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S.No Schedule Name Schedule Description Schedule Selection
1 PART A - GENERAL Details of Personal Information and filing status
2 Part B - TI Computation of total income
3 Part B - TTI Computation of tax liability on total income
4 Schedule IT Details of Advance Tax and Self Assessment Tax Payments of Income-tax
5 Schedule TDS Details of Tax Deducted at Source on Income [As per Form 16 A, 27D issued by Deductor(s)]
6 Schedule TCS Details of Tax Collected at Source (TCS) [As per Form 27D issued by the Collector(s)]
7 Schedule S Details of Income from Salary
8 Schedule HP Details of Income from House Property
9 Schedule CG Capital Gains
10 Schedule OS Income from other sources
11 Schedule CYLA Details of Income after Set off of Current years losses
12 Schedule BFLA Details of Income after Set off of Brought Forward Losses of earlier years
13 Schedule CFL Details of Losses to be carried forward to future Years
14 Schedule VI-A Deductions under Chapter VI-A
15 Schedule 80G Details of donation entitled for deduction under Section 80G
16 Schedule SPI Income of specified persons (spouse, minor child etc) includable in income of the assessee
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]
18 Schedule EI Details of Exempt Income (Income not to be included in Total Income)
19 Schedule PTI Pass Through Income details from business trust or investment fund as per section 115UA,115UB
20 Schedule FSI Details of Income accruing or arising outside India
21 Schedule TR Details of Tax Relief claimed under Section 90 or Section 90A or Section 91
22 Schedule FA Details of foreign assets
23 Schedule 5A Information regarding apportionment of income between spouses governed by Portuguese Civil Code
24 Schedule AL Asset and Liability at the end of the year (applicable in a case where total income exceeds Rs.50 lakh)

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.
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Personal Information

First name Middle name
Last name* PAN *
Date of Birth/ Formation(DD/MM/YYYY) * Status *
ADDRESS
Flat/Door/Block No * Name of Premises/Building/Village
Road/Street/Post Office Area/Locality*
Town/City/District * State*
Country* Pin Code *
Zip Code * No Zip Code
Employer Category(if in employment) *
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* Whether original or revised return?
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 *
Do you want to claim the benefit under section 115H? (applicable in case of resident)
Whether any transaction has been made with a person located in a jurisdiction notified u/s 94A of the Act? *
Are you governed by Portuguese Civil Code as per section 5A? (If “YES” please fill Schedule 5A)*

Other Details

Whether this return is being filed by a representative assessee? If yes, please furnish following information -*
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) ?*
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
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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
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 ]*

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
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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
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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
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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
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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
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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 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
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Total other allowances
2 Total Income chargeable

Details of Income from House Property

1 Address of property 1
Town/ City
State
Country
Pincode
Zip Code
Is the property co-owned?* (if "YES" please enter following details)
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 %
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Type Of House Property
S. No. Name(s) of Tenant (if let out) PAN of Tenant(s) (if available)
1
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(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
Country
Pincode
Zip Code
Is the property co-owned?* (if "YES" please enter following details)
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 %
alt del
Type Of House Property
S. No. Name(s) of Tenant (if let out) PAN of Tenant(s) (if available)
1
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(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
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
alt del
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
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
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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
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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
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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
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Total 2d
e LTCG on bonds or debenture (2c – 2d) B2e
3
1 From sale of,
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
alt del
Total 3d
e Long-term Capital Gains on assets at B3 above (3c – 3d) B3e
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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
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Total 4b
c LTCG on share or debenture (4a – 4b) B4c
5
1 For NON-RESIDENTS- from sale of,
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
alt del
Total 5d
e Long-term Capital Gains on assets at 5 above in case of NON-RESIDENT (5c – 5d) B5e
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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
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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
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
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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
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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
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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
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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
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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
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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
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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
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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
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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
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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
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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
(B) Medical expenditure
(C) Preventive health check-up
h 80DD - Maintenance including medical treatment of a dependent who is a person with disability
i 80DDB - Medical treatment of specified disease
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.
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
Total A
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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
Total B
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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
Total C
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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
Total D
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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
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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
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 alt

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
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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
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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 i Salary
ii House Property
iii Business or Profession
iv Capital Gains
v Other Sources
Total
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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
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
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
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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
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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
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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
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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
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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
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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
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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 ?
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
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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)