IT Return Form Saral 2
(As replaced vide Notification No. 202/2001 dtd. 02.07.2001)

S.O.-(E). - In exercise of the powers conferred by section 295 of the Income-tax Act, 1961 (43 of 1961), the Central Board of Direct Taxes hereby makes the following rules further to attend the Income-tax Rules, 1962, namely:-

  1.      (1)    These rules may be called the Income-tax (11th Amendment) Rules, 2001
         (2)    They shall come into force on the date of their publication in the Official Gazette.

  2. In the Income-tax Rules, 1962, in Appendix II, for FORM NO.2. the following shall be substituted, namely :-

FORM NO.2

RETURN OF INCOME

[see rule 12(1)(b)(I) of Income"tax Rules, 1962]

(FOR NON-CORPORATE ASSESSEES NOT CLAIMING EXEMPTION U/S 11 AND HAVING INCOME FROM BUSINESS OR PROFESSION)

* PLEASE FOLLOW INSTRUCTIONS AND FILL IN RELEVANT SCHEDULES.

*

PAN MUST BE QUOTED.    * USE BLOCK LETTERS ONLY.

ACKNOWLEDGEMENT
For office use only

Receipt No.

Date

    
  
 
 
 
   
Seal and signature of Receiving Official

9. Assessment year 10. Residential Status
       
   
   
11.U/s139/142/148  12. If there is change in 
       jurisdiction, state I old 
       Ward/Circle/Special Range

13. Whether original  or Revised Return ?
      If revised, Receipt No. and
    date of filing original Return 
     
14. Is this your first Return?  No.

 

1. PERMANENT ACCOUNT NUMBER.  
                     

(If not applied for or not allotted; enclose Form 49A)

2. NAME (Last name/Sumame, First name, Middle name in that order)**
                                     
                                     
                                     
3. ADDRESS FOR COMMUNICATION

         (A RESIDENCE **. or B. OFFICE )

(Flat No/door/House No., Premises, Road, Locality/village, Town/District 9. Assessment Year 10 Residential Status
State/Union Territory in that order)

                                     
                                     
                                     
PIN
           

TELEPHONE

             
Fax. if any
           
  4. Sex * (M/F)
5. Date of Birth/formation - -
6. Status
7. Is there any change in Address? Yes or No.
    If yes. whether A. Residence** or B. Office
8. Ward/Circle/Special Range
                   

 
COMPUTATION OF TOTAL INCOME (IN RS.) STATEMENT OF TAXES                          (in Rs.)

Sch.

Sch.

15. Salaries                                    (G-1A) 701        25. Tax on total income         (H-2) 810              
16. Income from house property(G-1B) 702        26. Rebate u/s88/88B/88C     (H-3) 820              
17. profIts and gains of busness or 
      professlon                               (G-1C)
703        27. Surcharge                          (H-6) 828              
18. Capital gains  28. Tax payable                       (H-7) 832              
     a. Short term.                      (G-1D(I)) 704        29. Relief u/s 89/90/91           (H-8) 837              
     b. Long term                      (G-1D(ii)) 705        30. Balance tax payable         (H-9)  841              
19 Income from other sources    (G-1E) 706       
31. Tax deducted/
       collected at
(H-13B)
873              
20 Gross total Income                    (G-3) 746        32. Advance tax paid.        (H13A) 862              
21 Deduction Ch-VIA                    (G-4) 747        33. Interest payable u/s       (H-10)
      234A/234B/234C
846              
22. Total income                              (G-6) 760        34. Self assessment tax     (H-13C) 875              
In words 35. Tax and lnterest             (H-15) 
       payable
893              
23. Net agricultural income free rate 
      perpose/any other income.     (G-7)
767        36. Refund due, if any 895              
24. Income claimed exempt           (1-14) 124       

37. DETAILS OF BANK ACCOUNTS(S)/CREDIT CARD AND OTHER PARTICULARS AS PER SCHEDULE-I

38. NO. OF DOCUMENTS/STATEMENTS ATTACHED
  Description In Figures In words
a. Statement of taxable income/tax    
b. Audit report    
c. Statements of A/c    
  Description In Figures In words
d. TDS Certificates    
e. Challans    
f. Others    

VERIFICATION***

I ,___________________________________________ (fuII name in block letters). son/daughter of ___________________________ solemnly declare that to the best of my knowledge and belief, the information given in this return and the schedules and statements accompanying it is correct and complete, and that the amount of total income and other particulars shown therein are truely stated and are in accordance with the provisions of the Income-tax Act, 1961, in respect of income chargeable to income tax for the previous year relevant to the assessment year _________
I further declare that I am making this return in my capacity as ______________________________and I am also competent to make this return and verify it. ;

Date  ________________
Place ________________                                    Name:                                                                                    Signature:


SCHEDULE - A SALARIES

In case of more than one employment, please state the aggregate of salary etc.
against the relevant Items.

Whether in the employment of Government?           Yes No

Name of the Employer
                                     
Address of thye employer
                                     
                                     
                                     
Amount Code Amount
1. Salary (including all allowances) ............................................. 201
2. Less. Allowances exempt u/s 10
   (a) House Rent Allowance as per 
         Rules
   (b) Convenance as per Rules
  (c) ___________________
  (d) ___________________
3. Total of 2 above  ......................................................................................................... 202
                 
4. Balance (1-3) ................................................................................................................ 203
                 
5. Add value of perquisite(s), and/or profits in lieu of salary (see S. 17)
     (a) Rent Free Accomodation as per Rules
     (b) Convenance as per Rules 
                 
     (c) _____________________
                 
     (d) _____________________
                 
6. Total of  5 above ......................................................................................................... 204
   
7. Total (4+6) .................................................................................................................... 205
8. Less Deductions claimed u/s 16
(a) Standard deduction [S16(i)]  
                 
(b) _______________________
                 
(c) _______________________
                 
9. Total of  8 above .......................................................................................................... 207
                 
 
INCOME CHARGEABLE UNDER THE HEAD "SALARIES.     (7-9) 220
                 


SCHEDULE. B INCOME FROM HOUSE PROPERTY.

In case of more than one house property, compute the income from each property on a separate
sheet ( to be attached to the return) and mention the aggregate figure against item No.16.

Number of sheets 301  (in case of more than one property) Sheet No. 302 

Address of the property
(Flat No/Door/House No., Premises, Road, Locality/Village, Town/District, State/Union Territory in that order

                                     
                                     
                                     
PIN
           
3. State whether the above mentioned property is
303 Self occupied  or Let out  or Unoccupied  (Please tick as applicable)
4.
Built-up area (in square meter)   304  Area of land appurtenant (in square meter )    305  Annual lettable value      306 
 

 

   
Amount
5. Annual lettable value/Annual rent received or receivable (whichever is higher) ...                  207
                     
6. Less: Deduction claimed u/s 23
(a) Taxes actually paid to local authority
                 
(b) ___________________________
                 
(c) _______________________
                 
7. Total of 6 above ................................................................................................................................  312
                     
8. Balance (5-7)                                                                  313
                     
9. Less. Deduction claimed u/s 24
(a) Repairs and Collection Charges      320
                 
     _______________________
                 
(b) _______________________
                 
(c) _______________________
                 
(d) _______________________
                 
(e) _______________________
                 
10. Tot of 9 above ...........................................................................................................................          325
                     
11 Balance (8-10) ...........................................................................................................................           330
                     
12. Unrealised rent received in the year (u/s 25A)  ...................................................................           331
                     
13. (a) Amount of arrears of rent received   332
      in the year u/s 25B
                     
(b) Less: deduction admissible u/s 25B 333
                     
                  (1/4th arrear rent received)
14. Income chargeable under section 25B [13(a) -13(b)]                                                                           340
                     
15. Balance (11+12+14)                                                                                                                                   341
                     
16. Total of 15 (in case of more than one property, give total of all sheets)                                          350
                     
17. INCOME CHARGEABLE UNDER THE HEAD "INCOME FROM HOUSE PROPERTY"             399
                     
Nature of business or profession: Manufacturing  501
Trading 502  Manufacturing-cum-trading 
Services 504 Profession 505 other  506 
No of branches
     
 Attach list with full address (es)

3. Method of accounting 507 Mercantile Cash
4. Is there any change in method of accounting? Yes No
5. If yes. state the change ______________________________
   __________________________________________
6. Method of valuation of stock _________________________
   __________________________________________
7. is there any change in stock valuation method?   Yes No
8. If yes, state the Change : ______________________________
9. Are you liable to maintain accounts as per S. 44A?

Yes No

10. Are you liable to tax audit u/s44AB(a)/(b) Yes No
11. Are you liable to tax audit u/s 44AB(c) read with 
     S. 44AD/44E/44AF?
Yes No
12. If answer to item 10 or 11 is 'yes', have you got 
      the accounts audited before the specified date?
Yes No
13. If yes, whether audit report is furnished?
      If yes. give receipt No. ________________________
     and date of filing the same
    
    (also attach a copy ) 
   
   
       

SCHEDULE C. PROFITS AND GAINS OF BUSINESS OR PROFESSION
(I) GENERAL


(ii) COMPUTATION OF INCOME FROM BUSINESS OR PROFESSION OTHER THAN SPECULATION BUSINESS

(IN CASE YOU HAVE MORE THAN ONE BUSINESS OR PROFESSION AND MAINTAIN SEPARATE BOOKS OF AC- COUNT, ATTACH SEPARATE SHEET~S) GIVING COMPUTATION FOR EACH SUCH BUSINESS OR PROFESSION AND SHOW THE AGGREGATE FIGURES AGAINST V ARIOUS ITEMS)

14. Net profit or less as per consolidated profit and loss account                                         510
                     
15. Add: adjustment on account of change in  511
      method of accounting and/or valuation of 
      stock
512
                     
For assessee having Income covered u/s 44AD/44AE/44AF:-
16. (i) Deduct/Add- profit & loss of business (es) included in 14 under the section indicated below, if 
           answer to any of 9, 11, 12 or 13 above is 'No'
      (a) section 44AD 513

     

      (b) section 44AE 514      
      (c) section 44AF 515      

Total

520              521

16. (ii) In case you were engaged in the business of civil construction or supply of
      labour for civil construction mentioned In S. 44AD;
     (a) Gross Receipts 522      
     (b) Deemed profit @ 8% of gross receipt 523      
     (c) Add: Higher of the amounts 
     mentioned in items 16(i)(a), and 16(ii)(b)
524              525

16 (iii) In case you owned not more than 10 goods carriages and were engaged in the 
      business of plying hiring or leasing of such carriages as mentioned in-S. 44AE
  No. of  Vehicles/Carriages No. of months during which owned Deemed profit u/s 44AE
(a) heavy goods vehicle      
(b) other goods carriage      
Total  
(c) Add: Higher of the amounts mentioned 
      in items 16(i)(a), and 16(ii)(b)
530              531

16 (iv) In .case you were engaged in the business of retail trade in any goods or 
     merchandise, the total turnover on account of which did not exceed forty lakh rupees,as
     mentioned in S. 44AF:-
     (a) Total turnover on account of such
           business
532      
    (b) Deemed profit at rate of 5% of
           turnover
533      
     (c) Add: Higher of the amounts             
          mentioned in 16(i)(c) and 16(iv)(b)
540              541

17. Deduct: Amount of exempt income included in 14, being:
(i) Share of income from firm(s) exempt u/s 
    10(2A)
542      
(ii) Share of income from AOP/BOI 543      
(iii) Any other income exempt from tax 
      (specify the section) 
544      

Total 

550              551

Is Section 8/10C applicable in your case? 

Yes No

Have you opted out by filing declaration prescribed u/s 10A(8)/10B(8)/10C(6)? Yes No
Furnish the following information
Deduction Year No.

Amount claimed deductible/not includible in total income

       
       
       
   
   
   

 Total    552     

Deduct: Amount claimed deductible/note 553
                     

includible in total income, as arrived at

19. Add: Income(s) specified in S. 28(ii) to 28(vi)
      not included in 14
560

561
                     
20. Add: Deemed income(s) u/s 33AB, 33ABA, 35ABA, 41, 72A, 80HHD, 80IA etc., not 
      included in 14 above
                Section____________ Amount_______________
                Section____________ Amount_______________
                Section____________ Amount_______________
                Section____________ Amount_______________

Total   564

 

565
                     
21. Deduct: Allowance u/s 35A, 35AB, 35AB, 35ABB, 35D, 35E etc.

Section

Year No.

Instalment

Amount debited in A/cs

Amount allowable

         

Total 

568

569
                     
22 Add: Adjustment on account of profit 570

571
                     
      includible u/s 44B, 44BB and 44BBA
23 Add/deduct: Adjustments in accordance 
     with Ss 28 to 44D, if any necessary

Section 

Amount

       
       
       

Total   572

573
                     
24 Add/deduct: Adjustment on account of
     current depreciation debited in books of 
     account, and as allowable as per the act
574

575
                     
25 Add/deduct: Adjustment on a/c of scientific 
     research expenses u/s 35 (i)(iv), if any
576 577
26 Profits and gains of business or profession
     other than speculation business
578



(III) COMPUTATION OF INCOME FROM SPECULATION BUSINESS 

27 PRIFIT/LOSS FROM SPECULATION BUSINESS 580
                     
28. Add/Deduct: Adjustments in accordance 583

      with Ss. 28 to 44D, if any necessary
29. Balance-Profit from speculation business  
      (27-28)
584
                     
     [If this figure is negative, it shall be shown against below)
30. Deduct: Loss if any, of business and  585

      profession, at 26 above to the extent   
      speculation profit is available [n the  
      resultant negative figure, if any shall be
      shown against 35(ii) below]
31 Balance-(29-30) 586
                     
32. Deduct: Brought foward speculation loss, if 
      any
587

33. Balance-income or loss from speculation 
      (31-32) [(if this figure is negative, it shall be 
      shown against 35 (i) below and not 
      considered in 34]
588
                     
34. Income chargeable under the head "profits 
      and gains of business or profession" 
      Including speculation (26-33)
589
                     
35. Current year's losses remaining unadjusted;
     i) Speculation loss, i.e. the negative figure, if 
         any, at 29 or 33.
591
                     
     ii) Loss from business or profession after set 
         off against current year's speculation profit 
         at 30 above.
(The above negative figure(s) shall be shown in Schedule F.1 to F.3)
592
                     

 

D. CAPITAL GAINS

Separate sheets may be used and attached to the return in case of more than one short term/long term asset. The aggregate figure may be shown against item no.14. Indexed cost of acquisition and Improvement, wherever considered necessary may be shown against item no.7.

A. Short-term Asset B.Long-term Asset
1. Number of sheets 601  (incase of more than one asset only) Sheet No.  602 
2. Particulars of asset transferred 603 ______________________ 653 ________________________
3. Date of Acquisition (DDMMYYYY) 604
               
654
               
4. Date of transfer (DDMMYYYY) 605
               
655
               
5. Mode of transfer 606 ______________________ 656 __________________________
6. Full value of consideration 607 ______________________ 657 __________________________
7. Deduction u/s 48
    (i) cost of acquisition 609
               
659
               
    (ii) cost of improvement 610
               
660
               
    (iii) expenditure on transfer 611
               
661
               
8. Total of 7 above 615
               
665
               
9. Balance (6-8) 616
               
666
               
10. Exemption u/s
           54 631  54B  632
                   
   54 667    54B  668
               
         54D 623  54G  634 54D 669  54EA 670  
54EB671  54EC 672    
 54F 673    54G 674  
11. Balance (9-10) 630
                   

                            680

12. Amount deemed to be Capital Gains u/s

 54 631  54B  632

                   

54 681    54B  682

               

54D 623  54G  634

 54D 683     54F 684 

 54G  685
13. Total (11 + 12)  640
                   

                            690

               
14. Total of 13 (in case of more than 
      one short/long term asset, give 
      total of all sheets
642
                   

                            692

               
15. Deemed short term capital gain
      on depreciable assets (se. 50)
643
                   
16. Particulars of transfer claimed exempt u/s 47:
Nature of asset Date of transfer Amount/Value Relevant clause of section 47
 

 

     
17. Income chargeable under the head "CAPITAL GAINS"
    A. Short Term (14 + 15) 649
                   

B. Long term (14)        699

               
18. Information about accrual/receipt of capital gains
Upto 15/6 16/6 to 15/9 16/9 to 15/12 16/12 to 15/3 16/3 to 31/3/
Short term Rs. ____________ Rs. ____________ Rs. ____________ Rs. ____________ Rs. ____________
Long term Rs. ____________ Rs. ____________ Rs. ____________ Rs. ____________ Rs. ____________

SCHEDULE -E. INCOME FROM OTHER SOURCES

Code Amount Code Amount

1. Income* other than from owning race horse(s):- 460
                   
    (a) Dividends [other than those claimed exempt 
     u/s 10(33) ............................................................
461
                   
    (b) Interest .......................................................... 462
                   
    (c) Rental income from machinery, plants, 
    buildings etc. . .. ................................................
464
                   
    (d) Others ...........................................................

470

               
2. Total of 1 above .........................................................................................................................
3. Deduction u/s 57:-
    (a) Depreciation .....................................................
                   
    (b) ............................................................................
                   
    (c) ............................................................................
                   
4. Total of 3 above ................................................................................................................ 471
               
5. Balance[2-4] ....................................................................................................................... 473
               
6. (a) Income from owning and maintaining race 
     horses ..................................................................
474
                   
(b) Deductions u/s 57 ............................................ 475
                   
7. Balance income from owning and maintaining rase horse(s) [6(a) -6(b)] ........................... 476
               
    [Negative figure, if any, shall be shown in Sch. F.3]
8. Winnings from lotteries, cross word puzzles, races etc. (see sec. 115BB) 478
               
9. INCOME CHARGEABLE UNDER THE HEAD "INCOME FROM OTHER SOURCES" 
    (5+7+8) .....................................................................................................................................
499
               
    [Negative figure, if any, in item 7 shall not be considered here]
*  Indicate the gross amount against sub items (a) to (d)

 

F. 1 STATEMENT OF SET-OFF OF CURRENT YEAR'S LOSS UNDER SECTION 71.

Fill in this sub-part only if there is loss from any of the following sources for set-off against income form any other source; else, write N.A.
Amount of loss arising from house property (see item B-17)                                                                                             Rs. _________________
Amount of loss from business (excluding speculation loss) [see item C-26]                                                                   Rs. _________________
Amount of loss from other sources (excluding loss from race horses) [see item E-4]                                                    Rs. _________________

S.No.

Head/Source of income

Income of current
year 
House property of the current year   Business loss (other than speculation loss) of the current set off* Other sources loss (other than loss from owning 
race horses) of the current year set off
Current year's income remaining after setoff'
         
1.  Salaries          
2. House Property          
3. Business (including speculation profit)          
4. Short term capital gain          
5. Long term capital gain          
6. Other sources (including profit from owning race horses)          

SCHEDULE- F.2. STATEMENT OF SET-OFF OF UNABSORBED LOSSES AND ALLOWANCES
BROUGHT FORWARD FROM EARLIER YEAR

S.No. Head/Source of Income Income after set off if any, of current year's losses as per Sch:F.1 Brought forward loss set-off Brought forward depreciation set-off Brought forward allowance u/s. 35(4) set-off Current year's Income remaining after set-off
    (i) (ii) (iii)  (iv) (v)
1. House Property          
2. Business (including speculation profit)          
3. Short term capital gain          
4. Long term capital gain          
5. Other sources (including profit from owning race horses)          



F.3 UNABSORBED LOSSES AND ALLOWANCES BROUGHT FORWARD FROM PRECEDING ASSESSMENT YEARS

S.No.   8th 7th 6th 5th 4th 3rd 2nd 1st Total amount brought forward  Amount set off against current year's income Amount c/f  inclu ding current year's amount
1. Assessment year                      
2. Date of which return filed                      
3. House Property loss                      
4. Speculation business loss                      
5. Business depreciation                      
6. Other business loss                      
7.  Allowance u/s 35(4)                      
8. Loss under "capital gains"                      
9. Loss from owning race horses                      

SCHEDULE - G. STATEMENT OF TOTAL INCOME


A. Salaries ____________________________________ (Sch.A.10 or F.1.1.v) 701
               
B. Income from house property _____________________ (Sch.B. 17 or F.2.1.v) 702
               
C. Profits and gains of business or profession __________ (Sch. B. 17 or F.2.2.v) 703
               
D. Capital gains
               (i) Short term  ___________________________  (Sch.D17A or F.2.3.v) 704
               
              (ii) Long term  ___________________________  (Sch.D.17B or F.2.4.v) 705
               
E. Income from other sources ______________________ (Sch. E. 9 or F.2.5.v) 706
               
2. Total (A to E) __________________________________________________ 707
               
3. Gross Total Income _____________________________________________ 746
               
4. DEDUCTION UNDER CHAPTER VI-A (wherever admissible)
Section Code* Gross Amount (Rs.) Qualifying Amount (Rs.) Deductible Amount (Rs.) Certificates attached
    1 2 3 4
           
           
           
           

Total 747

               
5. Total (3-4) _____________________________________________________ 751
               
6. TOTAL INCOME (as rounded of to the nearest multiple of ten) 760
               
7. INCOME FOR RATE PURPOSES:- Net agricultural income _________________ 762
               

Any other income under chapter VII _________________

763
               

Total

767
               
765
               
8. Income included in Schedules A to E arising to spouse/minor child/son's wife or
any other person or association of persons. ____________________________
Name & relationship of such person
                    766   
9. INCOME INCLUDED IN SCHEDULE A to E WHICH IS CHARGEABLE TO TAX
AT SPECIAL RATES*
nature of income chargeable to tax at special rates Section under which chargeable Amount of Income Rate of tax applicable Amount of tax (Rs.)
         
         
         
         
         
10. Total income chargeable at special rate 768
               
11. Total income chargeable at special rate (6-10) 771
               

SCHEDULE- H. STATEMENT OF TAXES

1. Tax on total income
(a) At special rates                                                  801
                   
(b) At normal rates                                                  802
                   
2. Tax on total income [1(a) + (b)] ................................................................................................................... 810
               
3. Rebate under sections 88, 88B, 88C:

(Please specify Item)

Gross Amount (Rs.) Qualifying Amount (Rs.) Tax Rebate admissible
  1 2 3
(a) u/s 88      
       
       
Total                             812      
(b) u/s 88B                   813      
(c) u/s 88C                   814      
4. Total rebate [3(a) + 3(b) + 3(c)] _________________________________________________ 820
               
5.  Balance tax (2-4) ____________________________________________________________ 827
               
6. Surcharge (on 5 above) _______________________________________________________ 828
               
7. Tax payable (5 +  6) __________________________________________________________ 832
               
8. Relief u/s 89  90    91  __________________________________________ 837
               
9. Balance tax payable (7-8) _____________________________________________________ 841
               
10. Add Interest for:
(a) Late filing of return u/s 234A                             842
                   
(b) Default in payment of Advance tax u/s 234B  843
                   
(c) Deferment of Advance tax u/s 234C                  844
                   
11. Total of 10 ________________________________________________________________ 846
               
12. Balance tax payable (9-1) _____________________________________________________ 851
               
13. Prepaid Taxes: 
(A) Advance tax (Attach Challans)
Up to 15/9 858 16/9 to 15/12 859 16/12 to 15/03 860 16/03 to 31/03 861 Total     862
Amount (Rs) 1        
Date 2      
Name of Bank        
Branch        
(B) Tax Deductd/Collected at Source: [Atach certificate(s)):
       (a) Salaries  .....................................................  868
                   
       (b) Interest  .....................................................  869
                   
       (c) .....................................................................  872
                   
       (d) Total of [(a) to (c)] ........................................................................................................................ 873
               
(C) Tax on Self Assessment (Atach Challan):
  Date of payment Income Tax (Rs.) Interest as per 10 above (Rs.) Total (Rs.)
  1 2   3

875

       
(D) Other prepaid taxes, if any 876
               
      Please specify and attach proof) .......................................................................................................
14. TOTAL[13(A)+13(b)+13(C)+13(D)]  ....................................................................................................... 892
               
15. TAX AND INTEREST PAYABLE(12-14) .............................................................................................. 893
               
16. REFUND DUE, IF ANY (12-14) ............................................................................................................... 895
               

SCHEDULE-I, GENERAL INFORMATION

1. Is there any change in your name ?
If yes, please furnish your Old Name
New Name (Please attach documentary proof)

Shri       Smt     Kumar                                    

(Please expand initials)

Last Name/Surname First Name
                                     
  Middle Name
                                     
2. in case of change in address, please furnish new address (tick)

A. Residence or       B. Office

Flate/Door/Block No. Name or premises/building/Village
                         
                     
Road/Street/Lane/PostOffice Area/Locality/Taluka/Sub-Division
                         
                     
Town/City/District  State/Union Territory                                    Pin
                         
             
3. Particulars of bank account (s) starting with the account to which refund if any, is to be credited
Name of the Bank Address of Bank Branch Branch Code Account Number
       
       
       
4. Particulars of credit card, if any
Name of credit card held Issued by
   
   
   
5. Investment, if any, in immovable properties during the year, other than business assets:
Details of property/Investment Date/Period of Investment Amount in Rs. Source
       
       
       
6. Investments, if any, in excess of Rs. 1,00,000 in movable assets during the year, other than business assets:
Nature of asset/investment Date of Investment Amount in Rs. Source
       
       
       
7. Details of expenditure on education of children
S. No. Name of child Class and Institution where studying Expenditure during the year
1.      
2.      
3.      
8. Expenditure on vehicles owned by self/dependent family members
S. No. name of the owner Make & Model with registration No. Year of purchase
       
       
       
9. Other expenditure/outgoings, if any, in excess of Rs. 50,000 during the year, other than business expenses:
Nature of expenditure/outgoings Date of Expenditure Amount in Rs. Source
       
       
       
10. In case of a firm/AOP/BOI, please furnish the following information:
Name of the partner/member Profit sharing ratio  Interest paid to partner/member (Rs.) Salary/remuneration paid to partner/member (Rs.) Commission/bonus paid to partner/member (Rs.)
         
         
         
         
         
         
11. Income claimed exempt:
Nature of Income Amount in Rs. Reasons for claim
     
     
     
     
     
12. Foreign Travel undertaken during the year by self/dependents
S. No. Name Relationship Passport No. Countries visited Duration of tour Expenditure incurred
1            
2            
3            
4            
5            
13. Have you claimed any Double taxation relief
(i) under agreement with any country  ....................................................................                Yes No
(ii) In respect of a country with which no agreement exists .................................               Yes No
      If yes, Name of the country ___________________________________ 
14. Are you assessed to Wealth tax __________________________________               Yes No
(If yes, the wealth tax return should be filed along with this return)
15. Are you an NRI in whose case any part of income is to be taxed under chapter - XIIA Yes No
(If yes, please file the details on a separate sheet)
 

Sd/-
(Batsala Jha Yadav)
Under Secretary to the Government of India

Issued by:
Government of India, Ministry of Finance
Department of Revenue
(Central Board of Direct Taxes), New Delhi

*       Fill in code as mentioned in Instructions ,. In case of Individuals
***  Any person making a false statement in the return or the accompanying schedules or statements shall be liable to be prosecuted under 
         section 277 of the Income-tax Act, 1961 and on conviction be punishable under that section with rigorous imprisonment and with fine