INDIAN INCOME TAX RETURN ACKNOWLEDGEMENT | 4ssssarert Voor eer ne data ofthe Return of ncome In Form TR- (SAHA, TR2, MRA, ITR, TRS UcAM, | 2016-17 TTR, TR, ITR-6,/TR- transmitted electronically with digital signature] i — TAN ALBERT CLEMENT IAaspoemasr | RaaoorbtockN [Name OF Premise/Building/Vilage Ferm Na which 2 x thas been eae jtectroneaty | [FTR-4 | Bee neasiearor oe rela ee | 282° SiistReer (GANDHIPURAM tities Ba aes 25 2 Tomita Sate cs axcaae ea 22 | CompATOER ; ge TANITA DE 641012 XXNXX XXXX 4658 Designation of AO(WardiCirel) [NON CORP WARD 210) CBE Original or Revised [GRIGINAL ‘ling Acmwisgemen Naber Wi9111017 JPoooaninny) _ iz10a07 T | Gms oa ncome r 2607 | Deductions under Chap-VE-A 2 0 | Teal Income 3 eno g 3a] Current Year loss, if aa = Be [ 4 | Namo [5 [ices rte 2 F | | Tor mc nd inert pate 2 Advance Tox a EEL 7 | rseetais 2 a £3 a 22 © Tes Te = I Self Resessment Tax 74 = oad Taxes Paid (eV TOTS *T@) © | Tax Payable 70) 9 | Refund Te6) > ° ‘Agioulure :xempt Income bi aS ris tun has bee igaly signed by ALBERT CLEMENT inthe capacity of havingPAN AGSPCE2ESF_ fom IP Adress 117197194245, on 12:102017_at COIMBATORE sz7s9cne Md Sab CA for Class 2nd 2014 00-Ceitying Ati O-eainConsaer Serves Lie -IN Ee ——_——} DO NOT SEND THIS ACKNOWLEDGEMENT TO CPC, BENGALURUAY. 2016-2017 Name : ALBERT CLEMENT 2015-2016 Father's Name : Manickam Albert PAN AGSPC 8285 F Address: CRM Enterprises WardiCircle : 333(5) Status : Individual 5th Street Date of Birth : 11-Aug-1981 Gandhipuram, Coimbatore - 641 012 Resident ‘Statement of Income Rs, Rs, Rs. ' Profits and gains of Business or Profession Business Net Profit Before Tax as per P & L a/c 526,407 ‘Add: inadmissible expenses & Income not included Depreciation debited to P & L alc 94,490 ‘Adjusted Profit from Business 6,20,697 Total income from Business and Profession 6,20,897 Less: Depreciation as per IT Act 2 94,490 ‘Income chargeable under the head “Business and Profession” "Total Income Total income rounded off u/s 288A Tax on total income ‘Add: Education cess Tax with cess Net Tax Interest u/s 2344, Interest u/s 2348 Interest u/s 234C. Net tax payable Self-assessment tax paid 1 ™ Balance tax payable 0 ‘Schedule 4 Self Assessment tax paid Name of the Bank and BSR Code Date of chaten Sino. Challan deposit Amount, Bank of India - 0222833 12-Oct-17 (00556 42,920 Date: 12-Oct-2017 Place : Coimbatore oPALBERT CLEMENT ]Expenditure Rs.P Income RSP To Purchases 3285650.00 By Sales 4256500.00 RICE Mundy To Rent Paid 48000.00 ByPhotography Income Recein _225652.00 ‘To EB Charges 7583.00 To Accounancy & Audit Cha: $2500.00 To Postage & Telephone 21525.00 To Salary & Bonus 346500.00 To Printing & Stationary 3856.00 To Petrol Expenses 18252.00 To Office Maintenance 11525.00 To Traveling Expenses 39697.00 To General Expenses 1914.00 To Photography Expenses 24253.00 To Depreciation 94490.00 To Net Profit 526407.00 #482152.00 ~4482152.00 Place : Coimbatore Date: 12/10/2017ATE! Liabilities Rs.P_ Assets RsP God's Ac 101.00 i Vedio Camers 196200.00 Dep: 15% 29430.00 166770.00 A.Clement Capital Ac 500000.00 Equipments 46785.00 Dep: 10% 4679.00 42106.00 A.Clement Current Ac Two Wheeler 16300.00 Oppening Ac Dep: 15% 2445.00 13855.00 Add: Net Profit __526407.00 526407.00 Computer & Mobile _96560.00 Less: Drawings __126850.00 — 399557.00 Dep: 60% 5793600 38624.00 Current Assets: Vehicle Loan 49870.00 Advance & Deposit 100000.00 Cash at Bank 139659.00 Unsecured Loan Cash on hand 315240.00 Sivakumar 100000.00 Sundry Debtors 705247.00 Suresh 150000.00 Sundry Creditors 286545.00 Provision & Taxes 35428.00 1521501.00 1521501.00 Place : Coimbatore Date : 12/10/2017Payment Success tonezot? REA Tex Arcata Aesveement Year TORN OME OTHER THAT TINS 280 SHE TACT iei7 sana Aacot Name] ASSPOROSF ‘anes BERT CEMENT aE) smistacer Siastisutn Soursaroee Sanna Fane Fe [enone line aPamen Sa Reson Tor) =a CETALS OF PARENT Zvcnign Re O3i) 7 ai am En * elo aa | Esvaion Cos oo baer Tes Peaty o = o a Tae Ss FOYT aT | [retain woras) Fapeoe rt Ts ousand Hie tundred Tweniy ns Fase 2es| nen cocesozaeese oH Dale of Tender 12-102017 ‘Challan Sr No-OD558 Drawn on Bank of India, GANDHIPURAM — (ePayment) Sceaeee eee es en Se —— ara eet Sear sericea apes a = Rupees Fourly Two thousand Nine uncred Twenty and Parse Zero ‘ ‘Bank ofa, GANDHIPURAM _(ePayment) ‘Name ofthe Bank and Branch SR Code 0222883 Dale of Tender 12-10.2017 ‘Chalan Sr No-00586 ‘Shalan Indentification No. account of To02iyincome-ax (Other than companies) 2228881210201 700556 ype of Payment ‘Self Assessment Tox (300) pees Foury Two, 9 he Assesement Year 2016-17 oussnd Nine hunered ee Twenty and Paige Zero on} hitp:etarconnectbs bankosnea.comBankAway Real S(vyczcASOwnn2xSSdamccef)web/L00 ietalljslebpp/CBOTCounterFol aspx7Requests, "