Schedules for filing Income Tax Return

Click on the sheets below

PART A - GENERAL Personal Info., Filing Status
1
2 PARTB - TI - TTI PartB-TI,PartB-TTI,Verification
3 IT Tax Payments
4 TDS Tax Payments (TDS1,TDS2,TDS3)
5 TCS Tax Paments (TCS)
6 SALARY Schedule S
7 HOUSE_PROPERTY Schedule HP
8 CG Schedule CG
9 OS Schedule OS
10 CYLA-BFLA Schedule CYLA, Schedule BFLA

11 CFL ScheduleCFL
12 80G Schedule 80G
13 VIA Schedule VIA
14 SPI - SI Schedule SPI, Schedule SI
15 EI Schedule EI
16 PTI Schedule PTI
Schedule FSI
FSI
17
Schedule TR, Schedule FA
TR_FA
18
Schedule AL
AL
19
20 SCH5A Schedule 5A
 Description
Click on applicable links to navigate to the respective sheet / schedule.

Details of Personal Information and filing status

Computation of total income and tax liability on total income

Details of Advance Tax and Self Assessment Tax Payments of Income-tax
Details of Tax Deducted at Source on Income [As per Form 16, 16 A, 26QB issued by Deductor(s)]
Details of Tax Collected at Source (TCS) [As per Form 27D issued by the Collector(s)]
Details of Income from Salary
Details of Income from House Property
Capital Gains
Income from other sources
Details of Income after Set off of Current years losses and Brought Forward Losses of earlier years
Details of Losses to be carried forward to future Years
Details of donation entitled for deduction under Section 80G
Deductions under Chapter VI-A
Schedule SPI - Income of specified persons (spouse, minor child etc) includable in income of the
assessee (income of the minor child, in excess of Rs. 1,500 per child, to be included)
Details of Exempt Income (Income not to be included in Total Income)
Schedule SI - Income chargeable to tax at special rates
Pass Through Income details from business trust or investment fund as per section 115UA, 115UB
Details of Income accruing or arising outside India

Schedule TR - Details of Tax Relief claimed under Section 90 or Section 90A or Section 91.
Schedule FA - Details of foreign assets
Asset and Liability at the end of the year (applicable in a case where total income exceeds Rs.50 lakh)

Information regarding apportionment of income between spouses governed by Portuguese Civil Code
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 INDIAN INCOME TAX RETURN
FORM [For Individuals and HUFs not having Income from Business or Profession] Assessment Year
ITR-2 (Please see Rule 12 of the Income Tax-Rules,1962) 2016-17
(Also see attached Instructions)
First Name Middle Name Last Name PAN

DINA NATH KUMAR CECPK2061K

Flat / Door / Block No Name of Premises / Building / Village Status (I-Individual, H-HUF)

C-2/97 I - Individual
PERSONAL INFORMATION

Date of Birth
Road / Street / Post Office Area / Locality DD/MM/ Sex
YYYY
WEST ENCLAVE, PITAMPURA 12/08/1932 Male

Town/City/District State Country Pincode

91-INDIA
NEW DELHI 09-DELHI 110034

Phone Employer
Email Address-1 (self) Email Address-2 Mobile No 1 (Std code) Mobile No 2
Number Category

casapnagarg1971@gmail.com 9868534442 9868216420 GOV

If Yes, then please
Do you have Aadhaar Number? Yes provide your Aadhaar 250965109293
Number
Passport Number. (Individual)(If available)

Return filed under section

Income Tax Ward/Circle
(Refer Instruction 7 )

12 - AfterDueDt 139(4)

Are you governed by Portuguese Civil Code as per Whether original or

No Original
section 5A? revised return?
TUS
 Date of filing of
If revised, defective, Modified then Enter Receipt No
Original Return

Notice No (Where the original return filed was defective

FILING STATUS

and a notice is issued to the assessee to file a fresh return Residential Status
Sec 139(9)

If filed, in response to a notice u/s

RES-Resident
139(9)/142(1)/148/153A/153C enter date of such notice

Whether this return is being filed by a representative assessee? If yes, please furnish following
No
information

a Name of the representative

b Address of the representative

Permanent Account Number (PAN) of the

c
representative
 Computation of total income . PLEASE NOTE THAT CALCULATED FIELDS (IN WHITE) ARE PICKED UP FROM OTHER
Part B - TI SCHEDULES AND ARE NOT TO BE ENTERED. For ex : The income figures below will get filled up when the Schedules linked to
the Income are filled.
1 Salaries (7 of Schedule S) 1 102425
2 Income from house property (C of Schedule-HP) (Enter nil if loss) 2 277200
3 Capital gains
a Short term
i Short-term chargeable (15%) 7(ii) of Table E of Schedule CG) 3ai 0
ii Short-term chargeable (30%) 7(iii) of Table E of Schedule CG) 3aii 0
iii Short-term (Applicable Rate) 7(iv) of Table E of Schedule CG) 3aiii 0

iv Total short-term (3ai + 3aii + 3aiii) 3aiv 0

b i Long-term chargeable (10%) (7v of Table E of Sch CG) 3bi 0
ii Long-term chargeable (20%) (7vi of Table E of Sch CG) 3bii 0
iii Long-term (3bi + 3bii ) 3biii 0
c Total capital gains (3aiv + 3biii) (enter nil if loss) 3c 0
4 Income from other sources
TOTAL INCOME

a Income from sources other than from owning race horses and income chargeable to tax at 27557
special rate (1i of Schedule OS) (enter nil if loss) 4a

b Income chargeable to tax at special rate (1fiv of Schedule OS) 4b 0

c Income from the activity of owning and maintaining race horses (3c of Schedule OS) 0
4c
(enter nil if loss)
d Total (4a+4b+4c) (enter nil if loss) 4d 27557
5 Total (1+2+3c+4d) 5 407182
6 Losses of current year set off against 5 (total of 2xi and 3xi of Schedule CYLA) 6 0
7 Balance after set off current year losses (5-6) (also total of column 4 of Schedule CYLA +4b) 7 407182
8 Brought forward losses set off against 7 (2x of Schedule BFLA) 8 0
9 Gross Total income (7-8)(3xi of Schedule BFLA +4b ) 9 407182
10 Income chargeable to tax at special rate under section 111A, 112 etc. included in 9 10 0
11 Deductions under Chapter VI-A [q of Schedule VIA and limited to (9-10)] 11 #VALUE!
12 Total income (9 - 11) 12 #VALUE!
13 Income which is included in 12 and chargeable to tax at special rates (total of (i) of schedule SI) 13 #VALUE!
14 Net agricultural income/ any other income for rate purpose (4 of Schedule EI) 14 0
 15 Aggregate income (12-13+14) [applicable if (12-13) exceeds maximum amount not chargeable to tax] 15 #VALUE!
16 Losses of current year to be carried forward (total of xi of Schedule CFL) 16 0

Part B - TTI Computation of tax liability on total income

1 Tax payable on total income
a Tax at normal rates on 15 of Part B-TI 1a 0
b Tax at special rates (total of (ii) of Schedule-SI) 1b 0
c Rebate on agricultural income [applicable if (12-13) of Part B-TI exceeds maximum 0
amount not chargeable to tax] 1c

d Tax Payable on Total Income (1a+1b-1c) 1d 0

COMPUTATION OF TAX LIABILITY

2 Rebate under section 87A (applicable for resident and if 12 of Part B-TI does not exceed 5 lakh) 2 #VALUE!
3 Tax payable (1d-2) 3 #VALUE!
4 Surcharge on 3 (applicable if 12 of Part B-TI exceeds 1 crore) 4 0
5 Education Cess, including secondary and higher education cess, on (3 + 4) 5 0
6 Gross tax liability (3+4+5) 6 #VALUE!
7 Tax relief
a Section 89 7a 0
b Section 90/90A (2 of Schedule TR) 7b 0
c Section 91 (3 of Schedule TR) 7c 0
d Total (7a+7b+7c) 7d 0
8 Net tax liability (6 – 7d) Enter 0 if negative 8 #VALUE!
9 Interest payable
a For default in furnishing the return (section 234A) 9a 0
b For default in payment of advance tax (section 234B) 9b 0
c For deferment of advance tax (section 234C) 9c 0
d Total Interest Payable (9a+9b+9c) 9d 0
10 Aggregate liability (8 + 9d) 10 #VALUE!
11 Taxes Paid
TAXES PAID

a Advance Tax (from column 5 of 18A) 11a 0

b TDS (total of column 5 of 18B and column 8 of 18C) 11b 1556
c TCS (total of column 5 of 18D) 11c 0
TAXES PAID

d Self Assessment Tax (from column 5 of 18A) 11d 0

e Total Taxes Paid (11a+11b+11c+11d) 11e 1556
12 Amount payable (Enter if 10 is greater than 11e, else enter 0) 12 #VALUE!
13 Refund (If 11e is greater than 10) (Refund, if any, will be directly credited into the bank account) 13 #VALUE!

14 Details of all Bank Accounts held in India at any time during the previous year (excluding dormant accounts)
Total number of savings and current bank accounts held by you at any time during the previous year (excluding dormant accounts).
2
Provide the details below.
Bank Account in which refund, if any, shall be credited
IFS Code of the
Sl.No Name of the Bank Account Number Type of Account
Bank
1 SBIN0016238 STATE BANK OF INDIA 33273268496 SAVINGS
Other Bank account details
IFS Code of the
Sl.No Name of the Bank Account Number Type of Account
Bank
2 PSIB0000845 PUNJAB AND SIND BANK 08451000002164 SAVINGS
3 (Select) ###
4 (Select) ###
5 (Select) ###
(Do Not Delete Blank Rows)
15 Do you have at any time during the previous year,-
(i) hold, as beneficial owner, beneficiary or otherwise, any asset (including financial interest in any entity) located outside
India or
(ii) ) have signing authority in any account located outside India or 15 No
(iii) have income from any source outside India?
[applicable only in case of a resident] [Ensure Schedule FA is filled up if the answer is Yes ]

VERIFICATION
I, DINA NATH KUMAR son/ daughter of JASSU RAM KUMAR
solemnly declare that to the best of my knowledge and belief, the information given in the return and the schedules thereto is correct and complete and that the
amount of total income/ fringe benefits and other particulars shown therein are truly stated and are in accordance with the provisions of the Income-tax Act, 1961, in
respect of income and fringe benefits chargeable to Income-tax for the previous year relevant to the assessment year 2016-17.
 Place NEW DELHI (Date) 20/08/2017
PAN CECPK2061K
16 If the return has been prepared by a Tax Return Preparer (TRP) give further details below:
Identification No. of TRP Counter Signature of TRP

Name of TRP

If TRP is entitled for any reimbursement from the Government, amount thereof 17
 18 A Details of payments of Advance Tax and Self-Assessment Tax
TAX
Date of Deposit Serial Number of
PAYMENT Sl No BSR Code Amount (Rs)
(DD/MM/YYYY) Challan
S
2
If no entry is made in this
1 column, then columns (3) 3 4 5
to (5) will not be
considered for that row

1
2
3
4
5
6
Total 0
NOTE Enter the totals of Advance tax and Self-Assessment tax in Sl No. 11a & 11d of Part B-TTI

(Do not delete blank rows)

18 B Details of Tax Deducted at Source from SALARY [As per FORM 16 issued by Employer(s)]

Tax Deduction Account

Income chargeable Total tax
Sl No Number (TAN) of the Name of the Employer
under Salaries deducted
Deductor

1 2 3 4 5
1
2
3
4
Total 0 0

(Do not delete blank rows)

18 C Details of Tax Deducted at Source on Income [As per FORM 16 A issued by Deductor(s)

Tax Deduction Account TDS of the Amount out of (6) or (7) being claimed this Amount out of (6) or
Unique TDS
Sl No Number (TAN) of the Name of Deductor Unclaimed TDS brought forward (b/f) current fin. Year (only if corresponding income is being (7) being carried
Certificate Number
Deductor Year offered for tax this year) forward

2
Financial Year in In the hands of
If no entry is made in this
which TDS is Amount b/f In own hands spouse, if section 5A
1 column, then columns (3) to 3 4 7 10
deducted 6 8 is applicable
(7) will not be considered
5 9
for that row

DELS49944G STATE BANK OF 2015 1556 1556 0

1
INDIA
2 (Select) 0
3 (Select) 0
4 (Select) 0
Total 1556

(Do not delete blank rows)

18 C Details of Tax Deducted at Source (TDS) on Sale of Immovable Property u/s 194IA (For seller of property) As per Form 26QB]

TDS of the Amount out of (6) or (7) being claimed this Amount out of (6) or
Unique TDS
Sl No PAN of the buyer Name of the buyer Unclaimed TDS brought forward (b/f) current fin. Year (only if corresponding income is being (7) being carried
Certificate Number
Year offered for tax this year) forward

2
Financial Year in In the hands of
If no entry is made in this
which TDS is Amount b/f In own hands spouse, if section 5A
1 column, then columns (3) to 3 4 7 10
deducted 6 8 is applicable
(7) will not be considered
5 9
for that row
1 (Select) 0
2 (Select) 0
3 (Select) 0
4 (Select) 0
Total 0

(Do not delete blank rows)

18 D Details of Tax Collected at Source [As per Form 27D issued by the Collector(s)]
Tax Collection
Account Tax Amount out of (4)
SI.No Number of the Name of the Collector
Collected being claimed
Collector
(1) (2) (3) (4) (5)
1
2
3
4
Total 0
Note PLEASE ENTER TOTAL OF COLUMN (5) OF TCS IN 11C OF PART B-TTI
(Do not delete blank rows)
]

Amount out of (4) being

claimed in the hands of
spouse, if section 5A is
applicable
(6)
Schedule S Details of Income from Salary (Fields marked in RED should not be left Blank)
Name of Employer CENTRAL GOVT PAN of Employer
Address of employer CENTRAL GOVT
State 09-DELHI
1 Salary (Excluding all exempt/ non-exempt allowances, perquisites & profit in lieu of salary as they are shown separately
2 Allowances exempt under section 10 (Not to be included in 7 below)
i Travel concession/assistance received [(sec. 10(5)] 2i
ii Tax paid by employer on non-monetary perquisite [(sec. 10(10CC)] 2ii
iii Allowance to meet expenditure incurred on house rent [(sec. 10(13A)] 2iii
iv Other allowances 2iv
3 Allowances not exempt (refer Form 16 from employer)
4 Value of perquisites (refer Form 16 from employer)
5 Profits in lieu of salary (refer Form 16 from employer)
6 Deduction u/s 16 (Entertainment allowance by Government and tax on employment)
7 Income chargeable under the Head ‘Salaries’ (1 + 3 + 4 + 5 - 6)
Total
k)
PAN of Employer (optional)
Town/City Pin code
DELHI 110005 ###
as they are shown separately below) 1 102425 ###

3 0
4 0
5 0
6 0
7 102425
102425
SCH HP Details of Income from House Property (Fields marked in RED must not be left Blank)
ADDRESS OF
PROPERTY (NOTE : DO
Town/ City State PIN Code
NOT LEAVE ADDRESS
BLANK )
C-2/97 WEST ENCLAVE, PITAMPURA 09-DELHI 110034
Your percentage of
Is the property co-owned? No share in the property.
100.00

NAME OF CO-OWNER (TO ADD MORE

COOWNERS,
Percentage Share in
S.No PLEASE CLICK ON "ADD PAN of Co-owner
Property
COOWNERS" BUTTON AT THE
BOTTOM
1
2
3
4
5
Type of House Property ? Let-Out
PAN of Tenant
S.No Name of Tenant ###
(optional)
1 DEEPAK KUMAR ALBPK4302P ###
2

a Annual letable value or rent received or receivable a 396000

b (higher
The of the
amount oftwo,
rentifwhich
let out for whole
cannot of the year, lower of the two if let out for part of the year)
be realized
c Tax paid to local authorities
d Total (b + c) 0
e Annual value (a – d) (nil, if self -occupied etc. as per section 23(2)of the Act) e 396000
f Annual value of the property owned (own percentage share x e) f 396000
g 30% of f 118800
h Interest payable on borrowed capital Cannot exceed 2 lacs
if not let out
i Total (g + h) i 118800
j Income from house property (f – i) j 277200
ADDRESS OF
PROPERTY (NOTE : DO
Town/ City State PIN Code
NOT LEAVE ADDRESS
BLANK )
(Select)
Your percentage of
Is the property co-owned? (Select) share in the property.
NAME OF CO-OWNER (TO ADD MORE
COOWNERS,
Percentage Share in
S.No PLEASE CLICK ON "ADD PAN of Co-owner
Property
COOWNERS" BUTTON AT THE
BOTTOM
1
2
3
4
5
Type of House Property ? (Select)
PAN of Tenant
S.No Name of Tenant
(optional)
1
2

a Annual letable value or rent received or receivable a

b (higher
The of the
amount oftwo,
rentifwhich
let out for whole
cannot of the year, lower of the two if let out for part of the year)
be realized
c Tax paid to local authorities
d Total (b + c) 0
e Annual value (a – d) (nil, if self -occupied etc. as per section 23(2)of the Act) e 0
f Annual value of the property owned (own percentage share x e) f 0
g 30% of f 0
h Interest payable on borrowed capital Cannot exceed 2 lacs
if not let out
i Total (g + h) i 0
j Income from house property (f – i) j 0
A Rent of earlier years realized under section 25A/AA A
B Arrears of rent received during the year under section 25B after deducting 30% B
C Total (A + B + Total of (j) for all properties above) (if negative take the figure to 2i of schedule CYLA) C 277200
 Schedule CG Capital Gains
A Short-term Capital Gains (STCG) (Items 3 , 4 and 7 are not applicable for residents)
1 From sale of land or building or both
a i Full value of consideration received/receivable ai
ii Value of property as per stamp valuation authority aii
iii Full value of consideration adopted as per section 50C for the purpose of Capital Gains (ai or aii) aiii
CAPITAL GAINS

b Deductions under section 48

i Cost of acquisition without indexation bi
ii Cost of Improvement without indexation bii
iii Expenditure wholly and exclusively in connection with transfer biii
iv Total (bi + bii + biii) biv 0
c Balance (aiii – biv) 1c 0
d Deduction under section 54B(Specify details in item D below) 1d
e Short-term Capital Gains on Immovable property (1c - 1d) A1e 0
2 (i) From sale of equity share or unit of equity oriented Mutual Fund (MF) or unit of a business trust on which STT is paid under section 111A
ia Full value of consideration 2ia
ib Deductions under section 48
i Cost of acquisition without indexation bi
ii Cost of Improvement without indexation bii
iii Expenditure wholly and exclusively in connection with transfer biii
iv Total ( i + ii + iii) ibiv 0
ic Balance (2a – 2biv) 2ic 0
id Loss to be disallowed u/s 94(7) or 94(8)- for example if asset bought/acquired within 3 months prior to record date and dividend/income/bonus units are 2id
received, then loss arising out of sale of such asset to be ignored (Enter positive value only)

ie Short-term capital gain on equity share or equity oriented MF or unit of a business trust (STT paid) u/s 111A [for others] (2c +2d) A2ie 0
(ii) From sale of equity share or unit of equity oriented Mutual Fund (MF) or unit of a business trust on which STT is paid u/s 115AD(1)(b)(ii) [for Foreign Institutional Investors]

iia Full value of consideration 2iia

iib Deductions under section 48
i Cost of acquisition without indexation bi
ii Cost of Improvement without indexation bii
iii Expenditure wholly and exclusively in connection with transfer biii
iv Total ( i + ii + iii) iibiv 0
iic Balance (2a – 2biv) 2iic 0
 iid Loss to be disallowed u/s 94(7) or 94(8)- for example if asset bought/acquired within 3 months prior to record date and dividend/income/bonus units are 2iid
received, then loss arising out of sale of such asset to be ignored (Enter positive value only)

Short-term capital gain on equity share or equity oriented MF or unit of a business trust (STT paid) u/s 115AD(1)(b)(ii) [for Foreign Institutional
iie Investors] (2iic +2iid) A2iie
0
5 From sale of assets other than at A1 or A2 or A3 or A4 above
a Full value of consideration 5a
b Deductions under section 48
i Cost of acquisition without indexation bi
ii Cost of Improvement without indexation bii
iii Expenditure wholly and exclusively in connection with transfer biii
iv Total (i + ii + iii) biv 0
c Balance (5a – biv) 5c 0
d In case of asset (security/unit)loss to be disallowed u/s 94(7) or 94(8)- for example if asset bought/acquired within 3 months prior to record date and 5d
dividend/income/bonus units are received, then loss arising out of sale of such asset to be under (Enter positive value only)

e STCG on assets other than at A1 or A2 or A3 or A4 above (5c + 5d) A5e 0

6 Amount deemed to be short-term capital gains
a Whether any amount of unutilized capital gain on asset transferred during the previous years shown below was deposited in the Capital Gains Accounts (Select)
Scheme within due date for that year? If yes, then provide the details below
Section under
New asset acquired/constructed Amount not used for
which deduction
Previous year new asset or
claimed in that
in which asset Amount utilised out remained unutilized
year Year in which asset
transferred of Capital Gains in Capital gains
acquired/constructed account (X)
account
Sl.
i 1 2012-13 (Select) (Select)
ii 2 2013-14 54B (Select)

b Amount deemed to be short term capital gains, other than at ‘a’

Total amount deemed to be short term capital gains (Xi + Xii + b) A6 0
8 Total Short-term Capital Gain chargeable under I.T. Act (A1e+ A2e+ A3a+ A3b+ A4e+ A5e+A6-A7) A8 0
Long-term Capital

B Long-term capital gain (LTCG) (Items 4, 5, 6 and 9 are not applicable for residents)
1 From sale of land or building or both
a i Full value of consideration received/receivable ai
ii Value of property as per stamp valuation authority aii
iii Full value of consideration adopted as per section 50C for the purpose of Capital Gains aiii
b Deductions (aiunder
or aii)section 48
 b
i Cost of acquisition with indexation bi
ii Cost of Improvement with indexation bii
iii Expenditure wholly and exclusively in connection with transfer biii
iv Total (bi + bii + biii) biv 0
c Balance (aiii – biv) 1c 0
di Deduction under section 54 (Specify details in item D below) di
dii Deduction under section 54B (Specify details in item D below) dii
diii Deduction under section 54EC (Specify details in item D below) diii
div Deduction under section 54F (Specify details in item D below) div
dv Deduction under section 54GB (Specify details in item D below) dv
d Total Deduction under section 54/54B/54EC/54F/54GB (Specify details in item D below) 1d 0
e Long-term Capital Gains on Immovable property (1c - 1d) B1e 0
2 From sale of bonds or debenture (other than capital indexed bonds issued by Government)
a Full value of consideration 2a
b Deductions under section 48
i Cost of acquisition without indexation bi
ii Cost of improvement without indexation bii
iii Expenditure wholly and exclusively in connection with transfer biii
iv Total (bi + bii +biii) biv 0
c Balance (2a – biv) 2c 0
di Deduction under sections 54EC (Specify details in item D below) di
dii Deduction under sections 54F(Specify details in item D below) dii
d Deduction under sections 54EC/54F(Specify details in item D below) 2d 0
e LTCG on bonds or debenture (2c – 2d) B2e 0
3 From sale of, (i) listed securities(other than a unit) or zero coupon bonds where proviso under section 112(1) is applicable

ia Full value of consideration 3ia

ib Deductions under section 48
i Cost of acquisition without indexation bi
ii Cost of improvement without indexation bii
iii Expenditure wholly and exclusively in connection with transfer biii
iv Total (bi + bii +biii) ibiv 0
ic Balance (3a – biv) 3ic 0
di Deduction under sections 54EC(Specify details in item D below) di
dii Deduction under sections 54F(Specify details in item D below) dii
id Deduction under sections 54EC/54F(Specify details in item D below) 3id 0
 ie Long-term Capital Gains on assets at B3 above (3c – 3d) B3ie 0
(ii) From sale of GDR of an Indian company referred in sec. 115ACA
a Full value of consideration 3iia
b Deductions under section 48
i Cost of acquisition without indexation bi
ii Cost of improvement without indexation bii
iii Expenditure wholly and exclusively in connection with transfer biii
iv Total (bi + bii +biii) iibiv 0
c Balance (3a – biv) 3iic 0
di Deduction under sections 54EC(Specify details in item D below) di
dii Deduction under sections 54F(Specify details in item D below) dii
d Deduction under sections 54EC/54F(Specify details in item D below) 3iid 0
e Long-term Capital Gains on assets at B3 above (3c – 3d) B3iie 0
7 From sale of assets where B1 to B6 above are not applicable
a Full value of consideration 7a
b Deductions under section 48
i Cost of acquisition with indexation bi
ii Cost of improvement with indexation bii
iii Expenditure wholly and exclusively in connection with transfer biii
iv Total (bi + bii +biii) biv 0
c Balance (7a – biv) 7c 0
di Deduction under sections 54EC (Specify details in item D below) di
dii Deduction under sections 54F (Specify details in item D below) dii
d Deduction under sections 54EC/54F (Specify details in item D below) 7d 0
e Long-term Capital Gains on assets at B7 above (7c-7d) B7e 0
8. Amount deemed to be long-term capital gains
a Whether any amount of unutilized capital gain on asset transferred during the previous years shown below was deposited in the Capital Gains Accounts (Select)
Scheme within due date for that year? If yes, then provide the details below
Section under New asset acquired/constructed
Amount not used for
which deduction
Previous year new asset or
claimed in that Amount utilised out remained unutilized
in which asset Year in which asset
year of Capital Gains
transferred acquired/constructed in Capital gains
account account (X)
Sl.
i 1 2012-13 (Select) (Select)
ii 2 2013-14 54B (Select)
 b Amount deemed to be long-term capital gains, other than at ‘a’
Total amount deemed to be long-term capital gains (aXi + aXii + b) B8 0
10 Total long term capital gain chargeable under I.T. Act [B1e +B2e+B3e + B4c + B5e +B6c+ B6f+ B7e+ B8-B9] (In case of loss take the figure to 5xi of schedule CFL) B10 0
C Income chargeable under the head “CAPITAL GAINS” (A8 + B10) (take B10 as nil, if loss)(If C is negative, take the figure to 4xi of schedule CFL and if it is positive, take the figure to C
respective row in item E) 0
D Information about deduction claimed
1 In case of deduction u/s 54/54B/54EC/54F/54GB/115F give following details
Section Amount of Cost of New Asset Date of its Amount deposited in
Deduction acquisition/ Capital Gains
construction Accounts Scheme
before due date
1 (Select)
2 (Select)
3 (Select)
4 (Select)
5 (Select)
6 (Select)

(Do not delete blank rows)

c Total deduction claimed 1c 0

2
In case of deduction u/s 54GB, furnish PAN of the company
E Set-off of current year capital losses with current year capital gains (excluding amounts included in A7 & B9 which is chargeable under DTAA)

SI. Current year’s capital

Gain of current Short term capital loss set off Long term capital loss set off gains remaining after
year (Fill this set off
column only if
Type of Capital Gain (7= 1-2-3-4-5-6)
computed figure is 15% 30% applicable rate 10% 20%
positive)

1 2 3 4 5 6 7
i Loss to be set off (Fill this row if
figure computed is negative) 0 0 0 0 0
------>
ii 15% 0 0 0 0

Short term
capital gain
 iii Short term 30% 0 0 0 0
capital gain
iv
applicable rate 0 0 0 0

v 10% 0 0 0 0 0 0
Long term
vi capital gain 20% 0 0 0 0 0 0

vii Total loss set off 0 0 0 0 0

(ii + iii + iv + v + vi)
viii Loss remaining after set off 0 0 0 0 0
(i – vii)
F Information about accrual/receipt of capital gain
Upto 15/9 16/9 to 15/12 16/12 to 15/3 16/3 to 31/3
Type of Capital gain / Date
(i) (ii) (iii) (iv)
1 Short-term capital gains taxable at the rate of 15% 0 0 0 0
Enter value from item 3iii of schedule BFLA, if any.
2 Short-term capital gains taxable at the rate of 30% 0 0 0 0
Enter value from item 3iv of schedule BFLA, if any.
3 Short-term capital gains taxable at applicable rates 0 0 0 0
Enter value from item 3v of schedule BFLA, if any.
4 Long- term capital gains taxable at the rate of 10% 0 0 0 0
Enter value from item 3vi of schedule BFLA, if any.
5 Long- term capital gains taxable at the rate of 20% 0 0 0 0
NOTE Enter value from item 3vii of schedule BFLA, if any.
► Please include the income of the specified persons referred to in Schedule SPI while computing the income under this head
 Sch OS Income from other sources

1 Income
a Dividends, Gross 1a
OTHER SOURCES

b Interest, Gross 1b 27557

c Rental income from machinery, plants, buildings, etc., Gross 1c
d Others, Gross (excluding income from owning race horses) (Fill up the Source and
the Income Below). Note: For source other than the available Section Codes in Sl
no 3 dropdown and Sl no1, Pl enter description inSource
Sl no 2 below. Note: Do not Income
enter amount without selecting Section Code/Filling(i)Description. 1st coumn is (ii)
mandatory. 1 5BB-Winnings from lotteries, crossword puzzles etc.
2
3 (Select)
4 (Select)
5 (Select)
1d Total 0

(Do not delete blank rows)

e Total (1a + 1b + 1c + 1d) 1e 27557

Income included in ‘1e’ chargeable to tax at special rate (to be taken to schedule
f SI)
Winnings from lotteries, crossword puzzles, races, games, gambling,
i
betting etc (u/s 115BB) 1fi 0
Any other income chargeable to tax at the rate specified under chapter
ii 1fii 0
XII/XII-A
iv Income included in ‘1e’ chargeable to tax at special rate (1fi +1fii+ 1fiii) 1fiv 0
g Gross amount chargeable to tax at normal applicable rates (1e-1fiv) 1g 27557
h Deductions under section 57 (other than those relating to income under 1fi, 1fii & 1fiii for non-residents)
i Expenses / Deductions hi
ii Depreciation hii
iii Total hiii 0
 Income from other sources (other than from owning race horses and amount chargeable to tax at special rate) (1g – hiii) (If
negative take the figure to 3i of schedule CYLA)
i 1i 27557
2 Income from other sources (other than from owning race horses) (1fiv + 1i) (enter1i as nil, if negative) 2 27557
3 Income from the activity of owning and maintaining race horses
a Receipts 3a
b Deductions under section 57 in relation to (3) 3b
c Balance (3a – 3b) if negative, take figure to 6xi of Sch CFL 3c 0
4 Income under the head “Income from other sources” (2 + 3c) (take 3c as nil if negative) 4 27557
NOPlease include the income of the specified persons referred to in Schedule SPI while computing the income under this head
 5A1aiiab

5A1aiiaa
5A1aiia
5A1aii
5A1ai

Total

Source
###
###
###

5A1aiia

5A1aii

5A1ai

1b
 Schedule CYLA Details of Income after set-off of current years losses

Other sources loss

Income of current year (other Current year’s
House property loss of
Sl.No Head/ Source of Income (Fill this column only if than loss from race Income remaining
the current year set off
income is positive) horses) of the current after set off
year set off
i Loss to be set off 0 0
CURRENT YEAR LOSS ADJUSTMENT

1 2 3 4=1-2-3

ii Salaries 102425 0 0 102425

iii House property 277200 0 277200
iv Short-term capital gain taxable @ 15% 0 0 0 0
v Short-term capital gain taxable @ 30% 0 0 0 0
Short-term capital gain taxable @
vi
applicable rates 0 0 0 0
vii Long term capital gain taxable @ 10% 0 0 0 0
viii Long term capital gain taxable @ 20% 0 0 0 0
Other sources (excluding profit from
ix owning race horses and amount chargeable
to special rate of tax) 27557 0 27557
Profit from owning and maintaining race
x horses 0 0 0 0

xi Total loss set-off

(ii + iii + iv + v + vi + vii + viii + ix + x) 0 0
xii Loss remaining after set-off (i - xi) 0 0

Schedule BFLA Details of Income after Set off Brought Forward Losses of earlier years

Income after set off, if

Current year’s
any, of current year’s Brought forward loss
Sl. income remaining
Head/ Source of Income losses as per col. 4 of set off
No. after set off
Schedule CYLA
LOSS ADJUSTMENT

1 2 3
i Salaries 102425 102425
ii House property 277200 0 277200
BROUGHT FORWARD LOSS ADJUSTMENT

iii Short-term capital gain taxable @ 15% 0 0 0

iv Short-term capital gain taxable @ 30% 0 0 0
Short-term capital gain taxable @
v
applicable rates 0 0 0
vi Long term capital gain taxable @ 10% 0 0 0
vii Long term capital gain taxable @ 20% 0 0 0
Other sources (excluding profit from
viii owning race horses and winnings from
lottery, game etc.) 27557 27557
Profit from owning and maintaining race
ix
horses 0 0 0

x Total of brought forward loss set off

(ii2 + iii2 + iv2 + v2+vi2+vii2+ix2) 0
Current year’s income remaining after
xi set off Total (i3 + ii3 + iii3 + iv3 +
v3+vi3+vii3+viii3+ix3) 407182
Please click on "Compute Set off" button on top to allow the utility to auto fill
the Adjustment of Current Year and Brought Forward Loss in yellow fields .
 Schedule CFL Details of Losses to be carried forward to future Years

Sl. Date of Filing House Short-term Long-term Loss from owning and
Assessment Year
No. (DD/MM/ YYYY) property loss capital loss Capital loss maintaining race horses

i 2008-09
ii 2009-10
iii 2010-11

iv 2011-12
CARRY FORWARD OF LOSS

v 2012-13

vi 2013-14

vii 2014-15

viii 2015-16

Total of earlier
ix 0 0 0 0
year losses

Adjustment of
x above losses in 0 0 0 0
ScheduleBFLA

xi 2016-17 (Current year losses) 0 0 0 0

xii Total loss Carried Forward to future years 0 0 0 0

 Schedule 80G Details of donations entitled for deduction under section 80G
Donations entitled for 100% deduction without qualifying limit.
A (Please see the NOTE given below) (Note : If no entry is made in Donee Name, then other columns will not be considered for that row)

City or Town or Amount of Eligible Amount

Name of donee Address State Code PinCode PAN of Donee
District donation of Donation
1 (Select) 0
2 (Select) 0
3 (Select) 0
4 (Select) 0

Total 80GA 0 0

(Do not delete blank rows)

B Donations entitled for 50% deduction without qualifying limit

City or Town or Amount of Eligible Amount
Name of donee Address State Code PinCode PAN of Donee
District donation of Donation
1 (Select) 0
2 (Select) 0
3 (Select) 0
4 (Select) 0

Total 80GB : 0 0
Deductio

(Do not delete blank rows) adjustGTI

C Donations entitled for 100% deduction subject to qualifying limit

City Or Town Amount of Eligible Amount

Name of donee Address State Code PinCode PAN of Donee
Or District donation of Donation
 1 (Select) 0
2 (Select) 0
3 (Select) 0
4 (Select) 0

Total 80GC : 0 #VALUE!

(Do not delete blank rows)

D Donations entitled for 50% deduction subject to qualifying limit

City Or Town Amount of Eligible Amount
Name of donee Address State Code PinCode PAN of Donee
Or District donation of Donation
1 (Select) 0
2 (Select) 0
3 (Select) 0
4 (Select) 0

Total 80GD 0 #VALUE!

(Do not delete blank rows)

E Total Donations (A + B + C + D) 0 #VALUE!

NOTE : (IN CASE OF DONEE FUNDS SETUP BY GOVERNMENT AS DESCRIBED IN SECTION 80G(2),
PLEASE USE PAN AS "GGGGG0000G")
Schedule VI-A Deductions under Chapter VI-A System Calculated

a 80C a 0

b 80CCC b 0
c(i) 80CCD(1) c(i) 0
c(ii) 80CCD(1B) c(ii) 0
c(iii) 80CCD(2) c(iii) 0

d 80CCG d 0

e 80D e #VALUE!
TOTAL DEDUCTIONS

f 80DD f 0

g 80DDB g 0

h 80E h 0

i 80G i #VALUE! #VALUE!

j 80GG j 0 #VALUE!

k 80GGA k 0

l 80GGC l 0
m 80QQB m 0

n 80RRB n 0
o 80TTA o 0
p 80U p 0

q Total deductions (total of a to p) #VALUE! #VALUE!

 Sch Income of specified persons (spouse, minor child etc) includable in income of the assessee (income of the minor child, in excess of Rs. 1,500 per
SPI child, to be included)
Sl No Name of person PAN of person (optional) Relationship Nature of Income Amount (Rs)

1
2
3
4
5
6
Total 0

(Do not delete blank rows)

Sch SI Income chargeable to tax at special rates (please see instructions No. 9 for rate of tax)
SPEC Section Taxable Income after
IAL Sl Special rate Income System calculated tax
code (Serial nos other than Sl no adjusting for Min
RATE No 1,2 are autofilled)
(%) i
Chargeable to Tax
thereon

111 - Tax on accumulated balance

1 of recognised PF
0 0 0

2 Chargeable under DTAA Rate

1 0 0
111A (STCG on shares where
3 STT paid) 15 0 #VALUE! #VALUE!
4 112 (LTCG on others)
20 0 #VALUE! #VALUE!
112 proviso (LTCG on listed
5 securities/ units without
indexation) 10 0 #VALUE! #VALUE!
112(1)(c)(iii)(LTCG on unlisted
6 securities in case of non-residents)
10 0 0 0
 115BB (Winnings from lotteries,
7 puzzles, races, games etc.) 30 0 0 0
115AD(1)(ii) -STCG (other than
on equity share or equity oriented
8 mutual fund referred to in section
111A) by an FII 30 0 0 0
115AD(1)(b)(ii)- Short term
9 capital gains referred to in section
111A 15 0 0 0
115A(1)(a)(i)- Dividends interest
10 and income from units purchase in
foreign currency
20 0 0 0
115A(1)(a)(ii)- Interest received
11 from govt/Indian Concerns recived
in Foreign Currency
20 0 0 0
115A(1) (a)(iia) -Interest from
12 Infrastructure Debt Fund 5 0 0 0
115A(1) (a)(iiaa) -Interest as per
13 Sec. 194LC
5 0 0 0
115A(1) (a)(iiab) -Interest as per
14 Sec. 194LD
5 0 0 0
115A(1) (a)(iiac) -Interest as per
15 Sec. 194LBA
5 0 0 0
115A(1) (a)(iii) - Income received
16 in respect of units of UTI
purchased in Foreign Currency 20 0 0 0
115A(1)(b)(A)- Income from
17 royalty & technical services 10 0 0 0
115A(1)(b)(B) Income from
18 royalty & technical services
10 0 0 0
 115AC(1)(a & b) - Income from
19 bonds or GDR purchased in
foreign currency - non-resident
10 0 0 0
115AC(1)(c) -LTCG arising from
the transfer of bonds or GDR
20 purchased in foreign currency -
non-resident
10 0 0 0
115ACA(1)(a) - Income from
21 GDR purchased in foreign
currency -resident 10 0 0 0
115ACA(1)(b) - LTCG arising
from the transfer of GDR
22 purchased in foreign currency -
resident
10 0 0 0
115AD(1)(i) -Income received by
an FII in respect of securities
23 (other than units as per Sec
115AB)
20 0 0 0
115AD(1)(i) -Income received by
an FII in respect of bonds or
24 government securities as per Sec
194LD
5 0 0 0
115AD(1)(iii)-Long term capital
25 gains by an FII
10 0 0 0
115BBA - Tax on non-residents
26 sportsmen or sports associations
20 0 0 0
27 115BBC - Anonymous donations 30 0 0 0
115BBE - Tax on income referred
28 to in sections 68 or 69 or 69A or
69B or 69C or 69D 30 0 0 0
29 115E(a) - Investment income 20 0 0 0
 115E(a)-LTCG on any asset other
30 than a specified asset-non resident
Indian
20 0 0 0
115E(b) - Income by way of long
31 term capital gains
10 0 0 0
Tax at Spl Rate 0 #VALUE! #VALUE!
Schedule EI Details of Exempt Income (Income not to be included in Total Income)

1 Interest income 1

2 Dividend income 2
EXEMPT INCOME 3 Long-term capital gains from transactions on which Securities Transaction Tax is paid 3

4 Gross Agricultural receipts (other than income to be excluded

i under rule 7A, 7B or 8 of I.T. Rules) i
ii Expenditure incurred on agriculture ii

iii Unabsorbed agricultural loss of previous eight assessment years iii

iv Net Agricultural income for the year (i – ii – iii) (enter nil if loss) 4 0

5 Others, including exempt income of minor child 5

6 Total (1+2+3+4+5) 6 0
Schedule PTI Pass Through Income details from business trust or investment fund as per section 115UA, 115UB
Name of business trust/ PAN of the business trust/
Sl. Sl. Head of income
investment fund investment fund
1 i House property
ii Capital Gains
a Short term
b Long term
iii Other Sources
iv Income claimed to be exempt
a u/s 10(23FBB)
b u/s
c u/s
2 i House property
ii Capital Gains
a Short term
b Long term
iii Other Sources
iv Income claimed to be exempt
a u/s 10(23FBB)
b u/s
c u/s

NOTE ► Please refer to the instructions for filling out this schedule.

(Do not delete blank rows)

UA, 115UB

Amount of income TDS on such amount, if any

###
###
xempt

xempt
FSI Details of Income from outside India and tax relief
Sr No Country Code Taxpayer Sr No Head of Income Income from Tax paid outside Tax payable on Tax relief
Identification number outside India India such income under available in India
(included in (ib) normal provisions (id)= (ib) or (ic)
PART B-TI) in India whichever is lower
(ia) (ic)

1 (Select) i Salary 0
ii House Property 0
iii Business or Profession 0
iv Capital Gains 0
v Other Sources 0
Total 0 0 0 0
2 (Select) i Salary 0
ii House Property 0
iii Business or Profession 0
iv Capital Gains 0
v Other Sources 0
Total 0 0 0 0
Relevant article of
DTAA if relief
claimed u/s 90 or
90A
(ie)

###
###
Schedule TR Summary of tax relief claimed for taxes paid outside India

1 Details of Tax relief claimed

Total tax relief

Total taxes paid outside Section under which
Tax Identification available
India relief claimed
1 Country Code number ((id+iid+iiid+ivd) of
((ib+iib+iiib+ivb) of Sch (90, 90A or 91)
(b) Schedule FSI
FSI) (c) (e)
(d)

Total 0 0

2 Total Tax relief available in respect of country where DTAA is applicable (section 90/90A) (Part of total of 1(d)) 0
3 Total Tax relief available in respect of country where DTAA is not applicable (section 91) (Part of total of 1(d))
0
Whether any tax paid outside India, on which tax relief was allowed in India, has been refunded/credited by the foreign tax
4 authority during the year? If yes, provide the details below (Select)

a) Amount of tax refunded b) Assessment year in which tax relief allowed in India

Schedule FA Details of Foreign Assets and Income from any source outside India
A Details of Foreign Bank Accounts held (including any beneficial interest) at any time during the previous year

Status Account opening

Sr No Country Name and Code Name of the Bank Address of the Bank Account holder name Account Number
date

(1) (2) (3) (4) (5) (6) (7) (8)

1
2
3
4
5
 (Do not delete blank rows)

B Details of Financial Interest in any Entity held (including any beneficial interest) at any time during the previous year

Address of the Entity Nature of Interest Total Investment (at

Sr No Country Code Nature of entity Name of the Entity Date since held
cost) (in rupees)

(1) (2) (3) (4) (5) (6) (7) (8)

1
2
3
4
5

(Do not delete blank rows)

C Details of Immovable Property held (including any beneficial interest) at any time during the previous year

Address of the Ownership Total Investment (at Income derived

Sr No Country Code Date of acquisition Nature of Income
Property cost) (in rupees) from the property

(1) (2) (3) (4) (5) (6) (7) (8)

1
2
3
4
5

(Do not delete blank rows)

D Details of any other Capital Asset held (including any beneficial interest) at any time during the previous year

Ownership Total Investment (at Income derived

Sr No Country Code Nature of Asset Date of acquisition Nature of Income
cost) (in rupees) from the asset

(1) (2) (3) (4) (5) (6) (7) (8)

1
2
3
4
5

(Do not delete blank rows)

E Details of account(s) in which you have signing authority held (including any beneficial interest) at any time during the previous year and which has not been included in A to D above.
Name of the Institution in
which the account is held Peak
Whether income If (7) is yes, Income
(Note : If no entry is made in Address of the Name of the Account Balance/Investment /
Sr No Account Number accrued is taxable accrued in the
this column, then other Institution Holder during the year (in
in your hands? account
columns will not be considered rupees)
for that row)
(1) (2) (3) (4) (5) (6) (7) (8)
1
2
3
4
5

(Do not delete blank rows)

F Details of trusts, created under the laws of a country outside India, in which you are a trustee, beneficiary or settlor

Name of trust
Sr No Country Code Address of the trust Name of trustees Address of trustees Name of Settlor Address of Settlor
 Name of trust
Sr No Country Code Address of the trust Name of trustees Address of trustees Name of Settlor Address of Settlor

(1) (2) (3) (4) (5) (6) (7) (8)

1
2
3
4
5

(Do not delete blank rows)

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
If (7) is yes, I
Name of the person Address of the person Income derived Whether taxable in
Sr No Country Code Nature of income
from whom derived from whom derived your hands? Amount

(1) (2) (3) (4) (5) (6) (7) (8)

1
2
3
4
5

(Do not delete blank rows)

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
NOTE
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.
 Interest taxable and offered in this return
Peak Balance During Interest accrued in
the Year (in rupees) the account Schedule where Item number of
Amount
offered schedule

(9) (10) (11) (12) (13)

 Income taxable and offered in this return
Income accrued from
Nature of Income Schedule where Item number of
such Interest Amount
offered schedule

(9) (10) (11) (12) (13)

Income taxable and offered in this return

Schedule where Item number of
Amount
offered schedule
(9) (10) (11)
 Income taxable and offered in this return
Schedule where Item number of
Amount
offered schedule
(9) (10) (11)

D above.

If (7) is yes, Income offered in this return

Schedule where Item number of

Amount
offered schedule

(9) (10) (11)

Whether income If (12) is yes, Income offered in this return

Address of Date since position If (12) is yes, Income
Name of Beneficiaries derived is taxable in
Beneficiaries held derived from the trust
your hands?
 Whether income
Address of Date since position If (12) is yes, Income
Name of Beneficiaries derived is taxable in Schedule where Item number of
Beneficiaries held derived from the trust Amount
your hands? offered schedule

(9) (10) (11) (12) (13) (14) (15) (16)

(7) is yes, Income offered in this return

Schedule where Item number of
offered schedule
(9) (10)

t acquired during any previous year in which he

 Schedule AL Asset and Liability at the end of the year (Applicable in a case where total income exceeds Rs. 50 lakh)
A Particulars of Asset Amount (Cost) (Rs.)
DETAILS OF ASSET AND

1 Immovable Asset
a Land 1a
LIABILTY

b Building 1b
2 Movable Asset
a Cash in hand 2a
b Jewellery, bullion etc. 2b
c Vehicles, yachts, boats and aircrafts 2c
3 Total 3
B Liability in relation to Assets at A B
here total income exceeds Rs. 50 lakh)
Amount (Cost) (Rs.)

0
 Information regarding apportionment of income between spouses governed by
Schedule 5A
Portuguese Civil Code
Name of the Spouse
PAN of the Spouse
Amount apportioned
Income received under Amount of TDS
Heads of Income in the hands of the TDS apportioned in
the head deducted on income
spouse the hands of spouse
at (ii)

(i) (ii) (iii) (iv) (v)

1 House Property
2 Business or profession
3 Capital Gains
4 Other Sources
5 Total 0 0 0 0