Professional Documents
Culture Documents
Acknowledgement Number 981933260051221
Acknowledgement Number 981933260051221
Acknowledgement Number 981933260051221
Area/locality Aadhaar Number (12 digit)/ Aadhaar Enrolment Id (28 digit) (if eligible for Aadhaar)
GIDC PHASE - 1, 4xxx xxxx 5871 /
State
Town/City/District 11-Gujarat PIN code/ZIP code
MEHSANA Country 384002
91-India
139(9),
Or Filed in response to notice u/s 142(1),
148
If yes, please furnish date of filing of form 10-IE along with Acknowledgment number
Are you filing return of income under Seventh proviso to Section 139(1) - (Tick) Yes ✔ No
If yes, please furnish following information
(b)
[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)]
Have you deposited amount or aggregate of amounts exceeding Rs. 1 Crore in one or
(bi) Amount (Rs) (If Yes) 0
more current account during the previous year? (Yes/No)
Have you incurred expenditure of amount or aggregate of amount exceeding Rs. 1 lakh
(biii) Amount (Rs) (If Yes) 0
on consumption of electricity during the previous year? (Yes/No)
You have been in India for 729 days or less during the 7 preceding years
[section 6(6)(a)]
You are a citizen of India or person of Indian origin, being outside India, who
comes on a visit to India, and has total income other than the income from
Residential B. Resident but not Ordinarily foreign sources exceeding Rs. 15 lakh and been in India for a period or periods
Status in Resident amounting in all to 120 days or more but less than 182 days during the previous
India (for year [section 6(6)(c)]
individuals)
(Tick You are a citizen of India, who is not resident under clause (1) of section 6
applicable and who is deemed to be resident in India under clause (1A) of section 6,
(e) option) 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)]
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 the
previous year (in days) 4 preceding years (in days)
Residential
Status in D.
India (for Resident
HUF) (Tick Resident but not Ordinarily Resident
applicable Non-resident
option)
Yes
(f) 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
(g) ✔ No
(If ?YES? please fill Schedule 5A)
Whether you were Director in a company at any time during the previous year? (Tick) ✔ Yes ✔ No
(i)
If yes, please furnish following information -
Name of Company Type of company PAN Whether its shares are listed Director Identification
or unlisted Number (DIN)
(j) 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
(k)
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 subscription Face value Issue price per share (in case Purchase price per share (in case of purchase No. of Sale No. of Cost of
shares acquisition shares / purchase per share of fresh issue) from existing shareholder) shares consideration shares acquisition
1a 1b 2 3 4 5 6 7 8 9 10 11 12 13
(l) In case of non-resident, is there a permanent establishment (PE) in India? (Tick) ✔ Yes ✔ No
Whether assessee is located in an International Financial Services Centre and derives income solely in convertible foreign
exchange?
(m)
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/44BBB Yes ✔ No
If No , Whether during the year Total sales/turnover/gross receipts of business exceeds Rs. 1 crores but does not exceed Rs. 10
crores?
a2i
Yes
No
If Yes is selected at a2i, whether aggregate of all amounts received including amount received for sales, turnover or gross receipt s
or on capital account like capital contributions, loans etc. during the previous year, in cash, does not exceed five per cent of said
a2ii amount?
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, during the previous year does not exceed five per cent of the said
a2ii 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
(dii) 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?
INDIAN INCOME TAX RETURN Assessment Year
(For individuals and HUFs having income from profits
ITR-3 and gains of business or profession)
(Please see Rule 12 of the Income-tax Rules,1962) 2 0 2 1 - 2 2
(Please refer instructions)
Part A-
Manufacturing Account for the financial year 2020-21 (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 /label> 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
INDIAN INCOME TAX RETURN Assessment Year
(For individuals and HUFs having income from profits
ITR-3 and gains of business or profession)
(Please see Rule 12 of the Income-tax Rules,1962) 2 0 2 1 - 2 2
(Please refer instructions)
Part A-Trading Trading Account for the financial year 2020-21 (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
A
and duty or tax, if any)
i Sale of goods i 2,95,07,209
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 2,95,07,209
B Gross receipts from Profession B 0
Duties, taxes and cess received or receivable in respect of
C
goods and services sold or supplied
Union Excise
i i 0
duties
ii Service tax ii 0
iii VAT/Sales tax iii 0
Central Goods &
iv Service Tax iv 0
(CGST)
State Goods &
v Services Tax v 0
(SGST)
Integrated Goods
vi & Services Tax vi 0
(IGST)
Union Territory
Goods &
vii vii 0
Services Tax
(UTGST)
Any other duty,
viii viii 0
tax and cess
ix Total (i + ii + iii + iv +v+ vi+vii+viii) Cix 0
D Total Revenue from operations (Aiv + B +Cix) 4D 2,95,07,209
5 Closing Stock of Finished Stocks 5 4,44,636
6 Total of credits to Trading Account (4D + 5) 6 2,99,51,845
7 Opening Stock of Finished Goods 7 3,37,787
8 Purchases (net of refunds and duty or tax, if any) 8 2,86,35,108
9 Direct Expenses (9i + 9ii + 9iii) 9 0
i Carriage inward 9i 0
ii Power and fuel 9ii 0
iii Other direct expenses 9iii 0
Sl.No Nature of Expense Amount
Part A- Profit and Loss Account for the financial year 2020-21 (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)
Others (more than Rs. 1 lakh) where PAN/ Aadhaar is not available (provide
ii 47ii 0
name and complete address)
Sl. Name Flat / Name of Road/ Area/ Town/ State Country PIN ZIP Amount
No. Door / Premises/ Street/ Locality City/ Code Code
Block No. Building/ Village Post Office District
Registration Whether Tonnage capacity Number of months for which Presumptive income u/s 44AE for
No. of goods owned/ of goods carriage goods carriage was owned/leased the goods carriage (Computed @
carriage leased (in MT) /hired by assessee Rs.1000 per ton per month in case
/hired tonnage exceeds 12MT, or else @
Rs.7500 per month) or the amount
claimed to have been
actuallyearned, whichever is
higher
Total 0
Total presumptive income from goods carriage u/s 44AE [total of column (5)
(ii) 63(ii) 0
of table 63(i)]
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
64 MAINTAINED, furnish the following information for previous year 2020-21 in respect of
business or profession -
(i) FOR ASSESSEE CARRYING ON BUSINESS
A Gross receipts (a1 + a2) ia 0
Through a/c payee cheque or a/c payee bank draft or bank electronic
1 clearing system or other prescribed electronic modes received before a1 0
specified date
2 Any other mode a2 0
B Gross profit ib 0
C Expenses ic 0
D Net profit 64i 0
(ii) FOR ASSESSEE CARRYING ON PROFESSION
a Gross receipts (a1 + a2) Iia 0
Through a/c payee cheque or a/c payee bank draft or bank electronic
1 clearing system or other prescribed electronic modes received before a1 0
specified date
2 Any other mode a2 0
b Gross profit Iib 0
c Expenses iic 0
d Net profit 64ii 0
iii Total profit (64i + 64ii) 64iii 0
65 I Turnover from speculative activity 65i 0
ii Gross Profit 65ii 0
iii Expenditure, if any 65iii 0
iv Net income from speculative activity (65ii-65iii) 65iv 0
INDIAN INCOME TAX RETURN Assessment Year
(For individuals and HUFs having income from profits
ITR-3 and gains of business or profession)
(Please see Rule 12 of the Income-tax Rules,1962) 2 0 2 1 - 2 2
(Please refer instructions)
Part A- OI Other Information (mandatory if liable for audit under section 44AB, for other fill, if applicable)
Method of accounting employed in the previous year (Tick) ✔
1 ✔ mercantile
cash
Is there any change in method of accounting (Tick)
2 Yes
✔ No
17 Yes 17
✔ No
[If yes , please fill schedule TPSA]
INDIAN INCOME TAX RETURN Assessment Year
(For individuals and HUFs having income from profits
ITR-3 and gains of business or profession)
(Please see Rule 12 of the Income-tax Rules,1962) 2 0 2 1 - 2 2
(Please refer instructions)
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
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 - 3) 4 0
[Tick the
applicable
option] Sl. Name(s) of PAN/ Aadhaar No. of Tenant(s) PAN/TAN of Tenant(s) (if TDS credit is
Let out No. Tenant (if let (Please see note) claimed)
✔ Self-occupied out)
Deemed let
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 47,484
i Total ( 1 g + 1 h) 1i 47,484
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 -47,484
3 Pass through income/loss if any * 3 0
Income under the head ?Income from house property? (1k + 2k + 3)
4 4 -47,484
(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.
INDIAN INCOME TAX RETURN Assessment Year
(For individuals and HUFs having income from profits
ITR-3 and gains of business or profession)
(Please see Rule 12 of the Income-tax Rules,1962) 2 0 2 1 - 2 2
(Please refer instructions)
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 55,449 0 18,119 0
first day of previous year
Amount as adjusted on
account of opting for
3a 0 0 0
taxation under section
115BAC
Adjusted Written down value
3b on the first day of previous 55,449 0 18,119 0
year (3) + (3a)
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 3b or 4
Amount on which
depreciation at full rate to be
6 55,449 0 18,119 0
allowed (3b + 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 8,317 0 7,248 0
Depreciation on 9 at half
11 0 0 0
rate
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 preceding year' on asset put 0 0 0 0
to use for less than 180
days
Total depreciation
15 8,317 0 7,248 0
(10+11+12+13+14)
Depreciation disallowed
16 under section 38(2) of the I. 0 0 0 0
T. Act (out of column 15)
Net aggregate depreciation
17 8,317 0 7,248 0
(15-16)
Proportionate aggregate
depreciation allowable in the
18 event of succession, 0 0 0 0
amalgamation, demerger
etc. (out of column 17)
Expenditure incurred in
19 connection with transfer of 0 0 0 0
asset/ assets
Capital gains/ loss under
section 50 (5 + 8 -3b - 4 -7
20 0 0 0 0
-19) (enter negative only if
block ceases to exist)
Written down value on the
last day of previous year (6+
21 47,132 0 10,871 0
9 -15) (enter 0 if result is
negative)
INDIAN INCOME TAX RETURN Assessment Year
(For individuals and HUFs having income from profits
FORM ITR-3 and gains of business or profession)
(Please see Rule 12 of the Income-tax Rules,1962) 2 0 2 1 - 2 2
(Please refer instructions)
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 0 0 16,392 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 0 0 1,639 0 0
rate
Depreciation on 9 at half
11 0 0 0 0 0 0
rate
Total depreciation
12 0 0 0 1,639 0 0
(10+11)
Depreciation disallowed
13 under section 38(2) of the 0 0 0 0 0 0
I.T. Act (out of column 12)
Net aggregate
14 0 0 0 1,639 0 0
depreciation (12-13)
Proportionate aggregate
depreciation allowable in
15 the event of succession, 0 0 0 0 0 0
amalgamation, demerger
etc. (out of column 14)
Expenditure incurred in
16 connection with transfer 0 0 0 0 0 0
of asset/ assets
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 8,317
(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 7,248
(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 15,565
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 0
(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 0
3 Furniture and fittings (Schedule DOA- 14v or 15v as applicable) 3 1,639
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 17,204
INDIAN INCOME TAX RETURN Assessment Year
(For individuals and HUFs having income from profits
FORM ITR-3 and gains of business or profession)
(Please see Rule 12 of the Income-tax Rules,1962) 2 0 2 1 - 2 2
(Please refer instructions)
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.
INDIAN INCOME TAX RETURN Assessment Year
(For individuals and HUFs having income from profits
ITR-3 and gains of business or profession)
(Please see Rule 12 of the Income-tax Rules,1962) 2 0 2 1 - 2 2
(Please refer instructions)
1i From sale of land or building or both (fill up details separately for each property)
Full value of consideration adopted as per section 50C for the purpose of
iii Capital Gains [in case (aii) does not exceed 1.10 times (ai), take this Aiii 0
figure as (ai), or else take (aii)]
f In case of transfer of immovable property, please furnish the following details (see note)
Sl. Name of buyer PAN/ Aadhaar No. of buyer Percentage Amount Address of Pin code / Zip
No. (s) (s) share property code
1 / ,,
Furnishing of PAN/ Aadhaar is mandatory, if the tax is deducted under section 194-IA or is quoted by buyer in the
NOTE documents.
In case of more than one buyer, please indicate the respective percentage share and amount.
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)
1 2018-19 54B 0 0
Amount deemed to be short term capital gains u/s 54B/54D/54G/54GA, other than
b 0
at 'a'
Total amount deemed to be short term capital gains (Xi + Xii + b) A7 0
Pass Through Income/ Loss in the nature of Short Term Capital Gain, (Fill
8 up schedule PTI) (A8a + A8b + A8c) A8 0
Pass Through Income/ Loss in the nature of Short Term Capital Gain,
a A8a 0
chargeable @ 15%
Pass Through Income/ Loss in the nature of Short Term Capital Gain,
b A8b 0
chargeable @ 30%
Pass Through Income/ Loss in the nature of Short Term Capital Gain,
c A8c 0
chargeable at applicable rates
9 Amount of STCG included in A1-A8 but not chargeable to tax or chargeable at special rates as per DTAA
Sl. Amount Item No. A1 to A7 Country Article Rate as per Whether Section Rate as Applicable rate
No. of above in which 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)
a Total amount of STCG not chargeable to tax in India as per DTAA A9a 0
b Total amount of STCG chargeable to tax at special rates as per DTAA A9b 0
Total Short-term Capital Gain (A1e+ A2c+ A3e+ A4a+ A4b+ A5e+ A6g+ A7+
10 A10 8,405
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)
Balance (aiii
c 1c 0
- biv)
Deduction
under
section 54
/54B/54D
/54EC/54F
d /54G/54GA 1d 0
/54GB
(Specify
details in
item D
below)
f In case of transfer of immovable property, please furnish the following details (see note)
Sl.No. Name of buyer(s) PAN/ Aadhaar Percentage share Amount Address of property Pin code / Zip code
1 / ,,
NOTE Furnishing of PAN/ Aadhaar is mandatory, if the tax is deducted under section 194-IA or is quoted by buyer in
the documents.
In case of more than one buyer, please indicate the respective percentage share and amount.
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)
4
GDR of an Indian company referred in sec. 115ACA
1 2018-19 54B 0 0
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10)
Sl. Type of Capital Gain Capital Gain Short term capital loss Long term capital loss Current
No of year's
15% 30% Applicable Rate DTAA rates 10% 20% DTAA rates
current year capital gains
(2) (3) (4) (5) (6) (7) (8)
(Fill this remaining
only if (9=1-2-3-4-6-
computed 7-8)
figure is
positive)
(1)
v DTAA 0 0 0 0 0
rates
vi Long 10% 0 0 0 0 0 0 0 0
Term
vii Capital 20% 0 0 0 0 0 0 0 0
Gain
viii DTAA 0 0 0 0 0 0 0 0
rates
The figures of STCG in this table (A1e* etc.) are the amounts of STCG computed in respective column (A1-A6) as reduced by theamount of STCG not chargeable to tax or chargeable at special rates as
per DTAA, which is included therein, if any.
The figures of LTCG in this table (B1e* etc.) are the amounts of LTCG computed in respective column (B1-B10) as reduced by theamount of LTCG not chargeable to tax or chargeable at special rates as
per DTAA, which is included therein, if any.
Type of Capital gain / Date Upto 15/6 16/6 to 15/9 16/9 to 15/12 16/12 to 15/3 16/3 to 31/3
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
INDIAN INCOME TAX RETURN Assessment Year
(For individuals and HUFs having income from profits
FORM ITR-3 and gains of business or profession)
(Please see Rule 12 of the Income-tax Rules,1962) 2 0 2 1 - 2 2
(Please refer instructions)
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 Cost of acquisition Cost of If the long term capital asset Fair Market Value per Total Fair Market Value of Expenditure wholly and Total Balance (6-13)
No. /Unit Code of the Shares price Consideration without indexation acquisition was acquired before share/unit as on 31st capital asset as per section exclusively in deductions Item 4 (a) of
Acquired Share /Units per (Total Sale Value) Higher of 8 & 9 01.02.2018, -Lower of 6 & 11 January,2018 55(2)(ac)- (4*10) connection with transfer (7+12) LTCG Schedule
/Unit Share (4*5) of ITR3
/Unit
(Col (Col 1a) (Col (Col 3) (Col (Col 5) (Col 6) (Col 7) (Col 8) (Col 9) (Col 10) (Col 11) (Col 12) (Col 13) (Col 14)
1) 2) 4)
Total 0 0 0 0 0 0 0 0
INDIAN INCOME TAX RETURN Assessment Year
(For individuals and HUFs having income from profits
FORM ITR-3 and gains of business or profession)
(Please see Rule 12 of the Income-tax Rules,1962) 2 0 2 1 - 2 2
(Please refer instructions)
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 Cost of acquisition Cost of If the long term capital asset Fair Market Value per Total Fair Market Value of Expenditure wholly and Total Balance (6-13)
No. /Unit Code of the Shares price Consideration without indexation acquisition was acquired before share/unit as on 31st capital asset as per section exclusively in deductions Item 7 (a) of
Acquired Share /Units per (Total Sale Value) Higher of 8 & 9 01.02.2018, -Lower of 6 & 11 January,2018 55(2)(ac)- (4*10) connection with transfer (7+12) LTCG Schedule
/Unit Share (4*5) of ITR3
/Unit
(Col (Col 1a) (Col (Col 3) (Col (Col 5) (Col 6) (Col 7) (Col 8) (Col 9) (Col 10) (Col 11) (Col 12) (Col 13) (Col 14)
1) 2) 4)
Total 0 0 0 0 0 0 0 0
INDIAN INCOME TAX RETURN Assessment Year
(For individuals and HUFs having income from profits
FORM ITR-3 and gains of business or profession)
(Please see Rule 12 of the Income-tax Rules,1962) 2 0 2 1 - 2 2
(Please refer instructions)
v Others bv 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
1 MISC INCOME 8
Income chargeable at special rates (2a+ 2b+ 2c+ 2d + 2e +2f elements related to Sl. No.
2 2 0
1)
Pass through income in the nature of income from other sources chargeable at special
e 2e 0
rates (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 1 & 2 in name & of Treaty TRC of I.T. as rate [lower
f income which Code DTAA (enter NIL, obtained Act per I. of (6) or
included if not (Y/N) T. (10)]
chargeable) Act Applicable
rate
(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)
d Total 3d 0
Net Income from other sources chargeable at normal applicable rates (1(after reducing income related to
6 6 4,310
DTAA portion) - 3 + 4 + 5) (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 4,310
a Receipts 8a 0
e Balance (8a - 8b + 8c + 8d) (if negative take the figure to 10xiii of Schedule CFL) 8e 0
9 Income under the head "Income from other sources" (7 + 8e) (take 8e as nil if negative) 9 4,310
1 Dividend Income 0 0 0 0 19
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.
INDIAN INCOME TAX RETURN
(For individuals and HUFs having income from profits and gains of business or Assessment
ITR-3 profession) Year
(Please see rule 12 of the Income-tax Rules,1962) 2021- 22
(Please refer instructions)
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 section 35(4) set off after set off
per 5 of Schedule
CYLA)
1 2 3 4 5
i Salaries 0 0
ii House 0 0 0 0 0
property
iii Business 4,98,546 0 0 0 4,98,546
(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 8,405 0 0 0 8,405
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
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 4,310 0 0 0 4,310
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 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 + 5,11,261
5viii+ 5ix + 5x + 5xi + 5xii + 5xiii + 5xiv + 5xv)
INDIAN INCOME TAX RETURN
(For Individuals and HUFs having income from profits and gains of business or Assessment
ITR-3 profession) Year
(Please see Rule 12 of the Income-tax Rules, 1962) 2021 - 22
(Please refer instructions)
Sl. Assessment Date Total Loss from business other than Loss from Loss Total Total Loss from
No. Year of House loss from speculative business speculative from Short- Long- owning and
(1) (2) Filing Property and specified business business specified term term maintaining
(3) Loss (6) business Capital Capital race horses
(4) Brought Amount Brought (7) Loss Loss (10)
forward as forward (8) (9)
Business adjusted Business
Loss on Loss
(5a) account available
of for set
opting off
for during
taxation the year
u/s (5c=5a-
115BAC 5b)
(5b)
i 2010-11 0
ii 2011-12 0
iii 2012-13 0
iv 2013-14 0 0 0 0 0 0 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 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
xiii Adjustment of 0 0 0 0 0 0 0 0 0
above
losses in
schedule BFLA
xiv 2021-22 0 0 0 0 0 0 0 0 0
(Current Year
Losses to be
carry
forwarded)
1 2021-22 0 0
Total 0 0 0 0 0 0
INDIAN INCOME TAX RETURN
(For individuals and HUFs having income from profits and gains of business or Assessment
ITR-3 profession) Year
(Please see rule 12 of the Income-tax Rules,1962) 2021 - 22
(Please refer instructions)
I Accounting Policies 0
II Valuation of Inventories (other than the effect of change in method of valuation u/s 145A, 0
ifthe 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 0
isseparately reported at col. 4d or 4e of Part A-OI)
IX Borrowing Costs 0
Schedule 80D
1 Whether you or any of your family member (excluding parents) is a senior citizen? Not claiming for Self
/Family
(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 to be claimed on which health insurance is not 0
claimed)
2 Whether any one of your parents is a senior citizen Not claiming for parents
(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 0
3 Eligible Amount of Deduction 0
INDIAN INCOME TAX RETURN Assessment Year
(For Individuals and HUFs not having income from profits and gains of business or
ITR3 profession)
(Please see Rule 12 of the Income-tax Rules, 1962) 2 0 2 1 - 2 2
(Please refer instructions)
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
TOTAL ELIGIBLE
AMOUNT OF
E 0
DONATIONS (A + B +
C + D)
INDIAN INCOME TAX RETURN Assessment Year
(For individuals and HUFs having income from profits
FORM ITR-3 and gains of business or profession)
(Please see Rule 12 of the Income-tax Rules,1962) 2 0 2 1 - 2 2
(Please refer instructions)
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
INDIAN INCOME TAX RETURN Assessment Year
(For individuals and HUFs having income from profits
ITR-3 and gains of business or profession)
(Please see Rule 12 of the Income-tax Rules,1962) 2 0 2 1 - 2 2
(Please refer instructions)
Schedule 80-IA
1 g 80DD 0 h 80DDB 0
i 80E 0 j 80EE 0
k 80EEA 0 l 80EEB 0
m 80G 0 n 80GG 0
o 80GGC 0
Total Deduction under Part B (total of a to o) 1 29,724
2 Part C- Deduction in respect of certain incomes
p 80-IA 0 q 80-IAB 0
r 80-IB 0 s 80-IBA 0
80-IC/ 80-
t 0 u 80JJA 0
IE
v 80JJAA 0 w 80QQB 0
x 80RRB 0
Total Deduction under Part C (total of p to x ) 2 0
3 Part CA and D- Deduction in respect of other incomes/other deduction
i 80TTA 1,924 ii 80TTB 0
iii 80U 0
Total Deduction under Part CA and D (total of i, ii and iii) 3 1,924
4 Total deductions under Chapter VI-A (1 + 2 + 3) 4 31,648
INDIAN INCOME TAX RETURN Assessment Year
(For individuals and HUFs having income from profits
ITR-3 and gains of business or profession)
(Please see Rule 12 of the Income-tax Rules,1962) 2 0 2 1 - 2 2
(Please refer instructions)
Schedule AMT Computation of Alternate Minimum Tax payable under section 115JC
1 Total Income as per item 14 of PART-B-TI 1 4,79,610
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 4,79,610
4 Tax payable under section 115JC [18.5% of (3)] (if 3 is greater than Rs. 20 lakhs) 4 0
INDIAN INCOME TAX RETURN Assessment Year
(For individuals and HUFs having income from profits
ITR-3 and gains of business or profession)
(Please see Rule 12 of the Income-tax Rules,1962) 2 0 2 1 - 2 2
(Please refer instructions)
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
viii Current AY 0 0
(enter 1-2, if 1>2
else enter 0)
ix 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)]
INDIAN INCOME TAX RETURN
(For Individuals and HUFs having income from profits and gains of business or Assessment
ITR-3 profession) Year
(Please see Rule 12 of the Income-tax Rules, 1962) 2021 - 22
(Please refer instructions)
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
INDIAN INCOME TAX RETURN
(For Individuals and HUFs having income from profits and gains of business or Assessment
ITR-3 profession) Year
(Please see Rule 12 of the Income-tax Rules, 1962) 2021 - 22
(Please refer instructions)
Schedule SI Income chargeable to tax at special rates (please see instructions No. 9 for rate of tax)
Sl. Section Special Income Taxable Income Tax thereon
No. rate after
adjusting for min
chargeable to tax
1 111 - Tax on accumulated balance of 1% 0 0 0
recognised PF
2 111A or section 115AD(1)(ii)- Proviso 15 % 8,405 0 1,261
(STCG on shares units on which STT
paid)
3 112 (LTCG on others) 20 % 0 0 0
4 112 proviso (LTCG on listed securities/ 10 % 0 0 0
units without indexation)
5 112(1)(c)(iii)(LTCG on unlisted securities 10 % 0 0 0
in case of non-residents)
6 112A (LTCG on sale of shares or units 10 % 0 0 0
on which STT is paid)
7 115BB (Winnings from lotteries, puzzles, 30 % 0 0 0
races, games etc.)
8 115AD(1)(ii) -STCG (other than on 30 % 0 0 0
equity share or equity oriented mutual
fund referred to in section 111A) by an
FII
9 Securities referred in section 112A read 10 % 0 0 0
with section 115AD
10 115BBF -Tax on income from patent 10 % 0 0 0
(Income from BP)
11 115BBG -Tax on income from transfer 10 % 0 0 0
of carbon credits(Income from BP)
12 STCGDTAARate - STCG Chargeable at 1% 0 0 0
special rates in India as per DTAA
13 LTCGDTAARate - LTCG Chargeable at 1% 0 0 0
special rates in India as per DTAA
14 Other source income chargeable under 1% 0 0 0
DTAA rates
Total 8,405 0 1,261
INDIAN INCOME TAX RETURN
(For Individuals and HUFs having income from profits and gains of business or Assessment
ITR-3 profession) Year
(Please see Rule 12 of the Income-tax Rules, 1962) 2021 - 22
(Please refer instructions)
Information regarding partnership firms in which you are partner anytime during the previous year
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 the profit 31st March in the
for audit? (Yes to firm? (Yes/ No) profit of the firm
/No) firm
i ii
Total 0 0
INDIAN INCOME TAX RETURN
(For Individuals and HUFs having income from profits and gains of business or Assessment
ITR-3 profession) Year
(Please see Rule 12 of the Income-tax Rules, 1962) 2021 - 22
(Please refer instructions)
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) (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 Other exempt income Amount
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.
INDIAN INCOME TAX RETURN
(For Individuals and HUFs having income from profits and gains of business or Assessment
ITR-3 profession) Year
(Please see Rule 12 of the Income-tax Rules, 1962) 2021 - 22
(Please refer instructions)
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 0
money has notbeen repatriated within the prescribed time
Sl.No Financial Year Amount
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.
INDIAN INCOME TAX RETURN
(For Individuals and HUFs having income from profits and gains of business or profession) Assessment Year
ITR3
(Please see Rule 12 of the Income-tax Rules, 1962) 2021 - 22
(Please refer instructions)
Schedule TR Summary of tax relief claimed for taxes paid outside India (Available in case of resident)
1 Summary of Tax relief claimed
Country Tax Total taxes paid outside India (total Total tax relief available (total of Tax Relief Claimed
Code Identification of (c) of Schedule FSI in respect of (f) of Schedule FSI in respect of under section (specify
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.
INDIAN INCOME TAX RETURN
(For Individuals and HUFs having income from profits and gains of business or Assessment
ITR-3 profession) Year
(Please see Rule 12 of the Income-tax Rules, 1962) 2021 - 22
(Please refer instructions)
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 Country Country Name of financial Address of financial ZIP Account Status Account Peak balance during Closing Gross interest paid/credited to the account
No name 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 relevant accounting period
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 name code financial financial code number opening during the balance (drop down to be provided specifying nature of amount viz. interest/dividend
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 relevant accounting period
Sl Country Country Name Address ZIP Nature Date of Initial value of Peak value of Closing Total gross amount paid/credited with Total gross proceeds from sale or
No name code of of entity code of acquiring the the investment during balance respect to the holding during the period redemption of investment during the
(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 relevant accounting period
Sl Country Country Name of financial institution in which Address of financial ZIP Date of The cash value or surrender value Total gross amount paid/credited with respect to the
No name code insurance contract held institution code contract 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 relevant accounting period
Sl Country Name ZIP Nature Name and Address Nature of Interest-Direct Date Total Investment (at Income accrued from Nature of Income taxable and offered in this return
No and code Code of entity of the Entity /Beneficialowner/Beneficiary since cost) (in rupees) such Interest Income
Amount Schedule Item number
held
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 relevant accounting period
Sl Country Name ZIP Address of the 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 Property owner/ Beneficiary acquisition (in rupees) the property Income
Amount Schedule Item number of
(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 relevant accounting period
Sl Country 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
(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 relevant accounting period and which has not been included in A to D above.
Sl Name of the Institution Address of Country Zip Name of Account Peak Balance/ Investment during the year Whether income If (7) is yes, If (7) is yes, Income offered in
No in which the account is the Name and Code the account Number (in rupees) Peak Balance/ Investment accrued is taxable in Income accrued in this return
held Institution Code holder during the year your hands? the account
Amount Schedule Item
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 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 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 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.
INDIAN INCOME TAX RETURN Assessment Year
(For individuals and HUFs having income from profits
ITR-3 and gains of business or profession)
(Please see Rule 12 of the Income-tax Rules,1962) 2 0 2 1 - 2 2
(Please refer instructions)
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
Income 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
INDIAN INCOME TAX RETURN
(For Individuals and HUFs having income from profits and gains of business or Assessment
ITR-3 profession) Year
(Please see Rule 12 of the Income-tax Rules, 1962) 2021 - 22
(Please refer instructions)
Assets and Liabilities at the end of the year (applicable in a case where total income exceeds Rs.50 lakh)
1 24BIEPP5159G1Z6 2,95,07,209
Please furnish the information above for each GSTIN No. separately
INDIAN INCOME TAX RETURN Assessment Year
(For individuals and HUFs having income from profits
ITR-3 and gains of business or profession)
(Please see Rule 12 of the Income-tax Rules,1962) 2 0 2 1 - 2 2
(Please refer instructions)
IFS Code of the Bank in case Name of Indicate the account in which you prefer to
Sl. Account get your refund credited, if any (tick
of Bank Accounts held in the
No Number
India Bank accounts
CANARA
1 CNRB0003255 3255101001574 ✔
BANK
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,
ii
furnish the details of one foreign bank account:
Sl. No. SWIFT Code Name of the Bank Country of Location IBAN
No to self /other Aadhaar of Deductor/ brought forward (TDS deducted during FY 2020- (only if corresponding income is Receipt offered credit
person [spouse as Other Person PAN/ (b/f) 21) 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 2020-21) (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
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)
Income TDS Income TDS PAN/
Aadhaar
E Schedule TCS - Details of Tax Collected at Source (TCS) [As per Form 27D issued by the Collector(s)]
Sl Tax Deduction and Name of the Unclaimed TCS TCS of Amount out of (5) or (6) being Amount out
No Tax Collection Collector brought forward (b the claimed this Year (only if of (5) or (6)
Account Number of /f) current corresponding income is being being
the Collector fin. offered for tax this year) carried
Fin. Year Amount year forward
in which b/f
collected