Instructions
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PART A - GENERAL
Part B - TI
Part B - TTI
IT
TDS
TCS
Schedule S
Schedule HP
Schedule CG
Schedule OS
Schedule CYLA
Schedule BFLA
Schedule CFL
Schedule VI-A
Schedule 80G
Schedule SPI
Schedule SI
Schedule EI
Schedule PTI
Schedule FSI
Schedule TR
Schedule FA
Schedule 5A
Schedule AL
Home
S.No
Schedule Name
Schedule Description
Schedule Selection
1
PART A - GENERAL
Details of Personal Information and filing status
Yes
2
Part B - TI
Computation of total income
Yes
3
Part B - TTI
Computation of tax liability on total income
Yes
4
Schedule IT
Details of Advance Tax and Self Assessment Tax Payments of Income-tax
Yes
No
5
Schedule TDS
Details of Tax Deducted at Source on Income [As per Form 16 A, 27D issued by Deductor(s)]
Yes
No
6
Schedule TCS
Details of Tax Collected at Source (TCS) [As per Form 27D issued by the Collector(s)]
Yes
No
7
Schedule S
Details of Income from Salary
Yes
No
8
Schedule HP
Details of Income from House Property
Yes
No
9
Schedule CG
Capital Gains
Yes
No
10
Schedule OS
Income from other sources
Yes
No
11
Schedule CYLA
Details of Income after Set off of Current years losses
Yes
12
Schedule BFLA
Details of Income after Set off of Brought Forward Losses of earlier years
Yes
13
Schedule CFL
Details of Losses to be carried forward to future Years
Yes
No
14
Schedule VI-A
Deductions under Chapter VI-A
Yes
No
15
Schedule 80G
Details of donation entitled for deduction under Section 80G
Yes
No
16
Schedule SPI
Income of specified persons (spouse, minor child etc) includable in income of the assessee
Yes
No
17
Schedule SI
Income chargeable to Income tax at special rates IB [Please see instruction Number-9(iii) for section code and rate of tax]
Yes
No
18
Schedule EI
Details of Exempt Income (Income not to be included in Total Income)
Yes
No
19
Schedule PTI
Pass Through Income details from business trust or investment fund as per section 115UA,115UB
Yes
No
20
Schedule FSI
Details of Income accruing or arising outside India
Yes
No
21
Schedule TR
Details of Tax Relief claimed under Section 90 or Section 90A or Section 91
Yes
22
Schedule FA
Details of foreign assets
Yes
No
23
Schedule 5A
Information regarding apportionment of income between spouses governed by Portuguese Civil Code
Yes
No
24
Schedule AL
Asset and Liability at the end of the year (applicable in a case where total income exceeds Rs.50 lakh)
Yes
No
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)
1. All amounts are in Indian Rupees.
2. A calendar is provided for selecting the date field (format DD/MM/YYYY)
3. All greyed out fields are either auto-filled or non-editable.
4. In ITR wherever information is captured in tables
Adding new Row
: Click ADD button to insert a new row and then enter values in the field provided. Make sure you provide information in all mandatory columns(
*
) marked
Deleting Row
: Select the row to delete from the list and click DELETE button
Remove unnecessary blank rows from the table by selecting the row and clicking on DELETE button.
5. Please enter only the value wherever the information is needed in percentage i.e. % sign not required.
6. Please verify the Return before submitting or saving the final XML.
Personal Information
First name
Middle name
Last name
*
PAN
*
Date of Birth/ Formation(DD/MM/YYYY)
*
Status
*
Select
I - Individual
H - HUF
ADDRESS
Flat/Door/Block No
*
Name of Premises/Building/Village
Road/Street/Post Office
Area/Locality
*
Town/City/District
*
State
*
Select
ANDAMAN AND NICOBAR ISLANDS
ANDHRA PRADESH
ARUNACHAL PRADESH
ASSAM
BIHAR
CHANDIGARH
DADRA & NAGAR HAVELI
DAMAN & DIU
DELHI
GOA
GUJARAT
HARYANA
HIMACHAL PRADESH
JAMMU & KASHMIR
KARNATAKA
KERALA
LAKSHADWEEP
MADHYA PRADESH
MAHARASHTRA
MANIPUR
MEGHALAYA
MIZORAM
NAGALAND
ORISSA
PONDICHERRY
PUNJAB
RAJASTHAN
SIKKIM
TAMILNADU
TRIPURA
UTTAR PRADESH
WEST BENGAL
CHHATISGARH
UTTARAKHAND
JHARKHAND
TELANGANA
State outside India
Country
*
Select
AFGHANISTAN
ÅLAND ISLANDS
ALBANIA
ALGERIA
AMERICAN SAMOA
ANDORRA
ANGOLA
ANGUILLA
ANTARCTICA
ANTIGUA AND BARBUDA
ARGENTINA
ARMENIA
ARUBA
AUSTRALIA
AUSTRIA
AZERBAIJAN
BAHAMAS
BAHRAIN
BANGLADESH
BARBADOS
BELARUS
BELGIUM
BELIZE
BENIN
BERMUDA
BHUTAN
BOLIVIA (PLURINATIONAL STATE OF)
BONAIRE, SINT EUSTATIUS AND SABA
BOSNIA AND HERZEGOVINA
BOTSWANA
BOUVET ISLAND
BRAZIL
BRITISH INDIAN OCEAN TERRITORY
BRUNEI DARUSSALAM
BULGARIA
BURKINA FASO
BURUNDI
CABO VERDE
CAMBODIA
CAMEROON
CANADA
CAYMAN ISLANDS
CENTRAL AFRICAN REPUBLIC
CHAD
CHILE
CHINA
CHRISTMAS ISLAND
COCOS (KEELING) ISLANDS
COLOMBIA
COMOROS
CONGO
CONGO (DEMOCRATIC REPUBLIC OF THE)
COOK ISLANDS
COSTA RICA
CÔTE D'IVOIRE
CROATIA
CUBA
CURAÇAO
CYPRUS
CZECHIA
DENMARK
DJIBOUTI
DOMINICA
DOMINICAN REPUBLIC
ECUADOR
EGYPT
EL SALVADOR
EQUATORIAL GUINEA
ERITREA
ESTONIA
ETHIOPIA
FALKLAND ISLANDS (MALVINAS)
FAROE ISLANDS
FIJI
FINLAND
FRANCE
FRENCH GUIANA
FRENCH POLYNESIA
FRENCH SOUTHERN TERRITORIES
GABON
GAMBIA
GEORGIA
GERMANY
GHANA
GIBRALTAR
GREECE
GREENLAND
GRENADA
GUADELOUPE
GUAM
GUATEMALA
GUERNSEY
GUINEA
GUINEA-BISSAU
GUYANA
HAITI
HEARD ISLAND AND MCDONALD ISLANDS
HOLY SEE
HONDURAS
HONG KONG
HUNGARY
ICELAND
INDIA
INDONESIA
IRAN (ISLAMIC REPUBLIC OF)
IRAQ
IRELAND
ISLE OF MAN
ISRAEL
ITALY
JAMAICA
JAPAN
JERSEY
JORDAN
KAZAKHSTAN
KENYA
KIRIBATI
KOREA (DEMOCRATIC PEOPLE'S REPUBLIC OF)
KOREA (REPUBLIC OF)
KUWAIT
KYRGYZSTAN
LAO PEOPLE'S DEMOCRATIC REPUBLIC
LATVIA
LEBANON
LESOTHO
LIBERIA
LIBYA
LIECHTENSTEIN
LITHUANIA
LUXEMBOURG
MACAO
MACEDONIA (THE FORMER YUGOSLAV REPUBLIC OF)
MADAGASCAR
MALAWI
MALAYSIA
MALDIVES
MALI
MALTA
MARSHALL ISLANDS
MARTINIQUE
MAURITANIA
MAURITIUS
MAYOTTE
MEXICO
MICRONESIA (FEDERATED STATES OF)
MOLDOVA (REPUBLIC OF)
MONACO
MONGOLIA
MONTENEGRO
MONTSERRAT
MOROCCO
MOZAMBIQUE
MYANMAR
NAMIBIA
NAURU
NEPAL
NETHERLANDS
NEW CALEDONIA
NEW ZEALAND
NICARAGUA
NIGER
NIGERIA
NIUE
NORFOLK ISLAND
NORTHERN MARIANA ISLANDS
NORWAY
OMAN
PAKISTAN
PALAU
PALESTINE, STATE OF
PANAMA
PAPUA NEW GUINEA
PARAGUAY
PERU
PHILIPPINES
PITCAIRN
POLAND
PORTUGAL
PUERTO RICO
QATAR
RÉUNION
ROMANIA
RUSSIAN FEDERATION
RWANDA
SAINT BARTHÉLEMY
SAINT HELENA, ASCENSION AND TRISTAN DA CUNHA
SAINT KITTS AND NEVIS
SAINT LUCIA
SAINT MARTIN (FRENCH PART)
SAINT PIERRE AND MIQUELON
SAINT VINCENT AND THE GRENADINES
SAMOA
SAN MARINO
SAO TOME AND PRINCIPE
SAUDI ARABIA
SENEGAL
SERBIA
SEYCHELLES
SIERRA LEONE
SINGAPORE
SINT MAARTEN (DUTCH PART)
SLOVAKIA
SLOVENIA
SOLOMON ISLANDS
SOMALIA
SOUTH AFRICA
SOUTH GEORGIA AND THE SOUTH SANDWICH ISLANDS
SOUTH SUDAN
SPAIN
SRI LANKA
SUDAN
SURINAME
SVALBARD AND JAN MAYEN
SWAZILAND
SWEDEN
SWITZERLAND
SYRIAN ARAB REPUBLIC
TAIWAN, PROVINCE OF CHINA[A]
TAJIKISTAN
TANZANIA, UNITED REPUBLIC OF
THAILAND
TIMOR-LESTE (EAST TIMOR)
TOGO
TOKELAU
TONGA
TRINIDAD AND TOBAGO
TUNISIA
TURKEY
TURKMENISTAN
TURKS AND CAICOS ISLANDS
TUVALU
UGANDA
UKRAINE
UNITED ARAB EMIRATES
UNITED KINGDOM OF GREAT BRITAIN AND NORTHERN IRELAND
UNITED STATES OF AMERICA
UNITED STATES MINOR OUTLYING ISLANDS
URUGUAY
UZBEKISTAN
VANUATU
VENEZUELA (BOLIVARIAN REPUBLIC OF)
VIET NAM
VIRGIN ISLANDS (BRITISH)
VIRGIN ISLANDS (U.S.)
WALLIS AND FUTUNA
WESTERN SAHARA
YEMEN
ZAMBIA
ZIMBABWE
OTHERS
Pin Code
*
Zip Code
*
No Zip Code
Employer Category(if in employment)
*
Select
Government
Public Sector Unit
Others
Not Applicable
Residential/Office Phone Number with STD code
Do not prefix STD code with '0'
Income Tax Ward / Circle
Mobile No. 1
*
Mobile No. 2
Email Address-1 (self)
*
Email Address-2
Aadhaar Number
(Please enter the Aadhaar Number which is linked for your PAN in e-Filing portal. Applicable to Individual only.)
Aadhaar Enrolment Id
[Note: If Aadhaar Number is not yet allotted, then Aadhaar Enrolment Id is required. All the digits in enrolment ID & Date and time of enrolment to be entered continuously. For example Enrolment ID: 1234/12345/12345 & Date/Time of enrollment: 01/12/2016 11:50:22 to be entered as 1234123451234501122016115022]
Filing Status
Return filed under section
*
Select
"11" - On or before the due date u/s 139(1)
"12" - After due date u/s 139(4)
"13" - In response to notice u/s 142(1)
"14" - In response to notice u/s 148
"15" - In response to notice u/s 153A
"16" - In response to notice u/s 153C read with section 153A.
"17" - Revised return u/s 139(5).
"18" - In response to a notice u/s 139(9)Defective return.
"19" - Section 139 read with section 92 CD
"20" - Section 139 read with section 119(2)(b)
Whether original or revised return?
Select
Original
Revised
Notice number (Where the original return filed was Defective and a notice was issued to the assessee u/s 139(9))
If revised/defective/modified, then enter Receipt No
Date of filing original return (DD/MM/YYYY)
If filed, in response to a notice u/s 139(9)/142(1)/148/153A/153C enter date of such notice, or u/s 92CD enter date of advance pricing agreement
Residential Status
*
Select
RES - Resident
NRI - Non Resident
NOR - Resident but not Ordinarily resident
Do you want to claim the benefit under section 115H? (applicable in case of resident)
Select
Yes
No
Whether any transaction has been made with a person located in a jurisdiction notified u/s 94A of the Act?
*
Select
Yes
No
Are you governed by Portuguese Civil Code as per section 5A? (If “YES” please fill Schedule 5A)
*
Select
Yes
No
Other Details
Whether this return is being filed by a representative assessee? If yes, please furnish following information -
*
Select
Yes
No
Name of the representative
Address of the representative
Permanent Account Number (PAN) of the representative
Part B TI Computation of Total Income
1
Salaries (6 of Schedule S)
1
2
Income from house property [3b of Schedule-HP] (enter nil if loss)
2
3
Capital gains
a
Short-term
i
Short-term chargeable @ 15% (7ii of item E of schedule CG)
ai
ii
Short-term chargeable @ 30% (7iii of item E of schedule CG)
aii
iii
Short-term chargeable at applicable rate (7iv of item E of schedule CG)
aiii
iv
STCG chargeable at special rates in India as per DTAA
aiv
v
Total Short term (ai+aii+aiii+aiv)
5av
b
Long-term
i
Long-term chargeable @ 10% (7v of item E of schedule CG)
bi
ii
Long-term chargeable @ 20% (7vi of item E of schedule CG)
bii
iii
LTCG chargeable at special rates as per DTAA
biii
iv
Total Long-term (bi + bii+biii) (enter nil if loss)
5biv
c
Total Capital gains (3av + 3biv) (enter nil if loss)
5c
4
Income from other sources
a
from sources other than from owning race horses and income chargeable to tax at special rate etc. (1k of Schedule OS) (enter nil if loss)
4a
b
Income chargeable to tax at special rate (1fviii of Schedule OS)
4b
c
from the activity of owning and maintaining race horses (3e of Schedule OS)(enter nil if loss)
4c
d
Total (4a + 4b + 4c) (enter nil if loss)
4d
5
Total (1+2+3c+4d)
5
6
Losses of current year set off against 5 (total of 2xi and 3xi of Schedule CYLA)
6
7
Balance after set off current year losses (5 - 6) (total of column 4 of Schedule CYLA+4b)
7
8
Brought forward losses set off against 7 (2x of Schedule BFLA)
8
9
Gross Total income (7-8) (3xi of Schedule BFLA +4b)
9
10
Income chargeable to tax at special rate under section 111A, 112 etc. included in 9
10
11
Deductions under Chapter VI-A [t of Schedule VIA and limited to (9-10)]
11
12
Total income (9 - 11)
12
13
Income which is included in 12 and chargeable to tax at special rates (total of (i) of schedule SI)
13
14
Net agricultural income/ any other income for rate purpose (4 of Schedule EI)
14
15
Aggregate income (12-13+14) [applicable if (12-13) exceeds maximum amount not chargeable to tax]
15
16
Losses of current year to be carried forward (total of row xi of Schedule CFL)
16
Part B TTI Computation of Tax Liability on Total Income
1
Tax payable on total income
a
Tax at normal rates on 15 of Part B-TI
1a
b
Tax at special rates (total of col.(ii) of Schedule SI)
1b
c
Rebate on agricultural income [applicable if (12-13) of Part B-TI exceeds maximum amount not chargeable to tax]
1c
d
Tax Payable on Total Income (1a + 1b – 1c)
1d
2
Rebate under section 87A
2
3
Tax payable after rebate (1d - 2)
3
4
Surcharge
(i)
25% of tax on Deemed Income chargeable u/s 115BBE
4 i
(ii)
On [(3) – (Tax on Deemed Income chargeable u/s 115BBE)]
4 ii
(iii)
Total i + ii
4 iii
5
Education cess, including secondary and higher education cess on (3 + 4iii )
5
6
Gross tax liability (3 + 4iii + 5)
6
7
Tax relief
a
Section 89
7a
b
Section 90/90A (2 of Schedule TR)
7b
c
Section 91( 3 of Schedule TR)
7c
d
Total (7a + 7b + 7c)
7d
8
Net tax liability (6 – 7d) (enter zero if negative)
8
9
Interest and fee payable
a
Interest for default in furnishing the return (section 234A)
9a
b
Interest for default in payment of advance tax (section 234B)
9b
c
Interest for deferment of advance tax (section 234C)
9c
d
Fee for default in furnishing return of income (section 234F)
9d
e
Total Interest and Fee Payable (9a+9b+9c+9d)
9e
10
Aggregate liability (8 + 9e)
10
11
Taxes Paid
a
Advance Tax (from column 5 of 19A)
11a
b
TDS (total of column 5 of 19B and column 9 of 19C)
11b
c
TCS (total of column 5 of 19D)
11c
d
Self-Assessment Tax(from column 5 of 19A)
11d
e
Total Taxes Paid (11a+11b+11c+11d)
11e
12
Amount payable (Enter if 10 is greater than 11e, else enter 0)
12
Refund
13
Refund (If 11e is greater than 10)(Refund, if any, will be directly credited into the bank account)
13
Bank Account Details
14
Do you have a bank account in India (Non-residents claiming refund with no bank account in India may select NO) ?
*
Yes
No
a) Bank Account in which refund, if any, shall be credited
S.No.
IFS Code of the bank
Name of the Bank
Account Number
1
b) Other Bank account details
S.No.
IFS Code of the bank
Name of the Bank
Account Number
2
c) In case of non-residents, details of any one foreign Bank Account may be furnished for the purpose of credit of refund
S.No.
SWIFT Code
Name of the Bank
IBAN
Country of Location
1
Select
AFGHANISTAN
ÅLAND ISLANDS
ALBANIA
ALGERIA
AMERICAN SAMOA
ANDORRA
ANGOLA
ANGUILLA
ANTARCTICA
ANTIGUA AND BARBUDA
ARGENTINA
ARMENIA
ARUBA
AUSTRALIA
AUSTRIA
AZERBAIJAN
BAHAMAS
BAHRAIN
BANGLADESH
BARBADOS
BELARUS
BELGIUM
BELIZE
BENIN
BERMUDA
BHUTAN
BOLIVIA (PLURINATIONAL STATE OF)
BONAIRE, SINT EUSTATIUS AND SABA
BOSNIA AND HERZEGOVINA
BOTSWANA
BOUVET ISLAND
BRAZIL
BRITISH INDIAN OCEAN TERRITORY
BRUNEI DARUSSALAM
BULGARIA
BURKINA FASO
BURUNDI
CABO VERDE
CAMBODIA
CAMEROON
CANADA
CAYMAN ISLANDS
CENTRAL AFRICAN REPUBLIC
CHAD
CHILE
CHINA
CHRISTMAS ISLAND
COCOS (KEELING) ISLANDS
COLOMBIA
COMOROS
CONGO
CONGO (DEMOCRATIC REPUBLIC OF THE)
COOK ISLANDS
COSTA RICA
CÔTE D'IVOIRE
CROATIA
CUBA
CURAÇAO
CYPRUS
CZECHIA
DENMARK
DJIBOUTI
DOMINICA
DOMINICAN REPUBLIC
ECUADOR
EGYPT
EL SALVADOR
EQUATORIAL GUINEA
ERITREA
ESTONIA
ETHIOPIA
FALKLAND ISLANDS (MALVINAS)
FAROE ISLANDS
FIJI
FINLAND
FRANCE
FRENCH GUIANA
FRENCH POLYNESIA
FRENCH SOUTHERN TERRITORIES
GABON
GAMBIA
GEORGIA
GERMANY
GHANA
GIBRALTAR
GREECE
GREENLAND
GRENADA
GUADELOUPE
GUAM
GUATEMALA
GUERNSEY
GUINEA
GUINEA-BISSAU
GUYANA
HAITI
HEARD ISLAND AND MCDONALD ISLANDS
HOLY SEE
HONDURAS
HONG KONG
HUNGARY
ICELAND
INDIA
INDONESIA
IRAN (ISLAMIC REPUBLIC OF)
IRAQ
IRELAND
ISLE OF MAN
ISRAEL
ITALY
JAMAICA
JAPAN
JERSEY
JORDAN
KAZAKHSTAN
KENYA
KIRIBATI
KOREA (DEMOCRATIC PEOPLE'S REPUBLIC OF)
KOREA (REPUBLIC OF)
KUWAIT
KYRGYZSTAN
LAO PEOPLE'S DEMOCRATIC REPUBLIC
LATVIA
LEBANON
LESOTHO
LIBERIA
LIBYA
LIECHTENSTEIN
LITHUANIA
LUXEMBOURG
MACAO
MACEDONIA (THE FORMER YUGOSLAV REPUBLIC OF)
MADAGASCAR
MALAWI
MALAYSIA
MALDIVES
MALI
MALTA
MARSHALL ISLANDS
MARTINIQUE
MAURITANIA
MAURITIUS
MAYOTTE
MEXICO
MICRONESIA (FEDERATED STATES OF)
MOLDOVA (REPUBLIC OF)
MONACO
MONGOLIA
MONTENEGRO
MONTSERRAT
MOROCCO
MOZAMBIQUE
MYANMAR
NAMIBIA
NAURU
NEPAL
NETHERLANDS
NEW CALEDONIA
NEW ZEALAND
NICARAGUA
NIGER
NIGERIA
NIUE
NORFOLK ISLAND
NORTHERN MARIANA ISLANDS
NORWAY
OMAN
PAKISTAN
PALAU
PALESTINE, STATE OF
PANAMA
PAPUA NEW GUINEA
PARAGUAY
PERU
PHILIPPINES
PITCAIRN
POLAND
PORTUGAL
PUERTO RICO
QATAR
RÉUNION
ROMANIA
RUSSIAN FEDERATION
RWANDA
SAINT BARTHÉLEMY
SAINT HELENA, ASCENSION AND TRISTAN DA CUNHA
SAINT KITTS AND NEVIS
SAINT LUCIA
SAINT MARTIN (FRENCH PART)
SAINT PIERRE AND MIQUELON
SAINT VINCENT AND THE GRENADINES
SAMOA
SAN MARINO
SAO TOME AND PRINCIPE
SAUDI ARABIA
SENEGAL
SERBIA
SEYCHELLES
SIERRA LEONE
SINGAPORE
SINT MAARTEN (DUTCH PART)
SLOVAKIA
SLOVENIA
SOLOMON ISLANDS
SOMALIA
SOUTH AFRICA
SOUTH GEORGIA AND THE SOUTH SANDWICH ISLANDS
SOUTH SUDAN
SPAIN
SRI LANKA
SUDAN
SURINAME
SVALBARD AND JAN MAYEN
SWAZILAND
SWEDEN
SWITZERLAND
SYRIAN ARAB REPUBLIC
TAIWAN, PROVINCE OF CHINA[A]
TAJIKISTAN
TANZANIA, UNITED REPUBLIC OF
THAILAND
TIMOR-LESTE (EAST TIMOR)
TOGO
TOKELAU
TONGA
TRINIDAD AND TOBAGO
TUNISIA
TURKEY
TURKMENISTAN
TURKS AND CAICOS ISLANDS
TUVALU
UGANDA
UKRAINE
UNITED ARAB EMIRATES
UNITED KINGDOM OF GREAT BRITAIN AND NORTHERN IRELAND
UNITED STATES OF AMERICA
UNITED STATES MINOR OUTLYING ISLANDS
URUGUAY
UZBEKISTAN
VANUATU
VENEZUELA (BOLIVARIAN REPUBLIC OF)
VIET NAM
VIRGIN ISLANDS (BRITISH)
VIRGIN ISLANDS (U.S.)
WALLIS AND FUTUNA
WESTERN SAHARA
YEMEN
ZAMBIA
ZIMBABWE
OTHERS
15
Do you at any time during the previous year :-
(i) hold, as beneficial owner, beneficiary or otherwise, any asset (including financial interest in any entity) located outside India or
(ii) have signing authority in any account located outside India or
(iii) have income from any source outside India? [applicable only in case of a resident] [Ensure Schedule FA is filled up if the answer is Yes ]
*
Select
Yes
No
Verification
I,
*
son/ daughter of
*
, solemnly declare that to the best of my knowledge and belief, the information given in the return and the schedules thereto is correct and complete and is in accordance with the provisions of the Income-tax Act, 1961,
I further declare that I am making return in my capacity as
*
and I am also competent to make this return and verify it. I am holding permanent account number
I further declare that the critical assumptions specified in the agreement have been satisfied and all the terms and conditions of the agreement have been complied with.
Place
*
Date
*
17. If the return has been prepared by a Tax Return Preparer (TRP) give further details below:
Identification No. of TRP:
Name of TRP :
18. If TRP is entitled for any reimbursement from the Government, amount thereof
19A - IT. Details of payments of Advance Tax and Self-Assessment Tax
Sl.No.
(1)
BSR Code
(2)
Date of Deposit (DD/MM/YYYY)
(3)
Serial number of challan
(4)
Amount
(₹)
(5)
1
Total
Note:
Enter the totals of Advance tax and Self-Assessment tax in Sl No. 11a & 11d of Part B-TTI
19B - TDS1. Details of Tax Deducted at Source (TDS) from Salary [As per FORM 16 issued by Employer(s)]
Sl.No.(1)
Tax Deduction Account Number (TAN) of the Employer(2)
*
Name of Employer(3)
*
Income chargeable under Salaries(4)
*
Total tax deducted(5)
*
1
Total
Note:
Please enter total of column 5 in 11b of Part B-TTI
19C(1) - TDS2. Details of Tax Deducted at Source on Income [As per FORM 16A issued by Deductor(s)]
Sl.No.
TDS credit in the name of
*
Tax Deduction Account Number (TAN) of the Deductor
*
Name of the Deductor
*
Unique TDS Certificate Number
Unclaimed TDS brought forward (b/f)
TDS of the current fin. Year
*
TDS credit out of (7) or (8) being claimed this Year (only if corresponding income is being offered for tax this year)
TDS credit out of (6), (7) or (8) being carried forward
*
Fin. Year in which deducted
Amount b/f
Deducted in own hands
*
Deducted in the hands of spouse as per section 5A or any other person as per rule 37BA(2) (if applicable)
claimed in own hands
*
Claimed in the hands of spouse as per section 5A or any other person as per rule 37BA(2)
(1)
(1a)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10)
(11)
Income
TDS
PAN of spouse / other person
Income
TDS
PAN of spouse / other person
1
Select
Self
Other PAN
Select
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
Total
Note:
Please enter total column 9 of above in 11b of Part B-TTI
19C - TDS3. Details of Tax Deducted at Source (TDS) on Income [As per Form 26QB/26QC furnished issued by Deductor(s)]
Sl.No.
TDS credit in the name of
*
PAN of the buyer/Tenant
*
Name of Buyer/Tenant
*
Unique TDScertificate number
Unclaimed TDS brought forward (b/f)
TDS of the current fin. Year
*
TDS credit out of (7) or (8) being claimed this Year (only if corresponding income is being offered for tax this year)
TDS credit out of (6), (7) or (8) being carried forward
*
Financial year in which TDS is deducted
Amount b/f
Deducted in own hands
*
Deducted in the hands of spouse as per section 5A or any other person as per rule 37BA(2) (if applicable)
claimed in own hands
*
Claimed in the hands of spouse as per section 5A or any other person as per rule 37BA(2)
(1)
(1a)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10)
(11)
Income
TDS
PAN of spouse / other person
Income
TDS
PAN of spouse / other person
1
Select
Self
Other PAN
Select
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
Total
Note:
Please enter total column 9 of above in 11b of Part B-TTI
18D. Details of Tax Collected at Source (TCS) [As per Form 27D issued by the Collector(s)]
Sl.No.
(1)
Tax Deduction and Collection Account Number of the Collector
(2)
*
Name of the Collector
(3)
*
Tax Collected
(4)
Amount out of (4) being claimed
(5)
Amount out of (4) being claimed in the hands of spouse, if section 5A is applicable
(6)
1
Total
Note:
Please enter total of column (5) of TCS in 11c of Part B-TTI
Details of Income from Salary
1
Name of Employer
PAN of Employer (if available)
Address of Employer
Town/City
State
Select
ANDAMAN AND NICOBAR ISLANDS
ANDHRA PRADESH
ARUNACHAL PRADESH
ASSAM
BIHAR
CHANDIGARH
DADRA & NAGAR HAVELI
DAMAN & DIU
DELHI
GOA
GUJARAT
HARYANA
HIMACHAL PRADESH
JAMMU & KASHMIR
KARNATAKA
KERALA
LAKSHADWEEP
MADHYA PRADESH
MAHARASHTRA
MANIPUR
MEGHALAYA
MIZORAM
NAGALAND
ORISSA
PONDICHERRY
PUNJAB
RAJASTHAN
SIKKIM
TAMILNADU
TRIPURA
UTTAR PRADESH
WEST BENGAL
CHHATISGARH
UTTARAKHAND
JHARKHAND
TELANGANA
State outside India
Pincode
1
Salary (Excluding all exempt/ non-exempt allowances, perquisites & profit in lieu of salary as they are shown separately below)
1
2
Allowances not exempt (refer Form 16 from employer)
2
3
Value of perquisites (refer Form 16 from employer)
3
4
Profits in lieu of salary (refer Form 16 from employer)
4
5
Deduction u/s 16 (Entertainment allowance by Government and tax on employment)
5
6
Income chargeable under the Head ‘Salaries’ (1+2+3+4-5)
6
7
Allowances exempt under section 10 (Not to be included in 6 above)
i
Travel concession/assistance received [(sec. 10(5)]
7i
ii
Tax paid by employer on non-monetary perquisite [(sec. 10(10CC)]
7ii
iii
Allowance to meet expenditure incurred on house rent [(sec. 10(13A)]
7iii
iv
Other allowances
S. No.
Nature of Income
Amount
1
Select
Sec 10(6)-Remuneration received as an official, by whatever name called, of an embassy, high commission etc
Sec 10(7)-Allowances or perquisites paid or allowed as such outside India by the Government to a citizen of India for rendering service outside India
Sec 10(10)-Death-cum-retirement gratuity received
Sec 10(10A)-Commuted value of pension received
Sec 10(10AA)-Earned leave encashment
Sec 10(10B)-Retrenchment Compensation received
Sec 10(10C)-Amount received on voluntary retirement or termination of service
Sec 10(10D)-Sum received under a life insurance policy including bonus
Sec 10(11)-Statuory Provident Fund received
Sec 10(12)-Recognised Provident Fund received
Sec 10(13)-Approved superannuation fund received
Sec 10(14)-Amount received towards the expenditure incurred during performance of duty
Sec 10(15)-Income by way of interest, premium on redemption or other payment on such securities, bonds, annuity certificates, savings certificates, other certificates
Sec 10(16)-Scholarships granted to meet the cost of education
Sec 10(17)-Allownace MP/MLA/MLC
Sec 10(17A)-Award instituted by Government
Sec 10(18)-Pension received by winner of "Param Vir Chakra" or "Maha Vir Chakra" or "Vir Chakra" or such other gallantry award
Sec 10(19)-Family pension received
Any Other
Total other allowances
2
Total Income chargeable
Details of Income from House Property
1
Address of property 1
Town/ City
State
Select
ANDAMAN AND NICOBAR ISLANDS
ANDHRA PRADESH
ARUNACHAL PRADESH
ASSAM
BIHAR
CHANDIGARH
DADRA & NAGAR HAVELI
DAMAN & DIU
DELHI
GOA
GUJARAT
HARYANA
HIMACHAL PRADESH
JAMMU & KASHMIR
KARNATAKA
KERALA
LAKSHADWEEP
MADHYA PRADESH
MAHARASHTRA
MANIPUR
MEGHALAYA
MIZORAM
NAGALAND
ORISSA
PONDICHERRY
PUNJAB
RAJASTHAN
SIKKIM
TAMILNADU
TRIPURA
UTTAR PRADESH
WEST BENGAL
CHHATISGARH
UTTARAKHAND
JHARKHAND
TELANGANA
State outside India
Country
Select
AFGHANISTAN
ÅLAND ISLANDS
ALBANIA
ALGERIA
AMERICAN SAMOA
ANDORRA
ANGOLA
ANGUILLA
ANTARCTICA
ANTIGUA AND BARBUDA
ARGENTINA
ARMENIA
ARUBA
AUSTRALIA
AUSTRIA
AZERBAIJAN
BAHAMAS
BAHRAIN
BANGLADESH
BARBADOS
BELARUS
BELGIUM
BELIZE
BENIN
BERMUDA
BHUTAN
BOLIVIA (PLURINATIONAL STATE OF)
BONAIRE, SINT EUSTATIUS AND SABA
BOSNIA AND HERZEGOVINA
BOTSWANA
BOUVET ISLAND
BRAZIL
BRITISH INDIAN OCEAN TERRITORY
BRUNEI DARUSSALAM
BULGARIA
BURKINA FASO
BURUNDI
CABO VERDE
CAMBODIA
CAMEROON
CANADA
CAYMAN ISLANDS
CENTRAL AFRICAN REPUBLIC
CHAD
CHILE
CHINA
CHRISTMAS ISLAND
COCOS (KEELING) ISLANDS
COLOMBIA
COMOROS
CONGO
CONGO (DEMOCRATIC REPUBLIC OF THE)
COOK ISLANDS
COSTA RICA
CÔTE D'IVOIRE
CROATIA
CUBA
CURAÇAO
CYPRUS
CZECHIA
DENMARK
DJIBOUTI
DOMINICA
DOMINICAN REPUBLIC
ECUADOR
EGYPT
EL SALVADOR
EQUATORIAL GUINEA
ERITREA
ESTONIA
ETHIOPIA
FALKLAND ISLANDS (MALVINAS)
FAROE ISLANDS
FIJI
FINLAND
FRANCE
FRENCH GUIANA
FRENCH POLYNESIA
FRENCH SOUTHERN TERRITORIES
GABON
GAMBIA
GEORGIA
GERMANY
GHANA
GIBRALTAR
GREECE
GREENLAND
GRENADA
GUADELOUPE
GUAM
GUATEMALA
GUERNSEY
GUINEA
GUINEA-BISSAU
GUYANA
HAITI
HEARD ISLAND AND MCDONALD ISLANDS
HOLY SEE
HONDURAS
HONG KONG
HUNGARY
ICELAND
INDIA
INDONESIA
IRAN (ISLAMIC REPUBLIC OF)
IRAQ
IRELAND
ISLE OF MAN
ISRAEL
ITALY
JAMAICA
JAPAN
JERSEY
JORDAN
KAZAKHSTAN
KENYA
KIRIBATI
KOREA (DEMOCRATIC PEOPLE'S REPUBLIC OF)
KOREA (REPUBLIC OF)
KUWAIT
KYRGYZSTAN
LAO PEOPLE'S DEMOCRATIC REPUBLIC
LATVIA
LEBANON
LESOTHO
LIBERIA
LIBYA
LIECHTENSTEIN
LITHUANIA
LUXEMBOURG
MACAO
MACEDONIA (THE FORMER YUGOSLAV REPUBLIC OF)
MADAGASCAR
MALAWI
MALAYSIA
MALDIVES
MALI
MALTA
MARSHALL ISLANDS
MARTINIQUE
MAURITANIA
MAURITIUS
MAYOTTE
MEXICO
MICRONESIA (FEDERATED STATES OF)
MOLDOVA (REPUBLIC OF)
MONACO
MONGOLIA
MONTENEGRO
MONTSERRAT
MOROCCO
MOZAMBIQUE
MYANMAR
NAMIBIA
NAURU
NEPAL
NETHERLANDS
NEW CALEDONIA
NEW ZEALAND
NICARAGUA
NIGER
NIGERIA
NIUE
NORFOLK ISLAND
NORTHERN MARIANA ISLANDS
NORWAY
OMAN
PAKISTAN
PALAU
PALESTINE, STATE OF
PANAMA
PAPUA NEW GUINEA
PARAGUAY
PERU
PHILIPPINES
PITCAIRN
POLAND
PORTUGAL
PUERTO RICO
QATAR
RÉUNION
ROMANIA
RUSSIAN FEDERATION
RWANDA
SAINT BARTHÉLEMY
SAINT HELENA, ASCENSION AND TRISTAN DA CUNHA
SAINT KITTS AND NEVIS
SAINT LUCIA
SAINT MARTIN (FRENCH PART)
SAINT PIERRE AND MIQUELON
SAINT VINCENT AND THE GRENADINES
SAMOA
SAN MARINO
SAO TOME AND PRINCIPE
SAUDI ARABIA
SENEGAL
SERBIA
SEYCHELLES
SIERRA LEONE
SINGAPORE
SINT MAARTEN (DUTCH PART)
SLOVAKIA
SLOVENIA
SOLOMON ISLANDS
SOMALIA
SOUTH AFRICA
SOUTH GEORGIA AND THE SOUTH SANDWICH ISLANDS
SOUTH SUDAN
SPAIN
SRI LANKA
SUDAN
SURINAME
SVALBARD AND JAN MAYEN
SWAZILAND
SWEDEN
SWITZERLAND
SYRIAN ARAB REPUBLIC
TAIWAN, PROVINCE OF CHINA[A]
TAJIKISTAN
TANZANIA, UNITED REPUBLIC OF
THAILAND
TIMOR-LESTE (EAST TIMOR)
TOGO
TOKELAU
TONGA
TRINIDAD AND TOBAGO
TUNISIA
TURKEY
TURKMENISTAN
TURKS AND CAICOS ISLANDS
TUVALU
UGANDA
UKRAINE
UNITED ARAB EMIRATES
UNITED KINGDOM OF GREAT BRITAIN AND NORTHERN IRELAND
UNITED STATES OF AMERICA
UNITED STATES MINOR OUTLYING ISLANDS
URUGUAY
UZBEKISTAN
VANUATU
VENEZUELA (BOLIVARIAN REPUBLIC OF)
VIET NAM
VIRGIN ISLANDS (BRITISH)
VIRGIN ISLANDS (U.S.)
WALLIS AND FUTUNA
WESTERN SAHARA
YEMEN
ZAMBIA
ZIMBABWE
OTHERS
Pincode
Zip Code
Is the property co-owned?
*
(if "YES" please enter following details)
Select
Yes
No
Assessee's percentage of share in the property
%
S. No.
Name of Co-owner(s)
PAN of Co-owner (s)
Percentage Share in Property
1
%
Type Of House Property
Select
Let Out
Deemed let out
Self Occupied
S. No.
Name(s) of Tenant (if let out)
PAN of Tenant(s) (if available)
1
(a)
Annual letable value or rent received or receivable (higher of the two, if let out for whole of the year, lower of the two if let out for part of the year)
1a
(b)
The amount of rent which cannot be realized
1b
(c)
Tax paid to local authorities
1c
(d)
Total (1b + 1c)
1d
(e)
Annual value (1a – 1d) (nil, if self -occupied etc. as per section 23(2)of the Act)
1e
(f)
Annual value of the property owned (own percentage share x 1e)
1f
(g)
30% of 1f
1g
(h)
Interest payable on borrowed capital
1h
(i)
Total (1g + 1h)
1i
(j)
Income from house property 1 (1f - 1i)
1j
2
Address of property 2
Town/ City
State
Select
ANDAMAN AND NICOBAR ISLANDS
ANDHRA PRADESH
ARUNACHAL PRADESH
ASSAM
BIHAR
CHANDIGARH
DADRA & NAGAR HAVELI
DAMAN & DIU
DELHI
GOA
GUJARAT
HARYANA
HIMACHAL PRADESH
JAMMU & KASHMIR
KARNATAKA
KERALA
LAKSHADWEEP
MADHYA PRADESH
MAHARASHTRA
MANIPUR
MEGHALAYA
MIZORAM
NAGALAND
ORISSA
PONDICHERRY
PUNJAB
RAJASTHAN
SIKKIM
TAMILNADU
TRIPURA
UTTAR PRADESH
WEST BENGAL
CHHATISGARH
UTTARAKHAND
JHARKHAND
TELANGANA
State outside India
Country
Select
AFGHANISTAN
ÅLAND ISLANDS
ALBANIA
ALGERIA
AMERICAN SAMOA
ANDORRA
ANGOLA
ANGUILLA
ANTARCTICA
ANTIGUA AND BARBUDA
ARGENTINA
ARMENIA
ARUBA
AUSTRALIA
AUSTRIA
AZERBAIJAN
BAHAMAS
BAHRAIN
BANGLADESH
BARBADOS
BELARUS
BELGIUM
BELIZE
BENIN
BERMUDA
BHUTAN
BOLIVIA (PLURINATIONAL STATE OF)
BONAIRE, SINT EUSTATIUS AND SABA
BOSNIA AND HERZEGOVINA
BOTSWANA
BOUVET ISLAND
BRAZIL
BRITISH INDIAN OCEAN TERRITORY
BRUNEI DARUSSALAM
BULGARIA
BURKINA FASO
BURUNDI
CABO VERDE
CAMBODIA
CAMEROON
CANADA
CAYMAN ISLANDS
CENTRAL AFRICAN REPUBLIC
CHAD
CHILE
CHINA
CHRISTMAS ISLAND
COCOS (KEELING) ISLANDS
COLOMBIA
COMOROS
CONGO
CONGO (DEMOCRATIC REPUBLIC OF THE)
COOK ISLANDS
COSTA RICA
CÔTE D'IVOIRE
CROATIA
CUBA
CURAÇAO
CYPRUS
CZECHIA
DENMARK
DJIBOUTI
DOMINICA
DOMINICAN REPUBLIC
ECUADOR
EGYPT
EL SALVADOR
EQUATORIAL GUINEA
ERITREA
ESTONIA
ETHIOPIA
FALKLAND ISLANDS (MALVINAS)
FAROE ISLANDS
FIJI
FINLAND
FRANCE
FRENCH GUIANA
FRENCH POLYNESIA
FRENCH SOUTHERN TERRITORIES
GABON
GAMBIA
GEORGIA
GERMANY
GHANA
GIBRALTAR
GREECE
GREENLAND
GRENADA
GUADELOUPE
GUAM
GUATEMALA
GUERNSEY
GUINEA
GUINEA-BISSAU
GUYANA
HAITI
HEARD ISLAND AND MCDONALD ISLANDS
HOLY SEE
HONDURAS
HONG KONG
HUNGARY
ICELAND
INDIA
INDONESIA
IRAN (ISLAMIC REPUBLIC OF)
IRAQ
IRELAND
ISLE OF MAN
ISRAEL
ITALY
JAMAICA
JAPAN
JERSEY
JORDAN
KAZAKHSTAN
KENYA
KIRIBATI
KOREA (DEMOCRATIC PEOPLE'S REPUBLIC OF)
KOREA (REPUBLIC OF)
KUWAIT
KYRGYZSTAN
LAO PEOPLE'S DEMOCRATIC REPUBLIC
LATVIA
LEBANON
LESOTHO
LIBERIA
LIBYA
LIECHTENSTEIN
LITHUANIA
LUXEMBOURG
MACAO
MACEDONIA (THE FORMER YUGOSLAV REPUBLIC OF)
MADAGASCAR
MALAWI
MALAYSIA
MALDIVES
MALI
MALTA
MARSHALL ISLANDS
MARTINIQUE
MAURITANIA
MAURITIUS
MAYOTTE
MEXICO
MICRONESIA (FEDERATED STATES OF)
MOLDOVA (REPUBLIC OF)
MONACO
MONGOLIA
MONTENEGRO
MONTSERRAT
MOROCCO
MOZAMBIQUE
MYANMAR
NAMIBIA
NAURU
NEPAL
NETHERLANDS
NEW CALEDONIA
NEW ZEALAND
NICARAGUA
NIGER
NIGERIA
NIUE
NORFOLK ISLAND
NORTHERN MARIANA ISLANDS
NORWAY
OMAN
PAKISTAN
PALAU
PALESTINE, STATE OF
PANAMA
PAPUA NEW GUINEA
PARAGUAY
PERU
PHILIPPINES
PITCAIRN
POLAND
PORTUGAL
PUERTO RICO
QATAR
RÉUNION
ROMANIA
RUSSIAN FEDERATION
RWANDA
SAINT BARTHÉLEMY
SAINT HELENA, ASCENSION AND TRISTAN DA CUNHA
SAINT KITTS AND NEVIS
SAINT LUCIA
SAINT MARTIN (FRENCH PART)
SAINT PIERRE AND MIQUELON
SAINT VINCENT AND THE GRENADINES
SAMOA
SAN MARINO
SAO TOME AND PRINCIPE
SAUDI ARABIA
SENEGAL
SERBIA
SEYCHELLES
SIERRA LEONE
SINGAPORE
SINT MAARTEN (DUTCH PART)
SLOVAKIA
SLOVENIA
SOLOMON ISLANDS
SOMALIA
SOUTH AFRICA
SOUTH GEORGIA AND THE SOUTH SANDWICH ISLANDS
SOUTH SUDAN
SPAIN
SRI LANKA
SUDAN
SURINAME
SVALBARD AND JAN MAYEN
SWAZILAND
SWEDEN
SWITZERLAND
SYRIAN ARAB REPUBLIC
TAIWAN, PROVINCE OF CHINA[A]
TAJIKISTAN
TANZANIA, UNITED REPUBLIC OF
THAILAND
TIMOR-LESTE (EAST TIMOR)
TOGO
TOKELAU
TONGA
TRINIDAD AND TOBAGO
TUNISIA
TURKEY
TURKMENISTAN
TURKS AND CAICOS ISLANDS
TUVALU
UGANDA
UKRAINE
UNITED ARAB EMIRATES
UNITED KINGDOM OF GREAT BRITAIN AND NORTHERN IRELAND
UNITED STATES OF AMERICA
UNITED STATES MINOR OUTLYING ISLANDS
URUGUAY
UZBEKISTAN
VANUATU
VENEZUELA (BOLIVARIAN REPUBLIC OF)
VIET NAM
VIRGIN ISLANDS (BRITISH)
VIRGIN ISLANDS (U.S.)
WALLIS AND FUTUNA
WESTERN SAHARA
YEMEN
ZAMBIA
ZIMBABWE
OTHERS
Pincode
Zip Code
Is the property co-owned?
*
(if "YES" please enter following details)
Select
Yes
No
Assessee's percentage of share in the property
%
S. No.
Name of Co-owner(s)
PAN of Co-owner (s)
Percentage Share in Property
1
%
Type Of House Property
Select
Let Out
Deemed let out
Self Occupied
S. No.
Name(s) of Tenant (if let out)
PAN of Tenant(s) (if available)
1
(a)
Annual letable value or rent received or receivable (higher of the two, if let out for whole of the year, lower of the two if let out for part of the year)
2a
(b)
The amount of rent which cannot be realized
2b
(c)
Tax paid to local authorities
2c
(d)
Total (2b + 2c)
2d
(e)
Annual value (2a - 2d)
2e
(f)
Annual value of the property owned (own percentage share x 2e)
2f
(g)
30% of 2f
2g
(h)
Interest payable on borrowed capital
2h
(i)
Total (2g + 2h)
2i
(j)
Income from house property 2 (2f - 2i)
2j
3
Income under the head "Income from house property"
(a)
Unrealized rent and Arrears of rent received during the year under section 25A after deducting 30%
3a
(b)
Total (1j + 2j +3a ) (if negative take the figure to 2i of schedule CYLA)
3b
Note:
Please include the income of the specified persons referred to in Schedule SPI while computing the income under this head
Capital Gains
A
Short-term capital gain (STCG) (Sub-items 3 & 4 are not applicable for residents)
1
From sale of land or building or both
a
i
Full value of consideration received/receivable
ai
ii
Value of property as per stamp valuation authority
aii
iii
Full value of consideration adopted as per section 50C for the purpose of Capital Gains (ai or aii)
aiii
b
Deductions under section 48
i
Cost of acquisition without indexation
bi
ii
Cost of Improvement without indexation
bii
iii
Expenditure wholly and exclusively in connection with transfer
biii
iv
Total (bi + bii + biii)
biv
c
Balance (aiii – biv)
1c
d
Deduction under section 54B (Specify details in item D below)
1d
e
Short-term Capital Gains on Immovable property (1c - 1d)
A1e
2
1
From sale of equity share or unit of equity oriented Mutual Fund (MF) or unit of a business trust on which STT is paid under section
Select
(i) 111A [for others]
(ii) 115AD(1)(b)(ii) [for Foreign Institutional Investors]
a
Full value of consideration
2a
b
Deductions under section 48
i
Cost of acquisition without indexation
bi
ii
Cost of Improvement without indexation
bii
iii
Expenditure wholly and exclusively in connection with transfer
biii
iv
Total (i + ii + iii)
biv
c
Balance (2a - 2biv)
2c
d
Loss to be disallowed u/s 94(7) or 94(8)- for example if asset bought/acquired within 3 months prior to record date and dividend/income/bonus units are received, then loss arising out of sale of such asset to be ignored (Enter positive value only)
2d
e
Short-term capital gain on equity share or equity oriented MF (STT paid) (2c +2d)
A2e
3
For NON-RESIDENT, not being an FII- from sale of shares or debentures of an Indian company (to be computed with foreign exchange adjustment under first proviso to section 48)
a
STCG on transactions on which securities transaction tax (STT) is paid
A3a
b
STCG on transactions on which securities transaction tax (STT) is not paid
A3b
4
For NON-RESIDENT- from sale of securities (other than those at A2) by an FII as per section 115AD
a
i
In case securities sold include shares of a company other than quoted shares, enter the following details
a
Full value of consideration received/receivable in respect of unquoted shares
ia
b
Fair market value of unquoted shares determined in the prescribed manner
ib
c
Full value of consideration in respect of unquoted shares adopted as per section 50CA for the purpose of Capital Gains (higher of a or b)
ic
ii
Full value of consideration in respect of securities other than unquoted shares
ii
iii
Total (ic + ii)
iii
b
Deductions under section 48
i
Cost of acquisition without indexation
bi
ii
Cost of Improvement without indexation
bii
iii
Expenditure wholly and exclusively in connection with transfer
biii
iv
Total (i + ii + iii)
biv
c
Balance (4aiii - 4biv)
4c
d
Loss to be disallowed u/s 94(7) or 94(8)- for example if security bought/acquired within 3 months prior to record date and dividend/income/bonus units are received, then loss arising out of sale of such security to be ignored (Enter positive value only)
4d
e
Short-term capital gain on sale of securities by an FII (other than those at A2) (4c +4d)
A4e
5
From sale of assets other than at A1 or A2 or A3 or A4 above
a
i
In case assets sold include shares of a company other than quoted shares, enter the following details
a
Full value of consideration received/receivable in respect of unquoted shares
ia
b
Fair market value of unquoted shares determined in the prescribed manner
ib
c
Full value of consideration in respect of unquoted shares adopted as per section 50CA for the purpose of Capital Gains (higher of a or b)
ic
ii
Full value of consideration in respect of assets other than unquoted shares
ii
iii
Total (ic + ii)
iii
b
Deductions under section 48
i
Cost of acquisition without indexation
bi
ii
Cost of Improvement without indexation
bii
iii
Expenditure wholly and exclusively in connection with transfer
biii
iv
Total (i + ii + iii)
biv
c
Balance (5aiii - 5biv)
5c
d
In case of asset (security/unit) loss to be disallowed u/s 94(7) or 94(8)- for example if asset bought/acquired within 3 months prior to record date and dividend/income/bonus units are received, then loss arising out of sale of such asset to be ignored (Enter positive value only)
5d
e
STCG on assets other than at A1 or A2 or A3 or A4 above (5c + 5d)
A5e
6
Amount deemed to be short-term capital gains
a
Whether any amount of unutilized capital gain on asset transferred during the previous years shown below was deposited in the Capital Gains Accounts Scheme within due date for that year? If yes, then provide the details below
Select
Yes
No
Not Applicable
Sl.No.
Previous year in which asset transferred
Section under which deduction claimed in that year
New asset acquired/constructed
Amount not used for new asset or remained unutilized in Capital gains account (X)
Year in which asset acquired/constructed
Amount utilised out of Capital Gains account
1
Select
2015-16
Select
54B
Select
2001-02
2002-03
2003-04
2004-05
2005-06
2006-07
2007-08
2008-09
2009-10
2010-11
2011-12
2012-13
2013-14
2014-15
2015-16
2016-17
2017-18
2018-19
2019-20
2020-21
b
Amount deemed to be short term capital gains, other than at 'a'
Total amount deemed to be short term capital gains (aXi + b)
A6
7
Amount of STCG included in A1-A6 but not chargeable to tax or chargeable at special rates in India as per DTAA
Sl.No.
(1)
Amount of income
(2)
Item no. A1 to A6 above in which included
(3)
Country Name,Code
(4)
Article of DTAA
(5)
Rate as per Treaty
(enter NIL, if not chargeable)
(6)
Whether Tax Residency Certificate obtained?
(7)
Section of I.T. Act
(8)
Rate as per I.T. Act
(9)
Applicable rate [lower of (6) or (9)]
(10)
1
Select
A1e
A2e-111A
A2e-115AD
A3a
A3b
A4e
A5e
A6
Select
AFGHANISTAN
ÅLAND ISLANDS
ALBANIA
ALGERIA
AMERICAN SAMOA
ANDORRA
ANGOLA
ANGUILLA
ANTARCTICA
ANTIGUA AND BARBUDA
ARGENTINA
ARMENIA
ARUBA
AUSTRALIA
AUSTRIA
AZERBAIJAN
BAHAMAS
BAHRAIN
BANGLADESH
BARBADOS
BELARUS
BELGIUM
BELIZE
BENIN
BERMUDA
BHUTAN
BOLIVIA (PLURINATIONAL STATE OF)
BONAIRE, SINT EUSTATIUS AND SABA
BOSNIA AND HERZEGOVINA
BOTSWANA
BOUVET ISLAND
BRAZIL
BRITISH INDIAN OCEAN TERRITORY
BRUNEI DARUSSALAM
BULGARIA
BURKINA FASO
BURUNDI
CABO VERDE
CAMBODIA
CAMEROON
CANADA
CAYMAN ISLANDS
CENTRAL AFRICAN REPUBLIC
CHAD
CHILE
CHINA
CHRISTMAS ISLAND
COCOS (KEELING) ISLANDS
COLOMBIA
COMOROS
CONGO
CONGO (DEMOCRATIC REPUBLIC OF THE)
COOK ISLANDS
COSTA RICA
CÔTE D'IVOIRE
CROATIA
CUBA
CURAÇAO
CYPRUS
CZECHIA
DENMARK
DJIBOUTI
DOMINICA
DOMINICAN REPUBLIC
ECUADOR
EGYPT
EL SALVADOR
EQUATORIAL GUINEA
ERITREA
ESTONIA
ETHIOPIA
FALKLAND ISLANDS (MALVINAS)
FAROE ISLANDS
FIJI
FINLAND
FRANCE
FRENCH GUIANA
FRENCH POLYNESIA
FRENCH SOUTHERN TERRITORIES
GABON
GAMBIA
GEORGIA
GERMANY
GHANA
GIBRALTAR
GREECE
GREENLAND
GRENADA
GUADELOUPE
GUAM
GUATEMALA
GUERNSEY
GUINEA
GUINEA-BISSAU
GUYANA
HAITI
HEARD ISLAND AND MCDONALD ISLANDS
HOLY SEE
HONDURAS
HONG KONG
HUNGARY
ICELAND
INDIA
INDONESIA
IRAN (ISLAMIC REPUBLIC OF)
IRAQ
IRELAND
ISLE OF MAN
ISRAEL
ITALY
JAMAICA
JAPAN
JERSEY
JORDAN
KAZAKHSTAN
KENYA
KIRIBATI
KOREA (DEMOCRATIC PEOPLE'S REPUBLIC OF)
KOREA (REPUBLIC OF)
KUWAIT
KYRGYZSTAN
LAO PEOPLE'S DEMOCRATIC REPUBLIC
LATVIA
LEBANON
LESOTHO
LIBERIA
LIBYA
LIECHTENSTEIN
LITHUANIA
LUXEMBOURG
MACAO
MACEDONIA (THE FORMER YUGOSLAV REPUBLIC OF)
MADAGASCAR
MALAWI
MALAYSIA
MALDIVES
MALI
MALTA
MARSHALL ISLANDS
MARTINIQUE
MAURITANIA
MAURITIUS
MAYOTTE
MEXICO
MICRONESIA (FEDERATED STATES OF)
MOLDOVA (REPUBLIC OF)
MONACO
MONGOLIA
MONTENEGRO
MONTSERRAT
MOROCCO
MOZAMBIQUE
MYANMAR
NAMIBIA
NAURU
NEPAL
NETHERLANDS
NEW CALEDONIA
NEW ZEALAND
NICARAGUA
NIGER
NIGERIA
NIUE
NORFOLK ISLAND
NORTHERN MARIANA ISLANDS
NORWAY
OMAN
PAKISTAN
PALAU
PALESTINE, STATE OF
PANAMA
PAPUA NEW GUINEA
PARAGUAY
PERU
PHILIPPINES
PITCAIRN
POLAND
PORTUGAL
PUERTO RICO
QATAR
RÉUNION
ROMANIA
RUSSIAN FEDERATION
RWANDA
SAINT BARTHÉLEMY
SAINT HELENA, ASCENSION AND TRISTAN DA CUNHA
SAINT KITTS AND NEVIS
SAINT LUCIA
SAINT MARTIN (FRENCH PART)
SAINT PIERRE AND MIQUELON
SAINT VINCENT AND THE GRENADINES
SAMOA
SAN MARINO
SAO TOME AND PRINCIPE
SAUDI ARABIA
SENEGAL
SERBIA
SEYCHELLES
SIERRA LEONE
SINGAPORE
SINT MAARTEN (DUTCH PART)
SLOVAKIA
SLOVENIA
SOLOMON ISLANDS
SOMALIA
SOUTH AFRICA
SOUTH GEORGIA AND THE SOUTH SANDWICH ISLANDS
SOUTH SUDAN
SPAIN
SRI LANKA
SUDAN
SURINAME
SVALBARD AND JAN MAYEN
SWAZILAND
SWEDEN
SWITZERLAND
SYRIAN ARAB REPUBLIC
TAIWAN, PROVINCE OF CHINA[A]
TAJIKISTAN
TANZANIA, UNITED REPUBLIC OF
THAILAND
TIMOR-LESTE (EAST TIMOR)
TOGO
TOKELAU
TONGA
TRINIDAD AND TOBAGO
TUNISIA
TURKEY
TURKMENISTAN
TURKS AND CAICOS ISLANDS
TUVALU
UGANDA
UKRAINE
UNITED ARAB EMIRATES
UNITED KINGDOM OF GREAT BRITAIN AND NORTHERN IRELAND
UNITED STATES OF AMERICA
UNITED STATES MINOR OUTLYING ISLANDS
URUGUAY
UZBEKISTAN
VANUATU
VENEZUELA (BOLIVARIAN REPUBLIC OF)
VIET NAM
VIRGIN ISLANDS (BRITISH)
VIRGIN ISLANDS (U.S.)
WALLIS AND FUTUNA
WESTERN SAHARA
YEMEN
ZAMBIA
ZIMBABWE
OTHERS
Select
Yes
No
a
Total amount of STCG not chargeable to tax in India as per DTAA
A7a
b
Total amount of STCG chargeable at special rates in India as per DTAA
A7b
8
Total Short-term Capital Gain (A1e+ A2e+ A3a+ A3b+ A4e+ A5e+A6 - A7a)
A8
B
Long-term capital gain (LTCG) (Sub-items 4, 5 & 6 are not applicable for residents)
1
From sale of land or building or both
a
i
Full value of consideration received/receivable
ai
ii
Value of property as per stamp valuation authority
aii
iii
Full value of consideration adopted as per section 50C for the purpose of Capital Gains (ai or aii)
aiii
b
Deductions under section 48
i
Cost of acquisition with indexation
bi
ii
Cost of Improvement with indexation
bii
iii
Expenditure wholly and exclusively in connection with transfer
biii
iv
Total (bi + bii + biii)
biv
c
Balance (aiii – biv)
1c
d
Deduction under section 54/54B/54EC/54EE/54F/54GB (Specify details in item D below)
S. No.
Section
Amount
1
Select
Sec 54
Sec 54B
Sec 54EC
Sec 54EE
Sec 54F
Sec 54GB
Total
1d
e
Long-term Capital Gains on Immovable property (1c - 1d)
B1e
2
From sale of bonds or debenture (other than capital indexed bonds issued by Government)
a
Full value of consideration
2a
b
Deductions under section 48
i
Cost of acquisition without indexation
bi
ii
Cost of improvement without indexation
bii
iii
Expenditure wholly and exclusively in connection with transfer
biii
iv
Total (bi + bii +biii)
biv
c
Balance (2a - 2biv)
2c
d
Deduction under sections 54EC/54EE/54F (Specify details in item D below)
S. No.
Section
Amount
1
Select
Sec 54EC
Sec 54EE
Sec 54F
Total
2d
e
LTCG on bonds or debenture (2c – 2d)
B2e
3
1
From sale of,
Select
(i) listed securities (other than a unit) or zero coupon bonds where proviso to section 112(1) is applicable
(ii) GDR of an Indian company referred in sec. 115ACA
a
Full value of consideration
3a
b
Deductions under section 48
i
Cost of acquisition without indexation
bi
ii
Cost of improvement without indexation
bii
iii
Expenditure wholly and exclusively in connection with transfer
biii
iv
Total (bi + bii +biii)
biv
c
Balance (3a - 3biv)
3c
d
Deduction under sections 54EC/54EE/54F (Specify details in item D below)
S. No.
Section
Amount
1
Select
Sec 54EC
Sec 54EE
Sec 54F
Total
3d
e
Long-term Capital Gains on assets at B3 above (3c – 3d)
B3e
4
For NON-RESIDENTS- from sale of shares or debenture of Indian company (to be computed with foreign exchange adjustment under first proviso to section 48)
a
LTCG computed without indexation benefit
4a
b
Deduction under sections 54EC/54EE/54F (Specify details in item D below)
S. No.
Section
Amount
1
Select
Sec 54EC
Sec 54EE
Sec 54F
Total
4b
c
LTCG on share or debenture (4a – 4b)
B4c
5
1
For NON-RESIDENTS- from sale of,
Select
(i) unlisted securities as per sec. 112(1)(c)
(ii) bonds or GDR as referred in sec. 115AC
(iii) securities by FII as referred to in sec. 115AD
a
i
In case securities sold include shares of a company other than quoted shares, enter the following details
a
Full value of consideration received/receivable in respect of unquoted shares
ia
b
Fair market value of unquoted shares determined in the prescribed manner
ib
c
Full value of consideration in respect of unquoted shares adopted as per section 50CA for the purpose of Capital Gains (higher of a or b)
ic
ii
Full value of consideration in respect of securities other than unquoted shares
ii
iii
Total (ic + ii)
iii
b
Deductions under section 48
i
Cost of acquisition without indexation
bi
ii
Cost of improvement without indexation
bii
iii
Expenditure wholly and exclusively in connection with transfer
biii
iv
Total (bi + bii +biii)
biv
c
Balance (5aiii - 5biv)
5c
d
Deduction under sections 54EC/54EE/54F (Specify details in item D below)
S. No.
Section
Amount
1
Select
Sec 54EC
Sec 54EE
Sec 54F
Total
5d
e
Long-term Capital Gains on assets at 5 above in case of NON-RESIDENT (5c – 5d)
B5e
6
From sale of foreign exchange asset by NON-RESIDENT INDIAN (If opted under chapter XII-A)
a
LTCG on sale of specified asset (computed without indexation)
6a
b
Less deduction under section 115F (Specify details in item D below)
6b
c
Balance LTCG on sale of specified asset (6a – 6b)
B6c
d
LTCG on sale of asset, other than specified asset (computed without indexation)
6d
e
Less deduction under section 115F (Specify details in item D below)
6e
f
Balance LTCG on sale of asset, other than specified asset (6d – 6e)
B6f
7
From sale of assets where B1 to B6 above are not applicable
a
i
In case assets sold include shares of a company other than quoted shares, enter the following details
a
Full value of consideration received/receivable in respect of unquoted shares
ia
b
Fair market value of unquoted shares determined in the prescribed manner
ib
c
Full value of consideration in respect of unquoted shares adopted as per section 50CA for the purpose of Capital Gains (higher of a or b)
ic
ii
Full value of consideration in respect of assets other than unquoted shares
ii
iii
Total (ic + ii)
iii
b
Deductions under section 48
i
Cost of acquisition with indexation
bi
ii
Cost of improvement with indexation
bii
iii
Expenditure wholly and exclusively in connection with transfer
biii
iv
Total (bi + bii +biii)
biv
c
Balance (7aiii - 7biv)
7c
d
Deduction under sections 54EC/54EE/54F (Specify details in item D below)
S. No.
Section
Amount
1
Select
Sec 54EC
Sec 54EE
Sec 54F
Total
7d
e
Long-term Capital Gains on assets at B7 above (7c-7d)
B7e
8
Amount deemed to be long-term capital gains
a
Whether any amount of unutilized capital gain on asset transferred during the previous year shown below was deposited in the Capital Gains Accounts Scheme within due date for that year? If yes, then provide the details below
Select
Yes
No
Not Applicable
Sl.No.
Previous year in which asset transferred
Section under which deduction claimed in that year
New asset acquired/constructed
Amount not used for new asset or remained unutilized in Capital gains account (X)
Year in which asset acquired/constructed
Amount utilised out of Capital Gains account
1
Select
2014-15
2015-16
Select
54
54F
54GB
54B
Select
2001-02
2002-03
2003-04
2004-05
2005-06
2006-07
2007-08
2008-09
2009-10
2010-11
2011-12
2012-13
2013-14
2014-15
2015-16
2016-17
2017-18
2018-19
2019-20
2020-21
b
Amount deemed to be long-term capital gains, other than at 'a'
Total Amount deemed to be long-term capital gains (aXi + aXii + b)
B8
9
Amount of LTCG included in B1- B8 but not chargeable to tax or chargeable at special rates in India as per DTAA
Sl.No.
(1)
Amount of income
(2)
Item no. B1 to B8 above in which included
(3)
Country Name & Code
(4)
Article of DTAA
(5)
Rate as per Treaty
(enter NIL, if not chargeable)
(6)
Whether Tax Residency Certificate obtained?
(7)
Section of I.T. Act
(8)
Rate as per I.T. Act
(9)
Applicable rate [lower of (6) or (9)]
(10)
1
Select
B1e
B2e
B3e-22
B3e-5ACA1b
B4c
B5e-112(1)(c)
B5e-115AC
B5e-115AD
B6c
B6f
B7e
B8
Select
AFGHANISTAN
ÅLAND ISLANDS
ALBANIA
ALGERIA
AMERICAN SAMOA
ANDORRA
ANGOLA
ANGUILLA
ANTARCTICA
ANTIGUA AND BARBUDA
ARGENTINA
ARMENIA
ARUBA
AUSTRALIA
AUSTRIA
AZERBAIJAN
BAHAMAS
BAHRAIN
BANGLADESH
BARBADOS
BELARUS
BELGIUM
BELIZE
BENIN
BERMUDA
BHUTAN
BOLIVIA (PLURINATIONAL STATE OF)
BONAIRE, SINT EUSTATIUS AND SABA
BOSNIA AND HERZEGOVINA
BOTSWANA
BOUVET ISLAND
BRAZIL
BRITISH INDIAN OCEAN TERRITORY
BRUNEI DARUSSALAM
BULGARIA
BURKINA FASO
BURUNDI
CABO VERDE
CAMBODIA
CAMEROON
CANADA
CAYMAN ISLANDS
CENTRAL AFRICAN REPUBLIC
CHAD
CHILE
CHINA
CHRISTMAS ISLAND
COCOS (KEELING) ISLANDS
COLOMBIA
COMOROS
CONGO
CONGO (DEMOCRATIC REPUBLIC OF THE)
COOK ISLANDS
COSTA RICA
CÔTE D'IVOIRE
CROATIA
CUBA
CURAÇAO
CYPRUS
CZECHIA
DENMARK
DJIBOUTI
DOMINICA
DOMINICAN REPUBLIC
ECUADOR
EGYPT
EL SALVADOR
EQUATORIAL GUINEA
ERITREA
ESTONIA
ETHIOPIA
FALKLAND ISLANDS (MALVINAS)
FAROE ISLANDS
FIJI
FINLAND
FRANCE
FRENCH GUIANA
FRENCH POLYNESIA
FRENCH SOUTHERN TERRITORIES
GABON
GAMBIA
GEORGIA
GERMANY
GHANA
GIBRALTAR
GREECE
GREENLAND
GRENADA
GUADELOUPE
GUAM
GUATEMALA
GUERNSEY
GUINEA
GUINEA-BISSAU
GUYANA
HAITI
HEARD ISLAND AND MCDONALD ISLANDS
HOLY SEE
HONDURAS
HONG KONG
HUNGARY
ICELAND
INDIA
INDONESIA
IRAN (ISLAMIC REPUBLIC OF)
IRAQ
IRELAND
ISLE OF MAN
ISRAEL
ITALY
JAMAICA
JAPAN
JERSEY
JORDAN
KAZAKHSTAN
KENYA
KIRIBATI
KOREA (DEMOCRATIC PEOPLE'S REPUBLIC OF)
KOREA (REPUBLIC OF)
KUWAIT
KYRGYZSTAN
LAO PEOPLE'S DEMOCRATIC REPUBLIC
LATVIA
LEBANON
LESOTHO
LIBERIA
LIBYA
LIECHTENSTEIN
LITHUANIA
LUXEMBOURG
MACAO
MACEDONIA (THE FORMER YUGOSLAV REPUBLIC OF)
MADAGASCAR
MALAWI
MALAYSIA
MALDIVES
MALI
MALTA
MARSHALL ISLANDS
MARTINIQUE
MAURITANIA
MAURITIUS
MAYOTTE
MEXICO
MICRONESIA (FEDERATED STATES OF)
MOLDOVA (REPUBLIC OF)
MONACO
MONGOLIA
MONTENEGRO
MONTSERRAT
MOROCCO
MOZAMBIQUE
MYANMAR
NAMIBIA
NAURU
NEPAL
NETHERLANDS
NEW CALEDONIA
NEW ZEALAND
NICARAGUA
NIGER
NIGERIA
NIUE
NORFOLK ISLAND
NORTHERN MARIANA ISLANDS
NORWAY
OMAN
PAKISTAN
PALAU
PALESTINE, STATE OF
PANAMA
PAPUA NEW GUINEA
PARAGUAY
PERU
PHILIPPINES
PITCAIRN
POLAND
PORTUGAL
PUERTO RICO
QATAR
RÉUNION
ROMANIA
RUSSIAN FEDERATION
RWANDA
SAINT BARTHÉLEMY
SAINT HELENA, ASCENSION AND TRISTAN DA CUNHA
SAINT KITTS AND NEVIS
SAINT LUCIA
SAINT MARTIN (FRENCH PART)
SAINT PIERRE AND MIQUELON
SAINT VINCENT AND THE GRENADINES
SAMOA
SAN MARINO
SAO TOME AND PRINCIPE
SAUDI ARABIA
SENEGAL
SERBIA
SEYCHELLES
SIERRA LEONE
SINGAPORE
SINT MAARTEN (DUTCH PART)
SLOVAKIA
SLOVENIA
SOLOMON ISLANDS
SOMALIA
SOUTH AFRICA
SOUTH GEORGIA AND THE SOUTH SANDWICH ISLANDS
SOUTH SUDAN
SPAIN
SRI LANKA
SUDAN
SURINAME
SVALBARD AND JAN MAYEN
SWAZILAND
SWEDEN
SWITZERLAND
SYRIAN ARAB REPUBLIC
TAIWAN, PROVINCE OF CHINA[A]
TAJIKISTAN
TANZANIA, UNITED REPUBLIC OF
THAILAND
TIMOR-LESTE (EAST TIMOR)
TOGO
TOKELAU
TONGA
TRINIDAD AND TOBAGO
TUNISIA
TURKEY
TURKMENISTAN
TURKS AND CAICOS ISLANDS
TUVALU
UGANDA
UKRAINE
UNITED ARAB EMIRATES
UNITED KINGDOM OF GREAT BRITAIN AND NORTHERN IRELAND
UNITED STATES OF AMERICA
UNITED STATES MINOR OUTLYING ISLANDS
URUGUAY
UZBEKISTAN
VANUATU
VENEZUELA (BOLIVARIAN REPUBLIC OF)
VIET NAM
VIRGIN ISLANDS (BRITISH)
VIRGIN ISLANDS (U.S.)
WALLIS AND FUTUNA
WESTERN SAHARA
YEMEN
ZAMBIA
ZIMBABWE
OTHERS
Select
Yes
No
a
Total amount of LTCG not chargeable to tax as per DTAA
B9a
b
Total amount of LTCG chargeable at special rates as per DTAA
B9b
10
Total long term capital gain chargeable under I.T. Act [B1e +B2e +B3e + B4c + B5e +B6c+ B6f+ B7e+ B8 - B9a] (In case of loss take the figure to 5xi of schedule CFL)
B10
C
Income chargeable under the head "CAPITAL GAINS" (A8 + B10) (take B10 as nil, if loss)
C
D
Information about deduction claimed against Capital Gains
1
In case of deduction u/s 54/54B/54EC/54EE/54F/54GB/115F give following details
a
Deduction claimed u/s 54
S. No.
Date of transfer of original asset
Cost of new residential house
Date of purchase/construction of new residential house
Amount deposited in Capital Gains Accounts Scheme before due date
Amount of deduction claimed
1
b
Deduction claimed u/s 54B
S. No.
Date of transfer of original asset
Cost of new agricultural land
Date of purchase of new agricultural land
Amount deposited in Capital Gains Accounts Scheme before due date
Amount of deduction claimed
1
c
Deduction claimed u/s 54EC
S. No.
Date of transfer of original asset
Amount invested in specified/notified bonds
(not exceeding fifty lakh rupees)
Date of investment
Amount of deduction claimed
1
d
Deduction claimed u/s 54EE
S. No.
Date of transfer of original foreign exchange asset
Amount invested in specified asset
Date of investment
Amount of deduction claimed
1
e
Deduction claimed u/s 54F
S. No.
Date of transfer of original asset
Cost of new residential house
Date of purchase/construction of new residential house
Amount deposited in Capital Gains Accounts Scheme before due date
Amount of deduction claimed
1
f
Deduction claimed u/s 54GB
S. No.
Date of transfer of original residential property
PAN of the eligible company
Amount utilised for subscription of equity shares of eligible company
Date of subscription of shares
Cost of new plant and machinery purchased by the eligible company
Date of purchase of plant and machinery
Amount deposited in Capital Gains Accounts Scheme before due date
Amount of deduction claimed
1
g
Deduction claimed u/s 115F (for Non-Resident Indians)
S. No.
Date of transfer of original asset
Amount invested in specified/notified bonds
Date of investment
Amount of deduction claimed
1
h
Total deduction claimed (1a + 1b + 1c + 1d + 1e + 1f + 1g)
1h
E
Set-off of current year capital losses with current year capital gains (excluding amounts included in A7 & B9 which is chargeable under DTAA)
Sl.No
Type of Capital Gain
Gain of current year (Fill this column only if computed figure is positive)
Short term capital loss set off
Long term capital loss set off
Current year’s capital gains remaining after set off (7= 1-2-3-4-5-6)
15%
30%
applicable rate
10%
20%
1
2
3
4
5
6
7
i
Loss to be set off (Fill this row if computed figure is negative)
ii
Short term capital gain
15%
iii
30%
iv
applicable rate
v
Long term capital gain
10%
vi
20%
vii
Total loss set off (ii + iii + iv + v + vi)
viii
Loss remaining after set off (i – vii)
F
Information about accrual/receipt of capital gain
Type of Capital gain / Date
Upto 15/6
(i)
16/6 to 15/9
(ii)
16/9 to 15/12
(iii)
16/12 to 15/3
(iv)
16/3 to 31/3
(v)
1
Short-term capital gains taxable at the rate of 15%
Enter value from item 3iii of schedule BFLA, if any.
2
Short-term capital gains taxable at the rate of 30%
Enter value from item 3iv of schedule BFLA, if any.
3
Short-term capital gains taxable at applicable rates
Enter value from item 3v of schedule BFLA, if any.
4
Long- term capital gains taxable at the rate of 10%
Enter value from item 3vi of schedule BFLA, if any.
5
Long- term capital gains taxable at the rate of 20%
Enter value from item 3vii of schedule BFLA, if any.
Note:
Please include the income of the specified persons referred to in Schedule SPI while computing the income under this head
Income from other sources
1
Income
a
Dividends, Gross
1a
b
Interest, Gross
1b
c
Rental income from machinery, plants, buildings, etc., Gross
1c
d
Others, Gross (excluding income from owning race horses)Mention the nature
S. No.
Nature
Income
1
Winnings from lotteries, crossword puzzles etc.
2
a
Cash credits u/s 68
b
Unexplained investments u/s 69
c
Unexplained money etc. u/s 69A
d
Undisclosed investments etc. u/s 69B
e
Unexplained expenditurte etc. u/s 69C
f
Amount borrowed or repaid on hundi u/s 69D
Total ( a + b + c + d + e + f)
3
Income of the nature referred to in section 56(2)(x) which is chargeable to tax
a
Aggregate value of sum of money received without consideration
b
In case immovable property is received without consideration, stamp duty value of property
c
In case immovable property is received for inadequate consideration, stamp duty value of property in excess of such consideration
d
In case any other property is received without consideration, fair market value of property
e
In case any other property is received for inadequate consideration, fair market value of property in excess of such consideration
Total (a+ b + c +d + e)
4
Select
115A(1)(a)(i)- Dividends interest and income from units purchase in foreign currency
115A(1)(a)(ii)- Interest received from govt/Indian Concerns recived in Foreign Currency
115A(1) (a)(iia) -Interest from Infrastructure Debt Fund
115A(1) (a)(iiaa) -Interest as per Sec. 194LC
115A(1) (a)(iiab) -Interest as per Sec. 194LD
115A(1)(a)(iiac) -Interest as per Sec. 194LBA
115A(1) (a)(iii) - Income received in respect of units of UTI purchased in Foreign Currency
115A(1)(b)(A)- Income from royalty & technical services
115A(1)(b)(B) Income from royalty & technical services
115AC(1)(a & b) - Income from bonds or GDR purchased in foreign currency - non-resident
115ACA(1)(a) - Income from GDR purchased in foreign currency -resident
115AD(1)(i) -Income received by an FII in respect of securities (other than units as per Sec 115AB)
115AD(1)(i) -Income received by an FII in respect of bonds or government securities as per Sec 194LD
115BBA - Tax on non-residents sportsmen or sports associations
115BBDA - Dividend Income from domestic company exceeding 10Lakh
115BBF -Tax on income from patent
115BBG - Tax on income from transfer of carbon credits.
115BBC - Anonymous donations
115E(a) - Investment income
111 - Tax on accumulated balance of recognised PF
Others
5
Total (1di + 1dii+ 1diii + 1div)
e
Total (1a + 1b + 1c + 1dv)
1e
f
Income included in '1e' chargeable to tax at special rate (to be taken to schedule SI)
i
Income by way of winnings from lotteries, crossword puzzles, races, games, gambling, betting etc (u/s 115BB)
1fi
ii
Dividend Income from domestic company that exceeds Rs.10 Lakh (u/s 115BBDA)
1fii
iii
Deemed Income chargeable to tax u/s 115BBE
1fiii
iv
Income from patent chargeable u/s 115BBF
1fiv
v
Income from transfer of carbon credits 115BBG
1fv
vi
Any other income chargeable to tax at the rate specified under chapter XII/XII-A
1fvi
vii
Income chargeable at special rates under DTAA
Sl.No.
(1)
Amount of income
(2)
Nature of income
(3)
Country Name & Code
(4)
Article of DTAA
(5)
Rate as per Treaty
(enter NIL, if not chargeable)
(6)
Whether Tax Residency Certificate obtained?
(7)
Section of I.T. Act
(8)
Rate as per I.T. Act
(9)
Applicable Rate [lower of (6) or (9)]
(10)
1
Select
AFGHANISTAN
ÅLAND ISLANDS
ALBANIA
ALGERIA
AMERICAN SAMOA
ANDORRA
ANGOLA
ANGUILLA
ANTARCTICA
ANTIGUA AND BARBUDA
ARGENTINA
ARMENIA
ARUBA
AUSTRALIA
AUSTRIA
AZERBAIJAN
BAHAMAS
BAHRAIN
BANGLADESH
BARBADOS
BELARUS
BELGIUM
BELIZE
BENIN
BERMUDA
BHUTAN
BOLIVIA (PLURINATIONAL STATE OF)
BONAIRE, SINT EUSTATIUS AND SABA
BOSNIA AND HERZEGOVINA
BOTSWANA
BOUVET ISLAND
BRAZIL
BRITISH INDIAN OCEAN TERRITORY
BRUNEI DARUSSALAM
BULGARIA
BURKINA FASO
BURUNDI
CABO VERDE
CAMBODIA
CAMEROON
CANADA
CAYMAN ISLANDS
CENTRAL AFRICAN REPUBLIC
CHAD
CHILE
CHINA
CHRISTMAS ISLAND
COCOS (KEELING) ISLANDS
COLOMBIA
COMOROS
CONGO
CONGO (DEMOCRATIC REPUBLIC OF THE)
COOK ISLANDS
COSTA RICA
CÔTE D'IVOIRE
CROATIA
CUBA
CURAÇAO
CYPRUS
CZECHIA
DENMARK
DJIBOUTI
DOMINICA
DOMINICAN REPUBLIC
ECUADOR
EGYPT
EL SALVADOR
EQUATORIAL GUINEA
ERITREA
ESTONIA
ETHIOPIA
FALKLAND ISLANDS (MALVINAS)
FAROE ISLANDS
FIJI
FINLAND
FRANCE
FRENCH GUIANA
FRENCH POLYNESIA
FRENCH SOUTHERN TERRITORIES
GABON
GAMBIA
GEORGIA
GERMANY
GHANA
GIBRALTAR
GREECE
GREENLAND
GRENADA
GUADELOUPE
GUAM
GUATEMALA
GUERNSEY
GUINEA
GUINEA-BISSAU
GUYANA
HAITI
HEARD ISLAND AND MCDONALD ISLANDS
HOLY SEE
HONDURAS
HONG KONG
HUNGARY
ICELAND
INDIA
INDONESIA
IRAN (ISLAMIC REPUBLIC OF)
IRAQ
IRELAND
ISLE OF MAN
ISRAEL
ITALY
JAMAICA
JAPAN
JERSEY
JORDAN
KAZAKHSTAN
KENYA
KIRIBATI
KOREA (DEMOCRATIC PEOPLE'S REPUBLIC OF)
KOREA (REPUBLIC OF)
KUWAIT
KYRGYZSTAN
LAO PEOPLE'S DEMOCRATIC REPUBLIC
LATVIA
LEBANON
LESOTHO
LIBERIA
LIBYA
LIECHTENSTEIN
LITHUANIA
LUXEMBOURG
MACAO
MACEDONIA (THE FORMER YUGOSLAV REPUBLIC OF)
MADAGASCAR
MALAWI
MALAYSIA
MALDIVES
MALI
MALTA
MARSHALL ISLANDS
MARTINIQUE
MAURITANIA
MAURITIUS
MAYOTTE
MEXICO
MICRONESIA (FEDERATED STATES OF)
MOLDOVA (REPUBLIC OF)
MONACO
MONGOLIA
MONTENEGRO
MONTSERRAT
MOROCCO
MOZAMBIQUE
MYANMAR
NAMIBIA
NAURU
NEPAL
NETHERLANDS
NEW CALEDONIA
NEW ZEALAND
NICARAGUA
NIGER
NIGERIA
NIUE
NORFOLK ISLAND
NORTHERN MARIANA ISLANDS
NORWAY
OMAN
PAKISTAN
PALAU
PALESTINE, STATE OF
PANAMA
PAPUA NEW GUINEA
PARAGUAY
PERU
PHILIPPINES
PITCAIRN
POLAND
PORTUGAL
PUERTO RICO
QATAR
RÉUNION
ROMANIA
RUSSIAN FEDERATION
RWANDA
SAINT BARTHÉLEMY
SAINT HELENA, ASCENSION AND TRISTAN DA CUNHA
SAINT KITTS AND NEVIS
SAINT LUCIA
SAINT MARTIN (FRENCH PART)
SAINT PIERRE AND MIQUELON
SAINT VINCENT AND THE GRENADINES
SAMOA
SAN MARINO
SAO TOME AND PRINCIPE
SAUDI ARABIA
SENEGAL
SERBIA
SEYCHELLES
SIERRA LEONE
SINGAPORE
SINT MAARTEN (DUTCH PART)
SLOVAKIA
SLOVENIA
SOLOMON ISLANDS
SOMALIA
SOUTH AFRICA
SOUTH GEORGIA AND THE SOUTH SANDWICH ISLANDS
SOUTH SUDAN
SPAIN
SRI LANKA
SUDAN
SURINAME
SVALBARD AND JAN MAYEN
SWAZILAND
SWEDEN
SWITZERLAND
SYRIAN ARAB REPUBLIC
TAIWAN, PROVINCE OF CHINA[A]
TAJIKISTAN
TANZANIA, UNITED REPUBLIC OF
THAILAND
TIMOR-LESTE (EAST TIMOR)
TOGO
TOKELAU
TONGA
TRINIDAD AND TOBAGO
TUNISIA
TURKEY
TURKMENISTAN
TURKS AND CAICOS ISLANDS
TUVALU
UGANDA
UKRAINE
UNITED ARAB EMIRATES
UNITED KINGDOM OF GREAT BRITAIN AND NORTHERN IRELAND
UNITED STATES OF AMERICA
UNITED STATES MINOR OUTLYING ISLANDS
URUGUAY
UZBEKISTAN
VANUATU
VENEZUELA (BOLIVARIAN REPUBLIC OF)
VIET NAM
VIRGIN ISLANDS (BRITISH)
VIRGIN ISLANDS (U.S.)
WALLIS AND FUTUNA
WESTERN SAHARA
YEMEN
ZAMBIA
ZIMBABWE
OTHERS
Select
Yes
No
Select
56(2)(i)- Dividends
56(2)- Interest
115A(1)(a)(i)-Dividends interest and income from units purchase in foreign currency
115A(1)(a)(ii)-Interest received from govt/Indian Concerns recived in Foreign Currency
115A(1)(a)(iia)-Interest from Infrastructure Debt Fund
115A(1)(a)(iiaa)-Interest as per Sec. 194LC
115A(1)(a)(iiab)-Interest as per Sec. 194LD
115A(1)(a)(iiac)-Interest as per Sec. 194LBA
115A(1)(a)(iii) -Income received in respect of units of UTI purchased in Foreign Currency
115A(1)(b)(A)- Income from royalty & technical services
115A(1)(b)(B) Income from royalty & technical services
115AC(1)(a & b) -Income from bonds or GDR purchased in foreign currency - non-resident
115AD(1)(i) -Income received by an FII in respect of securities (other than units as per Sec 115AB)
115AD(1)(i) -Income received by an FII in respect of bonds or government securities as per Sec 194LD
115BBA - Tax on non-residents sportsmen or sports associations
115E(a) - Investment income
115BBDA - Dividend Income from domestic company exceeding 10Lakh
115BBA - Tax on non-residents sportsmen or sports associations
111 - Tax on accumulated balance of recognised PF
115BBC - Anonymous donations
115BBG - Tax on income from transfer of carbon credits.
115ACA(1)(a) - Income from GDR purchased in foreign currency -resident
115BB (Winnings from lotteries, puzzles, races, games etc.)
Total amount of income chargeable to tax under DTAA
1fvii
viii
Income included in ‘1e’ chargeable to tax at special rate (1fi +1fii +1fiii+1fiv +1fv + 1fvi + 1fvii)
1fviii
g
Gross amount chargeable to tax at normal applicable rates (1e-1fviii)
1g
h
Deductions under section 57 (other than those relating to income under 1fi, 1fii , 1fiii , 1fiv, 1fv ,1fvi & 1fvii for non-residents )
i
Expenses / Deductions
hi
ii
Depreciation
hii
iii
Total
hiii
i
Amounts not deductible u/s 58
1i
j
Profits chargeable to tax u/s 59
1j
k
Income from other sources (other than from owning race horses and amount chargeable to tax at special rate) (1g – hiii + 1i + 1j) (If negative take the figure to 3ix of schedule CYLA)
1k
2
Income from other sources (other than from owning race horses)(1fviii + 1k) (enter 1k as nil, if negative)
2
3
Income from the activity of owning and maintaining race horses
a
Receipts
3a
b
Deductions under section 57 in relation to (4)
3b
c
Amounts not deductible u/s 58
3c
d
Profits chargeable to tax u/s 59
3d
e
Balance (3a – 3b + 3c + 3d) (if negative take the figure to 6xi of Schedule CFL)
3e
4
Income under the head “Income from other sources” (2 + 3e) (take 3e as nil if negative)
4
Note :Please include the income of the specified persons referred to in Schedule SPI while computing the income under this head
Details of Income after set-off of current years losses
Sl.No
Head/ Source of Income
Income of current year (Fill this column only if income is positive)
House property loss of the current year set off
Other sources loss (other than loss from race horses) of the current year set off
Current year's Income remaining after set off
(3b of Schedule–HP)
(1i of Schedule-OS)
1
2
3
4=1-2-3
i
Loss to be set off
ii
Salaries
iii
House property
iv
Short-term capital gain taxable @ 15%
v
Short-term capital gain taxable @ 30%
vi
Short-term capital gain taxable at applicable rates
vii
Long term capital gain taxable @ 10%
viii
Long term capital gain taxable @ 20%
ix
Other sources (excluding profit from owning race horses and amount chargeable to special rate of tax)
x
Profit from owning and maintaining race horses
xi
Total loss set off (ii + iii + iv + v + vi + vii + viii + ix + x )
xii
Loss remaining after set-off (i - xi)
Details of Income after Set off of Brought Forward Losses of earlier years
Sl.No
Head/ Source of Income
Income after set off, if any, of current year’s losses as per col. 4 of Schedule CYLA
Brought forward loss set off
Current year's income remaining after set off
1
2
3
i
Salaries
ii
House property
iii
Short-term capital gain taxable @ 15%
iv
Short-term capital gain taxable @ 30%
v
Short-term capital gain taxable at applicable rates
vi
Long-term capital gain taxable @ 10%
vii
Long term capital gain taxable @ 20%
viii
Other sources (excluding profit from owning race horses and winnings from lottery, game etc.)
ix
Profit from owning and maintaining race horses
x
Total of brought forward loss set off (ii2 + iii2 + iv2 + v2 + vi2 + vii2 + ix2)
xi
Current year’s income remaining after set off Total (i3 + ii3 + iii3 + iv3 + v3+ vi3+ vii3 + viii3+ ix3)
Details of Losses to be carried forward to future years
Sl.No
(1)
Assessment Year
(2)
Date of Filing (DD/MM/YYYY)
(3)
House property loss
(4)
Short-term capital loss
(5)
Long-term Capital loss
(6)
Loss from owning and maintaining race horses
(7)
i
2010-11
ii
2011-12
iii
2012-13
iv
2013-14
v
2014-15
vi
2015-16
vii
2016-17
viii
2017-18
ix
Total of earlier year losses
x
Adjustment of above losses in Schedule BFLA
xi
2018-19 (Current year losses)
xii
Total loss Carried Forward to future years
Deductions under Chapter VI-A
1.Part B- Deduction in respect of certain payments
a
80C - Life insurance premia, deferred annuity, contributions to provident fund, subscription to certain equity shares or debentures, etc.
b
80CCC - Payment in respect Pension Fund
c
80CCD(1) - Contribution to pension scheme of Central Government
d
80CCD(1B)- Contribution to pension scheme of Central Government by the Employee
e
80CCD(2) - Contribution to pension scheme of Central Government by the Employer
f
80CCG - Investment made under an equity savings scheme
g
80D
(A) Health Insurance Premium
Select
Self and Family
Self(Senior citizen) and Family
Parents
Parents(Senior citizen)
Self and Family including Parents
Self and Family including Senior Citizen Parents
Self (Senior Citizen) and Family including Senior Citizen Parents
(B) Medical expenditure
Select
Self(Super Senior citizen) and Family
Parents(Super Senior citizen)
Self (Super Senior Citizen) and Family including Super Senior Citizen Parents
(C) Preventive health check-up
Select
Self and Family
Parents
Self and Family including Parents
h
80DD - Maintenance including medical treatment of a dependent who is a person with disability
Select
Dependent person with Disability
Dependent person with Severe Disability
i
80DDB - Medical treatment of specified disease
Select
Self or dependent
Senior Citizen - Self or dependent
Super Senior citizen - Self or dependent
j
80E - Interest on loan taken for higher education
k
80EE - Interest on loan taken for residential house property
l
80 G - Donations to certain funds, charitable institutions, etc
m
80GG - Rent paid
n
80GGA - Certain donations for scientific research or rural development
o
80GGC - Donation to Political party
2.Part C, CA and D- Deduction in respect of certain incomes/other deduction
p
80QQB - Royalty income of authors of certain books.
q
80RRB - Royalty on patents
r
80TTA - Interest on saving bank Accounts
s
80U - In case of a person with disability.
Select
Self with disability
Self with severe disability
t
Total deductions under Chapter VI-A (Total of a to s)
Details of donations entitled for deduction under Section 80G
A. Donations entitled for 100% deduction without qualifying limit
S No.
Name of Donee
*
Address Detail
*
City or Town or District
*
State Code
*
Pincode
*
PAN of Donee
*
Amount of donation
*
Eligible Amount of Donation
1
Select
ANDAMAN AND NICOBAR ISLANDS
ANDHRA PRADESH
ARUNACHAL PRADESH
ASSAM
BIHAR
CHANDIGARH
DADRA & NAGAR HAVELI
DAMAN & DIU
DELHI
GOA
GUJARAT
HARYANA
HIMACHAL PRADESH
JAMMU & KASHMIR
KARNATAKA
KERALA
LAKSHADWEEP
MADHYA PRADESH
MAHARASHTRA
MANIPUR
MEGHALAYA
MIZORAM
NAGALAND
ORISSA
PONDICHERRY
PUNJAB
RAJASTHAN
SIKKIM
TAMILNADU
TRIPURA
UTTAR PRADESH
WEST BENGAL
CHHATISGARH
UTTARAKHAND
JHARKHAND
TELANGANA
State outside India
Total A
B.Donations entitled for 50% deduction without qualifying limit
S No.
Name of Donee
*
Address Detail
*
City or Town or District
*
State Code
*
Pincode
*
PAN of Donee
*
Amount of donation
*
Eligible Amount of Donation
1
Select
ANDAMAN AND NICOBAR ISLANDS
ANDHRA PRADESH
ARUNACHAL PRADESH
ASSAM
BIHAR
CHANDIGARH
DADRA & NAGAR HAVELI
DAMAN & DIU
DELHI
GOA
GUJARAT
HARYANA
HIMACHAL PRADESH
JAMMU & KASHMIR
KARNATAKA
KERALA
LAKSHADWEEP
MADHYA PRADESH
MAHARASHTRA
MANIPUR
MEGHALAYA
MIZORAM
NAGALAND
ORISSA
PONDICHERRY
PUNJAB
RAJASTHAN
SIKKIM
TAMILNADU
TRIPURA
UTTAR PRADESH
WEST BENGAL
CHHATISGARH
UTTARAKHAND
JHARKHAND
TELANGANA
State outside India
Total B
C. Donations entitled for 100% deduction subject to qualifying limit
S No.
Name of Donee
*
Address Detail
*
City or Town or District
*
State Code
*
Pincode
*
PAN of Donee
*
Amount of donation
*
Eligible Amount of Donation
1
Select
ANDAMAN AND NICOBAR ISLANDS
ANDHRA PRADESH
ARUNACHAL PRADESH
ASSAM
BIHAR
CHANDIGARH
DADRA & NAGAR HAVELI
DAMAN & DIU
DELHI
GOA
GUJARAT
HARYANA
HIMACHAL PRADESH
JAMMU & KASHMIR
KARNATAKA
KERALA
LAKSHADWEEP
MADHYA PRADESH
MAHARASHTRA
MANIPUR
MEGHALAYA
MIZORAM
NAGALAND
ORISSA
PONDICHERRY
PUNJAB
RAJASTHAN
SIKKIM
TAMILNADU
TRIPURA
UTTAR PRADESH
WEST BENGAL
CHHATISGARH
UTTARAKHAND
JHARKHAND
TELANGANA
State outside India
Total C
D. Donations entitled for 50% deduction subject to qualifying limit
S No.
Name of Donee
*
Address Detail
*
City or Town or District
*
State Code
*
Pincode
*
PAN of Donee
*
Amount of donation
*
Eligible Amount of Donation
1
Select
ANDAMAN AND NICOBAR ISLANDS
ANDHRA PRADESH
ARUNACHAL PRADESH
ASSAM
BIHAR
CHANDIGARH
DADRA & NAGAR HAVELI
DAMAN & DIU
DELHI
GOA
GUJARAT
HARYANA
HIMACHAL PRADESH
JAMMU & KASHMIR
KARNATAKA
KERALA
LAKSHADWEEP
MADHYA PRADESH
MAHARASHTRA
MANIPUR
MEGHALAYA
MIZORAM
NAGALAND
ORISSA
PONDICHERRY
PUNJAB
RAJASTHAN
SIKKIM
TAMILNADU
TRIPURA
UTTAR PRADESH
WEST BENGAL
CHHATISGARH
UTTARAKHAND
JHARKHAND
TELANGANA
State outside India
Total D
E.Total Amount of Donations (A + B + C + D)
F.Total Eligible amount of Donations (A + B + C + D)
Income of specified persons (spouse, minor child etc) includable in income of the assessee (income of the minor child, in excess of Rs. 1,500 per child, to be included)
S.No.
Name of person
*
PAN of person (optional)
Relationship
*
Nature of Income
*
Amount
(₹)
*
1
Income chargeable to tax at special rates (please see instructions No. 9 for rate of tax)
Sl.No.
Section/Description
*
Special rate (%)
*
Income (i)
*
Taxable Income after adjusting for Min Chargeable to Tax
*
Tax thereon (ii)
*
1
111 - Tax on accumulated balance of recognised PF
1
5
10
12.5
15
20
25
30
50
2
Chargeable at DTAA Rate
3
111A (STCG on shares units on which STT paid)
4
112 (LTCG on others)
5
112 proviso (LTCG on listed securities/ units without indexation)
6
112(1)(c)(iii) - LTCG on unlisted securities in case of non-residents
7
115BB (Winnings from lotteries, puzzles, races, games etc.)
8
115AD(1)(ii) -STCG (other than on equity share or equity oriented mutual fund referred to in section 111A) by an FII
Total
Details of Exempt Income (Income not to be included in Total Income)
1
Interest income
1
2
Dividend income from domestic company (amount not exceeding Rs. 10 lakh)
2
3
Long-term capital gains from transactions on which Securities Transaction Tax is paid
3
4
i
Gross Agricultural receipts (other than income to be excluded under rule 7A, 7B or 8 of I.T. Rules)
i
ii
Expenditure incurred on agriculture
ii
iii
Unabsorbed agricultural loss of previous eight assessment years
iii
Net Agricultural income for the year (i – ii – iii) (enter nil if loss)
4
5
Others, including exempt income of minor child
S. No.
Nature of Income
Amount
1
Total
5
6
Total (1 + 2 + 3 + 4 + 5)
6
Pass Through Income details from business trust or investment fund as per section 115UA,115UB
Sl
Name of business trust/investment fund
PAN of the business trust/investment fund
Sl
Head of income
Amount of income
TDS on such amount,if any
1.
i.
House property
ii
Capital Gains
a
Short term
b
Long term
iii
Other Sources
iv
Income claimed to be exempt
a
u/s 10(23FBB)
b
u/s
c
u/s
Note: Please refer to the instructions for filling out this schedule
Details of Income from outside India and tax relief
Sl.No.
Country Code
Taxpayer Identification Number
Sl.No.
Head of Income
Income from outside India(included in PART B-TI)
Tax paid outside India
Tax payable on such income under normal provisions in India
Tax relief available in India(e)= (c) or (d) whichever is lower
Relevant article of DTAA if relief claimed u/s 90 or 90A
(a)
(b)
(c)
(d)
(e)
(f)
1
Select
AFGHANISTAN
ÅLAND ISLANDS
ALBANIA
ALGERIA
AMERICAN SAMOA
ANDORRA
ANGOLA
ANGUILLA
ANTARCTICA
ANTIGUA AND BARBUDA
ARGENTINA
ARMENIA
ARUBA
AUSTRALIA
AUSTRIA
AZERBAIJAN
BAHAMAS
BAHRAIN
BANGLADESH
BARBADOS
BELARUS
BELGIUM
BELIZE
BENIN
BERMUDA
BHUTAN
BOLIVIA (PLURINATIONAL STATE OF)
BONAIRE, SINT EUSTATIUS AND SABA
BOSNIA AND HERZEGOVINA
BOTSWANA
BOUVET ISLAND
BRAZIL
BRITISH INDIAN OCEAN TERRITORY
BRUNEI DARUSSALAM
BULGARIA
BURKINA FASO
BURUNDI
CABO VERDE
CAMBODIA
CAMEROON
CANADA
CAYMAN ISLANDS
CENTRAL AFRICAN REPUBLIC
CHAD
CHILE
CHINA
CHRISTMAS ISLAND
COCOS (KEELING) ISLANDS
COLOMBIA
COMOROS
CONGO
CONGO (DEMOCRATIC REPUBLIC OF THE)
COOK ISLANDS
COSTA RICA
CÔTE D'IVOIRE
CROATIA
CUBA
CURAÇAO
CYPRUS
CZECHIA
DENMARK
DJIBOUTI
DOMINICA
DOMINICAN REPUBLIC
ECUADOR
EGYPT
EL SALVADOR
EQUATORIAL GUINEA
ERITREA
ESTONIA
ETHIOPIA
FALKLAND ISLANDS (MALVINAS)
FAROE ISLANDS
FIJI
FINLAND
FRANCE
FRENCH GUIANA
FRENCH POLYNESIA
FRENCH SOUTHERN TERRITORIES
GABON
GAMBIA
GEORGIA
GERMANY
GHANA
GIBRALTAR
GREECE
GREENLAND
GRENADA
GUADELOUPE
GUAM
GUATEMALA
GUERNSEY
GUINEA
GUINEA-BISSAU
GUYANA
HAITI
HEARD ISLAND AND MCDONALD ISLANDS
HOLY SEE
HONDURAS
HONG KONG
HUNGARY
ICELAND
INDIA
INDONESIA
IRAN (ISLAMIC REPUBLIC OF)
IRAQ
IRELAND
ISLE OF MAN
ISRAEL
ITALY
JAMAICA
JAPAN
JERSEY
JORDAN
KAZAKHSTAN
KENYA
KIRIBATI
KOREA (DEMOCRATIC PEOPLE'S REPUBLIC OF)
KOREA (REPUBLIC OF)
KUWAIT
KYRGYZSTAN
LAO PEOPLE'S DEMOCRATIC REPUBLIC
LATVIA
LEBANON
LESOTHO
LIBERIA
LIBYA
LIECHTENSTEIN
LITHUANIA
LUXEMBOURG
MACAO
MACEDONIA (THE FORMER YUGOSLAV REPUBLIC OF)
MADAGASCAR
MALAWI
MALAYSIA
MALDIVES
MALI
MALTA
MARSHALL ISLANDS
MARTINIQUE
MAURITANIA
MAURITIUS
MAYOTTE
MEXICO
MICRONESIA (FEDERATED STATES OF)
MOLDOVA (REPUBLIC OF)
MONACO
MONGOLIA
MONTENEGRO
MONTSERRAT
MOROCCO
MOZAMBIQUE
MYANMAR
NAMIBIA
NAURU
NEPAL
NETHERLANDS
NEW CALEDONIA
NEW ZEALAND
NICARAGUA
NIGER
NIGERIA
NIUE
NORFOLK ISLAND
NORTHERN MARIANA ISLANDS
NORWAY
OMAN
PAKISTAN
PALAU
PALESTINE, STATE OF
PANAMA
PAPUA NEW GUINEA
PARAGUAY
PERU
PHILIPPINES
PITCAIRN
POLAND
PORTUGAL
PUERTO RICO
QATAR
RÉUNION
ROMANIA
RUSSIAN FEDERATION
RWANDA
SAINT BARTHÉLEMY
SAINT HELENA, ASCENSION AND TRISTAN DA CUNHA
SAINT KITTS AND NEVIS
SAINT LUCIA
SAINT MARTIN (FRENCH PART)
SAINT PIERRE AND MIQUELON
SAINT VINCENT AND THE GRENADINES
SAMOA
SAN MARINO
SAO TOME AND PRINCIPE
SAUDI ARABIA
SENEGAL
SERBIA
SEYCHELLES
SIERRA LEONE
SINGAPORE
SINT MAARTEN (DUTCH PART)
SLOVAKIA
SLOVENIA
SOLOMON ISLANDS
SOMALIA
SOUTH AFRICA
SOUTH GEORGIA AND THE SOUTH SANDWICH ISLANDS
SOUTH SUDAN
SPAIN
SRI LANKA
SUDAN
SURINAME
SVALBARD AND JAN MAYEN
SWAZILAND
SWEDEN
SWITZERLAND
SYRIAN ARAB REPUBLIC
TAIWAN, PROVINCE OF CHINA[A]
TAJIKISTAN
TANZANIA, UNITED REPUBLIC OF
THAILAND
TIMOR-LESTE (EAST TIMOR)
TOGO
TOKELAU
TONGA
TRINIDAD AND TOBAGO
TUNISIA
TURKEY
TURKMENISTAN
TURKS AND CAICOS ISLANDS
TUVALU
UGANDA
UKRAINE
UNITED ARAB EMIRATES
UNITED KINGDOM OF GREAT BRITAIN AND NORTHERN IRELAND
UNITED STATES OF AMERICA
UNITED STATES MINOR OUTLYING ISLANDS
URUGUAY
UZBEKISTAN
VANUATU
VENEZUELA (BOLIVARIAN REPUBLIC OF)
VIET NAM
VIRGIN ISLANDS (BRITISH)
VIRGIN ISLANDS (U.S.)
WALLIS AND FUTUNA
WESTERN SAHARA
YEMEN
ZAMBIA
ZIMBABWE
OTHERS
i
Salary
ii
House Property
iii
Business or Profession
iv
Capital Gains
v
Other Sources
Total
Note: Please refer to the instructions for filling out this schedule
Summary of tax relief claimed for taxes paid outside India
1
Summary of Tax relief claimed
Sl.No.
Country Code
Taxpayer Identification Number
Total taxes paid outside India (total of (c) of Schedule FSI in respect of each country)
Total tax relief available(total of (e) of Schedule FSI in respect of each country
Tax Relief Claimed under section (specify 90, 90A or 91)
(a)
(b)
(c)
(d)
(e)
1
Select
90
90A
91
Total
2
Total Tax relief available in respect of country where DTAA is applicable (section 90/90A) (Part of total of 1(d))
2
3
Total Tax relief available in respect of country where DTAA is not applicable (section 91) (Part of total of 1(d))
3
4
Whether any tax paid outside India, on which tax relief was allowed in India, has been refunded/credited by the foreign tax authority during the year? If yes, provide the details below
4
Select
Yes
No
4a
Amount of tax refunded
4a
4b
Assessment year in which tax relief allowed in India
4b
Note:Please refer to the instructions for filling out this schedule.
Details of Foreign Assets and Income from any source outside India
A
Details of Foreign Bank Accounts held (including any beneficial interest) at any time during the previous year
Sl No (1)
Country Code and Name
2(a)
Zip Code
2(b)
Name of the Bank
3(a)
Address of the Bank
3(b)
Account holder name
(4)
Status
(5)
Account Number
6(a)
SWIFT Code
6(b)
Account opening date
(7)
Peak Balance During the Year
(8)
(₹)
Interest accrued in the account
(9)
(₹)
Interest taxable and offered in this return
Amount
(10)
(₹)
Schedule where offered
(11)
Item number of schedule
(12)
1
Select
AFGHANISTAN
ÅLAND ISLANDS
ALBANIA
ALGERIA
AMERICAN SAMOA
ANDORRA
ANGOLA
ANGUILLA
ANTARCTICA
ANTIGUA AND BARBUDA
ARGENTINA
ARMENIA
ARUBA
AUSTRALIA
AUSTRIA
AZERBAIJAN
BAHAMAS
BAHRAIN
BANGLADESH
BARBADOS
BELARUS
BELGIUM
BELIZE
BENIN
BERMUDA
BHUTAN
BOLIVIA (PLURINATIONAL STATE OF)
BONAIRE, SINT EUSTATIUS AND SABA
BOSNIA AND HERZEGOVINA
BOTSWANA
BOUVET ISLAND
BRAZIL
BRITISH INDIAN OCEAN TERRITORY
BRUNEI DARUSSALAM
BULGARIA
BURKINA FASO
BURUNDI
CABO VERDE
CAMBODIA
CAMEROON
CANADA
CAYMAN ISLANDS
CENTRAL AFRICAN REPUBLIC
CHAD
CHILE
CHINA
CHRISTMAS ISLAND
COCOS (KEELING) ISLANDS
COLOMBIA
COMOROS
CONGO
CONGO (DEMOCRATIC REPUBLIC OF THE)
COOK ISLANDS
COSTA RICA
CÔTE D'IVOIRE
CROATIA
CUBA
CURAÇAO
CYPRUS
CZECHIA
DENMARK
DJIBOUTI
DOMINICA
DOMINICAN REPUBLIC
ECUADOR
EGYPT
EL SALVADOR
EQUATORIAL GUINEA
ERITREA
ESTONIA
ETHIOPIA
FALKLAND ISLANDS (MALVINAS)
FAROE ISLANDS
FIJI
FINLAND
FRANCE
FRENCH GUIANA
FRENCH POLYNESIA
FRENCH SOUTHERN TERRITORIES
GABON
GAMBIA
GEORGIA
GERMANY
GHANA
GIBRALTAR
GREECE
GREENLAND
GRENADA
GUADELOUPE
GUAM
GUATEMALA
GUERNSEY
GUINEA
GUINEA-BISSAU
GUYANA
HAITI
HEARD ISLAND AND MCDONALD ISLANDS
HOLY SEE
HONDURAS
HONG KONG
HUNGARY
ICELAND
INDIA
INDONESIA
IRAN (ISLAMIC REPUBLIC OF)
IRAQ
IRELAND
ISLE OF MAN
ISRAEL
ITALY
JAMAICA
JAPAN
JERSEY
JORDAN
KAZAKHSTAN
KENYA
KIRIBATI
KOREA (DEMOCRATIC PEOPLE'S REPUBLIC OF)
KOREA (REPUBLIC OF)
KUWAIT
KYRGYZSTAN
LAO PEOPLE'S DEMOCRATIC REPUBLIC
LATVIA
LEBANON
LESOTHO
LIBERIA
LIBYA
LIECHTENSTEIN
LITHUANIA
LUXEMBOURG
MACAO
MACEDONIA (THE FORMER YUGOSLAV REPUBLIC OF)
MADAGASCAR
MALAWI
MALAYSIA
MALDIVES
MALI
MALTA
MARSHALL ISLANDS
MARTINIQUE
MAURITANIA
MAURITIUS
MAYOTTE
MEXICO
MICRONESIA (FEDERATED STATES OF)
MOLDOVA (REPUBLIC OF)
MONACO
MONGOLIA
MONTENEGRO
MONTSERRAT
MOROCCO
MOZAMBIQUE
MYANMAR
NAMIBIA
NAURU
NEPAL
NETHERLANDS
NEW CALEDONIA
NEW ZEALAND
NICARAGUA
NIGER
NIGERIA
NIUE
NORFOLK ISLAND
NORTHERN MARIANA ISLANDS
NORWAY
OMAN
PAKISTAN
PALAU
PALESTINE, STATE OF
PANAMA
PAPUA NEW GUINEA
PARAGUAY
PERU
PHILIPPINES
PITCAIRN
POLAND
PORTUGAL
PUERTO RICO
QATAR
RÉUNION
ROMANIA
RUSSIAN FEDERATION
RWANDA
SAINT BARTHÉLEMY
SAINT HELENA, ASCENSION AND TRISTAN DA CUNHA
SAINT KITTS AND NEVIS
SAINT LUCIA
SAINT MARTIN (FRENCH PART)
SAINT PIERRE AND MIQUELON
SAINT VINCENT AND THE GRENADINES
SAMOA
SAN MARINO
SAO TOME AND PRINCIPE
SAUDI ARABIA
SENEGAL
SERBIA
SEYCHELLES
SIERRA LEONE
SINGAPORE
SINT MAARTEN (DUTCH PART)
SLOVAKIA
SLOVENIA
SOLOMON ISLANDS
SOMALIA
SOUTH AFRICA
SOUTH GEORGIA AND THE SOUTH SANDWICH ISLANDS
SOUTH SUDAN
SPAIN
SRI LANKA
SUDAN
SURINAME
SVALBARD AND JAN MAYEN
SWAZILAND
SWEDEN
SWITZERLAND
SYRIAN ARAB REPUBLIC
TAIWAN, PROVINCE OF CHINA[A]
TAJIKISTAN
TANZANIA, UNITED REPUBLIC OF
THAILAND
TIMOR-LESTE (EAST TIMOR)
TOGO
TOKELAU
TONGA
TRINIDAD AND TOBAGO
TUNISIA
TURKEY
TURKMENISTAN
TURKS AND CAICOS ISLANDS
TUVALU
UGANDA
UKRAINE
UNITED ARAB EMIRATES
UNITED KINGDOM OF GREAT BRITAIN AND NORTHERN IRELAND
UNITED STATES OF AMERICA
UNITED STATES MINOR OUTLYING ISLANDS
URUGUAY
UZBEKISTAN
VANUATU
VENEZUELA (BOLIVARIAN REPUBLIC OF)
VIET NAM
VIRGIN ISLANDS (BRITISH)
VIRGIN ISLANDS (U.S.)
WALLIS AND FUTUNA
WESTERN SAHARA
YEMEN
ZAMBIA
ZIMBABWE
OTHERS
Select
Owner
Beneficial owner
Beneficiary
B
Details of Financial Interest in any Entity held (including any beneficial interest) at any time during the previous year
Sl No (1)
Country Code and Name
2(a)
Zip Code
2(b)
Nature of entity
(3)
Name of the Entity
4(a)
Address of the Entity
4(b)
Nature of Interest
(5)
Date since held
(6)
Total Investment (at cost)
(7)
(₹)
Income accrued from such Interest
(8)
(₹)
Nature of Income
(9)
Income taxable and offered in this return
Amount
(10)
(₹)
Schedule where offered
(11)
Item number of schedule
(12)
1
Select
AFGHANISTAN
ÅLAND ISLANDS
ALBANIA
ALGERIA
AMERICAN SAMOA
ANDORRA
ANGOLA
ANGUILLA
ANTARCTICA
ANTIGUA AND BARBUDA
ARGENTINA
ARMENIA
ARUBA
AUSTRALIA
AUSTRIA
AZERBAIJAN
BAHAMAS
BAHRAIN
BANGLADESH
BARBADOS
BELARUS
BELGIUM
BELIZE
BENIN
BERMUDA
BHUTAN
BOLIVIA (PLURINATIONAL STATE OF)
BONAIRE, SINT EUSTATIUS AND SABA
BOSNIA AND HERZEGOVINA
BOTSWANA
BOUVET ISLAND
BRAZIL
BRITISH INDIAN OCEAN TERRITORY
BRUNEI DARUSSALAM
BULGARIA
BURKINA FASO
BURUNDI
CABO VERDE
CAMBODIA
CAMEROON
CANADA
CAYMAN ISLANDS
CENTRAL AFRICAN REPUBLIC
CHAD
CHILE
CHINA
CHRISTMAS ISLAND
COCOS (KEELING) ISLANDS
COLOMBIA
COMOROS
CONGO
CONGO (DEMOCRATIC REPUBLIC OF THE)
COOK ISLANDS
COSTA RICA
CÔTE D'IVOIRE
CROATIA
CUBA
CURAÇAO
CYPRUS
CZECHIA
DENMARK
DJIBOUTI
DOMINICA
DOMINICAN REPUBLIC
ECUADOR
EGYPT
EL SALVADOR
EQUATORIAL GUINEA
ERITREA
ESTONIA
ETHIOPIA
FALKLAND ISLANDS (MALVINAS)
FAROE ISLANDS
FIJI
FINLAND
FRANCE
FRENCH GUIANA
FRENCH POLYNESIA
FRENCH SOUTHERN TERRITORIES
GABON
GAMBIA
GEORGIA
GERMANY
GHANA
GIBRALTAR
GREECE
GREENLAND
GRENADA
GUADELOUPE
GUAM
GUATEMALA
GUERNSEY
GUINEA
GUINEA-BISSAU
GUYANA
HAITI
HEARD ISLAND AND MCDONALD ISLANDS
HOLY SEE
HONDURAS
HONG KONG
HUNGARY
ICELAND
INDIA
INDONESIA
IRAN (ISLAMIC REPUBLIC OF)
IRAQ
IRELAND
ISLE OF MAN
ISRAEL
ITALY
JAMAICA
JAPAN
JERSEY
JORDAN
KAZAKHSTAN
KENYA
KIRIBATI
KOREA (DEMOCRATIC PEOPLE'S REPUBLIC OF)
KOREA (REPUBLIC OF)
KUWAIT
KYRGYZSTAN
LAO PEOPLE'S DEMOCRATIC REPUBLIC
LATVIA
LEBANON
LESOTHO
LIBERIA
LIBYA
LIECHTENSTEIN
LITHUANIA
LUXEMBOURG
MACAO
MACEDONIA (THE FORMER YUGOSLAV REPUBLIC OF)
MADAGASCAR
MALAWI
MALAYSIA
MALDIVES
MALI
MALTA
MARSHALL ISLANDS
MARTINIQUE
MAURITANIA
MAURITIUS
MAYOTTE
MEXICO
MICRONESIA (FEDERATED STATES OF)
MOLDOVA (REPUBLIC OF)
MONACO
MONGOLIA
MONTENEGRO
MONTSERRAT
MOROCCO
MOZAMBIQUE
MYANMAR
NAMIBIA
NAURU
NEPAL
NETHERLANDS
NEW CALEDONIA
NEW ZEALAND
NICARAGUA
NIGER
NIGERIA
NIUE
NORFOLK ISLAND
NORTHERN MARIANA ISLANDS
NORWAY
OMAN
PAKISTAN
PALAU
PALESTINE, STATE OF
PANAMA
PAPUA NEW GUINEA
PARAGUAY
PERU
PHILIPPINES
PITCAIRN
POLAND
PORTUGAL
PUERTO RICO
QATAR
RÉUNION
ROMANIA
RUSSIAN FEDERATION
RWANDA
SAINT BARTHÉLEMY
SAINT HELENA, ASCENSION AND TRISTAN DA CUNHA
SAINT KITTS AND NEVIS
SAINT LUCIA
SAINT MARTIN (FRENCH PART)
SAINT PIERRE AND MIQUELON
SAINT VINCENT AND THE GRENADINES
SAMOA
SAN MARINO
SAO TOME AND PRINCIPE
SAUDI ARABIA
SENEGAL
SERBIA
SEYCHELLES
SIERRA LEONE
SINGAPORE
SINT MAARTEN (DUTCH PART)
SLOVAKIA
SLOVENIA
SOLOMON ISLANDS
SOMALIA
SOUTH AFRICA
SOUTH GEORGIA AND THE SOUTH SANDWICH ISLANDS
SOUTH SUDAN
SPAIN
SRI LANKA
SUDAN
SURINAME
SVALBARD AND JAN MAYEN
SWAZILAND
SWEDEN
SWITZERLAND
SYRIAN ARAB REPUBLIC
TAIWAN, PROVINCE OF CHINA[A]
TAJIKISTAN
TANZANIA, UNITED REPUBLIC OF
THAILAND
TIMOR-LESTE (EAST TIMOR)
TOGO
TOKELAU
TONGA
TRINIDAD AND TOBAGO
TUNISIA
TURKEY
TURKMENISTAN
TURKS AND CAICOS ISLANDS
TUVALU
UGANDA
UKRAINE
UNITED ARAB EMIRATES
UNITED KINGDOM OF GREAT BRITAIN AND NORTHERN IRELAND
UNITED STATES OF AMERICA
UNITED STATES MINOR OUTLYING ISLANDS
URUGUAY
UZBEKISTAN
VANUATU
VENEZUELA (BOLIVARIAN REPUBLIC OF)
VIET NAM
VIRGIN ISLANDS (BRITISH)
VIRGIN ISLANDS (U.S.)
WALLIS AND FUTUNA
WESTERN SAHARA
YEMEN
ZAMBIA
ZIMBABWE
OTHERS
Select
Direct
Beneficial Owner
Beneficiary
C
Details of Immovable Property held (including any beneficial interest) at any time during the previous year
Sl No (1)
Country Code and Name
2(a)
Zip Code
2(b)
Address of the Property
(3)
Ownership
(4)
Date of acquisition
(5)
Total Investment (at cost)
(6)
(₹)
Income derived from the property
(7)
(₹)
Nature of Income
(8)
Income taxable and offered in this return
Amount
(9)
(₹)
Schedule where offered
(10)
Item number of schedule
(11)
1
Select
AFGHANISTAN
ÅLAND ISLANDS
ALBANIA
ALGERIA
AMERICAN SAMOA
ANDORRA
ANGOLA
ANGUILLA
ANTARCTICA
ANTIGUA AND BARBUDA
ARGENTINA
ARMENIA
ARUBA
AUSTRALIA
AUSTRIA
AZERBAIJAN
BAHAMAS
BAHRAIN
BANGLADESH
BARBADOS
BELARUS
BELGIUM
BELIZE
BENIN
BERMUDA
BHUTAN
BOLIVIA (PLURINATIONAL STATE OF)
BONAIRE, SINT EUSTATIUS AND SABA
BOSNIA AND HERZEGOVINA
BOTSWANA
BOUVET ISLAND
BRAZIL
BRITISH INDIAN OCEAN TERRITORY
BRUNEI DARUSSALAM
BULGARIA
BURKINA FASO
BURUNDI
CABO VERDE
CAMBODIA
CAMEROON
CANADA
CAYMAN ISLANDS
CENTRAL AFRICAN REPUBLIC
CHAD
CHILE
CHINA
CHRISTMAS ISLAND
COCOS (KEELING) ISLANDS
COLOMBIA
COMOROS
CONGO
CONGO (DEMOCRATIC REPUBLIC OF THE)
COOK ISLANDS
COSTA RICA
CÔTE D'IVOIRE
CROATIA
CUBA
CURAÇAO
CYPRUS
CZECHIA
DENMARK
DJIBOUTI
DOMINICA
DOMINICAN REPUBLIC
ECUADOR
EGYPT
EL SALVADOR
EQUATORIAL GUINEA
ERITREA
ESTONIA
ETHIOPIA
FALKLAND ISLANDS (MALVINAS)
FAROE ISLANDS
FIJI
FINLAND
FRANCE
FRENCH GUIANA
FRENCH POLYNESIA
FRENCH SOUTHERN TERRITORIES
GABON
GAMBIA
GEORGIA
GERMANY
GHANA
GIBRALTAR
GREECE
GREENLAND
GRENADA
GUADELOUPE
GUAM
GUATEMALA
GUERNSEY
GUINEA
GUINEA-BISSAU
GUYANA
HAITI
HEARD ISLAND AND MCDONALD ISLANDS
HOLY SEE
HONDURAS
HONG KONG
HUNGARY
ICELAND
INDIA
INDONESIA
IRAN (ISLAMIC REPUBLIC OF)
IRAQ
IRELAND
ISLE OF MAN
ISRAEL
ITALY
JAMAICA
JAPAN
JERSEY
JORDAN
KAZAKHSTAN
KENYA
KIRIBATI
KOREA (DEMOCRATIC PEOPLE'S REPUBLIC OF)
KOREA (REPUBLIC OF)
KUWAIT
KYRGYZSTAN
LAO PEOPLE'S DEMOCRATIC REPUBLIC
LATVIA
LEBANON
LESOTHO
LIBERIA
LIBYA
LIECHTENSTEIN
LITHUANIA
LUXEMBOURG
MACAO
MACEDONIA (THE FORMER YUGOSLAV REPUBLIC OF)
MADAGASCAR
MALAWI
MALAYSIA
MALDIVES
MALI
MALTA
MARSHALL ISLANDS
MARTINIQUE
MAURITANIA
MAURITIUS
MAYOTTE
MEXICO
MICRONESIA (FEDERATED STATES OF)
MOLDOVA (REPUBLIC OF)
MONACO
MONGOLIA
MONTENEGRO
MONTSERRAT
MOROCCO
MOZAMBIQUE
MYANMAR
NAMIBIA
NAURU
NEPAL
NETHERLANDS
NEW CALEDONIA
NEW ZEALAND
NICARAGUA
NIGER
NIGERIA
NIUE
NORFOLK ISLAND
NORTHERN MARIANA ISLANDS
NORWAY
OMAN
PAKISTAN
PALAU
PALESTINE, STATE OF
PANAMA
PAPUA NEW GUINEA
PARAGUAY
PERU
PHILIPPINES
PITCAIRN
POLAND
PORTUGAL
PUERTO RICO
QATAR
RÉUNION
ROMANIA
RUSSIAN FEDERATION
RWANDA
SAINT BARTHÉLEMY
SAINT HELENA, ASCENSION AND TRISTAN DA CUNHA
SAINT KITTS AND NEVIS
SAINT LUCIA
SAINT MARTIN (FRENCH PART)
SAINT PIERRE AND MIQUELON
SAINT VINCENT AND THE GRENADINES
SAMOA
SAN MARINO
SAO TOME AND PRINCIPE
SAUDI ARABIA
SENEGAL
SERBIA
SEYCHELLES
SIERRA LEONE
SINGAPORE
SINT MAARTEN (DUTCH PART)
SLOVAKIA
SLOVENIA
SOLOMON ISLANDS
SOMALIA
SOUTH AFRICA
SOUTH GEORGIA AND THE SOUTH SANDWICH ISLANDS
SOUTH SUDAN
SPAIN
SRI LANKA
SUDAN
SURINAME
SVALBARD AND JAN MAYEN
SWAZILAND
SWEDEN
SWITZERLAND
SYRIAN ARAB REPUBLIC
TAIWAN, PROVINCE OF CHINA[A]
TAJIKISTAN
TANZANIA, UNITED REPUBLIC OF
THAILAND
TIMOR-LESTE (EAST TIMOR)
TOGO
TOKELAU
TONGA
TRINIDAD AND TOBAGO
TUNISIA
TURKEY
TURKMENISTAN
TURKS AND CAICOS ISLANDS
TUVALU
UGANDA
UKRAINE
UNITED ARAB EMIRATES
UNITED KINGDOM OF GREAT BRITAIN AND NORTHERN IRELAND
UNITED STATES OF AMERICA
UNITED STATES MINOR OUTLYING ISLANDS
URUGUAY
UZBEKISTAN
VANUATU
VENEZUELA (BOLIVARIAN REPUBLIC OF)
VIET NAM
VIRGIN ISLANDS (BRITISH)
VIRGIN ISLANDS (U.S.)
WALLIS AND FUTUNA
WESTERN SAHARA
YEMEN
ZAMBIA
ZIMBABWE
OTHERS
Select
Direct
Beneficial Owner
Beneficiary
D
Details of any other Capital Asset held (including any beneficial interest) at any time during the previous year
Sl No (1)
Country Code and Name
2(a)
Zip Code
2(b)
Nature of Asset
(3)
Ownership
(4)
Date of acquisition
(5)
Total Investment (at cost)
(6)
(₹)
Income derived from the asset
(7)
(₹)
Nature of Income
(8)
Income taxable and offered in this return
Amount
(9)
(₹)
Schedule where offered
(10)
Item number of schedule
(11)
1
Select
AFGHANISTAN
ÅLAND ISLANDS
ALBANIA
ALGERIA
AMERICAN SAMOA
ANDORRA
ANGOLA
ANGUILLA
ANTARCTICA
ANTIGUA AND BARBUDA
ARGENTINA
ARMENIA
ARUBA
AUSTRALIA
AUSTRIA
AZERBAIJAN
BAHAMAS
BAHRAIN
BANGLADESH
BARBADOS
BELARUS
BELGIUM
BELIZE
BENIN
BERMUDA
BHUTAN
BOLIVIA (PLURINATIONAL STATE OF)
BONAIRE, SINT EUSTATIUS AND SABA
BOSNIA AND HERZEGOVINA
BOTSWANA
BOUVET ISLAND
BRAZIL
BRITISH INDIAN OCEAN TERRITORY
BRUNEI DARUSSALAM
BULGARIA
BURKINA FASO
BURUNDI
CABO VERDE
CAMBODIA
CAMEROON
CANADA
CAYMAN ISLANDS
CENTRAL AFRICAN REPUBLIC
CHAD
CHILE
CHINA
CHRISTMAS ISLAND
COCOS (KEELING) ISLANDS
COLOMBIA
COMOROS
CONGO
CONGO (DEMOCRATIC REPUBLIC OF THE)
COOK ISLANDS
COSTA RICA
CÔTE D'IVOIRE
CROATIA
CUBA
CURAÇAO
CYPRUS
CZECHIA
DENMARK
DJIBOUTI
DOMINICA
DOMINICAN REPUBLIC
ECUADOR
EGYPT
EL SALVADOR
EQUATORIAL GUINEA
ERITREA
ESTONIA
ETHIOPIA
FALKLAND ISLANDS (MALVINAS)
FAROE ISLANDS
FIJI
FINLAND
FRANCE
FRENCH GUIANA
FRENCH POLYNESIA
FRENCH SOUTHERN TERRITORIES
GABON
GAMBIA
GEORGIA
GERMANY
GHANA
GIBRALTAR
GREECE
GREENLAND
GRENADA
GUADELOUPE
GUAM
GUATEMALA
GUERNSEY
GUINEA
GUINEA-BISSAU
GUYANA
HAITI
HEARD ISLAND AND MCDONALD ISLANDS
HOLY SEE
HONDURAS
HONG KONG
HUNGARY
ICELAND
INDIA
INDONESIA
IRAN (ISLAMIC REPUBLIC OF)
IRAQ
IRELAND
ISLE OF MAN
ISRAEL
ITALY
JAMAICA
JAPAN
JERSEY
JORDAN
KAZAKHSTAN
KENYA
KIRIBATI
KOREA (DEMOCRATIC PEOPLE'S REPUBLIC OF)
KOREA (REPUBLIC OF)
KUWAIT
KYRGYZSTAN
LAO PEOPLE'S DEMOCRATIC REPUBLIC
LATVIA
LEBANON
LESOTHO
LIBERIA
LIBYA
LIECHTENSTEIN
LITHUANIA
LUXEMBOURG
MACAO
MACEDONIA (THE FORMER YUGOSLAV REPUBLIC OF)
MADAGASCAR
MALAWI
MALAYSIA
MALDIVES
MALI
MALTA
MARSHALL ISLANDS
MARTINIQUE
MAURITANIA
MAURITIUS
MAYOTTE
MEXICO
MICRONESIA (FEDERATED STATES OF)
MOLDOVA (REPUBLIC OF)
MONACO
MONGOLIA
MONTENEGRO
MONTSERRAT
MOROCCO
MOZAMBIQUE
MYANMAR
NAMIBIA
NAURU
NEPAL
NETHERLANDS
NEW CALEDONIA
NEW ZEALAND
NICARAGUA
NIGER
NIGERIA
NIUE
NORFOLK ISLAND
NORTHERN MARIANA ISLANDS
NORWAY
OMAN
PAKISTAN
PALAU
PALESTINE, STATE OF
PANAMA
PAPUA NEW GUINEA
PARAGUAY
PERU
PHILIPPINES
PITCAIRN
POLAND
PORTUGAL
PUERTO RICO
QATAR
RÉUNION
ROMANIA
RUSSIAN FEDERATION
RWANDA
SAINT BARTHÉLEMY
SAINT HELENA, ASCENSION AND TRISTAN DA CUNHA
SAINT KITTS AND NEVIS
SAINT LUCIA
SAINT MARTIN (FRENCH PART)
SAINT PIERRE AND MIQUELON
SAINT VINCENT AND THE GRENADINES
SAMOA
SAN MARINO
SAO TOME AND PRINCIPE
SAUDI ARABIA
SENEGAL
SERBIA
SEYCHELLES
SIERRA LEONE
SINGAPORE
SINT MAARTEN (DUTCH PART)
SLOVAKIA
SLOVENIA
SOLOMON ISLANDS
SOMALIA
SOUTH AFRICA
SOUTH GEORGIA AND THE SOUTH SANDWICH ISLANDS
SOUTH SUDAN
SPAIN
SRI LANKA
SUDAN
SURINAME
SVALBARD AND JAN MAYEN
SWAZILAND
SWEDEN
SWITZERLAND
SYRIAN ARAB REPUBLIC
TAIWAN, PROVINCE OF CHINA[A]
TAJIKISTAN
TANZANIA, UNITED REPUBLIC OF
THAILAND
TIMOR-LESTE (EAST TIMOR)
TOGO
TOKELAU
TONGA
TRINIDAD AND TOBAGO
TUNISIA
TURKEY
TURKMENISTAN
TURKS AND CAICOS ISLANDS
TUVALU
UGANDA
UKRAINE
UNITED ARAB EMIRATES
UNITED KINGDOM OF GREAT BRITAIN AND NORTHERN IRELAND
UNITED STATES OF AMERICA
UNITED STATES MINOR OUTLYING ISLANDS
URUGUAY
UZBEKISTAN
VANUATU
VENEZUELA (BOLIVARIAN REPUBLIC OF)
VIET NAM
VIRGIN ISLANDS (BRITISH)
VIRGIN ISLANDS (U.S.)
WALLIS AND FUTUNA
WESTERN SAHARA
YEMEN
ZAMBIA
ZIMBABWE
OTHERS
Select
Direct
Beneficial Owner
Beneficiary
E
Details of account(s) in which you have signing authority held (including any beneficial interest) at any time during the previous year and which has not been included in A to D above.
Sl No (1)
Name of the Institution in which the account is held
(2)
Address of the Institution
3(a)
Country Code and Name
3(b)
Zip Code
3(c)
Name of the account holder
(4)
Account Number
(5)
Peak Balance/Investment during the year
(6)
(₹)
Whether income accrued is taxable in your hands?
(7)
If (7) is yes, Income accrued in the account
(8)
(₹)
If (7) is yes, Income offered in this return
Amount
(9)
(₹)
Schedule where offered
(10)
Item number of schedule
(11)
1
Select
AFGHANISTAN
ÅLAND ISLANDS
ALBANIA
ALGERIA
AMERICAN SAMOA
ANDORRA
ANGOLA
ANGUILLA
ANTARCTICA
ANTIGUA AND BARBUDA
ARGENTINA
ARMENIA
ARUBA
AUSTRALIA
AUSTRIA
AZERBAIJAN
BAHAMAS
BAHRAIN
BANGLADESH
BARBADOS
BELARUS
BELGIUM
BELIZE
BENIN
BERMUDA
BHUTAN
BOLIVIA (PLURINATIONAL STATE OF)
BONAIRE, SINT EUSTATIUS AND SABA
BOSNIA AND HERZEGOVINA
BOTSWANA
BOUVET ISLAND
BRAZIL
BRITISH INDIAN OCEAN TERRITORY
BRUNEI DARUSSALAM
BULGARIA
BURKINA FASO
BURUNDI
CABO VERDE
CAMBODIA
CAMEROON
CANADA
CAYMAN ISLANDS
CENTRAL AFRICAN REPUBLIC
CHAD
CHILE
CHINA
CHRISTMAS ISLAND
COCOS (KEELING) ISLANDS
COLOMBIA
COMOROS
CONGO
CONGO (DEMOCRATIC REPUBLIC OF THE)
COOK ISLANDS
COSTA RICA
CÔTE D'IVOIRE
CROATIA
CUBA
CURAÇAO
CYPRUS
CZECHIA
DENMARK
DJIBOUTI
DOMINICA
DOMINICAN REPUBLIC
ECUADOR
EGYPT
EL SALVADOR
EQUATORIAL GUINEA
ERITREA
ESTONIA
ETHIOPIA
FALKLAND ISLANDS (MALVINAS)
FAROE ISLANDS
FIJI
FINLAND
FRANCE
FRENCH GUIANA
FRENCH POLYNESIA
FRENCH SOUTHERN TERRITORIES
GABON
GAMBIA
GEORGIA
GERMANY
GHANA
GIBRALTAR
GREECE
GREENLAND
GRENADA
GUADELOUPE
GUAM
GUATEMALA
GUERNSEY
GUINEA
GUINEA-BISSAU
GUYANA
HAITI
HEARD ISLAND AND MCDONALD ISLANDS
HOLY SEE
HONDURAS
HONG KONG
HUNGARY
ICELAND
INDIA
INDONESIA
IRAN (ISLAMIC REPUBLIC OF)
IRAQ
IRELAND
ISLE OF MAN
ISRAEL
ITALY
JAMAICA
JAPAN
JERSEY
JORDAN
KAZAKHSTAN
KENYA
KIRIBATI
KOREA (DEMOCRATIC PEOPLE'S REPUBLIC OF)
KOREA (REPUBLIC OF)
KUWAIT
KYRGYZSTAN
LAO PEOPLE'S DEMOCRATIC REPUBLIC
LATVIA
LEBANON
LESOTHO
LIBERIA
LIBYA
LIECHTENSTEIN
LITHUANIA
LUXEMBOURG
MACAO
MACEDONIA (THE FORMER YUGOSLAV REPUBLIC OF)
MADAGASCAR
MALAWI
MALAYSIA
MALDIVES
MALI
MALTA
MARSHALL ISLANDS
MARTINIQUE
MAURITANIA
MAURITIUS
MAYOTTE
MEXICO
MICRONESIA (FEDERATED STATES OF)
MOLDOVA (REPUBLIC OF)
MONACO
MONGOLIA
MONTENEGRO
MONTSERRAT
MOROCCO
MOZAMBIQUE
MYANMAR
NAMIBIA
NAURU
NEPAL
NETHERLANDS
NEW CALEDONIA
NEW ZEALAND
NICARAGUA
NIGER
NIGERIA
NIUE
NORFOLK ISLAND
NORTHERN MARIANA ISLANDS
NORWAY
OMAN
PAKISTAN
PALAU
PALESTINE, STATE OF
PANAMA
PAPUA NEW GUINEA
PARAGUAY
PERU
PHILIPPINES
PITCAIRN
POLAND
PORTUGAL
PUERTO RICO
QATAR
RÉUNION
ROMANIA
RUSSIAN FEDERATION
RWANDA
SAINT BARTHÉLEMY
SAINT HELENA, ASCENSION AND TRISTAN DA CUNHA
SAINT KITTS AND NEVIS
SAINT LUCIA
SAINT MARTIN (FRENCH PART)
SAINT PIERRE AND MIQUELON
SAINT VINCENT AND THE GRENADINES
SAMOA
SAN MARINO
SAO TOME AND PRINCIPE
SAUDI ARABIA
SENEGAL
SERBIA
SEYCHELLES
SIERRA LEONE
SINGAPORE
SINT MAARTEN (DUTCH PART)
SLOVAKIA
SLOVENIA
SOLOMON ISLANDS
SOMALIA
SOUTH AFRICA
SOUTH GEORGIA AND THE SOUTH SANDWICH ISLANDS
SOUTH SUDAN
SPAIN
SRI LANKA
SUDAN
SURINAME
SVALBARD AND JAN MAYEN
SWAZILAND
SWEDEN
SWITZERLAND
SYRIAN ARAB REPUBLIC
TAIWAN, PROVINCE OF CHINA[A]
TAJIKISTAN
TANZANIA, UNITED REPUBLIC OF
THAILAND
TIMOR-LESTE (EAST TIMOR)
TOGO
TOKELAU
TONGA
TRINIDAD AND TOBAGO
TUNISIA
TURKEY
TURKMENISTAN
TURKS AND CAICOS ISLANDS
TUVALU
UGANDA
UKRAINE
UNITED ARAB EMIRATES
UNITED KINGDOM OF GREAT BRITAIN AND NORTHERN IRELAND
UNITED STATES OF AMERICA
UNITED STATES MINOR OUTLYING ISLANDS
URUGUAY
UZBEKISTAN
VANUATU
VENEZUELA (BOLIVARIAN REPUBLIC OF)
VIET NAM
VIRGIN ISLANDS (BRITISH)
VIRGIN ISLANDS (U.S.)
WALLIS AND FUTUNA
WESTERN SAHARA
YEMEN
ZAMBIA
ZIMBABWE
OTHERS
Select
Yes
No
F
Details of trusts, created under the laws of a country outside India, in which you are a trustee, beneficiary or settlor
Sl No (1)
Country Code and Name
2(a)
Zip Code
2(b)
Name of the trust
3
Address of the trust
3(a)
Name of trustees
4
Address of trustees
4(a)
Name of Settlor
5
Address of Settlor
5(a)
Name of Beneficiaries
6
Address of Beneficiaries
6(a)
Date since position held
(7)
Whether income derived is taxable in your hands?
(8)
If (8) is yes, Income derived from the trust
(9)
(₹)
If (8) is yes, Income offered in this return
Amount
(10)
(₹)
Schedule where offered
(11)
Item number of schedule
(12)
1
Select
AFGHANISTAN
ÅLAND ISLANDS
ALBANIA
ALGERIA
AMERICAN SAMOA
ANDORRA
ANGOLA
ANGUILLA
ANTARCTICA
ANTIGUA AND BARBUDA
ARGENTINA
ARMENIA
ARUBA
AUSTRALIA
AUSTRIA
AZERBAIJAN
BAHAMAS
BAHRAIN
BANGLADESH
BARBADOS
BELARUS
BELGIUM
BELIZE
BENIN
BERMUDA
BHUTAN
BOLIVIA (PLURINATIONAL STATE OF)
BONAIRE, SINT EUSTATIUS AND SABA
BOSNIA AND HERZEGOVINA
BOTSWANA
BOUVET ISLAND
BRAZIL
BRITISH INDIAN OCEAN TERRITORY
BRUNEI DARUSSALAM
BULGARIA
BURKINA FASO
BURUNDI
CABO VERDE
CAMBODIA
CAMEROON
CANADA
CAYMAN ISLANDS
CENTRAL AFRICAN REPUBLIC
CHAD
CHILE
CHINA
CHRISTMAS ISLAND
COCOS (KEELING) ISLANDS
COLOMBIA
COMOROS
CONGO
CONGO (DEMOCRATIC REPUBLIC OF THE)
COOK ISLANDS
COSTA RICA
CÔTE D'IVOIRE
CROATIA
CUBA
CURAÇAO
CYPRUS
CZECHIA
DENMARK
DJIBOUTI
DOMINICA
DOMINICAN REPUBLIC
ECUADOR
EGYPT
EL SALVADOR
EQUATORIAL GUINEA
ERITREA
ESTONIA
ETHIOPIA
FALKLAND ISLANDS (MALVINAS)
FAROE ISLANDS
FIJI
FINLAND
FRANCE
FRENCH GUIANA
FRENCH POLYNESIA
FRENCH SOUTHERN TERRITORIES
GABON
GAMBIA
GEORGIA
GERMANY
GHANA
GIBRALTAR
GREECE
GREENLAND
GRENADA
GUADELOUPE
GUAM
GUATEMALA
GUERNSEY
GUINEA
GUINEA-BISSAU
GUYANA
HAITI
HEARD ISLAND AND MCDONALD ISLANDS
HOLY SEE
HONDURAS
HONG KONG
HUNGARY
ICELAND
INDIA
INDONESIA
IRAN (ISLAMIC REPUBLIC OF)
IRAQ
IRELAND
ISLE OF MAN
ISRAEL
ITALY
JAMAICA
JAPAN
JERSEY
JORDAN
KAZAKHSTAN
KENYA
KIRIBATI
KOREA (DEMOCRATIC PEOPLE'S REPUBLIC OF)
KOREA (REPUBLIC OF)
KUWAIT
KYRGYZSTAN
LAO PEOPLE'S DEMOCRATIC REPUBLIC
LATVIA
LEBANON
LESOTHO
LIBERIA
LIBYA
LIECHTENSTEIN
LITHUANIA
LUXEMBOURG
MACAO
MACEDONIA (THE FORMER YUGOSLAV REPUBLIC OF)
MADAGASCAR
MALAWI
MALAYSIA
MALDIVES
MALI
MALTA
MARSHALL ISLANDS
MARTINIQUE
MAURITANIA
MAURITIUS
MAYOTTE
MEXICO
MICRONESIA (FEDERATED STATES OF)
MOLDOVA (REPUBLIC OF)
MONACO
MONGOLIA
MONTENEGRO
MONTSERRAT
MOROCCO
MOZAMBIQUE
MYANMAR
NAMIBIA
NAURU
NEPAL
NETHERLANDS
NEW CALEDONIA
NEW ZEALAND
NICARAGUA
NIGER
NIGERIA
NIUE
NORFOLK ISLAND
NORTHERN MARIANA ISLANDS
NORWAY
OMAN
PAKISTAN
PALAU
PALESTINE, STATE OF
PANAMA
PAPUA NEW GUINEA
PARAGUAY
PERU
PHILIPPINES
PITCAIRN
POLAND
PORTUGAL
PUERTO RICO
QATAR
RÉUNION
ROMANIA
RUSSIAN FEDERATION
RWANDA
SAINT BARTHÉLEMY
SAINT HELENA, ASCENSION AND TRISTAN DA CUNHA
SAINT KITTS AND NEVIS
SAINT LUCIA
SAINT MARTIN (FRENCH PART)
SAINT PIERRE AND MIQUELON
SAINT VINCENT AND THE GRENADINES
SAMOA
SAN MARINO
SAO TOME AND PRINCIPE
SAUDI ARABIA
SENEGAL
SERBIA
SEYCHELLES
SIERRA LEONE
SINGAPORE
SINT MAARTEN (DUTCH PART)
SLOVAKIA
SLOVENIA
SOLOMON ISLANDS
SOMALIA
SOUTH AFRICA
SOUTH GEORGIA AND THE SOUTH SANDWICH ISLANDS
SOUTH SUDAN
SPAIN
SRI LANKA
SUDAN
SURINAME
SVALBARD AND JAN MAYEN
SWAZILAND
SWEDEN
SWITZERLAND
SYRIAN ARAB REPUBLIC
TAIWAN, PROVINCE OF CHINA[A]
TAJIKISTAN
TANZANIA, UNITED REPUBLIC OF
THAILAND
TIMOR-LESTE (EAST TIMOR)
TOGO
TOKELAU
TONGA
TRINIDAD AND TOBAGO
TUNISIA
TURKEY
TURKMENISTAN
TURKS AND CAICOS ISLANDS
TUVALU
UGANDA
UKRAINE
UNITED ARAB EMIRATES
UNITED KINGDOM OF GREAT BRITAIN AND NORTHERN IRELAND
UNITED STATES OF AMERICA
UNITED STATES MINOR OUTLYING ISLANDS
URUGUAY
UZBEKISTAN
VANUATU
VENEZUELA (BOLIVARIAN REPUBLIC OF)
VIET NAM
VIRGIN ISLANDS (BRITISH)
VIRGIN ISLANDS (U.S.)
WALLIS AND FUTUNA
WESTERN SAHARA
YEMEN
ZAMBIA
ZIMBABWE
OTHERS
Select
Yes
No
G
Details of any other income derived from any source outside India which is not included in,- (i) items A to F above and, (ii) income under the head business or profession
Sl No (1)
Country Code and Name
2(a)
Zip Code
2(b)
Name of the person from whom derived
3(a)
Address of the person from whom derived
3(b)
Income derived
(4)
Nature of income
(5)
Whether taxable in your hands?
(6)
If (6) is yes, Income offered in this return
Amount
(7)
(₹)
Schedule where offered
(8)
Item number of schedule
(9)
1
Select
AFGHANISTAN
ÅLAND ISLANDS
ALBANIA
ALGERIA
AMERICAN SAMOA
ANDORRA
ANGOLA
ANGUILLA
ANTARCTICA
ANTIGUA AND BARBUDA
ARGENTINA
ARMENIA
ARUBA
AUSTRALIA
AUSTRIA
AZERBAIJAN
BAHAMAS
BAHRAIN
BANGLADESH
BARBADOS
BELARUS
BELGIUM
BELIZE
BENIN
BERMUDA
BHUTAN
BOLIVIA (PLURINATIONAL STATE OF)
BONAIRE, SINT EUSTATIUS AND SABA
BOSNIA AND HERZEGOVINA
BOTSWANA
BOUVET ISLAND
BRAZIL
BRITISH INDIAN OCEAN TERRITORY
BRUNEI DARUSSALAM
BULGARIA
BURKINA FASO
BURUNDI
CABO VERDE
CAMBODIA
CAMEROON
CANADA
CAYMAN ISLANDS
CENTRAL AFRICAN REPUBLIC
CHAD
CHILE
CHINA
CHRISTMAS ISLAND
COCOS (KEELING) ISLANDS
COLOMBIA
COMOROS
CONGO
CONGO (DEMOCRATIC REPUBLIC OF THE)
COOK ISLANDS
COSTA RICA
CÔTE D'IVOIRE
CROATIA
CUBA
CURAÇAO
CYPRUS
CZECHIA
DENMARK
DJIBOUTI
DOMINICA
DOMINICAN REPUBLIC
ECUADOR
EGYPT
EL SALVADOR
EQUATORIAL GUINEA
ERITREA
ESTONIA
ETHIOPIA
FALKLAND ISLANDS (MALVINAS)
FAROE ISLANDS
FIJI
FINLAND
FRANCE
FRENCH GUIANA
FRENCH POLYNESIA
FRENCH SOUTHERN TERRITORIES
GABON
GAMBIA
GEORGIA
GERMANY
GHANA
GIBRALTAR
GREECE
GREENLAND
GRENADA
GUADELOUPE
GUAM
GUATEMALA
GUERNSEY
GUINEA
GUINEA-BISSAU
GUYANA
HAITI
HEARD ISLAND AND MCDONALD ISLANDS
HOLY SEE
HONDURAS
HONG KONG
HUNGARY
ICELAND
INDIA
INDONESIA
IRAN (ISLAMIC REPUBLIC OF)
IRAQ
IRELAND
ISLE OF MAN
ISRAEL
ITALY
JAMAICA
JAPAN
JERSEY
JORDAN
KAZAKHSTAN
KENYA
KIRIBATI
KOREA (DEMOCRATIC PEOPLE'S REPUBLIC OF)
KOREA (REPUBLIC OF)
KUWAIT
KYRGYZSTAN
LAO PEOPLE'S DEMOCRATIC REPUBLIC
LATVIA
LEBANON
LESOTHO
LIBERIA
LIBYA
LIECHTENSTEIN
LITHUANIA
LUXEMBOURG
MACAO
MACEDONIA (THE FORMER YUGOSLAV REPUBLIC OF)
MADAGASCAR
MALAWI
MALAYSIA
MALDIVES
MALI
MALTA
MARSHALL ISLANDS
MARTINIQUE
MAURITANIA
MAURITIUS
MAYOTTE
MEXICO
MICRONESIA (FEDERATED STATES OF)
MOLDOVA (REPUBLIC OF)
MONACO
MONGOLIA
MONTENEGRO
MONTSERRAT
MOROCCO
MOZAMBIQUE
MYANMAR
NAMIBIA
NAURU
NEPAL
NETHERLANDS
NEW CALEDONIA
NEW ZEALAND
NICARAGUA
NIGER
NIGERIA
NIUE
NORFOLK ISLAND
NORTHERN MARIANA ISLANDS
NORWAY
OMAN
PAKISTAN
PALAU
PALESTINE, STATE OF
PANAMA
PAPUA NEW GUINEA
PARAGUAY
PERU
PHILIPPINES
PITCAIRN
POLAND
PORTUGAL
PUERTO RICO
QATAR
RÉUNION
ROMANIA
RUSSIAN FEDERATION
RWANDA
SAINT BARTHÉLEMY
SAINT HELENA, ASCENSION AND TRISTAN DA CUNHA
SAINT KITTS AND NEVIS
SAINT LUCIA
SAINT MARTIN (FRENCH PART)
SAINT PIERRE AND MIQUELON
SAINT VINCENT AND THE GRENADINES
SAMOA
SAN MARINO
SAO TOME AND PRINCIPE
SAUDI ARABIA
SENEGAL
SERBIA
SEYCHELLES
SIERRA LEONE
SINGAPORE
SINT MAARTEN (DUTCH PART)
SLOVAKIA
SLOVENIA
SOLOMON ISLANDS
SOMALIA
SOUTH AFRICA
SOUTH GEORGIA AND THE SOUTH SANDWICH ISLANDS
SOUTH SUDAN
SPAIN
SRI LANKA
SUDAN
SURINAME
SVALBARD AND JAN MAYEN
SWAZILAND
SWEDEN
SWITZERLAND
SYRIAN ARAB REPUBLIC
TAIWAN, PROVINCE OF CHINA[A]
TAJIKISTAN
TANZANIA, UNITED REPUBLIC OF
THAILAND
TIMOR-LESTE (EAST TIMOR)
TOGO
TOKELAU
TONGA
TRINIDAD AND TOBAGO
TUNISIA
TURKEY
TURKMENISTAN
TURKS AND CAICOS ISLANDS
TUVALU
UGANDA
UKRAINE
UNITED ARAB EMIRATES
UNITED KINGDOM OF GREAT BRITAIN AND NORTHERN IRELAND
UNITED STATES OF AMERICA
UNITED STATES MINOR OUTLYING ISLANDS
URUGUAY
UZBEKISTAN
VANUATU
VENEZUELA (BOLIVARIAN REPUBLIC OF)
VIET NAM
VIRGIN ISLANDS (BRITISH)
VIRGIN ISLANDS (U.S.)
WALLIS AND FUTUNA
WESTERN SAHARA
YEMEN
ZAMBIA
ZIMBABWE
OTHERS
Select
Yes
No
Note:
Please refer to instructions for filling out this schedule. In case of an individual, not being an Indian citizen, who is in India on a business, employment or student visa, an asset acquired during any previous year in which he was non-resident is not mandatory to be reported in this schedule if no income is derived from that asset during the current previous year.
Information regarding apportionment of income between spouses governed by Portuguese Civil Code
Name of the spouse
*
PAN of the spouse
*
Heads of Income
Income received under the head
Amount apportioned in the hands of the spouse
Amount of TDS deducted on income at (ii)
TDS apportioned in the hands of spouse
(i)
(ii)
(iii)
(iv)
(v)
1
House Property
*
2
Business or profession
3
Capital gains
*
4
Other sources
*
5
Total
Asset and Liability at the end of the year (Applicable in the case of total income exceeds Rs.50 lakh)
A
Do you own any immovable asset ?
Select
Yes
No
Details of immovable asset
S.No.
Description
(1)
Address
(2)
Amount (cost) in Rs.
(3)
Flat/ Door/ Block No.
Name of Premises / Building / Village
Road/ Street/Post office
Area/ Locality
Town/ City/ District
State
Country
Pincode
1
Select
ANDAMAN AND NICOBAR ISLANDS
ANDHRA PRADESH
ARUNACHAL PRADESH
ASSAM
BIHAR
CHANDIGARH
DADRA & NAGAR HAVELI
DAMAN & DIU
DELHI
GOA
GUJARAT
HARYANA
HIMACHAL PRADESH
JAMMU & KASHMIR
KARNATAKA
KERALA
LAKSHADWEEP
MADHYA PRADESH
MAHARASHTRA
MANIPUR
MEGHALAYA
MIZORAM
NAGALAND
ORISSA
PONDICHERRY
PUNJAB
RAJASTHAN
SIKKIM
TAMILNADU
TRIPURA
UTTAR PRADESH
WEST BENGAL
CHHATISGARH
UTTARAKHAND
JHARKHAND
TELANGANA
State outside India
Select
AFGHANISTAN
ÅLAND ISLANDS
ALBANIA
ALGERIA
AMERICAN SAMOA
ANDORRA
ANGOLA
ANGUILLA
ANTARCTICA
ANTIGUA AND BARBUDA
ARGENTINA
ARMENIA
ARUBA
AUSTRALIA
AUSTRIA
AZERBAIJAN
BAHAMAS
BAHRAIN
BANGLADESH
BARBADOS
BELARUS
BELGIUM
BELIZE
BENIN
BERMUDA
BHUTAN
BOLIVIA (PLURINATIONAL STATE OF)
BONAIRE, SINT EUSTATIUS AND SABA
BOSNIA AND HERZEGOVINA
BOTSWANA
BOUVET ISLAND
BRAZIL
BRITISH INDIAN OCEAN TERRITORY
BRUNEI DARUSSALAM
BULGARIA
BURKINA FASO
BURUNDI
CABO VERDE
CAMBODIA
CAMEROON
CANADA
CAYMAN ISLANDS
CENTRAL AFRICAN REPUBLIC
CHAD
CHILE
CHINA
CHRISTMAS ISLAND
COCOS (KEELING) ISLANDS
COLOMBIA
COMOROS
CONGO
CONGO (DEMOCRATIC REPUBLIC OF THE)
COOK ISLANDS
COSTA RICA
CÔTE D'IVOIRE
CROATIA
CUBA
CURAÇAO
CYPRUS
CZECHIA
DENMARK
DJIBOUTI
DOMINICA
DOMINICAN REPUBLIC
ECUADOR
EGYPT
EL SALVADOR
EQUATORIAL GUINEA
ERITREA
ESTONIA
ETHIOPIA
FALKLAND ISLANDS (MALVINAS)
FAROE ISLANDS
FIJI
FINLAND
FRANCE
FRENCH GUIANA
FRENCH POLYNESIA
FRENCH SOUTHERN TERRITORIES
GABON
GAMBIA
GEORGIA
GERMANY
GHANA
GIBRALTAR
GREECE
GREENLAND
GRENADA
GUADELOUPE
GUAM
GUATEMALA
GUERNSEY
GUINEA
GUINEA-BISSAU
GUYANA
HAITI
HEARD ISLAND AND MCDONALD ISLANDS
HOLY SEE
HONDURAS
HONG KONG
HUNGARY
ICELAND
INDIA
INDONESIA
IRAN (ISLAMIC REPUBLIC OF)
IRAQ
IRELAND
ISLE OF MAN
ISRAEL
ITALY
JAMAICA
JAPAN
JERSEY
JORDAN
KAZAKHSTAN
KENYA
KIRIBATI
KOREA (DEMOCRATIC PEOPLE'S REPUBLIC OF)
KOREA (REPUBLIC OF)
KUWAIT
KYRGYZSTAN
LAO PEOPLE'S DEMOCRATIC REPUBLIC
LATVIA
LEBANON
LESOTHO
LIBERIA
LIBYA
LIECHTENSTEIN
LITHUANIA
LUXEMBOURG
MACAO
MACEDONIA (THE FORMER YUGOSLAV REPUBLIC OF)
MADAGASCAR
MALAWI
MALAYSIA
MALDIVES
MALI
MALTA
MARSHALL ISLANDS
MARTINIQUE
MAURITANIA
MAURITIUS
MAYOTTE
MEXICO
MICRONESIA (FEDERATED STATES OF)
MOLDOVA (REPUBLIC OF)
MONACO
MONGOLIA
MONTENEGRO
MONTSERRAT
MOROCCO
MOZAMBIQUE
MYANMAR
NAMIBIA
NAURU
NEPAL
NETHERLANDS
NEW CALEDONIA
NEW ZEALAND
NICARAGUA
NIGER
NIGERIA
NIUE
NORFOLK ISLAND
NORTHERN MARIANA ISLANDS
NORWAY
OMAN
PAKISTAN
PALAU
PALESTINE, STATE OF
PANAMA
PAPUA NEW GUINEA
PARAGUAY
PERU
PHILIPPINES
PITCAIRN
POLAND
PORTUGAL
PUERTO RICO
QATAR
RÉUNION
ROMANIA
RUSSIAN FEDERATION
RWANDA
SAINT BARTHÉLEMY
SAINT HELENA, ASCENSION AND TRISTAN DA CUNHA
SAINT KITTS AND NEVIS
SAINT LUCIA
SAINT MARTIN (FRENCH PART)
SAINT PIERRE AND MIQUELON
SAINT VINCENT AND THE GRENADINES
SAMOA
SAN MARINO
SAO TOME AND PRINCIPE
SAUDI ARABIA
SENEGAL
SERBIA
SEYCHELLES
SIERRA LEONE
SINGAPORE
SINT MAARTEN (DUTCH PART)
SLOVAKIA
SLOVENIA
SOLOMON ISLANDS
SOMALIA
SOUTH AFRICA
SOUTH GEORGIA AND THE SOUTH SANDWICH ISLANDS
SOUTH SUDAN
SPAIN
SRI LANKA
SUDAN
SURINAME
SVALBARD AND JAN MAYEN
SWAZILAND
SWEDEN
SWITZERLAND
SYRIAN ARAB REPUBLIC
TAIWAN, PROVINCE OF CHINA[A]
TAJIKISTAN
TANZANIA, UNITED REPUBLIC OF
THAILAND
TIMOR-LESTE (EAST TIMOR)
TOGO
TOKELAU
TONGA
TRINIDAD AND TOBAGO
TUNISIA
TURKEY
TURKMENISTAN
TURKS AND CAICOS ISLANDS
TUVALU
UGANDA
UKRAINE
UNITED ARAB EMIRATES
UNITED KINGDOM OF GREAT BRITAIN AND NORTHERN IRELAND
UNITED STATES OF AMERICA
UNITED STATES MINOR OUTLYING ISLANDS
URUGUAY
UZBEKISTAN
VANUATU
VENEZUELA (BOLIVARIAN REPUBLIC OF)
VIET NAM
VIRGIN ISLANDS (BRITISH)
VIRGIN ISLANDS (U.S.)
WALLIS AND FUTUNA
WESTERN SAHARA
YEMEN
ZAMBIA
ZIMBABWE
OTHERS
B
Details of movable asset
Sl.no
Description
Amount (cost) in Rs.
(i)
Jewellery, bullion etc.
(ii)
Archaeological collections, drawings, painting, sculpture or any work of art
(iii)
Vehicles, yachts, boats and aircrafts
(iv)
Financial asset
(a)
Bank (including all deposits)
(b)
Shares and securities
(c)
Insurance policies
(d)
Loans and advances given
(e)
Cash in hand
C
Liability in relation to Assets at (A+B)