Instructions
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PART A - GENERAL
Schedule S
Schedule HP
Schedule CG
Schedule 112A
Schedule 115AD(1)(iii) proviso
Schedule OS
Schedule CYLA
Schedule BFLA
Schedule CFL
Schedule VI-A
Schedule 80G
Schedule 80GGA
Schedule AMT
Schedule AMTC
Schedule SPI
Schedule SI
Schedule EI
Schedule PTI
Schedule FSI
Schedule TR
Schedule FA
Schedule 5A
Schedule AL
Part B - TI
Part B - TTI
IT
TDS
TCS
Verification
Home
S.No
Schedule Name
Schedule Description
Schedule Selection
1
PART A - GENERAL
Details of Personal Information and filing status
Yes
2
Schedule S
Details of Income from Salary
Yes
No
3
Schedule HP
Details of Income from House Property
Yes
No
4
Schedule CG
Capital Gains
Yes
No
5
Schedule 112A
Details of Income from 112A
Yes
No
6
Schedule 115AD(1)(iii) proviso
Details of Income from 115AD(1)(iii) proviso
Yes
No
7
Schedule OS
Income from other sources
Yes
No
8
Schedule CYLA
Details of Income after Set off of Current years losses
Yes
9
Schedule BFLA
Details of Income after Set off of Brought Forward Losses of earlier years
Yes
10
Schedule CFL
Details of Losses to be carried forward to future Years
Yes
No
11
Schedule VI-A
Deductions under Chapter VI-A
Yes
No
12
Schedule 80G
Details of donation entitled for deduction under Section 80G
Yes
No
13
Schedule 80GGA
Details of donations for scientific research or rural development
Yes
No
14
Schedule AMT
Computation of Alternate Minimum Tax payable under section 115JC
Yes
No
15
Schedule AMTC
Computation of tax credit under section 115JD
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
Assets and Liabilities at the end of the year (Applicable in the case of total income exceeds Rs.50 lakh)
Yes
No
25
Part B - TI
Computation of total income
Yes
26
Part B - TTI
Computation of tax liability on total income
Yes
27
Schedule IT
Details of Advance Tax and Self Assessment Tax Payments of Income-tax
Yes
No
28/td>
Schedule TDS
Details of Tax Deducted at Source on Income [As per Form 16 A, 27D issued by Deductor(s)]
Yes
No
29
Schedule TCS
Details of Tax Collected at Source (TCS) [As per Form 27D issued by the Collector(s)]
Yes
No
30
Verification
Verification
Yes
INDIAN INCOME TAX RETURN
[For Individuals and HUFs not having income from profits and gains of business or profession]
(Please see rule 12 of the Income-tax Rules,1962) (Please refer instructions)
1. All amounts are in Indian Rupees.
2. A calendar is provided for selecting the date field (format DD/MM/YYYY)
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Adding new Row
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Remove unnecessary blank rows from the table by selecting the row and clicking on DELETE button.
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Personal Information
First name
Middle name
Last name
*
PAN
*
Date of Birth/ Formation(DD/MM/YYYY)
*
Status
*
Select
Individual
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
Residential/Office Phone Number with STD code
Do not prefix STD code with '0'
Mobile No. 1
*
Mobile No. 2
Email Address-1 (self)
*
Email Address-2
Aadhaar Number
(Please enter the Aadhaar Number. 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
Filed u/s
*
Select
139(1)-On or before due date
139(4)-After due date
139(5)-Revised Return
92CD-Modified return
119(2)(b)-after condonation of delay
Filed in response to notice u/s
Select
142(1)
148
153A
153C
139(9)
If revised/defective/modified 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/119(2)(b) enter date of such notice/order, or if filed u/s 92CD enter date of advance pricing agreement
Residential Status
*
Select
RES - Resident
NRI - Non Resident
NOR - Resident but not Ordinarily resident
Select
You were in India for 182 days or more during the previous year [section 6(1)(a)]
You were in India for 60 days or more during the previous year, and have been in India for 365 days or more within the 4 preceding years [section (6)(1)(c)] [where Explanation 1 is not applicable]
You have been a non-resident in India in 9 out of 10 preceding years [section 6(6)(a)]
You have been in India for 729 days or less during the 7 preceding years [section 6(6)(a)]
You were a non-resident during the previous year
(i) Please specify the jurisdiction(s) of residence during the previous year -
S.No.
Jurisdiction(s) of residence
Taxpayer Identification Number(s)
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
Not Applicable (Not Resident in any Country)
(ii) In case you are a Citizen of India or a Person of Indian Origin (POI), please specify -
Total period of stay in India during the previous year (in days)
Total period of stay in India during the 4 preceding years (in days)
Do you want to claim the benefit under section 115H? (applicable in case of resident)
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
Capacity of representative
Select
Legal Heir
Manager
Guardian
Other
Address of the representative
Permanent Account Number (PAN) of the representative
Whether you are Director in a company at any time during the previous year? If yes, please furnish following information -
*
Select
Yes
No
Sl. No.
Name of company
Type of Company
PAN
Whether its shares are listed or unlisted
Director Identification Number (DIN)
1
Select
Domestic
Foreign
Select
Listed
Unlisted
Whether you have held unlisted shares at any time during the previous year? If yes, please furnish following information -
*
Select
Yes
No
Sl. No.
Name of company
Type of company
PAN
Opening balance
Shares acquired during the year
Shares transferred during the year
Closing balance
No. of shares
Cost of acquisition
No. of shares
Date of subscription / purchase
Face value per share
Issue price per share (in case of fresh issue)
Purchase price per share (in case of purchase from existing shareholder)
No. of shares
Sale consideration
No. of shares
Cost of acquisition
(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10)
(11)
(12)
(13)
(14)
1
Select
Domestic
Foreign
Details of Income from Salary
Detail of Employer 1
Name of Employer
Nature of employment
Select
Govt
PSU
Pensioners
Others
TAN of Employer (mandatory if tax is deducted)
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
ZIP Code
1
Gross Salary (1a + 1b + 1c)
1
1a
Salary as per section 17(1)
S. No.
Nature of salary
Description
Amount
1
Select
Basic Salary
Dearness Allowance
Conveyance Allowance
House Rent Allowance
Leave Travel Allowance
Children Education Allowance
Other Allowance
The contribution made by the Employer towards pension scheme as referred u/s 80CCD
Amount deemed to be income under rule 11 of Fourth Schedule
Amount deemed to be income under rule 6 of Fourth Schedule
Annuity or pension
Commuted Pension
Gratuity
Fees/ commission
Advance of salary
Leave Encashment
Others
1b
Value of perquisites as per section 17(2)
S. No.
Nature of perquisites
Description
Amount
1
Select
Accommodation
Cars / Other Automotive
Sweeper, gardener, watchman or personal attendant
Gas, electricity, water
Interest free or concessional loans
Holiday expenses
Free or concessional travel
Free meals
Free education
Gifts, vouchers, etc.
Credit card expenses
Club expenses
Use of movable assets by employees
Transfer of assets to employee
Value of any other benefit/amenity/service/privilege
Stock options (non-qualified options)
Tax paid by employer on non-monetary perquisite
Other benefits or amenities
1c
Profit in lieu of salary as per section 17(3)
S. No.
Nature of Profit in lieu of Salary
Description
Amount
1
Select
Compensation due/received by an assessee from his employer or former employer in connection with the termination of his employment or modification thereto
Any payment due/received by an assessee from his employer or a former employer or from a provident or other fund, sum received under Keyman Insurance Policy including Bonus thereto
Any amount due/received by assessee from any person before joining or after cessation of employment with that person
Any Other
2
Total Gross Salary (from all employers)
2
3
Less : Allowances to the extent exempt u/s 10 (Ensure that it is included in salary income u/s 17(1)/17(2)/17(3))
3
S. No.
Nature of Exempt Allowance
Description
Amount
1
Select
Sec 10(5)-Travel concession/assistance received
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) First proviso - Compensation limit notified by CG in the Official Gazette
Sec 10(10B) Second proviso - Compensation under scheme approved by the Central Government
Sec 10(10C)-Amount received on voluntary retirement or termination of service
Sec 10(10CC)-Tax paid by employer on non-monetary perquisite
Sec 10(13A)-Allowance to meet expenditure incurred on house rent
Sec 10(14)(i) Allowances or benefits not in a nature of perquisite specifically granted and incurred in performance of duties of office or employment
Sec 10(14)(ii) Allowances or benefits not in a nature of perquisite specifically granted in performance of duties of office or employment
Any Other
4
Net Salary (2 – 3)
4
5
Deduction u/s 16 (5a + 5b + 5c)
5
5a
Standard deduction u/s 16(ia)
5(a)
5b
Entertainment allowance u/s 16(ii)
5(b)
5c
Professional tax u/s 16(iii)
5(c)
6
Income chargeable under the Head ‘Salaries’ (4-5)
6
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
Owner of the Property
Select
Self
Minor
Spouse
Others
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)
PAN/TAN of Tenant(s) (if TDS credit is claimed)
1
(a)
Gross rent received or receivable or letable
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)
Arrears/Unrealized Rent received during the year Less 30%
1j
(k)
Income from house property 1 (1f - 1i + 1j)
1k
2
Pass through income if any *
2
3
Income under the head “Income from house property” (1k) + 2 (if negative take the figure to 2i of schedule CYLA)
3
Note:
Please include the income of the specified persons referred to in Schedule SPI and Pass through income referred to in schedule PTI while computing the income under this head Furnishing of PAN of tenant is mandatory, if tax is deducted under section 194-IB. Furnishing of TAN of tenant is mandatory, if tax is deducted under section 194-I.
Capital Gains
A
Short-term capital gain (STCG) (Sub-items 3 & 4 are not applicable for residents)
1
1
From sale of land or building or both (fill up details separately for each property)
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 [in case (aii) does not exceed 1.05 times (ai), take this figure as (ai), or else take (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
f
In case of transfer of immovable property, please furnish - the following details (see note)
S.No.
Name of Buyer(s)
PAN of Buyer(s)
Percentage share
Amount
Address of Property
Pincode
1
Note1:
Furnishing of PAN is mandatory, if the tax is deduced under section 194-IA or is quoted by buyer in the documents.
Note2:
In case of more than one buyer, please indicate the respective percentage share and amount.
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)Sec 115AD(1)(b)(ii) (proviso 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
2016-17
Select
54B
Select
2016-17
2017-18
2018-19
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
Pass Through Income in the nature of Short Term Capital Gain, (Fill up schedule PTI) (A7a + A7b + A7c)
A7
a
Pass Through Income in the nature of Short Term Capital Gain, chargeable @ 15%
A7a
b
Pass Through Income in the nature of Short Term Capital Gain, chargeable @ 30%
A7b
c
Pass Through Income in the nature of Short Term Capital Gain, chargeable at applicable rates
A7c
8
Amount of STCG included in A1-A7 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 A7 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
A7a
A7b
A7c
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
A8a
b
Total amount of STCG chargeable to tax at special rates in India as per DTAA
A8b
9
Total Short-term Capital Gain (A1e+ A2e…… + A3a + A3b + A4e + A5e + A6 + A7 - A8a)
A9
B
Long-term capital gain (LTCG) (Sub-items 5, 6 , 7 & 8 are not applicable for residents)
1
1
From sale of land or building or both (fill up details separately for each property)
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 ([in case (aii) does not exceed 1.05 times (ai), take this figure as (ai), or else take (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 54EE
Sec 54EC
Sec 54F
Sec 54GB
Total
1d
e
Long-term Capital Gains on Immovable property (1c - 1d)
B1e
f
In case of transfer of immovable property, please furnish - the following details (see note)
S.No.
Name of Buyer(s)
PAN of Buyer(s)
Percentage share
Amount
Address of Property
Pincode
1
Note1:
Furnishing of PAN is mandatory, if the tax is deduced under section 194-IA or is quoted by buyer in the documents.
Note2:
In case of more than one buyer, please indicate the respective percentage share and amount.
2
From sale of bonds or debenture (other than capital indexed 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 54EE/54F (Specify details in item D below)
S. No.
Section
Amount
1
Select
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 54EE/54F (Specify details in item D below)
S. No.
Section
Amount
1
Select
Sec 54EE
Sec 54F
Total
3d
e
Long-term Capital Gains on assets at B3 above (3c – 3d)
B3e
4
From sale of equity share in a company or unit of equity oriented fund or unit of a business trust on which STT is paid under section 112A
a
Full value of consideration
4a
b
Deductions under section 48
bia
Cost of acquisition without indexation (higher of iA and iB)
4bia
A
Cost of acquisition
iA
B
If the long term capital asset was acquired before 01.02.2018, lower of B1 and B2
iB
B1
Fair Market Value of capital asset as per section 55(2)(ac)
iB1
B2
Full value of consideration
iB2
bii
Cost of improvement without indexation
4bii
biii
Expenditure wholly and exclusively in connection with transfer
4biii
biv
Total deductions (bia + bii + biii)
4biv
c
Balance (4a – biv)
4c
d
Less- LTCG threshold limit as per section 112A (4c – Rs. 1 lakh)
4d
e
Deduction under sections 54EE/54F (Specify details in item D below)
S. No.
Section
Amount
1
Select
Sec 54EE
Sec 54F
Total
4e
f
Long-term Capital Gains on sale of capital assets at B4 above (4c ‐ 4e)
4f
5
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
5a
b
Deduction under sections 54EE/54F (Specify details in item D below)
S. No.
Section
Amount
1
Select
Sec 54EE
Sec 54F
Total
5b
c
LTCG on share or debenture (5a – 5b)
B5c
6
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 (other than securities referred to in Section 112A fill up column B7 below)
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 (6aiii - 6biv)
6c
d
Deduction under sections 54EE/54F (Specify details in item D below)
S. No.
Section
Amount
1
Select
Sec 54EE
Sec 54F
Total
5d
e
Long-term Capital Gains on assets at 6 above in case of NON-RESIDENT (6c – 6d)
B6e
7
For NON-RESIDENTS - From sale of equity share in a company or unit of equity oriented fund or unit of a business trust on which STT is paid under section 112A
a
Full value of consideration
7a
b
Deductions under section 48
bi
Cost of acquisition without indexation (higher of iA and iB)
7bi
A
Cost of acquisition
iA
B
If the long term capital asset was acquired before 01.02.2018, lower of B1 and B2
iB
B1
Fair Market Value of capital asset as per section 55(2)(ac)
iB1
B2
Full value of consideration
iB2
bii
Cost of improvement without indexation
7bii
biii
Expenditure wholly and exclusively in connection with transfer
7biii
biv
Total deductions (bia + bii + biii)
7biv
c
Balance (7a – biv)
7c
d
Less- LTCG threshold limit as per section 112A (7c – Rs. 1 lakh)
7d
e
Deduction under sections 54EE/54F (Specify details in item D below)
S. No.
Section
Amount
1
Select
Sec 54EE
Sec 54F
Total
7e
f
Long-term Capital Gains on assets at B7 above (7c ‐ 7e)
7f
8
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)
8a
b
Less deduction under section 115F (Specify details in item D below)
8b
c
Balance LTCG on sale of specified asset (8a – 8b)
B8c
d
LTCG on sale of asset, other than specified asset (computed without indexation)
8d
e
Less deduction under section 115F (Specify details in item D below)
8e
f
Balance LTCG on sale of asset, other than specified asset (8d – 8e)
B8f
9
From sale of assets where B1 to B8 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 (9aiii - 9biv)
9c
d
Deduction under sections 54EE/54F (Specify details in item D below)
S. No.
Section
Amount
1
Select
Sec 54EE
Sec 54F
Total
9d
e
Long-term Capital Gains on assets at B9 above (9c-9d)
B9e
10
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
2015-16
2016-17
Select
54
54F
54GB
54B
Select
2016-17
2017-18
2018-19
b
Amount deemed to be long-term capital gains, other than at 'a'
Total Amount deemed to be long-term capital gains (aX……+ b)
B10
11
Pass Through Income in the nature of Long Term Capital Gain,(Fill up schedule PTI) (B11a + B11b)
B11
a
Pass Through Income in the nature of Long Term Capital Gain, chargeable @ 10%
B11a
b
Pass Through Income in the nature of Long Term Capital Gain, chargeable @ 20%
B11b
12
Amount of LTCG included in B1- B10 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 B10 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-112(1)
B3e-115ACA
B4f-112A
B5c
B6e-112(1)(c)
B6e-115AC
B6e-115AD
B7f
B8c
B8f
B9e
B10
B11a
B11b
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
B12a
b
Total amount of LTCG chargeable to tax at special rates as per DTAA
B12b
13
Total long term capital gain chargeable under I.T. Act [B1e+B2e+B3e……+B4f+B5c+B6e……+B7f+B8c+B8f+B9e+B10+B11-B12a] (In case of loss take the figure to 5xi of schedule CFL)
B13
C
Income chargeable under the head "CAPITAL GAINS" (A9 + B13) (take B13 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 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 foreign exchange asset
Amount invested in new specified asset or savings certificate
Date of investment
Amount of deduction claimed
1
h
Total deduction claimed (1a + 1b + 1c + 1d + 1e + 1f + 1g)
1h
I
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
DTAA rate
10%
20%
DTAA rate
1
2
3
4
5
6
7
8
9
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
DTAA rates
vi
Long term capital gain
10%
vii
20%
viii
DTAA rates
ix
Total loss set off (ii + iii + iv + v + vi + vii + viii)
x
Loss remaining after set off (i – ix)
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
Short-term capital gains taxable at DTAA rates Enter value from item 3vi of schedule BFLA, if any..
5
Long- term capital gains taxable at the rate of 10%
Enter value from item 3vii of schedule BFLA, if any.
6
Long- term capital gains taxable at the rate of 20%
Enter value from item 3viii of schedule BFLA, if any.
7
Long term capital gains taxable @ DTAA rates Enter value from item 3ix 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
From sale of equity share in a company or unit of equity oriented fund or unit of a business trust on which STT is paid under section 112A
Sl. No.
ISIN Code
Name of the Share/Unit
No. of Shares/Units
Sale-price per Share/Unit
Total Sale Value (3*4) Item 4 (a) of LTCG Schedule of ITR2
Cost of acquisition without indexation Item 4 (b)(i) of LTCG Schedule of ITR2
Cost of acquisition- Item 4 (b)(i)(A) of LTCG Schedule of ITR2
If the long term capital asset was acquired before 01.02.2018, lower of B1 and B2 -Lower of 10 & 11-item 4 (b)(i)(B) of LTCG Schedule of ITR2
Fair Market Value per share/unit as on 31st January,2018
Total Fair Market Value of capital asset as per section 55(2)(ac)- (3*9) - item 4 (b)(i)(B)(1) of LTCG Schedule of ITR2
Full value of Consideration - item 4 (b)(i)(B)(2) of LTCG Schedule of ITR2
Cost of improvement without indexation - item 4 (b)(ii) of LTCG Schedule of ITR2
Expenditure wholly and exclusively in connection with transfer - item 4 (b)(iii) of LTCG Schedule of ITR2
Total deductions (bi + bii +biii) - item 4 (b)(iv) of LTCG Schedule of ITR2
Balance (4a –biv) -Item 4 (c) of LTCG Schedule of ITR2
(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10)
(11)
(12)
(13)
(14)
(15)
1
Total of each column
For NON-RESIDENTS - From sale of equity share in a company or unit of equity oriented fund or unit of a business trust on which STT is paid under section 112A
Sl. No.
ISIN Code
Name of the Share/Unit
No. of Shares/Units
Sale-price per Share/Unit
Total Sale Value (3*4) Item 7 (a) of LTCG Schedule of ITR2
Cost of acquisition without indexation Item 7 (b)(i) of LTCG Schedule of ITR2
Cost of acquisition- Item 7 (b)(i)(A) of LTCG Schedule of ITR2
If the long term capital asset was acquired before 01.02.2018, lower of B1 and B2 -Lower of 10 & 11-item 7 (b)(i)(B) of LTCG Schedule of ITR2
Fair Market Value per share/unit as on 31st January,2018
Total Fair Market Value of capital asset as per section 55(2)(ac)- (3*9) - item 7 (b)(i)(B)(1) of LTCG Schedule of ITR2
Full value of Consideration - item 7 (b)(i)(B)(2) of LTCG Schedule of ITR2
Cost of improvement without indexation - item 7 (b)(ii) of LTCG Schedule of ITR2
Expenditure wholly and exclusively in connection with transfer - item 7 (b)(iii) of LTCG Schedule of ITR2
Total deductions (bi + bii +biii) - item 7 (b)(iv) of LTCG Schedule of ITR2
Balance (7a –biv) -Item 7 (c) of LTCG Schedule of ITR2
(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10)
(11)
(12)
(13)
(14)
(15)
1
Total of each column
Income from other sources
1
Gross income chargeable to tax at normal applicable rates (1a+ 1b+ 1c+ 1d + 1e)
1
a
Dividends,Gross
1a
b
Interest, Gross (bi + bii + biii + biv + bv)
1b
bi
From Savings Bank
1bi
bii
From Deposit (Bank/ Post Office/ Co-operative)
1bii
biii
From Income Tax Refund
1biii
biv
In the nature of Pass through income
1biv
bv
Others
1bv
c
Rental income from machinery, plants, buildings, etc., Gross
1c
d
Income of the nature referred to in section 56(2)(x) which is chargeable to tax (di + dii + diii + div + dv)
1d
di
Aggregate value of sum of money received without consideration
di
dii
In case immovable property is received without consideration, stamp duty value of property
dii
diii
In case immovable property is received for inadequate consideration, stamp duty value of property in excess of such consideration
diii
div
In case any other property is received without consideration, fair market value of property
div
dv
In case any other property is received for inadequate consideration, fair market value of property in excess of such consideration
dv
e
Any other income (please specify nature)
Sl.No.
Nature
Amount
Family pension
1
Total
2
Income chargeable at special rates (2a+ 2b+ 2c+ 2d + 2e+ 2f related to Sl No.1)
2
S. No.
Nature
Income
a
Winnings from lotteries, crossword puzzles etc. chargeable u/s 115BB
b
Income chargeable u/s 115BBE (bi + bii + biii + biv+ bv + bvi)
i
Cash credits u/s 68
ii
Unexplained investments u/s 69
iii
Unexplained money etc. u/s 69A
iv
Undisclosed investments etc. u/s 69B
v
Unexplained expenditurte etc. u/s 69C
vi
Amount borrowed or repaid on hundi u/s 69D
c
Accumulated balance of recognised provident fund taxable u/s 111
Sl.No.
(1)
Assessment Year
(2)
Income Benefit
(3)
Tax Benefit
(4)
1
Select
2014-15
2015-16
2016-17
2017-18
2018-19
Total
d
Any other income chargeable at special rate (total of di to dxix)
1
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
e
Pass through income in the nature of income from other sources chargeable at special rates
1
Select
PTI-115A(1)(a)(i)- Dividends interest and income from units purchase in foreign currency
PTI-115A(1)(a)(ii)- Interest received from govt/Indian Concerns received in Foreign Currency
PTI-115A(1) (a)(iia) -Interest from Infrastructure Debt Fund
PTI-115A(1) (a)(iiaa) -Interest as per Sec. 194LC
PTI-115A(1) (a)(iiab) -Interest as per Sec. 194LD
PTI-115A(1)(a)(iiac) -Interest as per Sec. 194LBA
PTI-115A(1) (a)(iii) - Income received in respect of units of UTI purchased in Foreign Currency
PTI-115A(1)(b)(A)- Income from royalty & technical services
PTI-115A(1)(b)(B) Income from royalty & technical services
PTI-115AC(1)(a & b) - Income from bonds or GDR purchased in foreign currency - non-resident
PTI-115ACA(1)(a) - Income from GDR purchased in foreign currency -resident
PTI-115AD(1)(i) -Income received by an FII in respect of securities (other than units as per Sec 115AB)
PTI-115AD(1)(i) -Income received by an FII in respect of bonds or government securities as per Sec 194LD
PTI-115BBA - Tax on non-residents sportsmen or sports associations
PTI-115BBDA - Dividend Income from domestic company exceeding 10Lakh
PTI-115BBF -Tax on income from patent
PTI-115BBG - Tax on income from transfer of carbon credits.
PTI-115BBC - Anonymous donations
PTI-115E(a) - Investment income
f
Amount included in 1 and 2 above, which is chargeable at special rates in India as per DTAA (total of column (2) of table below)
Sl.No.
(1)
Amount of income
(2)
Item No.1a to 1d & 2a to 2e 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
1a
1b
1c
1d
2a
2d
2e
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
56(2)(iii)- Rental income from machinery, plants, buildings etc.,
56(2)(x)- Income under section 56(2)(x)
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
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.)
PTI-115A(1)(a)(i)-Dividends interest and income from units purchase in foreign currency
PTI-115A(1)(a)(ii)-Interest received from govt/Indian Concerns recived in Foreign Currency
PTI-115A(1)(a)(iia)-Interest from Infrastructure Debt Fund
PTI-115A(1)(a)(iiaa)-Interest as per Sec. 194LC
PTI-115A(1)(a)(iiab)-Interest as per Sec. 194LD
PTI-115A(1)(a)(iiac)-Interest as per Sec. 194LBA
PTI-115A(1)(a)(iii) -Income received in respect of units of UTI purchased in Foreign Currency
PTI-115A(1)(b)(A)- Income from royalty & technical services
PTI-115A(1)(b)(B) Income from royalty & technical services
PTI-115AC(1)(a & b) -Income from bonds or GDR purchased in foreign currency - non-resident
PTI-115AD(1)(i) -Income received by an FII in respect of securities (other than units as per Sec 115AB)
PTI-115AD(1)(i) -Income received by an FII in respect of bonds or government securities as per Sec 194LD
PTI-115BBA - Tax on non-residents sportsmen or sports associations
PTI-115E(a) - Investment income
PTI-115BBDA - Dividend Income from domestic company exceeding 10Lakh
PTI-115BBA - Tax on non-residents sportsmen or sports associations
PTI-115BBC - Anonymous donations
PTI-115BBG - Tax on income from transfer of carbon credits.
PTI-115ACA(1)(a) - Income from GDR purchased in foreign currency -resident
3
Deductions under section 57:- (other than those relating to income chargeable at special rates under 2a, 2b & 2d)
a
Expenses / deductions (in case of other than family pension)
a(i)
a
Deduction u/s 57(iia) (in case of family pension only)
a(ii)
b
Depreciation
b
c
Total
c
4
Amounts not deductible u/s 58
4
5
Profits chargeable to tax u/s 59
5
6
Net Income from other sources chargeable at normal applicable rates (1 – 3 + 4 + 5-DTAA related to 1) (If negative take the figure to 3xi of schedule CYLA)
6
7
Income from other sources (other than from owning race horses)(2+6) (enter 6 as nil, if negative)
7
8
Income from the activity of owning and maintaining race horses
a
Receipts
8a
b
Deductions under section 57 in relation to receipts at 8a only
8b
c
Amounts not deductible u/s 58
8c
d
Profits chargeable to tax u/s 59
8d
e
Balance (8a - 8b + 8c + 8d)) (if negative take the figure to 6xi of Schedule CFL)
8e
9
Income under the head “Income from other sources” (7 + 8e) (take 8e as nil if negative)
9
10
Information about accrual/receipt of income from Other Sources
S. No.
Other Source Income
Upto 15/6
(i)
From 16/6 to 15/9
(ii)
From 16/9 to 15/12
(iii)
From 16/12 to 15/3
(iv)
From 16/3 to 31/3
(v)
1
Dividend Income u/s 115BBDA
2
Income by way of winnings from lotteries, crossword puzzles, races, games, gambling, betting etc. referred to in section 2(24)(ix)
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
Net loss from Other sources loss chargeable at normal applicable rates (other than loss from race horses) of the current year set off.
Current year's Income remaining after set off
(4 of Schedule–HP)
(6 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
Short-term capital gain taxable at special rates in India as per DTAA
viii
Long term capital gain taxable @ 10%
ix
Long term capital gain taxable @ 20%
x
Long-term capital gain taxable at special rates in India as per DTAA
xi
Net income from other sources chargeable at normal applicable rates.
xii
Profit from owning and maintaining race horses
xiii
Total loss set off (ii + iii + iv + v + vi + vii + viii + ix + x + xi + xii )
xiv
Loss remaining after set-off (i - xiv)
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
Short-term capital gain taxable at special rates in India as per DTAA
vii
Long-term capital gain taxable @ 10%
viii
Long term capital gain taxable @ 20%
ix
Long-term capital gain taxable at special rates in India as per DTAA
x
Net income from other sources chargeable at normal applicable rates.
xi
Profit from owning and maintaining race horses
xii
Total of brought forward loss set off (ii2 + iii2 + iv2 + v2 + vi2 + vii2 + viii2 + ix2 + xi2)
xiii
Current year’s income remaining after set off Total (i3 + ii3 + iii3 + iv3 + v3+ vi3+ vii3 + viii3+ ix3 + x3 + xi3)
Details of Losses to be carried forward to future years
Sl.No
Assessment Year
(1)
Date of Filing (DD/MM/YYYY)
(2)
House property loss
(3)
Short-term capital loss
(4)
Long-term Capital loss
(5)
Loss from owning and maintaining race horses
(6)
i
2011-12
ii
2012-13
iii
2013-14
iv
2014-15
v
2015-16
vi
2016-17
vii
2017-18
viii
2018-19
ix
Total of earlier year losses
x
Adjustment of above losses in Schedule BFLA
xi
2019-20 (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
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 (Non Senior citizen)
Self and Family (Including Senior citizen)
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 and Family (senior citizen)
Parents (senior citizen)
Self and Family including parents (senior citizen)
(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
Self or Dependent (Senior Citizen)
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 in case of other than Resident senior citizens
s
80TTB - Interest on deposits in case of Resident senior citizens
t
80U - In case of a person with disability.
Select
Self with disability
Self with severe disability
u
Total deductions under Chapter VI-A (Total of a to t)
Schedule 80G - Details of donation 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
Donation in cash
Donation in other mode
Total 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
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
Donation in cash
Donation in other mode
Total 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
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
Donation in cash
Donation in other mode
Total 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
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
Donation in cash
Donation in other mode
Total 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
Total D
E.Donation in cash(A + B + C + D)
F.Donation in other mode(A + B + C + D)
G.Total Amount of Donations (A+ B + C + D)
H.Total eligible amount of donations (A+ B + C+ D)
Schedule 80GGA - Details of donations for scientific research or rural development
Sl.No.
Relevant Clause under which deduction is claimed
Name of Donee
Address
City Or Town Or District
State Code
Pin Code
PAN of Donee
Amount of Donation
Eligible Amount of Donation
Donation in Cash
Donation in Other Mode
Total Donation
1
Select
80GGA(2)(a) Sum paid to Research Association or University, college or other institution for Scientific Research
80GGA(2)(aa) Sum paid to Research Association or University, college or other institution for Social science or Statistical Research
80GGA(2)(b) Sum paid to an association or institution for Rural Development
80GGA(2)(bb) Sum paid to PSU or Local Authority or an association or institution approved by the National Committee for carrying out any eligible project
80GGA(2)(c) Sum paid to an association or institution for Conservation of Natural Resources or for afforestation
80GGA(2)(cc) Sum paid for Afforestation, to the funds, which are notified by Central Govt
80GGA(2)(d) Sum paid for Rural Development to the funds, which are notified by Central Govt
80GGA(2)(e) Sum paid to National Urban Poverty Eradication Fund as setup and notified by Central Govt
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 Donation
Schedule AMT - Computation of Alternate Minimum Tax payable under section 115JC
1
Total Income as per item 12 of PART-B-TI
*
1
2
Adjustment as per section 115JC(2)
2a
Deduction claimed under any section included in Chapter VI-A under the heading “C.—Deductions in respect of certain incomes”
2a
3
Adjusted Total Income under section 115JC(1) (1+2a)
3
4
Tax payable under section 115JC [18.5% of (3),](if 3 is greater than Rs. 20 lakhs)
4
Schedule AMTC - Computation of tax credit under section 115JD
1
Tax under section 115JC in assessment year 2019-20 (1d of Part-B-TTI)
2
Tax under other provisions of the Act in assessment year 2019-20 (7 of Part-B-TTI)
3
Amount of tax against which credit is available [enter (2 – 1) if 2 is greater than 1, otherwise enter 0]
4
Utilisation of AMT credit Available (Sum of AMT credit utilized during the current year is subject to maximum of amount mentioned in 3 above and cannot exceed the sum of AMT Credit Brought Forward
S.No
Assessment Year(A)
AMT Credit
AMT Credit Utilised during the Current Assessment Year(C)
Balance AMT Credit Carried Forward (D)= (B3) –( C)
Gross (B1)
Set-off in earlier assessment years (B2)
Balance brought forward to the current assessment year (B3)=(B1)-(B2)
i
2013-14
ii
2014-15
iii
2015-16
iv
2016-17
v
2017-18
vi
2018-19
vii
Current AY (enter 1 - 2, if 1>2 else enter 0)
viii
Total
5
Amount of tax credit under section 115JD utilised during the year [total of item no 4 (C)]
6
Amount of AMT liability available for credit in subsequent assessment years [total of 4 (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
*
Amount
(₹)
*
Head of Income in which included
*
1
Select
House Property
Salary
Capital Gain
Other sources
Exempt Income
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
111A (STCG on shares units on which STT paid)
3
112 (LTCG on others)
4
112 proviso (LTCG on listed securities/ units without indexation)
5
112(1)(c)(iii) - LTCG on unlisted securities in case of non-residents
6
112A - LTCG on equity shares/units of equity oriented fund/units of business trust on which STT is paid
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
9
115ADiiiP - Proviso to 115AD(iii)
10
STCG Chargeable under DTAA rates
11
LTCG Chargeable under DTAA rates
12
Other source income chargeable under DTAA rates
Total
Schedule EI Details of Exempt Income (Income not to be included in Total Income or not chargeable to tax)
1
Interest income
1
2
Dividend income from domestic company (amount not exceeding Rs. 10 lakh)
2
3
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
iv
Net Agricultural income for the year (i – ii – iii) (enter nil if loss)
iv
v
In case the net agricultural income for the year exceeds Rs.5 lakh, please furnish the following details (Fill up details separately for each agricultural land)
Sl.No.
Name of district along with pin code in which agricultural land is located
Measurement of agricultural land in Acre
Whether the agricultural land is owned or held on lease
Whether the agricultural land is irrigated or rain-fed
Name of district
Pin code
1
Select
Owned
Held on Lease
Select
Irrigated
Rain-fed
4
Others exempt income, (including exempt income of minor child) (please specify)
S. No.
Nature of Income
Amount
1
Select
Sec 10(10BC)-Any amount from the Central/State Govt./local authority by way of compensation on account of any disaster
Sec 10(10D)- Any sum received under a life insurance policy except mentioned in sub-clause (a) to (d)
Sec 10(11)-Statuory Provident Fund received
Sec 10(12)-Recognised Provident Fund received
Sec 10(13)-Approved superannuation fund received
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
Defense medical disability pension
Sec 10(19)-Armed Forces Family pension in case of death during operational duty
Sec 10(26)-Any income as referred to in section 10(26)
Sec 10(26AAA)-Any income as referred to in section 10(26AAA)
Any Other
Total
4
5
Income not chargeable to tax as per DTAA
S. No.
Amount of Income
Nature of Income
Country name & code
Article of DTAA
Head of Income
Whether TRC obtained
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
Salary
House Property
Capital Gain
Income from Other sources
Select
YES
NO
Total Income from DTAA not chargeable to tax
5
6
Pass through income not chargeable to tax (Schedule PTI)
6
7
Total (1 + 2 + 3(iv) + 4 + 5 + 6)
7
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
Capital Gains
iv
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
A1
Details of Foreign Depository Accounts held (including any beneficial interest) at any time during the relevant accounting period)
Sl No (1)
Country Code and Name
(2)
Name of the financial institution
(3)
Address of the financial institution
(4)
ZIP Code
(5)
Account Number
(6)
Status
(7)
Account opening date
(8)
Peak Balance During the Period
(9)
Closing balance
(10)
(₹)
Gross interest paid/credited to the account during the period
(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
Owner
Beneficial owner
Beneficiary
A2
Details of Foreign Custodial Accounts held (including any beneficial interest) at any time during the relevant accounting period
Sl No (1)
Country Code and Name
(2)
Name of the financial institution
(3)
Address of the financial institution
(4)
ZIP Code
(5)
Account Number
(6)
Status
(7)
Account opening date
(8)
Peak Balance During the Period
(9)
Closing balance
(10)
(₹)
Gross interest paid/credited to the account during the period
(₹)
Nature
(10)
Amount
(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
Owner
Beneficial owner
Beneficiary
Select
Interest
Dividend
Proceeds from sale or redemption of financial assets
Other income
A3
Details of Foreign Equity and Debt Interest held (including any beneficial interest) in any entity at any time during the relevant accounting period
Sl No (1)
Country Code and Name
(2)
Name of entity
(3)
Address of entity
(4)
ZIP Code
(5)
Nature of entity
(6)
Date of acquiring the interest
(7)
Initial value of the investment
(8)
Peak value of investment During the Period
(9)
Closing balance
(10)
Total gross amount paid/credited with respect to the holding during the period
(11)
(₹)
Total gross proceeds from sale or redemption of investment during the period
(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
A4
Details of Foreign Cash Value Insurance Contract or Annuity Contract held (including any beneficial interest) at any time during the relevant accounting period
Sl No (1)
Country Code and Name
(2)
Name of financial institution in which insurance contract held
(3)
Address of financial institution
(4)
ZIP Code
(5)
Date of contract
(5)
The cash value or surrender value of the contract
(6)
Total gross amount paid/credited with respect to the contract during the period.
(7)
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
B
Details of Financial Interest in any Entity held (including any beneficial interest) at any time during the relevant accounting period
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
Select
Other Sources
C
Details of Immovable Property held (including any beneficial interest) at any time during the relevant accounting period
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
Select
Other Sources
House Property
Capital Gains
D
Details of any other Capital Asset held (including any beneficial interest) at any time during the relevant accounting period
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
Select
Other Sources
House Property
Capital Gains
E
Details of account(s) in which you have signing authority held (including any beneficial interest) at any time during the relevant accounting period 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
Select
Salary
House Property
Capital Gains
Other Sources
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
Select
Salary
House Property
Capital Gains
Other Sources
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
Select
Salary
House Property
Capital Gains
Other Sources
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
*
3
Capital gains
*
4
Other sources
*
5
Total
Asset and Liabilities 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
Zip Code
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
Liabilities in relation to Assets at (A+B)
Part B TI Computation of Total Income
1
Salaries (6 of Schedule S)
1
2
Income from house property [4 of Schedule-HP] (enter nil if loss)
2
3
Capital gains
a
Short-term
i
Short-term chargeable @ 15% (9ii of item E of schedule CG)
ai
ii
Short-term chargeable @ 30% (9iii of item E of schedule CG)
aii
iii
Short-term chargeable at applicable rate (9iv of item E of schedule CG)
aiii
iv
Short-term chargeable at DTAA rates (9v of item E schedule CG)
aiv
v
Total Short term (ai+aii+aiii+aiv)
3av
b
Long-term
i
Long-term chargeable @ 10% (9vi of item E of schedule CG)
bi
ii
Long-term chargeable @ 20% (9vii of item E of schedule CG)
bii
iii
Long-term chargeable at DTAA rates (9viii of item E of schedule CG)
biii
iv
Total Long-term (bi + bii+biii) (enter nil if loss)
3biv
c
Total Capital gains (3av + 3biv) (enter nil if loss)
3c
4
Income from other sources
a
Net income from sources chargeable to tax at special rates (6 of Schedule OS) (enter nil if loss)
4a
b
Income chargeable to tax at special rates (2 of Schedule OS)
4b
c
Income from the activity of owning and maintaining race horses (8e of Schedule OS)(enter nil if loss)
4c
d
Total (4a + 4b + 4c) (enter nil if loss)
4d
5
Total of head wise income (1+2+3c+4d)
5
6
Losses of current year set off against 5 (total of 2xiii and 3xiii of Schedule CYLA)
6
7
Balance after set off current year losses (5 - 6) (total of column 4 of Schedule CYLA + 2 of Schedule OS)
7
8
Brought forward losses set off against 7 (2xii of Schedule BFLA)
8
9
Gross Total income (7-8) (3xiii of Schedule BFLA + 2 of Schedule OS)
9
10
Income chargeable to tax at special rate under section 111A, 112, 112A etc. included in 9
10
11
Deductions under Chapter VI-A [u 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 column (i) of schedule SI)
13
14
Net agricultural income for rate purpose (3 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
17
Deemed income under section 115JC (3 of schedule AMT)
17
Part B TTI Computation of Tax Liability on Total Income
1
a
Tax payable on deemed total income under section 115JC (4 of Schedule AMT)
1a
b
Surcharge on (a) (if applicable)
1b
c
Health and Education Cess @ 4% on (1a+1b) above
1c
d
Total Tax Payable on deemed total income (1a+1b+1c)
1d
2
Tax payable on total income
a
Tax at normal rates on 15 of Part B-TI
2a
b
Tax at special rates (total of col.(ii) of Schedule SI)
2b
c
Rebate on agricultural income [applicable if (12-13) of Part B-TI exceeds maximum amount not chargeable to tax]
2c
d
Tax Payable on Total Income (2a + 2b – 2c)
2d
3
Rebate under section 87A
3
4
Tax payable after rebate (2d - 3)
4
5
Surcharge
(i)
25% of 15(ii) of Schedule SI
5 i
(ii)
On [(4) – (15(ii) of Schedule SI)]
5 ii
(iii)
Total i + ii
5 iii
6
Health and Education cess @ 4% on (4 + 5iii )
6
7
Gross tax liability (4 + 5iii + 6)
7
8
Gross tax payable (higher of 1d and 7)
8
9
Credit under Section 115JD of tax paid in earlier years (applicable if 7 is more than 1d)(5 of Schedule AMTC)
9
10
Tax payable after credit under section 115JD (8-9)
10
11
Tax relief
a
Section 89
11a
b
Section 90/90A (2 of Schedule TR)
11b
c
Section 91( 3 of Schedule TR)
11c
d
Total (11a + 11b + 11c)
11d
12
Net tax liability (10 – 11d) (enter zero if negative)
12
13
Interest and fee payable
a
Interest for default in furnishing the return (section 234A)
13a
b
Interest for default in payment of advance tax (section 234B)
13b
c
Interest for deferment of advance tax (section 234C)
13c
d
Fee for default in furnishing return of income (section 234F)
13d
e
Total Interest and Fee Payable (13a+13b+13c+13d)
13e
14
Aggregate liability (12 + 13e)
14
15
Taxes Paid
a
Advance Tax (from column 5 of 22A)
15a
b
TDS (total of column 5 of 22B and column 9 of 22C)
15b
c
TCS (total of column 5 of 22D)
15c
d
Self-Assessment Tax(from column 5 of 22A)
15d
e
Total Taxes Paid (15a+15b+15c+15d)
15e
16
Amount payable (Enter if 14 is greater than 15e, else enter 0)
16
Refund
17
Refund (If 15e is greater than 14)(Refund, if any, will be directly credited into the bank account)
17
Bank Account Details
18
Do you have a bank account in India (Non-residents claiming refund with no bank account in India may select NO) ?
*
Yes
No
a) Details of all Bank Accounts held in India at any time during the previous year (excluding dormant accounts)
S.No.
IFS Code of the bank
Name of the Bank
Account Number
Indicate the account in which you prefer to get your refund credited
1
Note:
Minimum one account should be selected for refund credit. In case of Refund, multiple accounts are selected for refund credit, then refund will be credited to one of the account decided by CPC after processing the return.
b) 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
19
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
20. If the return has been prepared by a Tax Return Preparer (TRP) give further details below:
Identification No. of TRP:
Name of TRP :
21. If TRP is entitled for any reimbursement from the Government, amount thereof
22A - 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. 15a & 15d of Part B-TTI
22B - 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 15b of Part B-TTI
22C(1) - TDS2. Details of Tax Deducted at Source on Income [As per FORM 16A issued by Deductor(s)]
Sl.No.
TDS credit relating to Self/Other Person[Spouse as per section 5A/Other person as per Rule 37BA(2)]
*
PAN Of Other Person(If TDS credit related to other person)
*
Tax Deduction Account Number (TAN) of the Deductor
*
Unclaimed TDS brought forward (b/f)
TDS of the current fin. Year
*
TDS credit being claimed this Year (only if corresponding income is being offered for tax this year)
Corresponding Receipt offered
TDS credit being carried forward
*
Financial Year in which deducted
TDS 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)
Gross Amount
Head of Income
(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10)
(11)
(12)
(13)
Income
TDS
Income
TDS
PAN
1
Select
Self
Other Person
Select
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
Select
Income from House Property
Income from Capital Gains
Income from Other Sources
Exempt Income
Total
Note:
Please enter total column 9 of above in 15b of Part B-TTI
22C(2) - TDS3. Details of Tax Deducted at Source (TDS) on Income [As per Form 16B/16C issued by Deductor(s)]
Sl.No.
TDS credit relating to Self/Other Person[Spouse as per section 5A/Other person as per Rule 37BA(2)]
*
PAN Of Other Person(If TDS Credit related to other person)
*
PAN of the buyer/Tenant
*
Unclaimed TDS brought forward (b/f)
TDS of the current fin. Year
*
TDS credit being claimed this Year (only if corresponding income is being offered for tax this year)
Corresponding Receipt offered
TDS credit being carried forward
*
Financial year in which TDS is deducted
TDS 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)
Gross Amount
Head of Income
(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10)
(11)
(12)
(13)
Income
TDS
Income
TDS
PAN
1
Select
Self
Other Person
Select
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
Select
Income from House Property
Income from Capital Gains
Income from Other Sources
Exempt Income
Total
Note:
Please enter total column 9 of above in 15b of Part B-TTI
22D. 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 15c of Part B-TTI
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
Select
Self
Representative
Karta
Authorised Signatory
*
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.
Date
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Note:
1. Submission date is the system date of e-Filing portal of Income Tax Department. The same is available in the Acknowledgement/ITR-V generated after submission of return. 2. Verification Date is the date of e-Verification at e-Filing portal of Income Tax Department or the date of receipt of ITR-V at CPC, Bengaluru. The same will be available in View Returns/Forms option of e-Filing portal. In case of e-Verification, it is available in Acknowledgement.