Shoaib Statement
Shoaib Statement
Shoaib Statement
(A9) Area/locality (A16) Aadhaar Number (12 digit)/ Aadhaar Enrolment Id (28 digit) (if eligible for Aadhaar)
ASHOKA ROAD, 4xxx xxxx 2421
(A11) State
(A10) Town/City/District 15-Karnataka (A12) PIN code/ZIP code
Tumkur (A13) Country/Region 572101
91-India
139(9),
(ii) Or Filed in response to notice u/s 142(1),
148
Have you opted for new tax regime u/s 115BAC and filed Form 10IE in AY 2021-22 ?
Yes
✔ No
For other than not opting, please furnish date of filing of form 10-IE along with Acknowledgment number
(bi) Date of filing of form 10-IE Acknowledgment Number
22-Sep-2022 520141580220922
Are you filing return of income under Seventh proviso to Section 139(1) - (Tick) Yes ✔ No
If yes, please furnish following information
(c)
[Note: To be filled only if a person is not required to furnish a return of income under section 139(1) but filing return of income due
to fulfilling one or more conditions mentioned in the seventh proviso to section 139(1)]
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Acknowledgement Number:520447351220922 Date of filing : 22-Sep-2022
Are you required to file a return as per other conditions prescribed under clause (iv) of seventh proviso to section 139(1) (If yes,
(civ)
please select the relevant condition from the drop down menu) Yes No
If filed, in response to a notice u/s 139(9)/142(1)/148 or order u/s 119(2)(b), enter Unique
(e) Number/Document Identification Number and date of such notice/order, or if filed u/s (Unique Number)
92CD enter date of advance pricing agreement
✔ 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 are a citizen of India, who left India, for the purpose of employment, as
a member of the crew of an Indian ship and were in India for 182 days or more
A. Resident during the previous year and 365 days or more within the preceding 4 years
[Explanation 1(a) of section (6)(1)(c)]
You are a citizen of India or a person of Indian origin and have come on a
visit to India during the previous year and were in India for a) 182 days or more
during the previous year and 365 days or more within the preceding 4 years; or
b) 120 days or more during the previous year and 365 days or more within the
preceding 4 years if the total income, other than income from foreign sources,
exceeds Rs. 15 lakh. [Explanation 1(b) of section (6)(1)(c)]
You are a citizen of India having total income, other than the income from
foreign sources, exceeding Rs. 15 lakh during the previous year and not liable
to tax in any other country or territory by reason of your domicile or residence
or any other criteria of similar nature [section 6(6)(d) read with section 6(1A)].
C. Non-resident (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 Total period of stay in India during
previous year (in days) the 4 preceding years (in days)
Residential
Status in
D.
India (for
Resident
HUF) (Tick
Resident but not Ordinarily Resident
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Acknowledgement Number:520447351220922 Date of filing : 22-Sep-2022
applicable Non-resident
option)
Yes
(g) Do you want to claim the benefit under section 115H? (applicable in case of resident) ✔ No
Are you governed by Portuguese Civil Code as per section 5A? (Tick) ✔
Yes
(h) ✔ No
(If “YES” please fill Schedule 5A)
Whether you were Director in a company at any time during the previous year? (Tick) ✔ Yes ✔ No
(j)
If yes, please furnish following information -
Name of Company Type of company PAN Whether its shares are Director Identification
listed or unlisted Number (DIN)
(k) Whether you are Partner in a firm? (Tick) ✔ Yes ✔ No If yes, please furnish following information -
Whether you have held unlisted equity shares at any time during the previous year? (Tick) ✔ Yes ✔ No
(l)
If yes, please furnish following information in respect of equity shares
Name of Type of PAN Opening balance Shares acquired during the year Shares transferred during Closing balance
No. of Cost of No. of Date of Face value Issue price per share (in Purchase price per share (in case of purchase No. of Sale No. of Cost of
shares acquisition shares subscription / per share case of fresh issue) from existing shareholder) shares consideration shares acquisition
purchase
1a 1b 2 3 4 5 6 7 8 9 10 11 12 13
(m) In case of non-resident, is there a permanent establishment (PE) in India? (Tick) ✔ Yes No
(n) In the case of non-resident, is there a Significant Economic Presence (SEP) in India (Tick) ✔ Yes No
Whether assessee has a unit in an International Financial Services Centre and derives income solely in convertible foreign
exchange?
(o)
Yes
✔ No
(a1) Are you liable to maintain accounts as per section 44AA? (Tick) ✔ ✔ Yes No
(a2) Whether assessee is declaring income only under section 44AE/44B/44BB/44AD/44ADA/44BBA Yes ✔ No
If No, Whether during the year Total sales/turnover/gross receipts of business is between Rs. 1 crore and exceed Rs. 10 crores ?
✔ Yes
a2i
No, turnover does not exceed 1 crore
No, turnover exceeds 10 crores
If Yes is selected at a2i, whether aggregate of all amounts received including amount received for sales, turnover or gross receipts
or on capital account like capital contributions, loans etc. during the previous year, in cash & non-a/c payee cheque/DD, does not
a2ii exceed five per cent of said amount?
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Acknowledgement Number:520447351220922 Date of filing : 22-Sep-2022
Yes
✔ No
If Yes is selected at a2i, whether aggregate of all payments made including amount incurred for expenditure or on capital account
such as asset acquisition, repayment of loans etc., in cash & non-a/c payee cheque/DD, during the previous year does not exceed
a2iii five per cent of the said payment?
Yes
✔ No
(b) Are you liable for audit under section 44AB? (Tick) ✔ ✔ Yes No
If (b) is Yes, whether the accounts have been audited by an accountant? (Tick) ✔ ✔ Yes No
(c)
If Yes, furnish the following information below
If (di) is Yes, Whether the accounts have been audited u/s 92E? Yes
(dii) Date of furnishing audit report? DD/MMM/YYYY
No
(diii) If liable to furnish other audit report, mention the date of furnishing the audit report? (DD/MM/YY) (Please see Instruction)
SL. No. Section Code Whether have you furnished such other audit report? Date of furnishing of the audit report
(e) If liable to audit under any Act other than the Income-tax act, mention the Act, section and date of furnishing the audit report?
SL. Act Section Have you got audited Date of furnishing of the
No. under the selected Act audit report
other than the Income-tax
Act?
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Acknowledgement Number:520447351220922 Date of filing : 22-Sep-2022
i 09024 -Retail sale of textiles, apparel, footwear, leather goods WIN AGENCY
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Acknowledgement Number:520447351220922 Date of filing : 22-Sep-2022
2 Investments
a Long-term investments
i Government and other Securities - Quoted ai 0
ii Government and other Securities – Unquoted aii 0
iii Total (ai + aii) aiii 0
b Short-term investments
Equity Shares, including share application
i bi 0
money
ii Preference Shares bii 0
iii Debentures biii 0
iv Total (bi + bii + biii) biv 0
c Total investments (aiii + biv) 2c 0
3 Current assets, loans and advances
a Current assets
i Inventories
Stores/consumables including packing
A iA 0
material
B Raw materials iB 0
C Stock-in-process iC 0
D Finished Goods/Traded Goods iD 51,95,850
E Total (iA + iB + iC + iD) iE 51,95,850
ii Sundry Debtors aii 0
iii Cash and Bank Balances
A Cash-in-hand iiiA 7,54,322
B Balance with banks iiiB 91,867
C Total (iiiA + iiiB) iiiC 8,46,189
iv Other Current Assets aiv 3,38,702
v Total current assets (iE + aii + iiiC + aiv) av 63,80,741
b Loans and advances
Advances recoverable in cash or in kind or for
i bi 0
value to be received
Deposits, loans and advances to corporates and
ii bii 11,50,000
others
iii Balance with Revenue Authorities biii 0
iv Total (bi + bii + biii ) biv 11,50,000
c Total of current assets, loans and advances (av + biv) 3c 75,30,741
d Current liabilities and provisions
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Acknowledgement Number:520447351220922 Date of filing : 22-Sep-2022
i Current liabilities
A Sundry Creditors iA 15,97,968
B Liability for Leased Assets iB 0
C Interest Accrued on above iC 0
D Interest accrued but not due on loans iD 0
E Total (iA + iB + iC + iD) iE 15,97,968
ii Provisions
A Provision for Income Tax iiA 18,754
Provision for Leave encashment
B iiB 0
/Superannuation/Gratuity
C Other Provisions iiC 0
D Total (iiA + iiB + iiC) iiD 18,754
iii Total (iE + iiD) diii 16,16,722
e Net current assets (3c – diii) 3e 59,14,019
4 a Miscellaneous expenditure not written off or adjusted 4a 0
b Deferred tax asset 4b 0
c Profit and loss account/ Accumulated balance 4c 0
d Total (4a + 4b + 4c) 4d 0
5 Total, application of funds (1e + 2c + 3e +4d) 5 60,91,969
In a case where regular books of account of business or profession are not maintained
6 - (furnish the following information as on 31st day of March, 2022, in respect of
business or profession)
a Amount of total sundry debtors 6a 0
b Amount of total sundry creditors 6b 0
c Amount of total stock-in-trade 6c 0
d Amount of the cash balance 6d 0
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Acknowledgement Number:520447351220922 Date of filing : 22-Sep-2022
Part A-
Manufacturing Account for the financial year 2021-22 (fill items 1 to 3 in a case where regular books of
Manufacturing
accounts are maintained, otherwise fill items 61 to 65 as applicable)
Account
1 Debits to manufacturing account
Opening Inventory
i Opening stock of raw-material i 0
A
ii Opening stock of Work in progress ii 0
iii Total (i + ii) Aiii 0
Purchases (net of refunds and duty or tax, if any) (Provide details of top three
B B 0
purchase item)
C Direct wages C 0
D Direct expenses (Di + Dii + Diii) D 0
i Carriage inward i 0
ii Power and fuel ii 0
iii Other direct expenses iii 0
E Factory Overheads
I Indirect wages i 0
II Factory rent and rates ii 0
III Factory Insurance iii 0
IV Factory fuel and power iv 0
V Factory general expenses v 0
Vi Depreciation of factory machinery vi 0
Vii Total (i+ii+iii+iv+v+vi) Evii 0
F Total of Debits to Manufacturing Account (Aiii+B+C+D+Evii) IF 0
2 Closing Stock
i Raw material 2i 0
ii Work-in-progress 2ii 0
Total (2i +2ii) 2 0
3 Cost of Goods Produced – transferred to Trading Account (1F - 2) 3 0
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Acknowledgement Number:520447351220922 Date of filing : 22-Sep-2022
Part A-Trading Trading Account for the financial year 2021-22 (fill items 4 to 12 in a case where regular books of
Account accounts are maintained, otherwise fill items 61 to 65 as applicable)
4 Revenue from operations
Sales/ Gross receipts of business (net of returns and refunds and duty or tax,
A
if any)
i Sale of goods i 1,36,39,543
ii Sale of services ii 0
iii Other operating revenues (specify nature and amount)
Sl. No. Nature of Revenue Amount
Total Aiii 0
iv Total (i + ii + iiic) Aiv 1,36,39,543
B Gross receipts from Profession B 0
Duties, taxes and cess received or receivable in respect of goods and
C
services sold or supplied
i Union Excise duties i 0
ii Service tax ii 0
iii VAT/Sales tax iii 0
Central Goods &
iv iv 0
Service Tax (CGST)
State Goods & Services
v v 0
Tax (SGST)
Integrated Goods &
vi vi 1,30,480
Services Tax (IGST)
Union Territory Goods &
vii vii 0
Services Tax (UTGST)
Any other duty, tax and
viii viii 0
cess
ix Total (i + ii + iii + iv +v+ vi+vii+viii) Cix 1,30,480
D Total Revenue from operations (Aiv + B +Cix) 4D 1,37,70,023
5 Closing Stock of Finished Stocks 5 51,95,850
6 Total of credits to Trading Account (4D + 5) 6 1,89,65,873
7 Opening Stock of Finished Goods 7 18,02,244
8 Purchases (net of refunds and duty or tax, if any) 8 1,60,13,285
9 Direct Expenses (9i + 9ii + 9iii) 9 0
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Acknowledgement Number:520447351220922 Date of filing : 22-Sep-2022
i Carriage inward 9i 0
ii Power and fuel 9ii 0
iii Other direct expenses 9iii 0
Sl.No Nature of Expense Amount
10 Duties and taxes, paid or payable, in respect of goods and services purchased
i Custom duty 10i 0
ii Counter veiling duty 10ii 0
iii Special additional duty 10iii 0
iv Union excise duty 10iv 0
v Service tax 10v 0
vi VAT/ Sales tax 10vi 0
Central Goods & Service Tax
vii 10vii 0
(CGST)
State Goods & Services Tax
viii 10viii 0
(SGST)
Integrated Goods & Services
ix 10ix 0
Tax (IGST)
Union Territory Goods &
x 10x 0
Services Tax (UTGST)
xi Any other tax, paid or payable 10xi 0
xii Total (10i + 10ii + 10iii + 10iv + 10v + 10vi + 10vii + 10viii + 10ix + 10x + 10xi) 10xii 0
11 Cost of goods produced – Transferred from Manufacturing Account 11 0
Gross Profit from Business/Profession - transferred to Profit and Loss account (6-7-
12 12 11,50,344
8-9-10xii-11)
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Acknowledgement Number:520447351220922 Date of filing : 22-Sep-2022
Part A- Profit and Loss Account for the financial year 2021-22 (fill items 13 to 60 in a case where regular books of
P& L accounts are maintained, otherwise fill items 61 to 65 as applicable)
14 Other income
i Rent i 0
ii Commission ii 0
iv Interest income iv 0
vi Profit on sale of investment being securities chargeable to Securities Transaction Tax (STT) vi 0
viii Gain (loss) on account of foreign exchange fluctuation u/s 43AA viii 0
Profit on conversion of inventory into capital asset u/s 28(via) (Fair Market Value of inventory as on the date of
ix ix 0
conversion)
x Agricultural income x 0
xii Total of other income (i + ii + iii + iv + v + vi + vii + viii + ix + x + xic) 14xii 310
16 Freight outward 16 0
19 Rents 19 1,38,000
20 Repairs to building 20 0
21 Repairs to machinery 21 0
22 Compensation to employees
ii Bonus 22ii 0
x Any other benefit to employees in respect of which an expenditure has been incurred 22x 0
23 Insurance
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Acknowledgement Number:520447351220922 Date of filing : 22-Sep-2022
i Medical Insurance 23i 0
25 Entertainment 25 0
26 Hospitality 26 0
27 Conference 27 0
29 Advertisement 29 0
30 Commission
i Paid outside India, or paid in India to a non-resident other than a company or a foreign company i 0
ii To others ii 0
31 Royalty
i Paid outside India, or paid in India to a non-resident other than a company or a foreign company i 0
ii To others ii 0
i Paid outside India, or paid in India to a non-resident other than a company or a foreign company i 0
ii To others ii 0
36 Conveyance expenses 36 0
39 Club expenses 39 0
41 Scholarship 41 0
42 Gift 42 0
43 Donation 43 0
44 Rates or taxes, paid or payable to Government or any local body (excluding taxes on income)
iv Cess 44iv 0
ix Any other rate, tax, duty or cess incl STT and CTT 44ix 0
x Total rates and taxes paid or payable (44i + 44ii +44iii +44iv + 44v + 44vi + 44vii + 44viii +44ix) 44x 0
45 Audit Fee 45 0
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Acknowledgement Number:520447351220922 Date of filing : 22-Sep-2022
Bad debts (specify PAN/ Aadhaar of the person, if available, for whom Bad Debt for amount of Rs. 1 lakh or more is claimed and
47 47i 0
amount)
Sl. No. PAN of the person Aadhaar Number of the person Amount
ii Others (more than Rs. 1 lakh) where PAN/ Aadhaar is not available (provide name and complete address) 47ii 0
Sl.No. Name Flat / Door / Name of Premises/ Building/ Road/ Street/ Post Area/ Town/ City/ State Country PIN ZIP Amount
Block No. Village Office Locality District /Region Code Code
49 Other provisions 49 0
Profit before interest, depreciation and taxes [15 – (16 to 21 + 22xi + 23v + 24 to 29 + 30iii + 31iii + 32iii + 33 to 43 + 44x + 45 +
50 50 5,80,376
46iii + 47iv + 48 + 49)]
51 Interest
i Paid outside India, or paid in India to a non-resident other than a company or a foreign company i 0
ii To others ii 0
Through a/c payee cheque or a/c payee bank draft or bank electronic clearing system received or other
a ia 0
prescribed electronic modes before specified date
a 6% of 61ia, or the amount claimed to have been earned, whichever is higher iia 0
b 8% of 61ib, or the amount claimed to have been earned, whichever is higher iib 0
NOTE—If income is less than the above percentage of Gross Receipts/Turnover, it is mandatory to maintain books of accounts and have a tax audit under section 44AB
Presumptive Income under section 44ADA (50% of 62i, or the amount claimed to have been earned, whichever is
(ii) 62ii 0
higher)
NOTE—If income is less than 50% of Gross Receipts, it is mandatory to maintain books of accounts and have a tax audit under section 44AB
Registration No. of Whether owned/ Tonnage capacity of Number of months for which goods carriage was Presumptive income u/s 44AE for the goods
goods carriage leased/hired goods carriage (in MT) owned/leased/hired by assessee carriage (Computed @ Rs.1000 per ton per month
in case tonnage exceeds 12MT, or else @ Rs.7500
per month) or the amount claimed to have been
actuallyearned, whichever is higher
Total 0
(ii) Total presumptive income from goods carriage u/s 44AE [total of column (5) of table 63(i)] 63(ii) 0
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Acknowledgement Number:520447351220922 Date of filing : 22-Sep-2022
NOTE— If the profits are lower than prescribed under S.44AE or the number of goods carriage owned / leased / hired at any time during the year exceeds 10, then , it is mandatory to maintain books of
accounts and have a tax audit under section 44AB
IF REGULAR BOOKS OF ACCOUNT OF BUSINESS OR PROFESSION ARE NOT MAINTAINED, furnish the following information for
64
previous year 2021-22 in respect of business or profession -
Through a/c payee cheque or a/c payee bank draft or bank electronic clearing system received or other
1 a1 0
prescribed electronic modes before specified date
B Gross profit ib 0
C Expenses ic 0
Through a/c payee cheque or a/c payee bank draft or bank electronic clearing system received or other
1 a1 0
prescribed electronic modes before specified date
c Expenses iic 0
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Acknowledgement Number:520447351220922 Date of filing : 22-Sep-2022
Part A- OI Other Information (mandatory if liable for audit under section 44AB, for other fill, if applicable)
1 Method of accounting employed in the previous year (Tick) ✔ ✔ mercantile cash
2 Is there any change in method of accounting (Tick) ✔ Yes ✔ No
Increase in the profit or decrease in loss because of deviation, if any, as per
3a Income Computation Disclosure Standards notified under section 145(2) [column 3a 0
11a(iii) of Schedule ICDS]
Decrease in the profit or increase in loss because of deviation, if any, as per
3b Income Computation Disclosure Standards notified under section 145(2) [column 3b 0
11b(iii) of Schedule ICDS]
4 Method of valuation of closing stock employed in the previous year
Raw Material (if at cost or market rates whichever is less write 1, if at cost write 2, 1 - At cost or market rates
a
if at market rate write 3) whichever is less
Finished goods (if at cost or market rates whichever is less write 1, if at cost write 1 - At cost or market rates
b
2, if at market rate write 3) whichever is less
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Acknowledgement Number:520447351220922 Date of filing : 22-Sep-2022
b employees [36(1)(ib)] 6b 0
Any sum paid to an employee as bonus or
commission for services rendered, where
c 6c 0
such sum was otherwise payable to him as
profits or dividend [36(1)(ii)]
Any amount of interest paid in respect of
d 6d 0
borrowed capital [36(1)(iii)]
Amount of discount on a zero-coupon bond [36
e 6e 0
(1)(iiia)]
Amount of contributions to a recognised
f 6f 0
provident fund [36(1)(iv)]
Amount of contributions to an approved
g 6g 0
superannuation fund [36(1)(iv)]
Amount of contribution to a pension scheme
h 6h 0
referred to in section 80CCD [36(1)(iva)]
Amount of contributions to an approved
i 6i 0
gratuity fund [36(1)(v)]
j Amount of contributions to any other fund 6j 0
Any sum received from employees as
contribution to any provident fund or
superannuation fund or any fund set up under
k ESI Act or any other fund for the welfare of 6k 0
employees to the extent not credited to the
employees account on or before the due date
[36(1)(va)]
l Amount of bad and doubtful debts [36(1)(vii)] 6l 0
Provision for bad and doubtful debts [36(1)
m 6m 0
(viia)]
Amount transferred to any special reserve [36
n 6n 0
(1)(viii)]
Expenditure for the purposes of promoting
o 6o 0
family planning amongst employees [36(1)(ix)]
Amount of securities transaction paid in
respect of transaction in securities if such
p 6p 0
income is not included in business income [36
(1)(xv)]
Marked to market loss or other expected loss
q as computed in accordance with the ICDS 6q 0
notified u/s 145(2) [36(1)(xviii)]
r Any other disallowance 6r 0
s Total amount disallowable under section 36 (total of 6a to 6r) 6s 0
Amounts debited to the profit and loss account, to the extent disallowable under
7
section 37
a Expenditure of capital nature [37(1)] 7a 0
b Expenditure of personal nature [37(1)] 7b 0
Expenditure laid out or expended wholly and
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Acknowledgement Number:520447351220922 Date of filing : 22-Sep-2022
a 40A(2)(b) 9a 0
Amount paid otherwise than by account payee
cheque or account payee bank draft or use of
electronic clearing system through a bank
b 9b 0
account or through such electronic mode as
may be prescribed, disallowable under section
40A(3)
c Provision for payment of gratuity [40A(7)] 9c 0
Any sum paid by the assessee as an
employer for setting up or as contribution to
d 9d 0
any fund, trust, company, AOP, or BOI or
society or any other institution [40A(9)]
e Any other disallowance 9e 0
f Total amount disallowable under section 40A(total of 9a to 9e) 9f 0
Any amount disallowed under section 43B in any preceding previous year but
10
allowable during the previous year
Any sum in the nature of tax, duty, cess or fee
a 10a 0
under any law
Any sum payable by way of contribution to
any provident fund or superannuation fund or
b 10b 0
gratuity fund or any other fund for the welfare
of employees
Any sum payable to an employee as bonus or
c 10c 0
commission for services rendered
Any sum payable as interest on any loan or
borrowing from any public financial institution
d 10d 0
or a State financial corporation or a State
Industrial investment corporation
Any sum payable as interest on any loan or
borrowing from a deposit taking non-banking
financial company or systemically important
da non-deposit taking non-banking financial 10da 0
company, in accordance with the terms and
conditions of the agreement governing such
loan or borrowing
Any sum payable as interest on any loan or
borrowing from any scheduled bank or a co-
e operative bank other than a primary 10e 0
agricultural credit or a primary co-operative
agricultural and rural development bank
f Any sum payable towards leave encashment 10f 0
Any sum payable to the Indian Railways for
g 10g 0
the use of railway assets
h Total amount allowable under section 43B (total of 10a to 10g) 10h 0
Any amount debited to profit and loss account of the previous year but
11
disallowable under section 43B
Any sum in the nature of tax, duty, cess or fee
a 11a 0
under any law
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Acknowledgement Number:520447351220922 Date of filing : 22-Sep-2022
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Acknowledgement Number:520447351220922 Date of filing : 22-Sep-2022
Part A – QD Quantitative details (mandatory if liable for audit under section 44AB)
a. In the case of a trading concern
Sl. No. Item Name Unit of Opening Stock Purchase Sales during Closing stock Shortage
measure during the the previous /excess (if any)
previous year year
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Acknowledgement Number:520447351220922 Date of filing : 22-Sep-2022
Less : allowances to the extent exempt u/s 10 (drop down to be provided in e-filing utility) (please refer
3 instructions) 3 0
(Note: Ensure that it is included in Total Gross salary in (2) above )
4 Net Salary (2 - 2a - 3) 4 0
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Acknowledgement Number:520447351220922 Date of filing : 22-Sep-2022
I
[Tick the
applicable Sl. Name of PAN/ Aadhaar No. of Tenant(s) PAN/TAN of Tenant(s) (if TDS credit is claimed)
option] No. Tenant(s) (if (Please see note)
Let out let out)
Self-occupied
Deemed let I
out
a Gross rent received or receivable or letable value 1a 0
b The amount of rent which cannot be realized 1b 0
c Tax paid to local authorities 1c 0
d Total ( 1 b + 1 c) 1d 0
Annual value ( 1 a – 1 d) (nil, if self -occupied etc. as per section 23(2)of
e 1e 0
the Act)
f Annual value of the property owned (own percentage share x 1 e) 1f 0
g 30% of 1 f 1g 0
h Interest payable on borrowed capital 1h 0
i Total ( 1 g + 1 h) 1i 0
j Arrears/Unrealised rent received during the year less 30% 1j 0
k Income from house property 1 ( 1 f – 1 i + 1 j) 1k 0
3 Pass through income/loss if any * 3 0
Income under the head “Income from house property” (1k + 2k + 3)
4 4 0
(if negative take the figure to 2i of schedule CYLA)
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/ Aadhaar No. 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.
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Acknowledgement Number:520447351220922 Date of filing : 22-Sep-2022
vi 44BBA 4avi 0
vii 44DA 4avii 0
Profit from activities covered under rule 7, 7A, 7B
4b (1), 7B(1A) and 8 (Dropdown to be provided and 4b 0
capture as individual line item)
Sl.
Section Amount
No
i Profit from activities covered under rule 7 4bi 0
ii Profit from activities covered under rule 7A 4bii 0
Profit from activities covered under rule 7B
iii 4biii 0
(1)
Profit from activities covered under rule 7B
iv 4biv 0
(1A)
v Profit from activities covered under rule 8 4bv 0
5 Income credited to Profit and Loss account (included in 1) which is exempt
Share of income from
a 5a 0
firm(s)
Share of income from
b 5b 0
AOP/ BOI
Any other exempt
c income (specify nature 5c 0
and amount)
Sl. No. Nature of Exempt Income Amount
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Acknowledgement Number:520447351220922 Date of filing : 22-Sep-2022
Depreciation on Plant and Machinery (Other than assets on which full capital expenditure is allowable as
Schedule DPM
deduction under any other section)
1 Block of assets Plant and machinery
15 30 40 45
2 Rate (%)
(i) (ii) (iii) (iv)
Written down value on the
3 95,000 0 0
first day of previous year
Additions for a period of 180
4 days or more in the previous 0 0 0
year
Consideration or other
5 realization during the 0 0 0 0
previous year out of 3 or 4
Amount on which
depreciation at full rate to be
6 95,000 0 0 0
allowed (3 + 4 -5) (enter 0, if
result is negative)
Additions for a period of less
7 than 180 days in the 0 0 0
previous year
Consideration or other
8 realizations during the year 0 0 0
out of 7
Amount on which
depreciation at half rate to
9 0 0 0
be allowed (7-8) (enter 0, if
result is negative)
10 Depreciation on 6 at full rate 14,250 0 0 0
11 Depreciation on 9 at half rate 0 0 0
Additional depreciation, if
12 0 0 0
any, on 4
Additional depreciation, if
13 0 0 0
any, on 7
Additional depreciation
relating to immediately
14 0 0 0 0
preceding year' on asset put
to use for less than 180 days
Total depreciation
15 14,250 0 0 0
(10+11+12+13+14)
Depreciation disallowed
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Depreciation on other assets (Other than assets on which full capital expenditure is allowable as
Schedule DOA
deduction)
Furniture and Intangible
1 Block of assets Land Building (not including land) Ships
fittings assets
Nil 5 10 40 10 25 20
2 Rate (%)
(i) (ii) (iii) (iv) (v) (vi) (vii)
Consideration or other
realization during the
5 0 0 0 0 0 0
previous year out of 3 or
4
Amount on which
depreciation at full rate to
6 be allowed (3 + 4 -5) 0 1,08,000 0 0 0 0
(enter 0, if result is
negative)
Consideration or other
8 realizations during the 0 0 0 0 0 0
year out of 7
Amount on which
depreciation at half rate
9 0 0 0 0 0 0
to be allowed (7-8) (enter
0, if result is negative)
Depreciation on 6 at full
10 0 10,800 0 0 0 0
rate
Depreciation on 9 at half
11 0 0 0 0 0 0
rate
Total depreciation
12 0 10,800 0 0 0 0
(10+11)
Depreciation disallowed
under section 38(2) of the
13 0 0 0 0 0 0
I.T. Act (out of column
12)
Net aggregate
14 0 10,800 0 0 0 0
depreciation (12-13)
Proportionate aggregate
depreciation allowable in
15 0 0 0 0 0 0
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Acknowledgement Number:520447351220922 Date of filing : 22-Sep-2022
Expenditure incurred in
16 connection with transfer 0 0 0 0 0 0
of asset/ assets
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Acknowledgement Number:520447351220922 Date of filing : 22-Sep-2022
Summary of depreciation on assets (Other than assets on which full capital expenditure is allowable as
Schedule DEP
deduction under any other section)
1 Plant and machinery
Block entitled for depreciation
@ 15 percent
a 1a 14,250
(Schedule DPM -17i or 18i as
applicable)
Block entitled for depreciation
@ 30 percent
b 1b 0
(Schedule DPM - 17ii or 18ii as
applicable)
Block entitled for depreciation
@ 40 percent
c 1c 0
(Schedule DPM - 17iii or 18iii
as applicable)
Block entitled for depreciation
@ 45 percent
d 1d 0
(Schedule DPM - 17iv or 18iv
as applicable)
e Total depreciation on plant and machinery ( 1a + 1b + 1c + 1d) 1e 14,250
2 Building (not including land)
Block entitled for depreciation
@ 5 percent
a 2a 0
(Schedule DOA- 14ii or 15ii as
applicable)
Block entitled for depreciation
@ 10 percent
b 2b 10,800
(Schedule DOA- 14iii or 15iii
as applicable)
Block entitled for depreciation
@ 40 percent
c 2c 0
(Schedule DOA- 14iv or 15iv
as applicable)
d Total depreciation on building (total of 2a + 2b + 2c) 2d 10,800
3 Furniture and fittings (Schedule DOA- 14v or 15v as applicable) 3 0
4 Intangible assets (Schedule DOA- 14vi or 15vi as applicable) 4 0
5 Ships (Schedule DOA- 14vii or 15vii as applicable) 5 0
6 Total depreciation (1e+2d+3+4+5) 6 25,050
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Schedule ESR Expenditure on scientific Research etc. (Deduction under section 35 or 35CCC or 35CCD)
Amount of deduction in
Expenditure of the nature Amount, if any, debited to Amount of deduction excess of the amount debited
Sl No
referred to in section (1) profit and loss account (2) allowable (3) to profit and loss account (4)
= (3) - (2)
i 35(1)(i) 0 0 0
ii 35(1)(ii) 0 0 0
iii 35(1)(iia) 0 0 0
iv 35(1)(iii) 0 0 0
v 35(1)(iv) 0 0 0
vi 35(2AA) 0 0 0
vii 35(2AB) 0 0 0
viii 35CCC 0 0 0
ix 35CCD 0 0 0
x Total 0 0 0
In case any deduction is claimed under sections 35(1)(ii) or 35(1)(iia) or 35(1)(iii) or 35(2AA), please provide the details as per
NOTE
Schedule RA.
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Acknowledgement Number:520447351220922 Date of filing : 22-Sep-2022
1i From sale of land or building or both (fill up details separately for each property)
f In case of transfer of immovable property, please furnish the following details (see note)
1 ,,
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Acknowledgement Number:520447351220922 Date of filing : 22-Sep-2022
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
3
section 111A or 115AD(1)(ii) proviso (for FII)
For NON-RESIDENT, not being an FII- from sale of shares or debentures of an Indian company (to be
4
computed with foreign exchange adjustment under first proviso to section 48)
STCG on transactions on which securities transaction tax (STT) is
a A4a 0
paid
STCG on transactions on which securities transaction tax (STT) is
b A4b 0
not paid
5 For NON-RESIDENTS- from sale of securities (other than those at A3 above) by an FII as per section 115AD
In case securities sold include shares of a company other than
a i
quoted shares, enter the following details
Full value of consideration received/receivable in
a ia 0
respect of unquoted shares
Fair market value of unquoted shares determined in
b ib 0
the prescribed manner
Full value of consideration in respect of unquoted
c shares adopted as per section 50CA for the purpose ic 0
of Capital Gains (higher of a or b)
Full value of consideration in respect of securities other than
ii aii 0
unquoted shares
iii Total (ic + ii) aiii 0
b Deductions under section 48
i Cost of acquisition without indexation bi 0
ii Cost of improvement without indexation bii 0
Expenditure wholly and exclusively in connection with
iii biii 0
transfer
iv Total (bi + bii + biii) biv 0
c Balance (5aiii - biv) 5c 0
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
d 5d 0
/income/bonus units are received, then loss arising out of sale of
such security to be ignored (Enter positive value only)
Short-term capital gain on sale of securities by an FII (other than
e A5e 0
those at A3) (5c +5d)
6 From sale of assets other than at A1 or A2 or A3 or A4 or A5 above
In case assets sold include shares of a company other than quoted
a i
shares, enter the following details
Full value of consideration received/receivable in
a ia 0
respect of unquoted shares
Fair market value of unquoted shares determined in
b ib 0
the prescribed manner
Full value of consideration in respect of unquoted
c shares adopted as per section 50CA for the purpose ic 0
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Acknowledgement Number:520447351220922 Date of filing : 22-Sep-2022
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(1) (2) (3) (4) (5) (6) (7) (8) (9) (10)
a Total amount of STCG not chargeable to tax in India as per DTAA A9a 0
Total amount of STCG chargeable to tax at special rates as per
b A9b 0
DTAA
Total Short-term
Capital Gain
(A1e+ A2c+ A3e+
10 A10 0
A4a+ A4b+ A5e+
A6g+ A7+ A8–
A9a)
B Long-term capital gain (LTCG) (Sub-items, 6 , 7, 8 & 9 are not applicable for residents)
1i From sale of land or building or both (fill up details separately for each property)
i Cost of acquisition bi 0
f In case of transfer of immovable property, please furnish the following details (see note)
1 ,,
Furnishing of PAN/ Aadhaar is mandatory, if the tax is deducted under section 194-IA or is quoted
NOTE by buyer in the documents.
In case of more than one buyer, please indicate the respective percentage share and amount.
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Acknowledgement Number:520447351220922 Date of filing : 22-Sep-2022
3 From sale of bonds or debenture (other than capital indexed bonds issued by Government)
From sale of, (i) listed securities (other than a unit) or zero coupon bonds where proviso under section 112(1) is applicable (ii) GDR
4
of an Indian company referred in sec. 115ACA
From sale of equity share in a company or unit of equity oriented fund or unit of a business trust on which STT
5
is paid under section 112A
a LTCG u/s 112A (column 14 of Schedule 112A) 5a 0
b Deduction under sections 54F (Specify details in item D below) 5b 0
c Long-term Capital Gains on sale of capital assets at B5 above (5a - 5b) B5c 0
For NON-RESIDENTS- from sale of shares or debenture of Indian company (to be computed with foreign
6
exchange adjustment under first proviso to section 48)
a LTCG computed without indexation benefit 6a 0
b Deduction under sections 54F (Specify details in item D below) 6b 0
c LTCG on share or debenture (6a-6b) B6c 0
For NON-RESIDENTS- from sale of, (i) unlisted securities as per sec. 112(1)(c), (ii) bonds or GDR as referred
7 in sec. 115AC, (iii) securities by FII as referred to in sec. 115AD (other than securities referred to in section
112A for which column B8 is to be filled up)
For NON-RESIDENTS - From sale of equity share in a company or unit of equity oriented fund or unit of a
8
business trust on which STT is paid under section 112A
a LTCG u/s 112A (column 14 of Schedule 115AD(1)(iii)) 8a 0
b Deduction under section 54F (Specify details in item D below) 8b 0
c Long-term Capital Gains on sale of capital assets at B7 above (7a - 7b) B8c 0
9 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) 9a 0
b Less deduction under section 115F (Specify details in item D below) 9b 0
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13 per DTAA
Sl. Amount Item No. B1 to B11 Country Article Rate as per Whether Section Rate as Applicable rate
No. of above in which /Region name of Treaty TRC of I.T. per I.T. [lower of (6) or
income included & Code DTAA (enter NIL, if obtained Act Act (9)]
not (Y/N)
chargeable)
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10)
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Acknowledgement Number:520447351220922 Date of filing : 22-Sep-2022
Date of transfer of Date of purchase Cost and expenses Amount deposited Amount
original asset /construction of incurred for in Capital Gains of
from urban area new asset in an purchase or Accounts Scheme deduction
area other than construction of before due date claimed
urban area new asset
g Deduction claimed u/s 54GA
Cost and expenses
Amount deposited Amount
Date of transfer of Date of purchase incurred for
in Capital Gains of
original asset /construction of purchase or
Accounts Scheme deduction
from urban area new asset in SEZ construction of
before due date claimed
new asset
h Deduction claimed u/s 115F (for Non-Resident Indians)
Amount invested in
Date of Transfer of
new specified asset Amount of deduction
foreign exchange Date of investment
or savings claimed
asset
certificate
i Total deduction claimed (1a + 1b + 1c + 1d + 1e + 1f + 1g + 1h) 0
Set-off of current year capital losses with current year capital gains (excluding amounts included in A 9a & B 13a which is chargeable
E
under DTAA)
Sl. Type of Capital Gain Capital Gain of Short term capital loss Long term capital loss Current year's capital gains
off
computed
figure is negative)
ii Short 15% 0 0 0 0 0
Term
iii 30% 0 0 0 0 0
Capital
Gain
iv Applicable 0 0 0 0 0
Rate
v DTAA 0 0 0 0 0
rates
vi Long 10% 0 0 0 0 0 0 0 0
Term
vii 20% 0 0 0 0 0 0 0 0
Capital
Gain
viii DTAA 0 0 0 0 0 0 0 0
rates
(i-ix)
The figures of STCG in this table (A1e* etc.) are the amounts of STCG computed in respective column (A1-A9) as reduced by theamount of STCG not chargeable to tax or chargeable at special rates as
The figures of LTCG in this table (B1e* etc.) are the amounts of LTCG computed in respective column (B1-B13) as reduced by theamount of LTCG not chargeable to tax or chargeable at special rates as
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Acknowledgement Number:520447351220922 Date of filing : 22-Sep-2022
Note: Please include the income of the specified persons (spouse, minor child etc.) referred to in Schedule SPI while
computing the income under this head
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Acknowledgement Number:520447351220922 Date of filing : 22-Sep-2022
Schedule From sale of equity share in a company or unit of equity oriented fund or unit of a business trust on which
112A STT is paid under section 112A
Sl. Share ISIN Name No. of Sale- Full Value of Consideration If shares/units are acquired on or before Cost of Cost of If the long term capital Fair Market Total Fair Market Expenditure Total Balance
No. /Unit Code of the Shares price 31st January, 2018 (Total Sale Value) (4*5) or If shares/units are acquisition acquisition asset was acquired Value per share Value of capital wholly and deductions (6-13)
Acquired Share /Units per acquired after 31st January, 2018 - (Please enter Full Value of without before 01.02.2018, - /unit as on 31st asset as per exclusively in (7+12) Item 5 (a)
/Unit Share Consideration) indexation (Lower of 6 & 11) January,2018 section 55(2)(ac)- connection with of LTCG
/Unit (Higher of 8 & (4*10) transfer Schedule
9) of ITR3
(Col (Col 1a) (Col (Col (Col (Col (Col 6) (Col 7) (Col 8) (Col 9) (Col 10) (Col 11) (Col 12) (Col 13) (Col 14)
1) 2) 3) 4) 5)
Total 0 0 0 0 0 0 0 0
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Acknowledgement Number:520447351220922 Date of filing : 22-Sep-2022
Schedule 115AD(1) For NON-RESIDENTS - From sale of equity share in a company or unit of equity oriented fund or
(b)(iii) proviso unit of a business trust on which STT is paid under section 112A
Sl. Share ISIN Name No. of Sale- Full Value of Consideration If shares/units are acquired on or before Cost of Cost of If the long term Fair Market Total Fair Market Expenditure Total Balance
No. /Unit Code of the Shares price 31st January, 2018 (Total Sale Value) (4*5) or If shares/units are acquisition acquisition capital asset was Value per share Value of capital wholly and deductions (6-13)
Acquired Share /Units per acquired after 31st January, 2018 - (Please enter Full Value of without acquired before /unit as on 31st asset as per exclusively in (7+12) Item 8 (a)
/Unit Share Consideration) indexation 01.02.2018, -Lower of January,2018 section 55(2)(ac)- connection with of LTCG
/Unit (Higher of 8 & 6 & 11 (4*10) transfer Schedule
9) of ITR3
(Col (Col 1a) (Col (Col (Col (Col (Col 6) (Col 7) (Col 8) (Col 9) (Col 10) (Col 11) (Col 12) (Col 13) (Col 14)
1) 2) 3) 4) 5)
Total 0 0 0 0 0 0 0 0
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Acknowledgement Number:520447351220922 Date of filing : 22-Sep-2022
a Dividends, Gross 1a 0
b Interest, Gross (bi + bii + biii + biv + bv + bvi + bvii + bviii + bix) 1b 0
ix Others bix 0
Income of the nature referred to in section 56(2)(x) which is chargeable to tax (di
d 1d 0
+ dii + diii + div + dv)
1 Family Pension 0
2 Income from retirement benefit account maintained in a notified country u/s 89A 0
Country/Region Amount
Pass through income in the nature of income from other sources chargeable at special rates
e 2e 0
(drop down to be provided)
Amount included in 1 and 2 above, which is chargeable at special rates in India as per
2f 0
DTAA (total of column (2) of table below)
Sl. Amount Item No. Country Article Rate as per Whether Section Rate Applicable
No. of 1ai,1b, /Region of Treaty TRC of I.T. as rate
f income 1c,1d name & DTAA (enter NIL, obtained Act per I. [lower of
and 2 in Code if not (Y/N) T. (6) or (9)]
which chargeable) Act
included
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10)
Deductions under section 57 (other than those relating to income chargeable at special rates under 2a, 2b, 2d, 2e and
3
2f)
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Acknowledgement Number:520447351220922 Date of filing : 22-Sep-2022
d Total 3d 0
Net Income from other sources chargeable at normal applicable rates (1(after reducing income related to
6 6 0
DTAA portion) - 3 + 4 + 5 - 5a) (If negative take the figure to 4i of schedule CYLA )
7 Income from other sources (other than from owning race horses) (2 + 6) (enter 6 as nil, if negative) 7 0
a Receipts 8a 0
e Balance (8a - 8b + 8c + 8d) (if negative take the figure to 10xv of Schedule CFL) 8e 0
9 Income under the head "Income from other sources" (7 + 8e) (take 8e as nil if negative) 9 0
Note: Please include the income of the specified persons (spouse, minor child etc.) referred to in Schedule SPI while computing the income
under this head.
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Acknowledgement Number:520447351220922 Date of filing : 22-Sep-2022
Schedule BFLA Details of Income after Set off of Brought Forward Losses of earlier years
Sl. Head/ Income after set off, Brought forward Brought forward Brought forward Current year’s
No. Source of if any, of current loss set off depreciation set off allowance under income remaining
Income year’s losses as per section 35(4) set off after set off
5 of Schedule
CYLA)
1 2 3 4 5
i Salaries 0 0
ii House 0 0 0 0 0
property
iii Business 5,55,326 0 0 0 5,55,326
(excluding
speculation
income and
income
from
specified
business)
iv Speculation 0 0 0 0 0
Income
v Specified 0 0 0 0 0
Business
Income
vi Short-term 0 0 0 0 0
capital gain
taxable @
15%
vii Short-term 0 0 0 0 0
capital gain
taxable @
30%
viii Short-term 0 0 0 0 0
capital gain
taxable at
applicable
rates
ix Short-term 0 0 0 0 0
capital gain
taxable at
special
rates in
India as
per DTAA
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Acknowledgement Number:520447351220922 Date of filing : 22-Sep-2022
x Long term 0 0 0 0 0
capital gain
taxable @
10%
xi Long term 0 0 0 0 0
capital gain
taxable @
20%
xii Long term 0 0 0 0 0
capital
gains
taxable at
special
rates in
India as
per DTAA
xiii Net income 0 0 0 0
from other
sources
chargeable
at normal
applicable
rates
xiv Profit from 0 0 0 0 0
owning and
maintaining
race
horses
xv Income 0 0 0 0
from other
sources
income
taxable at
special
rates in
India as
per DTAA
xvi Total of brought forward loss 0 0 0
set off (2ii + 2iii + 2iv + 2v +
2vi + 2vii +2viii + 2ix + 2x + 2xi
+ 2xii + 2xiv)
xvii Current year's income remaining after set off Total of (5i + 5ii + 5iii + 5iv + 5v+ 5vi + 5vii + 5,55,326
5viii+ 5ix + 5x + 5xi + 5xii + 5xiii + 5xiv + 5xv)
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Acknowledgement Number:520447351220922 Date of filing : 22-Sep-2022
i 2010-11 0
ii 2011-12 0
iii 2012-13 0
iv 2013-14 0
v 2014-15 0 0 0 0 0 0 0
vi 2015-16 0 0 0 0 0 0 0
vii 2016-17 0 0 0 0 0 0 0
viii 2017-18 0 0 0 0 0 0 0
ix 2018-19 0 0 0 0 0 0 0 0 0
x 2019-20 0 0 0 0 0 0 0 0 0
xi 2020-21 0 0 0 0 0 0 0 0 0
xii 2021-22 0 0 0 0 0 0 0 0 0
xiv Adjustment of 0 0 0 0 0 0 0
above
losses in
schedule BFLA
xv 2022-23 0 0 0 0 0 0 0
(Current Year
Losses to be
carry forward)
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Acknowledgement Number:520447351220922 Date of filing : 22-Sep-2022
No
Amount of brought Amount as adjusted on Amount of depreciation Balance Amount of brought Amount of allowance Balance
forward unabsorbed account of opting for set-off against the carried forward set-off against the Carried
depreciation taxation u/s 115BAC current year income forward to the unabsorbed current year income forward to the
i 2022-23 0 0 0 0 0 0 0
Total 0 0 0 0 0 0 0
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Acknowledgement Number:520447351220922 Date of filing : 22-Sep-2022
I Accounting Policies 0
II Valuation of Inventories (other than the effect of change in method of valuation u/s 145A, if 0
the same is separately reported at col. 4d or 4e of Part A-OI)
IV Revenue Recognition 0
VIII Securities (other than the effect of change in method of valuation u/s 145A, if the same is 0
separately reported at col. 4d or 4e of Part A-OI)
IX Borrowing Costs 0
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Acknowledgement Number:520447351220922 Date of filing : 22-Sep-2022
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Acknowledgement Number:520447351220922 Date of filing : 22-Sep-2022
Schedule 80D
1 Whether you or any of your family member (excluding parents) is a senior citizen?
(a) Self & Family 0
(i) Health Insurance 0
(ii) Preventive Health Checkup 0
(b) Self & Family (Senior Citizen) 0
(i) Health Insurance 0
(ii) Preventive Health Checkup 0
(iii) Medical Expenditure (This deduction can be claimed on which health insurance is not claimed at (i) above) 0
2 Whether any one of your parents is a senior citizen
(a) Parents 0
(i) Health Insurance 0
(ii) Preventive Health Checkup 0
(b) Parents (Senior Citizen) 0
(i) Health Insurance 0
(ii) Preventive Health Checkup 0
(iii) Medical Expenditure (This deduction can be claimed on which health insurance is not claimed at (i) above) 0
3 Eligible Amount of Deduction 0
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Acknowledgement Number:520447351220922 Date of filing : 22-Sep-2022
Schedule 80G Details of donations entitled for deduction under section 80G
Donations entitled for 100% deduction without
A
qualifying limit
Eligible
Name and address of PAN of
Amount of donation Amount of
Donee Donee
donation
Donation in Donation in
Total Donation
cash other mode
Total 0 0 0 0
Donations entitled for 50% deduction without
B
qualifying limit
Eligible
Name and address of PAN of
Amount of donation Amount of
Donee Donee
donation
Donation in Donation in
Total Donation
cash other mode
Total 0 0 0 0
Donations entitled for 100% deduction subject
C
to qualifying limit
Eligible
Name and address of PAN of
Amount of donation Amount of
Donee Donee
donation
Donation in Donation in
Total Donation
cash other mode
Total 0 0 0 0
Donations entitled for 50% deduction subject to
D
qualifying limit
Eligible
Name and address of PAN of
Amount of donation Amount of
Donee Donee
donation
Donation in Donation in
Total Donation
cash other mode
Total 0 0 0 0
E TOTAL ELIGIBLE AMOUNT OF DONATIONS (A + B + C + D) 0
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Acknowledgement Number:520447351220922 Date of filing : 22-Sep-2022
Details of donations to research associations etc. [deduction under sections 35(1)(ii) or 35(1)(iia) or 35(1)
Schedule RA
(iii) or 35(2AA)]
Name and address of donee PAN of Amount of donation Eligible Amount of
Donee donation
Total 0 0
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Acknowledgement Number:520447351220922 Date of filing : 22-Sep-2022
Schedule 80-IA
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Acknowledgement Number:520447351220922 Date of filing : 22-Sep-2022
Schedule AMT Computation of Alternate Minimum Tax payable under section 115JC
1 Total Income as per item 14 of PART-B-TI 1 5,55,330
2 Adjustment as per section 115JC(2)
Deduction claimed under any section included in
a Chapter VI-A under the heading "C.—Deductions 2a 0
in respect of certain incomes"
b Deduction claimed u/s 10AA 2b 0
Deduction claimed u/s 35AD as reduced by the
c amount of depreciation on assets on which such 2c 0
deduction is claimed
d Total Adjustment (2a+ 2b+ 2c) 2d 0
3 Adjusted Total Income under section 115JC(1) (1+2d) 3 0
Adjusted Total Income u/s 115JC from units
a 3a 0
located in IFSC, if any
Adjusted Total Income u/s 115JC from other
b 3b 0
Units (3-3a)
Tax payable under section 115JC [9% of 3a + 18.5% of 3b] (if 3 is greater than Rs. 20
4 4 0
lakhs)
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Acknowledgement Number:520447351220922 Date of filing : 22-Sep-2022
i 2013-14 0 0 0 0 0
ii 2014-15 0 0 0 0 0
iii 2015-16 0 0 0 0 0
iv 2016-17 0 0 0 0 0
v 2017-18 0 0 0 0 0
vi 2018-19 0 0 0 0 0
vii 2019-20 0 0 0 0 0
viii 2020-21 0 0 0 0 0
ix 2021-22 0 0 0 0 0
x Current AY 0 0
(enter 1-2, if 1>2
else enter 0)
xi Total 0 0 0 0 0
5 Amount of tax credit under section 115JD utilised during the year [total of item No. 4 (C)] 5 0
Amount of AMT liability available for credit in subsequent assessment years [total of 4
6 6 0
(D)]
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Acknowledgement Number:520447351220922 Date of filing : 22-Sep-2022
Schedule Income of specified persons (spouse, minor child etc.) includable in income of the assessee as per
SPI section 64
Sl Name of person PAN/ Aadhaar of person Relationship Amount (Rs) Head of Income in
No (optional) which included
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Acknowledgement Number:520447351220922 Date of filing : 22-Sep-2022
Total 0 0 0
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Acknowledgement Number:520447351220922 Date of filing : 22-Sep-2022
Schedule IF Information regarding partnership firms in which you are partner anytime during the previous year
Number of firms in which you are partner
Sl Name of PAN of Firm Whether the Whether section Percentage Amount of share Capital balance on
No Firm firm is liable 92E is applicable Share in the in profit 31st March in the
for audit? (Yes to firm? (Yes/ No) profit of the firm
/No) firm
i ii
Total 0 0
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Acknowledgement Number:520447351220922 Date of filing : 22-Sep-2022
Schedule EI Details of Exempt Income (Income not to be included in Total Income or not chargeable to tax)
1 Interest income 1 0
Gross Agricultural receipts (other than income to be
i i 0
excluded under rule 7A, 7B or 8 of I.T. Rules)
ii Expenditure incurred on agriculture ii 0
Unabsorbed agricultural loss of previous eight
iii iii 0
assessment years
2
Agricultural income portion relating to Rule 7, 7A, 7B
iv iv 0
(1), 7B(1A) and 8(from Sl. No. 39 of Sch. BP)
v Net Agricultural income for the year (i – ii – iii + iv) (enter nil if loss) 2 0
In case the net agricultural income for the year exceeds Rs.5 lakh, please furnish
vi
the following details (Fill up details separately for each agricultural land)
3 Other exempt income (including exempt income of minor child) 3 0
SL.No Nature of Income Description Amount
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Acknowledgement Number:520447351220922 Date of filing : 22-Sep-2022
Schedule PTI Pass Through Income details from business trust or investment fund as per section 115UA, 115UB
Note: Please refer to the instructions for filling out this schedule.
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Acknowledgement Number:520447351220922 Date of filing : 22-Sep-2022
Schedule- Details of Tax on secondary adjustments as per section 92CE(2A) as per the schedule provided in e-
TPSA filing utility
Amount of primary adjustment on which option u/s 92CE(2A) is exercised & such excess
1 money has not been repatriated within the prescribed time (please indicate the total of 0
adjustments made in respect of all the Ays)
a Additional Income tax payable @ 18% on above 0
b Surcharge @ 12% on "a" 0
2
c Health & Education cess on (a+b) 0
d Total Additional tax payable (a+b+c) 0
3 Taxes paid 0
4 Net tax payable (2d-3) 0
Date(s) of deposit of tax on Serial
Name of Bank and BSR
secondary adjustments as per number Amount deposited
Branch Code
section 92CE(2A) of challan (9)
(6) (7)
(5) (8)
Amount Deposited 0
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Acknowledgement Number:520447351220922 Date of filing : 22-Sep-2022
Schedule FSI Details of Income from outside India and tax relief (Available in case of resident)
Note: Please refer to the instructions for filling out this schedule.
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Acknowledgement Number:520447351220922 Date of filing : 22-Sep-2022
Schedule TR Summary of tax relief claimed for taxes paid outside India (available only in case of resident)
1 Details of Tax relief claimed
Country Tax Total taxes paid outside India (total Total tax relief available (total of Section under which
/Region Identification of (c) of Schedule FSI in respect of (e) of Schedule FSI in respect of relief claimed (specify
Code Number each country) each country) 90, 90A or 91)
Total 0 0
Total Tax relief available in respect of country where DTAA is applicable (section 90
2 2 0
/90A) (Part of total of 1(d))
Total Tax relief available in respect of country where DTAA is not applicable (section 91)
3 3 0
(Part of total of 1(d))
Whether any tax paid outside India, on which tax relief was allowed in India, has been
4 refunded/credited by the foreign tax authority during the year? If yes, provide the details 4
below
Amount of tax Assessment year in which tax relief
a 0 b
refunded allowed in India
Note: Please refer to the instructions for filling out this schedule.
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Acknowledgement Number:520447351220922 Date of filing : 22-Sep-2022
Schedule FA 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 calendar year ending as on 31st December, 2021
Sl Country Country Name of financial Address of financial ZIP Account Status Account Peak balance during Closing Gross interest paid/credited to the account
No /Region name /Region code institution institution code number opening date the period balance during the period
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12)
A2 Details of Foreign Custodial Accounts held (including any beneficial interest) at any time during the calendar year ending as on 31st December, 2021
Sl Country Country Name of Address of ZIP Account Status Account Peak balance Closing Gross interest paid/credited to the account during the period
No /Region /Region financial financial code number opening during the balance (drop down to be provided specifying nature of amount viz. interest/dividend
name code institution institution date period /proceeds from sale or redemption of financial assets/ other income)
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) Nature of amount Amount
(12a) (12b)
A3 Details of Foreign Equity and Debt Interest held (including any beneficial interest) in any entity at any time during the calendar year ending as on 31st December, 2021
Sl Country Country Name Address ZIP Nature Date of Initial value Peak value of Closing Total gross amount paid/credited with Total gross proceeds from sale or
No /Region /Region of of entity code of acquiring the of the investment during balance respect to the holding during the redemption of investment during the
name code entity entity interest investment the period period period
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12) (13)
A4 Details of Foreign Cash Value Insurance Contract or Annuity Contract held (including any beneficial interest) at any time during the calendar year ending as on 31st December, 2021
Sl Country Country Name of financial institution in which Address of financial ZIP Date of The cash value or surrender Total gross amount paid/credited with respect to the
No /Region name /Region code insurance contract held institution code contract value of the contract contract during the period
B Details of Financial Interest in any Entity held (including any beneficial interest) at any time during the calendar year ending as on 31st December, 2021
Sl Country/Region ZIP Nature Name and Address Nature of Interest-Direct Date Total Investment (at Income accrued from Nature of Income taxable and offered in this
No Name and code Code of entity of the Entity /Beneficialowner/Beneficiary since cost) (in rupees) such Interest Income return
held
Amount Schedule Item number
where of schedule
offered
(1) (2) 2a (3) (4) (5) (6) (7) (8) (9) (10) (11) (12)
C Details of Immovable Property held (including any beneficial interest) at any time during the calendar year ending as on 31st December, 2021
Sl Country/Region ZIP Address of the Ownership-Direct/ Beneficial Date of Total Investment (at Income derived from Nature of Income taxable and offered in this return
No Name and code Code Property owner/ Beneficiary acquisition cost) (in rupees) the property Income
Amount Schedule Item number
(1) (2) 2b (3) (4) (5) (6) (7) (8) (9) (10) (11)
D Details of any other Capital Asset held (including any beneficial interest) at any time during the calendar year ending as on 31st December, 2021
Sl Country/Region Name ZIP Nature of Ownership-Direct/ Beneficial Date of Total Investment (at cost) Income derived from Nature of Income taxable and offered in this return
No and code Code Asset owner/ Beneficiary acquisition (in rupees) the asset Income
Amount Schedule Item number of
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Acknowledgement Number:520447351220922 Date of filing : 22-Sep-2022
(1) (2) 2b (3) (4) (5) (6) (7) (8) (9) (10) (11)
E Details of account(s) in which you have signing authority held (including any beneficial interest) at any time during the calendar year ending as on 31st December, 2021 and which has not been included in A to D above.
Sl Name of the Institution in Address of Country/Region Zip Name of the Account Peak Balance/ Investment Whether income accrued If (7) is yes, Income If (7) is yes, Income offered in
No which the account is held the Name and Code Code account Number during the year (in rupees) is taxable in your hands? accrued in the this return
where number
offered of
schedule
(1) (2) (3) (3a) (3b) (4) (5) (6) (7) (8) (9) (10) (11)
F Details of trusts, created under the laws of a country outside India, in which you are a trustee, beneficiary or settlor
Sl Country/Region ZIP Name and Name and Name and Name and address Date since Whether income derived is If (8) is yes, Income If (8) is yes, Income offered in this
No Name and code CODE address of the address of address of of Beneficiaries position taxable in your hands? derived from the trust return
where number of
offered schedule
(1) (2) (2b) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12)
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 Country/Region Name and ZIP Name and address of the person from whom Income Nature of Whether taxable in your If (6) is yes, Income offered in this return
offered schedule
(1) (2) (2b) (3) (4) (5) (6) (7) (8) (9)
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.
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Acknowledgement Number:520447351220922 Date of filing : 22-Sep-2022
Schedule 5A Information regarding apportionment of income between spouses governed by Portuguese Civil Code
Name of the
spouse
PAN/ Aadhaar
of the spouse
Whether books of accounts of spouse is audited u/s 44AB? or Whether your spouse is a partner
of a firm whose accounts are required to be audited u/s 44AB under this Act?
Whether books of accounts of spouse is audited u/s 92E? or Whether your spouse is a partner of
a firm whose accounts are required to be audited u/s 92E under this Act?
Amount of TDS
Heads of Receipts received Amount apportioned in TDS apportioned in
deducted on income at
Receipts under the head the hands of the spouse the hands of spouse
(ii)
(i) (ii) (iii) (iv) (v)
House
1 0 0 0 0
Property
Business or
2 0 0 0 0
profession
3 Capital gains 0 0 0 0
Other
4 0 0 0 0
sources
5 Total 0 0 0 0
79 of 88
Acknowledgement Number:520447351220922 Date of filing : 22-Sep-2022
Assets and Liabilities at the end of the year (other than those included in Part A- BS) (applicable in a
Schedule AL
case where total income exceeds Rs.50 lakh)
A Details of immovable assets
Sl. No. Description Address Pin code Amount (cost) in Rs.
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Acknowledgement Number:520447351220922 Date of filing : 22-Sep-2022
No. Year deferred brought previous year relevant to current assessment year tax payable amount of
specify date
(6)
1 2021-22 0 0 0 0
2 2022-23 0
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Acknowledgement Number:520447351220922 Date of filing : 22-Sep-2022
1 29GLGPS4529R1ZX 1,37,70,023
Please furnish the information above for each GSTIN No. separately
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Acknowledgement Number:520447351220922 Date of filing : 22-Sep-2022
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Acknowledgement Number:520447351220922 Date of filing : 22-Sep-2022
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Acknowledgement Number:520447351220922 Date of filing : 22-Sep-2022
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Acknowledgement Number:520447351220922 Date of filing : 22-Sep-2022
Credit under section 115JD of tax paid in earlier years (applicable if 2i is more than 1d) (5 of
4 4 0
Schedule AMTC)
5 Tax payable after credit under section 115JD (3a + 3c - 4) 5 18,754
6 Tax relief
a Section 89 (Please ensure to submit Form 10E to claim this relief) 6a 0
b Section 90/ 90A (2 of Schedule TR) 6b 0
c Section 91 (3 of Schedule TR) 6c 0
d Total (6a + 6b + 6c) 6d 0
7 Net tax liability (5 - 6d) (enter zero if negative) 7 18,754
8 Interest and fee payable
a Interest for default in furnishing the return (section 234A) 8a 0
b Interest for default in payment of advance tax (section 234B) 8b 0
c Interest for deferment of advance tax (section 234C) 8c 0
d Fee for default in furnishing return of income (section 234F) 8d 0
e Total Interest and Fee Payable (8a+8b+8c+8d) 8e 0
9 Aggregate liability (7 + 8e) 9 18,754
10 Taxes Paid
a Advance Tax (from column 5 of 17A) 10a 0
b TDS (total of column 5 of 18B and column 9 of 17C) 10b 0
c TCS (total of column 7 of 17D) 10c 13,883
d Self-Assessment Tax (from column 5 of 17A) 10d 4,870
e Total Taxes Paid (10a + 10b + 10c + 10d) 10e 18,753
11 Amount payable (Enter if 9 is greater than 10e, else enter 0) 11 0
Refund (If 10e is greater than 9) (Refund, if any, will be directly credited into the bank
12 12 0
account)
Do you have a bank account in India (Non- Residents claiming refund with no bank account in
13 Yes
India may select No)
i. a) Details of all Bank Accounts held in India at any time during the previous year (excluding dormant accounts)
IFS Code of the Bank in case Indicate the account in which you
Sl. Name of the
of Bank Accounts held in Account Number prefer to get your refund credited, if
No Bank
India any (tick accounts
SVC Co-
1 SVCB0000173 Operative 117304180000298 ✔
Bank Ltd
Note:
1. Minimum one account should be selected for refund credit.
2. 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
Rows can be added as required
b) Non- residents, who are claiming income-tax refund and not having bank account in India may, at their option,
86 of 88
Acknowledgement Number:520447351220922 Date of filing : 22-Sep-2022
No to self /other Aadhaar of Deductor/ brought forward (TDS deducted during FY 2021- (only if corresponding income is Receipt offered credit
person [spouse as Other Person PAN/ (b/f) 22) being offered for tax this year, not being
per section 5A (if TDS credit Aadhaar of applicable if TDS is deducted u/s carried
in which b/f in own hands of spouse as in own spouse as per section 5A Amount of
deducted hands per section 5A or hands or any other person as per Income
applicable)
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12) (13)
Aadhaar
Schedule TDS3 - Details of Tax Deducted at Source (TDS) on Income [As per Form 16A issued or Form 16B/16C
D
/16D furnished by Deductor(s)]
Sl TDS credit relating PAN/ Aadhaar PAN Unclaimed TDS TDS of the current Financial Year TDS credit being claimed this Year Corresponding TDS
No to self /other of Other /Aadhaar brought forward (TDS deducted during FY 2021-22) (only if corresponding income is being Receipt offered credit
person [spouse as Person (if No. of (b/f) offered for tax this year, not applicable being
per section 5A TDS credit the if TDS is deducted u/s 194N) carried
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Acknowledgement Number:520447351220922 Date of filing : 22-Sep-2022
in which b/f in own hands of spouse as in own spouse as per section 5A Amount of
deducted hands per section 5A or hands or any other person as per Income
applicable)
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12) (13)
Aadhaar
E Schedule TCS - Details of Tax Collected at Source (TCS) [As per Form 27D issued by the Collector(s)]
Sl Tax Deduction and Tax Name of Unclaimed TCS TCS of Amount out of (5) or (6) being Amount out
No Collection Account the brought forward (b the claimed this Year (only if of (5) or (6)
Number of the Collector /f) current corresponding income is being being carried
Collector fin. offered for tax this year) forward
Fin. Year Amount year
in which b/f
collected
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