 24 ) 20 7011548) ‘¢__a8s through income inthe neture of income from oer sources chargeable at special ates (drop 2g down to be provided) ‘Amount included in 1 and 2 above, whic is chargeable at special rates in India 98 per DTAA (ois! ay of column (2 of table below) S| Ans tenmast2 chey fe |e seprTaty | Water | Stn Rate | ep {mee mementos TRE 1 ape eteorca) ooo o 8 @ ola mo a 2 ‘xy ExPeNseS | Deductions (in case of ther than ; \) family pension) 3a) sa) Daduonut. 7a) meas ankyrin agqy Depreciation (availabe only income offered in 1.6 > ofecnedule OS") 2 © Inferest expenciture us 57(1) 30 Interest expensiiue claimed Interest expenditure claimed Total od 4 Amounts not deductible uls 58 4 5 Profis chargeable to tox uls 59 5 6 _ Net Income fom other sources chargeable at normal applicable rates (after reducing income related tog DTAA porton) «3+ 4+ 5) (Pnegatve fake the gue (0 i of schedule CYLA) Income from other sources (other than from owning race horses) (2+ 6) (enter 6 as ni if negative) 7 8 Receipts cs +0 Deductions under section 7 in relation to > receipts at 8a only 2 se © Amounts aot deductibie us 58 be x0 4 Profs chargeable to tax us 59 83 r0 © Balance (a - 8b + 8+ 84) if negative fake the figure fo TOxil of Schedule CFL) be 8 Income under the head “Income from ather sources” (7 + 6e) lake 6e as nil negative) ° 10 Information about acerualireceiptof income from Other Sources S. Other Source Income Upto From From16. From 16 No. 1516 16610 015 /12t0 1992158 om ww 4. Dividend income co OO 2 Income by way of winnings trom lotteries, crossword puzzles, «08000 races, games, gambling, belting ele. relerred ton section 2(38) cc) 3. Dividend Income chargeable under DTAA rates eT Deductions under section 87 (other than these relating o income chargeable at special rates under 2a, 2b, 2, 20 and zo 0 ro <0 x0 ro From 1613 to Co) 3183 0 r0 0 us x0 ro z0 zo £98,535 £98,535 <0 £98,595 Note: Please include the income ofthe speciied persons (spouse, minor child et.) referred to in Schedule SPI while computing the income tunder this head,TRS. yo INDIAN INCOME TAX RETURN (For individuals and HUFs having income from profits and gains of business or profession) (Please see rule 12 ofthe Income-tax Rules, 1962) Detas of come ater set-off carer year loses (Please reter instructions) ie Yeer Fits House property lens San Sous ncome —_colrnely!_—_ ot erent year a Income is zero or set off esti) 1 Aostto be eta © t seatee © to Hau eopany ro 0 teame rm Buses 1 (scng pete et LAE) if trace tom seco Doninn} or pofeson Speaeive reone to to Seated ne me to ro 3 ‘st E , shovtemcanin gon Z = abe th a Q a short-term capital gain. By Semtomcants © x0 Sane @ 2% 2 | snniamcapt oan a si S| | nara tas e 3 ‘Shor term canta gan 7 taxable at spacial rates in 0 zo te” rawesperoTan a Long tarm capital gain taxable. |< ae to zo 3 * ews sa torso cap pa sate a a am Long wom captl ge sa tqablcapnl is nein to to perOTAA so enues cnet ed eons ca cookie Prt om ati comin nd anti ace to to come ton ober souces set teabiel pet tein co to speculation loss oF spect business loss) ofthe curent year set of ro zo zo <0 zo £0 zo x0 zo zo ‘tne sources loss {ether than loss {rom owning race horses) of the current year oft zo eo 0 zo zo 0 0 ro Assessment Year 2021- 22 ‘Current year's mainiog #0 e2anon ro 0 co to x0 ro ro co e896nia as per DTAA i Tolaloss sto xii Loss remaining afte set vi) ro ro eo zo ro ro 49TRS INDIAN INCOME TAX RETURN [For Individuals and HUFs not having income from profits and gains of business or profession] (Please see Rule 12 of the Income-tax Rules, 1962) (Please refer instructions) Details of Income after Set off of Brought Forward Losses of earlier years SI No. Head! Income after set off, Source of Itany, of current Income _ year’s losses as per 4 of Schedule CYLA) 1 Salaries ft) House eo property Business: £231,081 (excusing speculation Income and from speciied business) Speculation 20 Income Species 20 Business Income, Shortterm zo capital gain taxable @ 15% Short-term zo capital gain taxable @ 30% ‘Short-term 0 capital gain taxable at applicable rates Short-term 20 capital gain taxable at special rates in India es per DTAA Long term 10 capital gain Brought forward loss set off 0 0 0 x0 ro z0 0 <0 ro Brought forward depreciation set off 20 0 zo 0 <0 zo ro 0 0 Brought forward allowance under section 35(4) set off <0 0 70 x0 <0 zo ro <0 70 Assessment Year 2021 - 22 Current year's income remaining set off 5 <0 eo £231,041 +0 x0 ro co +0 ro rowil taxable @ 10% Long term ro capital gain taxable @ 20% Long term <0 copitel gains taxable at special rates in India as per DTAA Net income © 38,535 from other sources chargeable at normal applicable rates Profit from z0 ‘owning and maintaining race horses Income ro from other income taxable at special rates in India as per DTAA Total of brought forward loss set off (2 + 2il + 2iv + 2v+ 2vi + 2vi 2ix + 2xi) ro <0 zo z0 ro <0 ro 0 0 0 ro 0 <0 zo 0 ro 0 ro Curront year's income remaining after set off Total of (51+ Sil + Sil + Siv + Sv+ Svi+ Svil + Sville Six + 5x + Sxi + Sxll + Sxlll+ Sxiv + 5xv) 43 ro <0 © 38,535 z0 0 © 2,69,576INDIAN INCOME TAX RETURN profession] Details of Losses to be carried forward to future years 0 @ 2otots routs zoresa aoiess 2015-16 201647 2017-48 201018 20021 Tota ofearer year loses ot Adusiment of sehere BFLA mn2t2a (curen ¥esr sary ferwarcod) Tota ioss cari forward vo tauee years ate Tota of House Fog Property ° Less “ zo zo zo zo ro zo zo ro ro Loss from business othe than loss from speculative business and specified Brought forward Business Lore (6a) zo zo zo zo zo zo vo zo © business Amount 3¢ adjusted of opting fe 1i86A¢ () Fo zo zo zo zo ro zo Fo £0 Brought Business avaiable for setoft ‘ring the (See52-50) zo zo zo zo zo ro zo zo eo (Please see Rule 12 of the Income-tax Rules, 1962) (Please refer instructions) Loss rom © vo v0 zo zo ro spect 0 zo zo ro Fo zo zo ro ro zo zo ro se [For Individuals and HUFs not having income from profits and gains of business or o vo zo zo zo zo zo zo zo Assessment Year 2021 - 22 otal Loss from Leng: owning ane tem maintaining Lose (0) ° zo zo zo ro zo ro zo zo zo zo zo xo zo co co vo zo©) INDIAN INCOME TAX RETURN imR3.__ (For individuals and HUFs having income from profits and gains of business or profession) Assessment Year (Please see rule 12 ofthe Income-tax Rules, 1962) 2021 - 22 (Please refer instructions) Unebeorbes depreciation end aowance under section 35(4) Allowance under section 264) 1 Assessment Depreciation No Year ‘Amount of brought | Amount of depreciation Balance cared | Amauntof brought | Amount of allowance sel- Balance Cari epreciaion year income next year allowance year income next year o @ ° @ 1 6 ” ° ro zo Fo <0 ro ro TotaINDIAN INCOME TAX RETURN vy (For individuals and HUF having income from profits and gains of business or TTR profession) (Please see rule 12 ofthe Income-tax Rules, 1962) (Please refer instructions) Effect of Income Computation Disclosure Standards on profit St No. wo fl " m wl vu vu 11a. 1b, icos w ‘Accounting Policies Valuation of Inventories (othor than the effect of change in method of valuation ws 145A, ithe same is soparatly reported at col. 44 or 4e of Part A-O)) Construction Contracts Revenue Recognition Tangible Fixed Assets Changes in Foreign Exchange Rates Government Grants Secures (othor than the effect of change in method of valuation u/s 146A, the same ‘separately reported at col. 4d or 4e of Part A-O)) Borrowing Costs Provisions, Contingent Liabilities and Contingent Assets “otal effect of CDS adustments on prof (+l llIV+V+VIeVIleVIIX+X) (if positive) “otal efect of ICDS adustments on profit (-llrltIV+V+VI+VIIHVIIX+X) f negative) Assessment Year 2021 - 22 ‘Amount (t) oF (-) iy 0 20 x0 <0 x0 ro 70 to x0 «0 x0 <0INDIAN INCOME TAX RETURN (For individuals and HUFs having income from profits and gains of business or TR3 profession) (Please soe rule 12 of the Income-tax Rules, 1962) (Please refer instructions) Deduction under section 10AA Deductions respect of uni located in Special Economic Zone st Undertaking ‘Assessment year in which unit begins to st manufacture/produce!provide services Total deduction under section 10/A (a + 6) 3 Assessment Year 2021-22 ‘Amount of deduction roINDIAN INCOME TAX RETURN [For Individuals and HUF not having income from profits and gains of business or TRS Profession] (Please see Rule 12 of the Income-tax Rules, 1962) (Please refer instructions) Detas of ccnatons ented fer Seduction under section 806 ‘A Danatonsenitec fo 100% deduction without eutving et Name ana address of Dance PAN of Donee Amount donation Donation in other Donaionnctn _Deetnin oro et 50% son en hove anéadesstOener PA fS0n8 se of son onan an 47 Dombi cm a ws " © Doro este 1k conse citi nt ras toon sou tn Donation in cash Total ro © Donations ertsea fr 50% cecucson subject quetiying Im Donation in eh Tota zo “otal donations (A+ » ro. PAN of Donoe ‘Amount of donation Donation n other mode ro ro co ‘otal Donation Assessment Year 2021 - 22 Egle Amount donation 0 Eligible Amount of ro +o ro x0st INDIAN INCOME TAX RETURN [For individuals and HUFs not having income from profits and gains of business or Assessment ITR-3 profession] Year (Please see Rule 12 ofthe Income tex Rule, 1962) 2021-22 (Please refer instructions) Denis of donations to esearch seeciton ete. deduction under sections 36(1Ki) 35) or $51) 0 (2AAIT Name end address of donee PAN of Donee ‘Amount of donation Etglble Amount of Donationineath Donation in other Tots! Donation mode “Tora ro rogb INDIAN INCOME TAX RETURN (For individuals and HUFs having income from profits and gains of business or ‘Assessment TRS profession) Year (Prease see rule 12 ofthe Income-tax Rules, 1962) 2021 - 22 (Please refer instructions) Deduction in respect of profits of an ‘a undertaking referred to in section £0-1A(4) zo li) (Telecommunication services) Deduction in respect of profits of an b undertaking refered to in section 80-1A(4) eo (i) fndustnal park and SEZs} Deduction in respect of profits of an (© _undortaking referred to in section 80-1A(4) ro (iw) (Power} Deduction in respect of profits of an Undertaking referred to in section 80-1A(4) 4 (y) [Revival of power generating plant) 0 [Cross-country natural gas distibution network] @ Total deductions under section 804A (a+b +c +d) 0ITRS INDIAN INCOME TAX RETURN (For individuals and HUFs having income from profits and gains of business or profession) (Please see rule 12 ofthe Income-tax Rules, 1962) (Please refer instructions) Deductions under section 80-18 Deduction in respect of industrial undertaking located in Jammu & Kashmir or Ladakh [Section 80-18(4) Deduction in the case of multiplex theatre (Section 80-1B(7A)} Deduction in the case of convention centre [Section 80-18 ey) Deduction in the case of undertaking which begins ‘commercial production o refining of mineral ol [Section 80418 @ Deduction in the case of an undertaking developing and building housing projects [Section 80-18(0)) Deduction in the case of an undertaking engaged in processing. preservation and packaging of fruits, vegetables, ‘meat, meal products, poulry, marine or daity products Deduction in the case of an undertaking engaged in integrated business of handling, storage and transportation of ‘ood grains [Section €0-18(11A)] Deduction in the case of an undertaking engaged in ‘operating and maintaining a rural hospital [Section 80-16. (118)) Deduction in the case of an undertaking engaged in ‘operating and maintaining a hospital in any area, other than ‘excluded area [Section 80-8(11C) ‘Total deduction under section 80-16 (Total of @ to) eo ro 70 ro 0 x0 <0 +0 ro. Assessment Year 2021 - 22 0INDIAN INCOME TAX RETURN [For Individuals and HUFs not having income from profits and gains of business or ITRS profession] (Please see Rule 12 ofthe Income-tax Rules, 1962) (Please refer instructions) Deductions under section 80-IC @ Deduction in respect of undertaking located in Sikkim b Deduction in respect of undertaking located in Himachal Pradesh Deduction in respect of undertaking located in Uttaranchal dh Total deduction for undertakings located in North-east (total of da to dg) @ Total deduction under section 80-IC (a +d +c + dh) DEDUCTION U/S 80-1¢ Assessment Year 2021 - 22 <0 0 0 20 20[For Individuals and HUF not having income from profits and gains of business or ITR3 Deductions under Chapter Vi-A INDIAN INCOME TAX RETURN profession] (Please see Rule 12 ofthe Income-tax Rules, 1962) (Please refer instructions) Part B- Deduction in respect of certain payments a 80C © s0CcD(1) s0cCD@2) + 9 80DD i 80 k 80EEA m 806 © soGcc <0 b s0ccc 80CCD 0 4 ap) <0 f 80D <0 h s0DDB c0 j 80EE 0 | 80EEB r0 n 80GG 0 Total Deduction under Part B (total of a to 0) 2 Part C- Deduction in respect of certain incomes p 80-1 80-15 80-IC/ 80- le vy 80JJAA x 80RRB t £0 q 80-AB 0 s 80-BA «0 u_ 80/JA <0 w 80008 <0 ‘Total Deduction under Part C (total of p to x ) 3. Part CA and D- Deduction in respect of other incomes/other deduction i 80TTA iii 80U 4491 ji 80TTB 0 Total Deduction under Part CA and D (total of, ii and iii) 4 Total deductions under Chapter VI-A (1 +2 +3) <0 20 «0 <0 <0 +0 +0 0 z0 <0 <0 0 cy Assessment Year 2021 - 22 <0 £0 24,491 24,4910 INDIAN INCOME TAX RETURN iduals and HUFs not having income from profits and gains of business or TRS profession] (Please see Rule 12 of the Income-tax Rules, 1962) (Please refer instructions) Ccamutation of Aternate Minimum Tax payetie under action 11516 1 Totancome as per tm 14 of PART-8T1 4 2 Adjustment a pr secton 115.6(2) Deducen claimed under any section nuded in Chapter VIA under the neaeng "C:—Deduaens in respecte cenain ncomes* 1 Deoton came us 1084 » co Leduaten claimed we 3SAD as recueed bythe amount of depreciation on asses on wtich such deducton i came © Tota Ajsimert (28% 202 26) aa ro Adjust Total necme under seston 118101) (1426) a 4 Texpoyabi under eocton 11516 [185% of 2] (ie grater than Rs 20 lk) 4 Assessment Year 2021 - 22 © 265000 205.0906) INDIAN INCOME TAX RETURN [For Individuals and HUFs not having income from profits and gains of business or ‘Assessment TRS profession] Year (Please see Rule 12 ofthe Income-tax Rules, 1962) 2021 - 22 (Please refer instructions) Computation of tx cet under seton 19510 é 6 “Texundorsecton 11510 n asossmont year 2021-2 (16 of Par.6-7T1) 1 ro “Tex under cher povsons ofthe Actin assessment year 2021-22 (2iofPat-8-TT) 2 ro ‘Amount fax agaist which ereitis aval [enter (2~ 12 grt than 1 ctherwie enter 0) 3 ro Unison of ANT cect Avaabe (Sum of AMT creat tized dung te cuent years subject to maximum ofamcunt mentoned in’ above and cant exceed the um of AMT Croat Brought Forware) 5. Assessment Year aut creat ‘wr creat ised during Balance ANT No. (a) on eee ca ‘me Curent Assessment Credit Carted rose Setoffinearker Balance brought forward to 3 sagpecte year Forward fssessment the curent assessment year be ©) OF esc) years (63) (61)-@2) (22) 1 pots eo zo zo zo ro 2 2164 eo eo zo zo ro 3 21546 eo zo zo zo ro 4 2016417 eo zo 0 zo ro 5 2017-10 zo ro zo ro zo 6 2018-19 x0. ro eo ro 0 7 201920 co ro zo 0 <0 8 2020.21 eo co zo zo zo vil Curent AY enter 0 zo 2.4 P2 oe oner 9) Tota 0 0 eo 0 ro Amount of ax cect unde section 11510 uilsed ding the yea tla of tem No (C) 5 ro ‘Amount of AMT laity avaiable or retin subsequent assessment yeas [oso (0) 6 zoINDIAN INCOME TAX RETURN [For Individuals and HUFs not having income from profits and gains of business or Assessment ITR-3 profession} Year (Please see Rule 12 of the Income-tax Rules, 1962) 2021 - 22 (Please refer instructions) 1 Name of person PANY Aadhaar of person Relationship ‘Amount (Rs) Hess of meome i which Ne (options) includesINDIAN INCOME TAX RETURN [For Individuals and HUFs not having income from profits and gains of business or ITR3 profession] (Please soo Rule 12 ofthe Income-tax Rules, 1962) (Please refer instructions) Income chargeable to tax ot speci bee (lease see nstuctons No.9 fer ato of tax) Ieome chargeable taxa epoca ates Section 111 Taxon accumulsted balan of recognises PF 1118 GTC on shares where STT pais) 112 (L166 enatners} 112 proviso TCG on listed secuos/unts without indexation) 11241 ©) LTCG on unit secures neat of nonresidents 112A LTCG on equity shaestunts of eal 11586 (Wining rm tees, uzzies, races, ‘games ete) 1 15AD(1) STG (otnertan on equty Share or ‘equity erented mutual fund refered in sacton 11a) by an Secures retard in seton 112A ea wih section 11540 [STOGOTAARate - STCG Chargeable spec! ‘ates nina as per TAA LTCGOTAARale-LTCG Chargeable at speci ‘ates in india 0a por DTA (OSOTAARete Other source income chargesbe unger DTAA rots a oa o Special 18% 20% 10% 10% 10% 10% 1% Income ro Fo Fo zo xo zo eo Taxable income after susting for min chargeable to tax zo v0 Fo zo zo ro ro zo 63 Assessment Year 2021 - 22 x0 ro ro. to ro ro x0 zo <0 ro zo eo zo zoINDIAN INCOME TAX RETURN [For Individuals and HUFs not having income from profits and gains of business or ‘Assessment ITRS profession] Year (Please see Rule 12 of the Income-tax Rules, 1962) 2021 - 22 (Please refer instructons) J Number of firme in which you are partner SI Name oti PAN of Firm Whetner hem Whether section 92E Percentage Amount sharein Capa balance on leforauai? Is appiceblete tim? Share inthe the prot, ist aren inte tem (reso) (re8) No) prot of te frm QO ‘oss zo roINDIAN INCOME TAX RETURN [For Individuals and HUFs not having income from profits and gains of business or ‘Assessment IRS profession} ‘Year (Please see Rul 12 ofthe Income-tax Rules, 1962) 2021 - 22 (Please refer instructions) Betas of Exempt Income (come not ob incoed in Tos come onal chargeaie oa) 1 tmerestincome 1 0782 (ross Ageutural recaps (ther then income fo be excluded under re 7A, 7B or BolT. Rules) 5 Expondive noured on agree a ro 2 Unndeored agetural ice ofpevous eight assessment years a ro Iv Net Agere income fore year (=~) enter nif) 2 tn case me net gricutural come forthe yar exceeds Rs. ak please furish he folowing deals (Fil up deans separately for 9h agri! on) 3. Other exempt income incluing exempt income of irc Ci) 4 Income nt chargeable to tx a per OTA st ‘Amountf income Natureof Couniryrame Article of Mead of Whether TRE No. Income Coe DTAA Income obtained (YIN) Tat acme tom DTAA not chargeable 1 tox 5 Pass tvougn income nat chargeable to ax (Schedule PT) 5 ro 5 Total (w2sa44e8) 6 torebb INDIAN INCOME TAX RETURN {For Individuals and HUFs not having income from profits and gains of business or ‘Assessment TRS profession] ‘Year (Please see Rule 12 ofthe Income-tax Rules, 1962) 2021 - 22 (Ploase refer instructions)“9 INDIAN INCOME TAX RETURN [For Individuals and HUFs not having income from profits and gains of business or Assessment TRB profession] Year (Please see Rule 12 of the Income-tax Rules, 1962) 2021 - 22 (Please refer instructions) Details of Tax on secondary adjustments as per section 82CE(2A) ‘Amount of primery adjustment on which option us 82CE(2A) Is exercised & such excess money has notbeon * repatriated within the prescribed time ube ‘2 Additonal Income tax payable @ 18% on above ro Surcharge @ 12% on "at ro 7 eHealth & Education cess on (a+b) 70 6 Total Additional tax payable (a+b+c) 0 3 Taxes paid <0 4 Net tax payable (24-3) z0 Date(s) of deposit of tax on secondary Name of Bank and Branch BSR Code Se"a! number Amount deposited adjustments as per section 92CE(2A) of challanbe INDIAN INCOME TAX RETURN [For Individuals and HUFs not having income from profits and gains of business or ‘Assessment ITR-3 profession] Year (Please see Rule 12 of the Income-tax Rules, 1962) 2021 - 22 (Please refer instructions) fonts ton air not lence Note: Please refer ote instucton foiling out this senecle,69 INDIAN INCOME TAX RETURN {For Individuals and HUFs not having income from profits and gains of business or Assessment TR profession] Year (Please see Rule 12 ofthe Income-ax Rules, 1962) 2021 - 22 (Please refer instructions) ‘Summary of tax relief claimed for taxes paid outside India (Available in case of resident) 1 Summary of Tax relief claimed Country Tax ‘Total proportionate taxes paid outside Total tax relief available (total of Tax Relief Claimed Code Identification India (total of (c) of Schedule FSIin f) of Schedule FSI in respect of under section (specify Number respect of each country] each country) 90, 90A or 91) a) ©) «) @ i) Total ro £0 2 Total Tax relief avaliable in respect of county where DTAAis applicable (section 901904) (Part of otal af of (0) 45 Totel Tax relief avaliable in respect of country where DTAAis net applicable (section 91) (Part of total - of (a)) 14. Whether any tax paid outside India, on which tex relief was allowed in Incl, has been refunded ‘ Ieredited by the foreign tax authority during the year? Ifyes, provide the details below ‘Assessment year in which tax rliet 2 Amount of tax refunded £0 oninie Note: Please refer tothe instructions fo filing out this schedule.INDIAN INCOME TAX RETURN Ao [For Individuals and HUFs not having income from profits and gains of business or Assessment TRS profession} (Please see Rule 12 of the Income-tax Rules, 1962) (Please refer instructions} Details of Foreign Assets and Income from any source outside India Year 2021 - 22 sme |e trail test ate | conn smgne bane fp ea nbepovendating ma fama end tren meena te na nay ey anyone arg santnee a yes la yh yd ng pn thin th aan PS Gace te Pm ne rt thn ef tt thei et i ant, nna pn hnINDIAN INCOME TAX RETURN [For individuals and HUFs not having income from profits and gains of business or Assessment ms profession] Year (Please see Rule 12.0 the Income-tax Rules, 1962) 2024 - 22 (Please refer instructions) Infomation regarsing appertnment af income betnean spouses governed by Peruquese Civ Code Name of the epouse PANY Aad ofthe spouse Receipts received under Amount apportioned inthe Heads of ncome of Amount of TOS deducted on TOS apportioned inthe hangs tren oon woes crepe ° ® ” o ” 1 ons Pept ‘ %0 "0 te a ts to te te 4 oh sose we " te 5 Tow ro ro zo x033 INDIAN INCOME TAX RETURN {For Individuals and HUF not having income from profits and gains of business or Assessment IRS profession] Year (Please see Rule 12 ofthe Income-tax Rules, 1962) 2021 - 22 (Please refer instructions) Asseis and Liabilities atthe end of the year (applicable in a case where total income exceeds Rs.50 lakh) A Details of immovable assets Sl.No. Description Address Pin code ‘Amount (cost) in Rs. o @ @ @ © B Details of movable assets si. No, Deseription Amount (cost) in Rs. a @ @ (Jewellery, bullion etc. 0 i) Archaeological collections, drawings, painting, sculpture or any work of art 20 (i) Vehicles, yachts, boats and aircrafts fr) (iv) Financia assets ‘Amount (cos!) in Rs. (a) Bank (including al deposits) x0 {b) Shares and securities x0 (©) Insurance policies ro (@)_ Loans and advances given ro (e) Cash in hand <0 © _ Interest held in the assets of a firm or association of porsons (AOP) as a partner or member thereof 's investment in the firm/ AOP on cost basis SINo. Name and address of the firm(s)/ AOP(s) PANofthefirm/AOP Asses mo @ ° ) > Liabilities in relation to Assets at (A+B + C) zo Note: Please rofer to instructions for filing out this schedule,a" INDIAN INCOME TAX RETURN (For individuals and HUFs having income from profits and gains of business or Assessment IRS profession) Year (Please see rule 12 of the Income-tax Rules 1962) 2021 - 22 (Prease refer instructions) INFORMATION REGARDING TURNOVERIGROSS RECEIPT REPORTED FOR GST Sh GSTIN No(s), ‘Annual valuo of outward supplies as per the GST return(s) fled No, ” @ a Pease furnish the above information for each GSTIN No. soparatoly8 INDIAN INCOME TAX RETURN [For Individuals and HUFs not having income from profits and gains of business or Assessment TRS profession] Year (Please see Rule 12 ofthe Income-tex Rules, 1962) 2021 - 22 (Please refer instructions) ‘Computation of total income 1. Saleres (6 of Schedule S) 1 <0 2 Income from house property (4 of Schedule HP) (enter nil floss) 2 0 3. Profits and gains from business or profession Profit and gains from business other than speculative business ' and specified business (A38 of Schedule BP) (enter nilifloss) eat Profit and gains from speculative business (3(i) of Table E of |i Schedule BP) (enter nil if oss and take the figure to schecule ii ro oF) Profit and gains from specified business (3(i) of Table E of li Schedule BP) (enter ni if loss end take the figure to schedule i) 20 CFL) Income chargeable to tax at special rates (3e & 3f of Schedule w 3 <0 BP) ¥._Total (31+ Sil + Sil + 3iv (enter nil 3v is a loss) 3v © 231,041 4 Capital gains ‘Shor term | Short-term chargeable @ 15% (Qifof item E of schodule CG) ai zo li Short-term chargeable @ 30% (9 of tem E of schedule CG) ail ro ® i Short-term chargeable at applicable rate (Qiv of item E of schedule CG) ail ro iy _ Shorter chargeable at special ates in India as per DTAA (Sv ofilem E of, S ‘Schedule CG) V Total Short-term (ai + a+ all + aiv) (enter ni iiss) dav ro Long-term 1 Long-term chargeable @ 10% (9v of tem E of schedule CG) bi 0 b _¥_Long-tesm chargeable @ 20% (Sui of tem E of schedule CG) bi zo __ Long-term chargeable at special rates in India as per DTAA (Sv ftom E of a, u5 "© schedule CG) |v Total Long-term (bi + bi + bil) (enter ni i oss) 4biv z0 © Total capital gains (4av + Abiv) (enter ni i loss) ae 20 5 Income from other sources [Net income from other sources chargeable to tax at normal applicable rates (6 of a Schedule OS) (enter nil if oss) as seins 1b tncome chargeable to tax at special rates (2 of Schedule OS) 5 ro Income from the activity of owning and maintaining race horses ( e of Schedule OS) * (enter nil it foss)10 " 2 13 14 18 16 wv 8 18 Total (Sa + 5b + 50) (onter ni floss) Total of head wise income (1+2+3vs4e+5d) Losses of current year to be set off against 6 (toe! of 2xui Sxil end dv of Schedule CYLA) Bolance after set off current year losses (6 ~7) (lta of serial number (i) (0 (xv) column 5 of Schedule CYLA+SD+3I4) Brought fomard losses tobe set off against 8 (total of 2xv, Savi and vi of Schedule BFLA) Gross Total income (8-9) (also total of seria no i) fo (xv) of column 5 of Schedule BFLAt Sb+ 3) income chargeable to tax at special rate under section 111A, 112, 112A et. included in 10 Decuetions under Chapter VLA Part-8, CA and D of Chapter VLA [[1 + 3) of Schedule VI-A and limited upto (total of... vil, xiixv) of column 5 of BELAY 1b Par-C of Chapter VA /(2 of Schedule VIA and limited upto lt of BELA] © Total (12a + 12D) ftmited upto (10-11)) Deduction wis 10AA (c of Sch. 104A) Total income (10-126 - 13) Income which is included in 14 end chargeable to tax at special rates (total of () of schedule SI) Net agricultural income! any other income for rate purpose ( 3 of Schedule El) Aggregate income (14-15+16) [applicable if (14-15) exceeds maximum amount not chargeable (0 tax) Losses of curent year to be carried forward ota of row xiv of Schedule CFL) Deemed income under section 115C (3 of Schedule AMT) " 12 12 120 13 14 6 16 no 18 1° £98,535 €2,69,576 eo £269,578 0 © 269,576 <0 £4491 20 #4491 eo © 2,65,090 <0 x0 £265,090 eo © 265,0903 INDIAN INCOME TAX RETURN [For Individuals and HUFs not having income from profits and gains of business or Assessment TRS profession} Year {Please see Rule 12 ofthe Income-tax Rules, 1962) 2021 - 22 (Please refer instructions) Computation of tax liability on total income ‘Tax payable on deemed total ncome wis 116JC (4 of Schedule ° ue ta ro 4B Surcharge on (a) (f applicable) tb ro © Health and Ecucation Ces @ 4% on (1a + 1b) above tc x0 Total tax payable on deemed total income (ta + 1b + tc) 16 x0 2 Tax payable on total income 2755 A- Tax at normal rates on 17 of Part BT 2a £755 B Taxat special rates (Lota of co. i) of Schedue-Si) 2 z0 cg _ Rebate on agricutura income fapplcable (14-15) of Pat B-T! 4, a ‘exceeds maximum amount not chargeabio fo tax] 1D Tax Payable on Total Income (2a + 20- 2c) 20 £755 E Rebate under section 874, 2e £755: F Tax payable after rebate (2d ~2e) a 0 G Surcherge i @25% of 17(i) of Schodule SI 21 zo i Q10% oF 15%, a8 applicable of 26,31), 9), 120). 22 gy es (i), 24() of Schedule St fj ORD —(47(0.20:3), FH), 120), 2240), 2400) OF sl a ‘Schedule 81], iv Total (+ iii) 2gWv 20 H_ Health and Education Cess @ 4% on (2+ 2a) 2h 0 | Gross tax ably (2 + 2olv + 2h) 2 0 3. Gross tax payable (higher of 1d and 2i) 3 0 14. Credit under section 118UD of tax psi in earlier yoars (applicable if 2iis more than 1d) (6 of Schedule nai AMTC) 5 Tax payable after credit under section 115JD (3a -4) 5 tO 6 Taxreliot Sgcon 8 (een annua ate Foe S08 tn wie Pa oF bb _ Section 901 808 (2 of Schedule TR) 6 x0 © Section 91 (3 of Schedule TR) 6 r0 Total (6a + 6b + 6) 66 zo 7 Net tax initty (5 - 6d) (enter zero it nogative) 7 eo 8 Interest and fee payable ‘2 Interest for default in furnishing the retum (section 234A) ba co 'b Interest for default in payment of advance tax (section 2348) 8 ro © Interest for deferment of advance tax (section 2340) 8 x0